Características epizootiológicas da infecção natural pelo vírus da cinomose canina em Belo Horizonte / Natural canine distemper virus infection epizootiology characteristics in Belo Horizonte

O perfil epizootiológico da cinomose canina em Belo Horizonte é desatualizado e não alberga algumas características relevantes. Uma análise recente da distribuição do vírus em relação às características do hospedeiro e do meio ambiente associada aos principais sinais clínicos e achados laboratoriais são importantes para se adotarem medidas estratégicas para o controle da enfermidade. Objetivou-se, assim, determinar as características epizootiológicas da infecção pelo vírus da cinomose canina associada à variedade de sinais clínico-neurológicos e laboratoriais em Belo Horizonte, auxiliando no diagnóstico precoce da infecção e na diminuição das taxas de morbidade e mortalidade da doença. A avaliação do perfil epizootiológico de 90 cães revelou que a doença é mais frequente em animais adultos (um a seis anos de idade) e que não receberam vacinas conforme recomendado pelos protocolos. Os sinais clínicos extraneurais e neurais foram variados, com predomínio para manifestações gastrentérica e respiratória, mioclonia e déficit motor, respectivamente. O exame do fluido cérebro-espinhal demonstrou predomínio de proteinorraquia associada à pleocitose linfocítica. O teste de imunocromatografia para pesquisa de antígeno com amostras do fluido cerebroespinhal foi eficaz para identificar a doença em pacientes com sinais neurológicos, diferentemente das amostras do swab conjuntival, que não devem ser utilizadas.(AU)

The epizootiology profile of canine distemper in Belo Horizonte is outdated and does not harbor some important characteristics. A recent analysis of the virus distribution in relation to host and environmental characteristics associated with the main clinical signs and laboratory findings are important for adopting strategic measures to control the disease. The aim of this study was to determine the epizootiology characteristics of canine distemper virus infection associated with a variety of clinical and neurologic signs and laboratory findings in Belo Horizonte, helping to detect early infection and reduce morbidity and mortality rates. The evaluation of the epizootiology profile of 90 dogs revealed that the disease is more frequent in adult animals (1-6 years of age) and did not receive vaccines as recommended by the protocols. Extra neural and neural clinical signs were varied, with predominance for gastrointestinal and respiratory manifestations and myoclonus and motor deficit, respectively. Examination of the cerebrospinal fluid of 16 dogs showed a predominance of increase protein associated with lymphocytic pleocytosis. The immunochromatography test for antigen screening with samples of cerebrospinal fluid in 76 animals with neurological signs was effective in identifying the disease, unlike conjunctival swab samples, which should not be used.(AU)

Key-Gaskell syndrome in Brazil: first case report / Síndrome de Key-Gaskell: primeiro relato de caso no Brasil

Feline dysautonomia is a devastating disease characterized by neuronal degeneration in autonomic ganglia that results in clinical signs related to dysfunction of the sympathetic and parasympathetic nervous systems. The cause is unknown and this disease has a poor prognosis and no definitive treatment. Most reports have been described in few countries around the world, but the prevalence may be underestimated in countries like Brazil. This study describes the progression and clinicopathological changes of dysautonomia in a 17-month-old female Brazilian shorthair cat...

Disautonomia felina é uma doença devastadora, caracterizada por degeneração neuronal em gânglios autonômicos, a qual resulta em sinais clínicos relacionados à disfunção dos sistemas simpático e parassimpático. Sua causa é desconhecida, o prognóstico desfavorável e não há tratamento definitivo disponível. A maioria dos relatos foi descrita em países ao redor do mundo, mas sua prevalência pode estar subestimada em países como o Brasil. Este estudo descreve a progressão e as alterações clínico-patológicas da disautonomia em um gato de pelo curto brasileiro, do sexo feminino, de 17 meses de idade...

Colocação de prótese metálica autoexpansível, parcialmente coberta em colédoco distal, e prótese plástica em ducto cístico em paciente com neoplasia de cabeça de pâncreas / Placement of self-expanding metalic stent, partially covered, in the distal choledochoal and plastic stent placement in the cystic duct in patient with cancer of head of the pancreas

A drenagem endoscópica da via biliar em casos inoperáveis de obstrução maligna é a conduta de escolha atualmente. O uso de próteses metálicas autoexpansíveis apresenta melhores resultados em relação às próteses plásticas em virtude dos menores índices de obstrução. No entanto, complicações como colecistite podem ocorrer em até 5% dos casos.

Comparative evaluation of esophageal Barrett's epithelium through esophageal capsule endoscopy and methylene blue chromoendoscopy.

BACKGROUND: Patients presenting with Barrett's esophagus (BE) should be under life-long surveillance in an attempt to detect cancer in its early stages. Esophageal capsule endoscopy (ECE) is a new technique that enables a noninvasive evaluation of the esophagus. AIMS: To evaluate ECE effectiveness compared with methylene blue (MB) chromoendoscopy for the detection of esophageal lesions in which there was suspicion of cancer, the length and pattern of BE, and the presence of hiatal hernia. MATERIAL AND METHODS: Twenty-one patients with BE who underwent Nissen fundoplication and had a follow-up period of more than five years were prospectively enrolled in the study. The patients underwent ECE and chromoendoscopy with MB performed by different physicians who were blinded to each of the procedures. RESULTS: ECE sensitivity, negative predictive value, and accuracy were 100%, 100%, and 79%, respectively, for the detection of esophageal lesions suspected of cancer. ECE accuracy in assessing BE length was 89% and in the evaluation of finger-like projections, circumferential BE, and mixed BE was 74%, 79%, and 74%, respectively. In relation to hiatal hernia detection, ECE sensitivity was 43% and its accuracy was 74%. CONCLUSIONS: ECE appears to be a good method for detecting lesions in which there is suspicion of esophageal cancer and it had modest results in regard to the accurate identification of BE length and pattern. ECE is not a good method for detecting hiatal hernia. Further studies are needed in order to define the definitive role of ECE in BE monitoring.

Microbiological profile of donor corneas stored for tectonic transplantation purposes in rabbits / Microbiologia de amostras de bancos de córneas destinadas a transplantes, em coelhos

This study aimed to evaluate the microbiota of donor rabbit corneas stored for tectonic transplantation purposes. Swabs from both corneas of 20 rabbits were carefully collected and submitted to microorganism isolation and identification. After this first swab collection, rabbits were euthanized for reasons other than this project and the eyes were enucleated. The corneas were collected and stored to compose the cornea tissue bank. Corneas were stored in a 0.3% tobramycin solution at -20ºC. After 30 days, the corneas were thawed at room temperature and removed from the antibiotic. New swabs were obtained from the corneas and submitted to microorganism isolation and identification. Gram positive organisms were predominant in the rabbit corneal flora before storage and the Staphylococcus sp. was the most common microorganism isolated from those samples. No growth was observed on the samples collected after storage. The methods used for collection and storage of the corneas were efficient to constitute a sterile donor corneal tissue bank.

Analisaram-se córneas armazenadas para transplantes tectônicos usando-se suabes coletados de 20 coelhos, visando ao isolamento e à identificação de microrganismos. Após a coleta das amostras, os coelhos foram submetidos à eutanásia, por razões alheias ao estudo, e enucleados. As córneas foram coletadas e armazenadas a fim de se constituir o banco de córneas. O armazenamento deu-se em solução de tobramicina 0,3% a -20ºC, por 30 dias. Após esse período, as córneas foram descongeladas à temperatura ambiente e removidas da solução de antibiótico. Novos suabes foram coletados e submetidos ao isolamento e à identificação dos microrganismos. A flora corneal mostrou-se predominantemente composta por bactérias Gram positivas, sendo o Staphylococcus sp. o mais identificado. Não se verificou crescimento de colônias bacterianas ou fúngicas nas amostras após o armazenamento. Considerando-se a maneira como a pesquisa foi concebida e as injunções do meio em que ela foi realizada, há como admitir, pela ausência de crescimento microbiano nas amostras armazenadas, que a técnica de armazenamento empregada é segura para a estocagem de córneas destinadas a transplantes.

[Hyperplastic polyp with neoplastic transformation in a patient with atrophic gastritis and multiple gastric neuroendocrine tumors]. / Pólipo hiperplásico con transformación neoplásica en paciente con gastritis atrófica y múltiples tumores neuroendocrinos.

Hyperplastic gastric polyps are often found at GI endoscopy and are not considered premalignant lesions, although some cases of malignancy have been reported. Neuroendocrine tumors, conversely, are rare and account for approximately 1% to 2% of gastric polyps. Both hyperplastic gastric polyps and neuroendocrine tumors are related to gastric atrophy. The case of a hyperplastic polyp with multifocal areas of adenocarcinoma within the polyp associated to multiple gastric neuroendocrine tumors is reported.

Effects of the Ottonia martiana Miq. (Piperaceae) extract on dog's ocular surface / Efeitos do extrato de Ottonia martiana Miq. (Piperaceae) sobre a superfície ocular de cães

The anesthetics effects of aqueous extract of Ottonia martiana leaves were studied on the ocular surface of healthy beagle dogs. The dogs were divided in three groups (n=15): control group (CG), proxymetacaine group (PG) and Ottonia group (OG), which were treated with 0.9% saline, 0.5% proxymetacaine hydrochloride ophthalmic solution and O. martiana extract respectively. An oftalmic evaluation was performed before the treatments. Eye drops were instilled at time 0 (T0) and 3 minutes later (T3). Axial corneal sensitivity was evaluated by esthesiometry 5 and 10 minutes after T0. Tear production and intraocular pressure were evaluated 10 minutes after T0. Slit lamp biomicroscopy was performed 10 and 20 minutes after T0 and the eyes were stained with fluorescein 20 minutes after T0. The STT was reduced in PG. Conjunctival hyperemia was observed in 13 animals from PG and constituted the only ocular alteration observed during the study. Esthesiometry revealed a decreased corneal sensitivity for PG and OG. Those results show that the O. martiana extract acts reducing corneal sensitivity in dogs. Moreover, its use does not decrease the tear production and does not cause any clinical ophthalmic alteration.

Estudaram-se os efeitos do extrato das folhas de Ottonia martiana sobre a superfície ocular de cães hígidos da raça Beagle. Compuseram-se três grupos de tratamento (n=15): grupo controle (GC), grupo proximetacaína (GP) e grupo Ottonia (GO), tratados, respectivamente, com solução fisiológica, colírio de cloridrato de proximetacaína a 0,5% e extrato de O. martiana. Após avaliação oftálmica inicial, os tratamentos foram realizados no tempo 0 (T0) e decorridos 3min (T3). Avaliaram-se a sensibilidade axial da córnea por estesiometria (T5 e T10) e a produção lacrimal e a pressão ocular (T10). Realizaram-se a biomicroscopia com lâmpada em fenda (T10 e T20), e o teste do tingimento pela fluoresceína (T20). Relativamente ao teste de Schirmer, observou-se diminuição nos cães do GP. Houve alteração clínica somente nos do GP, em que 13 animais apresentaram hiperemia conjuntival. Relativamente à estesiometria, houve diminuição da sensibilidade corneal nos animais do GP e do GO. Admite-se que o extrato de O. martiana age diminuindo a sensibilidade corneal em cães e que sua utilização não diminui a produção lacrimal, tampouco causa alterações clínicas oftálmicas.

A novel approach for the treatment of pelvic abscess: transrectal endoscopic drainage facilitated by transanal endoscopic microsurgery access.

BACKGROUND: Postoperative pelvic abscesses in patients submitted to colorectal surgery are challenging. The surgical approach may be too risky, and image-guided drainage often is difficult due to the complex anatomy of the pelvis. This article describes novel access for drainage of a pelvic collection using a minimally invasive natural orifice approach. METHODS: A 37 year-old man presented with sepsis due to a pelvic abscess during the second postoperative week after a Hartmann procedure due to perforated rectal cancer. Percutaneous drainage was determined by computed tomography to be unsuccessful, and another operation was considered to be hazardous. Because the pelvic fluid was very close to the rectal stump, transrectal drainage was planned. The rectal stump was opened using transanal endoscopic microsurgery (TEM) instruments. The endoscope was advanced through the TEM working channel and the rectal stump opening, accessing the abdominal cavity and pelvic collection. RESULTS: The pelvic collection was endoscopically drained and the local cavity washed with saline through the scope channel. A Foley catheter was placed in the rectal stump. The patient's recovery after the procedure was successful, without the need for further intervention. CONCLUSIONS: Transrectal endoscopic drainage may be an option for selected cases of pelvic fluid collection in patients submitted to Hartmann's procedure. The technique allows not only fluid drainage but also visualization of the local cavity, cleavage of multiloculated abscesses, and saline irrigation if necessary. The use of TEM instrumentation allows safe access to the peritoneal cavity.

Ultrasonographic analysis of senile cataractous lens of dogs and its correlation to phacoemulsification / Análise ultrassonográfica da lente cataratogênica senil de cães e sua correlação com parâmetros de facoemulsificação

This study aimed to evaluate the effectiveness of a computer-assisted ultrasound analysis of senile dogs cataractous lens and identify its correlation to phacoemulsification surgical parameters. Simultaneous A- and B- mode ultrasonic evaluation of the lens was performed on 15 dogs with cataract. A computer-assisted image analysis was used to objectively calculate the lens echogenicity. Following ultrasonographic examination the cataracts were removed by phacoemulsification and the ultrasonographic and phacoemulsification findings were compared to identify possible correlations. Lens echogenicity obtained by the computer-assisted ultrasonographic analysis correlated to the phacoemulsification time, such that the whiter the ultrasound image, the longer was the phacoemulsification time. The B-mode ultrasonography was helpful for the prediction of lens opacity location, but not predictive of lens hardness.

Avaliou-se a eficácia da análise ultrassonográfica, assistida por computador, da lente cataratogênica senil de cães e identificou-se sua correlação com parâmetros da facoemulsificação. A avaliação ultrassonográfica da lente em modos A e B simultâneos foi realizada em 15 cães portadores de catarata. Procedeu-se à análise das imagens, assistida por computador. Posteriormente, os olhos selecionados foram submetidos à facoemulsificação. Os achados ultrassonográficos e a facoemulsificação foram comparados visando à identificação de possíveis correlações. A ecogenicidade obtida por meio da análise ultrassonográfica correlacionou-se diretamente com o tempo de facoemulsificação, de maneira que quanto mais branca a imagem ultrassonográfica, maior o tempo de facoemulsificação. A ultrassonografia em modo-B auxiliou na predição da localização das opacidades lenticulares, porém não auxiliou na predição da dureza da lente.

Comportamento de genótipos de feijoeiro ao ataque de Bemisia tabaci (Genn) biótipo B (Hemiptera: Aleyrodidae) / Behavior of bean genotypes to attack by Bemisia tabaci (Genn) biotype B (Hemiptera: Aleyrodidae)

Avaliou-se o comportamento de genótipos de feijoeiro sob infestação de Bemisia tabaci (Genn.) biótipo B em condições de campo, nas épocas de cultivo "da seca" e "das águas". Utilizaram-se os genótipos IAC-Tybatã, IAC-Una, FT-Nobre, Pérola, LP 98-122, LP 02-130, LP 01-38, LP 9979, BRS-Pontal, BRS-Requinte, BRS-Triunfo, BRS-Grafite, CV-48 e Z-28. Adotou-se o delineamento de blocos casualizados com 14 tratamentos e três repetições. As avaliações foram realizadas semanalmente, contando-se o número de ovos e de ninfas de B. tabaci biótipo B em dez folíolos por parcela. Na safra "da seca" os genótipos menos ovipositados por B. tabaci biótipo B foram IAC-Una e LP 02-130 e os mais ovipositados foram os genótipos Z-28 e Pérola. As menores presenças de ninfas de mosca-branca foram observadas em LP 98-122 e FT-Nobre e as maiores em LP 01-38, Pérola e Z-28. Para a safra "das águas" os genótipos não diferiram entre si em relação ao ataque de B. tabaci biótipo B. Os fatores da produção apresentaram diferença estatística somente na safra das secas.

Bean genotypes were evaluated under the infestation of Bemisia tabaci (Genn.) biotype B under field conditions in the dry and rainy season. The genotypes used were IAC-Tybatã, IAC-Una, FT-Nobre, Pérola, LP 98-122, LP 02-130, LP 01-38, LP 9979, BRSPontal, BRS-Requinte, BRS-Triunfo, BRS-Grafite, CV-48 and Z-28. The experiment was arranged in randomized blocks with 14 treatments and 3 replications. The evaluations were made on a weekly basis by counting B. tabaci biotype B eggs and nymphs on 10 leaflets per plot. In the dry season the least oviposited genotypes by B. tabaci biotype B were IAC-Una and LP 02-130, while the most oviposited were Z-28 and Pérola. The least presence of nymphs of whitefly was observed on LP 98-122 and FT-Nobre, and the most on LP 01-38, Perola and Z-28. For the rainy season the genotypes did not differ in relation to the attack of B. tabaci biotype B. The yield factors presented a statistical difference only in the dry season.

A- and B-modes echobiometry in cataractous and noncataractous eyes of English Cocker Spaniel dogs / Ecobiometria nos modos A e B, de olhos de cães da raça Cocker Spaniel Inglês com e sem catarata

A- and B-modes ultrasonographic changes in the thickness of various structures of the eyeball in male and female English Cocker Spaniel dogs with and without nondiabetic cataracts were evaluated. Sixteen dogs with cataracts (32 eyes) and seven normal dogs (14 eyes) older than eight years were selected. A- and B-modes ultrasonography was performed with a 10MHz transducer. Data was statistically evaluated by one way ANOVA. Mean and standard deviations of various ocular structures for dogs with and without cataracts were, respectively, anterior chamber: 3.041±0.828mm, 3.373±1.040mm; lens: 6.817±1.117mm, 7.062±0.477mm; vitreous: 10.056±0.754mm, 9.523±0.705mm; and axial length: 19.909±1.103mm, 19.958±1.050mm. Ocular measurements between right and left eyes, males and females, as well as in eyes with and without cataract were not different (P>0.05).

Avaliaram-se as alterações na dimensão de estruturas do bulbo do olho de cães da raça Cocker Spaniel Inglês, machos e fêmeas, com ou sem catarata não diabética. Dezesseis animais com catarata (n = 32 olhos) com idade acima de oito anos e um grupo-controle, composto por sete cães, com idades também acima de oito anos, sem catarata (n = 14 olhos) compuseram a pesquisa. Realizou-se ultrassonografia transcorneana nos modos A e B com transdutor de 10MHz. Os dados foram submetidos à análise de variância e ao teste Tukey para comparação de médias. O comprimento axial do bulbo do olho dos animais com catarata e dos animais do grupo-controle foram, respectivamente, 19,909±1,103mm e 19,958±1,050mm. Para a câmara anterior, encontraram-se 3,041±0,828mm; 3,373±1,040mm, respectivamente. Para o diâmetro lenticular, os valores foram 6,817±1,117mm e 7,062±0,477mm, respectivamente, e para o segmento posterior, 10,056±0,754mm e 9,523±0,705mm, respectivamente. Não se encontraram diferenças significativas entre olhos com catarata e do grupo-controle, tampouco entre machos e fêmeas com e sem catarata, nem entre olhos direitos e esquerdos (P>0,05).

Simultaneous mode A and mode B echobiometry of senile cataractous eyes in dogs / Ecobiometria simultânea em modos A e B de olhos acometidos por catarata senil, em cães

The evaluation of lens by ultrasonography, previously to phacoemulsification, can offer relevant information, markedly such as aspects and dimensions, allowing design safer surgical strategies with enhanced outcomes. Within the contents of this research, the biometry was performed in lens of dogs with senile immature, mature, and diabetic cataracts, previously to phacoemulsification, using mode A and mode B ultrasonography, simultaneously. The values obtained for axial diameter of the eyes, anterior chamber, lens, and vitreous chamber were, respectively, 19.22mm, 2.35mm, 7.94mm, and 8.94mm. Diabetic cataractous lens were larger (8.90mm), compared to mature cataract (8.12mm). Lens with immature cataract were smaller in dimension than those with mature and diabetic cataracts.

A avaliação da lente pela ultrassonografia, previamente à facoemulsificação, pode fornecer informações relevantes, notadamente, quanto ao seu aspecto e dimensões, que permitem delinear estratégias cirúrgicas mais seguras e com melhores resultados. Nesta pesquisa, realizou-se a biometria da lente de cães acometidos por catarata senil imatura, madura ou diabética, previamente à facoemulsificação, valendo-se da ultrassonografia em modo A e B, simultaneamente. Os valores obtidos para o diâmetro axial do bulbo do olho, câmara anterior, lente e câmara vítrea foram, respectivamente, 19,22mm, 2,35mm, 7,94mm e 8,94mm. Lentes cataratogênicas pertencentes a animais diabéticos apresentaram dimensões maiores (8,90mm), comparativamente àquelas que apresentavam catarata madura (8,12mm). Lentes acometidas por catarata imatura apresentaram menor dimensão (7,06mm), comparativamente às demais.

Effect of sitaxsentan treatment on quality of life in pulmonary arterial hypertension.

In recent years new therapeutic options have been developed for the management of pulmonary arterial hypertension (PAH). Sitaxsentan is an oral, once daily, highly selective endothelin A receptor antagonist that recently demonstrated a positive effect on functional capacity and haemodynamics of PAH patients. The aim of this study is to evaluate the effect of sitaxsentan in the quality of life (QOL) of PAH patients. Twenty-three patients with idiopathic PAH or PAH associated to collagen vascular diseases were evaluated at baseline and after 16 weeks of treatment with sitaxsentan 100 mg orally, once daily. 6-min walk test distance (6MWD) and QOL questionnaire (QOLQ) (SF-36) were obtained at baseline and at week 16. There was a significant improvement in functional capacity evaluated by 6MWD (472 m vs. 490 m, p = 0.03) and also in the physical component of the QOLQ (p < 0.01). Evaluating each of the domains of the SF-36 QOLQ, those more related to physical capacity presented a significant increase while the domains related to the mental component presented a trend of improvement, without reaching statistical significance. Sitaxsentan improves QOL in patients with PAH mainly through the domains related to functional capacity.