Malformações congênitas e abortos induzidos experimentalmente pela ingestão de Poincianella pyramidalis (Tul. ) L. P. Queiroz (catingueira) em ovelhas / Congenital malformations and abortions induced experimentally by the ingestion of Poincianella pyramidalis (Tul. ) L. P. Queiroz (catingueira) in sheep

Poincianella pyramidalis (catingueira) é uma planta tóxica associada a abortos, perdas embrionárias e malformações em caprinos e animais de laboratório. Surtos e casos esporádicos de intoxicação espontânea em ovinos vem sendo relatados nos últimos cinco anos no agreste de Pernambuco. Devido à ocorrência destes casos espontâneos e a escassez de pesquisas na espécie ovina, o objetivo desse trabalho foi realizar um estudo experimental para avaliação dos efeitos teratogênicos de P. pyramidalis em ovelhas. No experimento foram utilizadas 16 ovelhas e três carneiros, sem raça definida (SRD). As fêmeas foram divididas em quatro grupos, com quatro animais por grupo e mantidas em baias individuais, foram submetidas a sincronização do estro e acasalamento por monta natural, após 30 dias foi realizado o diagnóstico para confirmação da gestação. Os grupos foram denominados como: grupo 1 (G1), grupo 2 (G2), grupo 3 (G3) e grupo 4 (G4). No G1 (controle) as ovelhas foram alimentadas com 1% de suplementação concentrada (SC) baseado no peso vivo (PV) e 2% de volumoso a base de silagem de milho (SM), com uma ingestão diária de 3% de matéria seca (MS) com base no PV. No G2 a alimentação era constituída de 1% de SC com base no PV e 2% de volumoso. Sendo que destes 2% de volumoso, 50% era feno de P. pyramidalis e os outros 50% de SM. No G3 a alimentação era constituída de 1% de SC com base no PV e 2% de volumoso. Sendo que destes 2% de volumoso, 80% foi de feno de P. pyramidalis e os outros 20% de SM. No G4 as ovelhas foram alimentadas com 1% de SC com base no PV e o volumoso constituído de 100% de feno de P. pyramidalis. Todos os grupos receberam SC à base de farelo de milho, farelo de algodão, sal mineral especifico para ovinos e água ad libitum. Mensalmente os animais foram submetidos à ultrassonografia para detecção de perdas embrionárias ou fetais. Foram realizados exames sorológicos para Neospora caninum e Toxoplasma gondii antes da introdução dos animais no experimento. Os fetos com malformações foram avaliados no setor de Patologia da UFRPE / Unidade Acadêmica de Garanhuns (UAG) para descrição das lesões. No G2, ocorreram cinco casos de malformações de oito cordeiros nascidos. No G3, ocorreram quatro casos de malformação, sendo um decorrente de aborto. No G4, uma ovelha abortou e as outras três pariram quatro fetos malformados. As principais malformações encontradas no trabalho foram artrogripose, palatosquise, queilosquise, hipoplasia da mandíbula, aplasia do osso incisivo, malformações de olho e língua, polidactilia e monodactilia. Nos grupos de maior percentual de ingestão da planta foram observadas maiores quantidades de malformações e chamou a atenção a ocorrência de retenção de placenta e a alta frequência de mortalidade perinatal nos cordeiros que apresentaram algum tipo de malformação. Demonstrou-se com esse trabalho que a P. pyramidalis é uma importante causa de malformação congênita, aborto e mortalidade perinatal em ovinos, sendo de extrema importância que se mantenha as ovelhas prenhes fora do alcance desta planta durante todo o período gestacional.(AU)

Poincianella pyramidalis (catingueira) is a toxic plant associated with abortions, embryonic losses and malformations in goats and laboratory animals. Outbreaks and sporadic cases of spontaneous intoxication in sheep have been reported in the last five years in the agreste of Pernambuco. Due to the occurrence of these spontaneous cases and the lack of researches in sheep, an experimental study was carried out to evaluate the teratogenic effects of P. pyramidalis on sheep. In the experiment, 16 female and three male sheeps, mixed breed, were used. Females were divided in four groups, with four animals per group and maintained in individual stalls, underwent estrus synchronization and mating by natural mating and after 30 days the diagnosis was made to confirm gestation. Groups were named group 1 (G1), group 2 (G2), group 3 (G3), and group 4 (G4). In G1 (control) the ewes were fed with 1% of concentrate supplementation (CS) based on live weight (LW) and 2% of maize silage (MS) with a daily intake of 3% dry matter (DM) based on LW. In G2 feeding was constituted of 1% of CS based on LW and 2% of forage, including 2% of roughage, 50% was hay of P. pyramidalis and the other 50% of DM. In G3 feed was constituted of 1% of CS based on LW and 2% of roughage. Among these 2% of roughage, 80% was hay of P. pyramidalis and the other 20% of DM. In G4 the sheep were fed with 1% CS based on the LW and the roughage consisting of 100% P. pyramidalis hay. All groups received CS with corn meal, cottonseed meal, mineral salt specific for sheep and water ad libitum. Animals were monthly submitted to ultrasonography to detect embryonic or fetal losses. Serological tests were performed for Neospora caninum and Toxoplasma gondii before introduction of the animals in the experiment. Fetuses with malformations were evaluated in the Laboratory of Animal Anatomy and Pathology of the Academic Unit of Garanhuns (UAG), UFRPE, to describe the lesions. In G2, there were five cases of malformations of eight born lambs. In G3, there were four cases of malformation, one due to abortion. In G4, one sheep aborted and the other three gave birth to four malformed fetuses. Main malformations found in the study were arthrogryposis, palatoschisis, chylosquisis, hypoplasia of the mandible, aplasia of the incisive bone, malformations of the eye and tongue, polidactyly and monodactyly. In the groups with higher doses, larger numbers of malformations were observed, and the occurrence of placental retention and the high frequency of perinatal mortality in lambs presenting some type of malformation were noted. It has been demonstrated that P. pyramidalis is an important cause of congenital malformation, abortion and perinatal mortality in sheep, therefore keeping pregnant sheep away from this plant throughout the gestation period is utmost important.(AU)

Results of the Brazilian Osteosarcoma Treatment Group Studies III and IV: prognostic factors and impact on survival.

PURPOSE: To evaluate the impact of chemotherapy and surgery on the outcome of osteosarcoma (OS) of the extremities and to identify prognostic factors in Brazilian patients. PATIENTS AND METHODS: A total of 225 patients with metastatic and nonmetastatic OS of the extremities were enrolled and assessed in two consecutive studies designed and implemented by the Brazilian Osteosarcoma Treatment Group. RESULTS: The 5-year survival and event-free survival rates for the 209 assessable patients were 50.1% and 39%, respectively; for the 178 patients with nonmetastatic disease at diagnosis, the rates were 60.5% and 45.5%, respectively. The multivariate analysis showed that the following variables were associated with a shorter survival: metastases at diagnosis (P < .001), necrosis grades 1 and 2 (P = .046), and tumor size (P = .0071). CONCLUSION: The overall 5- and 10-year survival rates were lower than the rates reported in North American and European trials. A pattern of advanced disease at diagnosis was often present, with a high proportion of patients having metastases (20.8%) and large tumor size (42.9%). However, these features were not necessarily associated with longer duration of prediagnostic symptoms. These findings were considered in the strategic planning of the current Brazilian cooperative study, with the aim of improving survival and quality of life of a large number of patients with OS.

Thyroid abscess due to Acinetobacter calcoaceticus: case report and review of the causes of and current management strategies for thyroid abscesses.

Thyroid abscess was a common condition in the era before antibiotics. In the current medical environment, however, it is a clinical entity that is seldom encountered. We report the case of a unique cause of thyroid abscess, the environmental Gram-negative bacterium Acinetobacter calcoaceticus. Review of the published causes of thyroid abscess since 1980 demonstrated that although Gram-positive bacteria (Staphylococcus and Streptococcus species) remain the most common causes, there has been a marked decrease in the number of cases caused by mycobacteria, Salmonella species, and anaerobes when compared with the early part of the 20th century. Patients infected with the human immunodeficiency virus, however, still develop mycobacterial and fungal thyroid infections with some regularity. Reported modes of management of thyroid abscess vary, but drainage remains an integral component of therapy for resolution of the infection.

Histiocitoma fibroso maligno sobre infarto ósseo e calo de fratura / Malignant fibrous histocytoma on bone infarction and callus frasture

Os autores relatam caso de histiocitoma fibroso maligno que se instalou sobre calo de fratura, em zona onde havia infarto ósseo, em fêmur distal. O tumor surgiu 14 meses após a fratura, tratada conservadoramente em sua cidade. O quadril foi desarticulado com 17 meses de fratura. Apresentam detalhes do exame anatomopatológico e lembram a raridade da associaçao malignidade x infarto ósseo. Nao encontraram relato na literatura de língua inglesa da tríplice associaçao.