Detection of Hemopathogens in Chelonoidis carbonaria: Microscopic, Molecular, Hematological, and Clinical Biochemistry Aspects.

Background: The growing contact between men and wild animals, caused by the increase in the population in urban centers and the destruction of the habitat of these animals, has been leading to a greater circulation of pathogens between humans and wildlife. Chelonoidis carbonaria, a tortoise found throughout South America, is one of the animals most rescued from animal trafficking and illegal breeding. Considering this situation, this study aimed to verify the occurrence of hemoparasites in C. carbonaria. Materials and Methods: Blood samples from 73 C. carbonaria were collected from animals located in (1) a rural commercial breeding unit, (2) an urban zoo, and (3) a center of rescued animal screening. Genomic DNA was extracted from these animals and used in PCRs to detect specific genomic fragments of haemogregarines (i.e., Hepatozoon and Hemolivia), and members of the Anaplasmataceae Family (i.e., Ehrlichia sp. and Anaplasma sp.). Blood samples were screened for hemopathogens by direct microscopy and were used for hematological assays, and serum samples were analyzed to determine the concentration of serum components. Results: It was found that 34.2% of the tortoises presented Sauroplasma sp. in their blood samples; these animals showed clinical biochemistry changes that indicate altered liver function. Two zoo animals were positive for Ehrlichia sp. in PCR, and also presented clinical biochemistry and hematological changes. Conclusion: The present project is pioneer in the detection of Ehrlichia sp. in C. carbonaria, and was able to identify changes in clinical biochemistry that can be a result of the infection by hemopathogens in this species.

Hematological and clinical biochemistry profiles in Canindé goats infected by Corynebacterium pseudotuberculosis and bred in a tropical semi-arid region.

Caseous lymphadenitis (CLA), an infectious disease caused by Corynebacterium pseudotuberculosis in goats and sheep, is highly prevalent worldwide and is characterized by economic losses in small ruminant production. Currently available techniques for clinical and laboratory diagnosis of the disease lack market availability and/or sensitivity, and therefore, infected animals can remain in the herd, serving as a source of infection for other animals. The present study aimed to verify hematological and clinical biochemistry changes in goats naturally infected by C. pseudotuberculosis. One hundred seventy-three Canindé goats were included in this study, from which blood samples and caseous lesions were collected. The animals were classified as uninfected, asymptomatic, and symptomatic according to microbiological isolation and serological assays. A high dissemination of the infection was observed in the herd, with 86.13% of positive animals, being 74.57% asymptomatic and 11.56% symptomatic. In the hemogram and clinical biochemistry analyses, the only statistical difference found was a higher level of serum urea in asymptomatic individuals than in non-infected animals. In addition, this study points to the possibility of chronic CLA being potentially reflected in hepatic and renal biochemical markers.

Morphological changes in leukocytes of acute SARS-CoV-2 infection patients, Amazon, Brazil / Alterações morfológicas em leucócitos de pacientes com infecção aguda por SARS-CoV-2, Amazônia, Brasil

Introduction: The pandemic for the new coronavirus (SARS-CoV-2) brought many uncertainties about which laboratory parameters would be most suitable during the evolution of COVID 19. Objectives: Correlate the results of the blood count (BC), the neutrophil/lymphocyte ratio (N/LR), the C-reactive protein (CRP) and morphological findings of individuals diagnosed with SARS-CoV-2 infection through Polymerase Chain Reaction in Real Time (RT-PCR) in a private laboratory in Belém, Pará, from March to September 2020. Materials and Methods: Retrospective study with 30 individuals, of both sexes, any age and clinical complaint, of home or hospital origin who underwent BC, CRP and RT-PCR for COVID 19 until the 8th day of infection. Morphological changes were analyzed after selecting the slides for these patients. Results: Sample composed of 15 men and 15 women, aged between 7 and 92 years. Of these 12/30 individuals were at home and 18/30 were hospitalized. The main complaints were fever, malaise, diarrhea and respiratory distress. The statistical study showed a direct dependency relationship between increases in N/LR, CRP and the need for hospitalization (p = 0.0005). Morphological analysis showed hyposegmented neutrophils with toxic granulations, vacuolated monocytes, and reactive lymphocytes with basophilic cytoplasm. Conclusion: Our results associate intermediate and elevated levels of N/LR with increased CRP and disease severity, however, unrelated to the morphological findings in neutrophils, lymphocytes and monocytes that were common to all patients diagnosed up to the 8th day of infection (AU)

Introdução: A pandemia pelo novo coronavírus (SARS-CoV-2) trouxe muitas incertezas sobre quais parâmetros laboratoriais seriam mais adequados durante a evolução da COVID 19. Objetivos: Correlacionar os resultados do hemograma (HGM), da relação neutrófilos/linfócitos (R N/L), da proteína C reativa (PCR) e dos achados morfológicos de indivíduos diagnosticados com infecção por SARS-CoV-2 através de Reação em Cadeia da Polimerase em Tempo Real (RT-PCR) em um laboratório particular de Belém, Pará, no período de março a setembro de 2020. Materiais e Métodos: Estudo retrospectivo com 30 indivíduos, de ambos os sexos, qualquer idade e queixa clínica, de origem domiciliar ou hospitalar que realizaram HGM, PCR e RT-PCR para COVID 19 até o 8o dia de infecção. As alterações morfológicas foram analisadas após a seleção das lâminas desses pacientes. Resultados:Amostra composta por 15 homens e 15 mulheres, com idades entre 7 e 92 anos. Desses, 12/30 indivíduos estavam em domicílio e 18/30 internados. As principais queixas foram febre, mal-estar geral, diarreia e desconforto respiratório. O estudo estatístico mostrou a existência de relação de dependência direta entre os aumentos da R N/L, PCR e necessidade de internação (p=0,0005). A análise morfológica mostrou neutrófilos hipossegmentados com granulações tóxicas, monócitos vacuolizados e linfócitos reativos com citoplasma basofílico. Conclusão: Nossos resultados associam os níveis intermediários e elevados da R N/L com o aumento de PCR e a gravidade da doença, porém, sem relação com os achados morfológicos em neutrófilos, linfócitos e monócitos que foram comuns a todos os pacientes diagnosticados até o 8o dia de infecção

Intracranial ependymal cyst - A modern systematic review with a pathway to diagnosis.

BACKGROUND: Intracranial ependymal cysts (IECs) are rare, histologically benign neuroepithelial cysts that mostly occur in the cerebral parenchyma. The majority of these cysts are clinically silent and discovered incidentally, but when symptomatic they may compress surrounding structures, thus surgical intervention is needed. The current data in the literature about ECs is very scarce, and many are misdiagnosed, once they share many radiological characteristics with a variety of intracranial benign cysts. Also their terminology is confusing, and its definitive diagnosis can only be made through a thorough histopathological study, hence a detailed description about these uncommon lesions is necessary. The correct identification of the lesion lead to our better understanding of the condition and further improvement of the patient's prognosis. METHODS: A descriptive case is presented; moreover, a detailed PubMed search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was performed. The data found was analyzed by various criteria in order to correctly describe the characteristics of this lesion. RESULTS: The literature review gathered 9 descriptions of patients with IECs with a diverse range anatomopathological and clinical manifestations. All of the included studies found were case reports. Moreover, the authors suggest an updated classification of the lesion, involving their immunohistochemical characteristics. CONCLUSIONS: The information obtained from this study highlights IECs rarity and their inaccurately classification. We propose that the definitive diagnosis of IECs shall be made upon histopathological confirmation of an ependyma-lined cyst along with a positive glial fibrillary acidic protein (GFAP).

Hematologic parameters of captive Bothrops atrox (Squamata: viperidae)

The breeding of venomous snakes in captivity for research purposes and mainly as a source of pharmaceutical products highlights the need to determine hematological parameters for monitoring and ensuring a healthy breeding populationThe complete blood count is used to help diagnose alterations such as anemia, inflammatory diseases, parasitemia, hematopoietic disorders, hemostatic and toxicological changes, as well as bacterial and viral inclusions. Thus, the objective of this study was to define reference parameters for complete blood count in Bothrops atrox snakes. Blood samples were collected from 20 specimens of B. atrox from the Pentapharm do Brasil commercial breeding facility for laboratory examination. Mean values and standard deviation were: hematocrit 33.6 ± 5.47%, hemoglobin 10.81 ± 2.07g/dL, total number of erythrocytes 0.59 ± 0.1 x 106/mm3, leukocytes 11387.5 ± 3279.2/mm3 and thrombocytes 28175 ± 6320/mm3. No significant difference was observed between males and females and heterophils were the predominant leukocyte cell type.

Morphological changes in leukocytes of acute SARS-CoV-2 infection patients, Amazon, Brazil / Alterações morfológicas em leucócitos de pacientes com infecção aguda por SARS-CoV-2, Amazônia, Brasil

RESUMO: Introdução: A pandemia pelo novo coronavírus (SARS-CoV-2) trouxe muitas incertezas sobre quais parâmetros laboratoriais seriam mais adequados durante a evolução da COVID 19. Objetivos: Correlacionar os resultados do hemograma (HGM), da relação neutrófilos/linfócitos (R N/L), da proteína C reativa (PCR) e dos achados morfológicos de indivíduos diagnosticados com infecção por SARS-CoV-2 através de Reação em Cadeia da Polimerase em Tempo Real (RT-PCR) em um laboratório particular de Belém, Pará, no período de março a setembro de 2020. Materiais e Métodos: Estudo retrospectivo com 30 indivíduos, de ambos os sexos, qualquer idade e queixa clínica, de origem domiciliar ou hospitalar que realizaram HGM, PCR e RT-PCR para COVID 19 até o 8o dia de infecção. As alterações morfológicas foram analisadas após a seleção das lâminas desses pacientes. Resultados:Amostra composta por 15 homens e 15 mulheres, com idades entre 7 e 92 anos. Desses, 12/30 indivíduos estavam em domicílio e 18/30 internados. As principais queixas foram febre, mal-estar geral, diarreia e desconforto respiratório. O estudo estatístico mostrou a existência de relação de dependência direta entre os aumentos da R N/L, PCR e necessidade de internação (p=0,0005). A análise morfológica mostrou neutrófilos hipossegmentados com granulações tóxicas, monócitos vacuolizados e linfócitos reativos com citoplasma basofílico. Conclusão: Nossos resultados associam os níveis intermediários e elevados da R N/L com o aumento de PCR e a gravidade da doença, porém, sem relação com os achados morfológicos em neutrófilos, linfócitos e monócitos que foram comuns a todos os pacientes diagnosticados até o 8o dia de infecção. (AU)

ABSTRACT: Morphological changes in leukocytes of acute SARS-CoV-2 infection patients, Amazon, BrazilORIGINAL ARTICLEIntroduction: The pandemic for the new coronavirus (SARS-CoV-2) brought many uncertainties about which laboratory parameters would be most suitable during the evolution of COVID 19. Objectives: Correlate the results of the blood count (BC), the neutrophil/lymphocyte ratio (N/LR), the C-reactive protein (CRP) and morphological findings of individuals diagnosed with SARS-CoV-2 infection through Polymerase Chain Reaction in Real Time (RT-PCR) in a private laboratory in Belém, Pará, from March to September 2020. Materials and Methods: Retrospective study with 30 individuals, of both sexes, any age and clinical complaint, of home or hospital origin who underwent BC, CRP and RT-PCR for COVID 19 until the 8th day of infection. Morphological changes were analyzed after selecting the slides for these patients. Results: Sample composed of 15 men and 15 women, aged between 7 and 92 years. Of these 12/30 individuals were at home and 18/30 were hospitalized. The main complaints were fever, malaise, diarrhea and respiratory distress. The statistical study showed a direct dependency relationship between increases in N/LR, CRP and the need for hospitalization (p = 0.0005). Morphological analysis showed hyposegmented neutrophils with toxic granulations, vacuolated monocytes, and reactive lymphocytes with basophilic cytoplasm. Conclusion: Our results associate intermediate and elevated levels of N/LR with increased CRP and disease severity, however, unrelated to the morphological findings in neutrophils, lymphocytes and monocytes that were common to all patients diagnosed up to the 8th day of infection. (AU)

Proteinograma de ovelhas imunizadas com veneno detoxificado do escorpião Tityus serrulatus / Proteinogram of immunized sheep with detoxified Tityus serrulatus scorpion venom

Background: Scorpionism is a worldwide medical issue, especially relevant in the tropical and subtropical countries. Tityusserrulatus is the species responsible for most cases in Brazil. Antivenom administration to victims is the sole specific therapyobtained from donor animals. Most of these donors suffer with symptoms of the poisoning, debilitating their health andreducing their life expectancy. The aim of the present research was to evaluate whether the immunogens prepared fromthe crude and detoxified venom of T. serrulatus promoted different changes in fractionated sheep plasma proteins, duringa scorpion antivenom serum production.Materials, Methods & Results: Twelve sheep, healthy, mean weight of 30 kg, were distributed into 3 groups (n = 4): G1(control), G2 (crude venom) and G3 (detoxified venom). The adopted immunization protocol (first cycle) had 6 doses, 3using Freund’s adjuvant, with a 21-day interval between each one (day 0, 22 and 43), and 3 doses with no adjuvant (booster)and 0.2 mg of antigen (reinforcement), spaced 3 days between each other (day 50, 53 and 56). Group control (G1) received6 immunizations with phosphate buffered saline (PBS) associated with Freund’s adjuvant (1:1), while the other 2 groupsreceived 0.5 mg of venom (G2) and detoxified venom (G3), respectively, diluted in PBS, associated with the Freund adjuvant. The boosters were 1/3 of the initial dose, diluted only PBS. At baseline (T0) and at 24 and 48 h after immunization,all animals underwent clinical examinations. Blood samples were collected at day 0, 22, 43, 53 and 56 for proteinogramanalysis. Total protein, albumin and globulins fractions were measured. Plasma albumin concentration at T0 ranged from3.41-4.86 g/dL, with a mean value of 4.12 g/dL. There was no statistical difference between...

Seroprevalence and hematological abnormalities associated with Ehrlichia canis in dogs referred to a veterinary teaching hospital in central-western Brazil / Soroprevalência e alterações hematológicas associadas com Ehrlichia canis em cães encaminhados a um hospital veterinário-escola no centro-oeste do Brasil

Ticks are significant parasites of dogs in the tropics, where tick-borne pathogens are highly prevalent, especially in areas where tick control measures are frequently neglected. This study investigated the seroprevalence and hematological abnormalities associated with Ehrlichia canis in dogs referred to a veterinary teaching hospital in Central-western Brazil. Out of 264 dogs tested for anti-Ehrlichia canis antibodies by an indirect immunofluorescence assay (IFA), 59.1% (156/264) were positive. Seropositivity was significantly associated to anemia and thrombocytopenia, alone or in combination, and to leukopenia. Conversely, there were no differences in terms of seroprevalence according to sex, breed and age. This study demonstrated that dogs referred to a veterinary teaching hospital in Central-western Brazil are highly exposed to E. canis and that seropositive dogs are more likely to present hematological abnormalities, particularly anemia, thrombocytopenia and leukopenia. To our knowledge, this is the first study on detection of anti-E. canis antibodies by means of IFA among dogs in the state of Goiás. These findings highlighted the need for increasing awareness among dog owners regarding tick control measures in Central-western Brazil, ultimately to reduce the risk of exposure to E. canis and other tick-borne pathogens.

Carrapatos são importantes parasitos de cães nos trópicos, onde patógenos transmitidos por carrapatos são altamente prevalentes, especialmente em áreas onde as medidas de controle de carrapatos são frequentemente negligenciadas. O estudo investigou a soroprevalência e as anormalidades hematológicas associadas à Ehrlichia canis em cães encaminhados para um hospital veterinário-escola no Centro-oeste do Brasil. Dos 264 cães testados para anticorpos anti-Ehrlichia canis por meio da reação de imunofluorescência indireta (RIFI), 59.1% (156/264) foram positivos. A soropositividade foi associada significativamente à anemia e trombocitopenia, isoladamente ou em combinação, e à leucopenia. Por outro lado, não houve diferenças quanto à soroprevalência segundo sexo, raça e idade. Este estudo demonstrou que cães encaminhados a um hospital veterinário-escola na região Centro-oeste do Brasil são altamente expostos à E. canis, e que cães soropositivos têm maior probabilidade de apresentar alterações hematológicas, principalmente anemia, trombocitopenia e leucopenia. Para o nosso conhecimento, este é o primeiro estudo sobre a detecção de anticorpos anti-E. canis por meio da RIFI em cães do estado de Goiás. Essas descobertas destacam a necessidade de aumentar a conscientização entre os proprietários de cães em relação às medidas de controle do carrapato no Centro-oeste do Brasil, em última análise, para reduzir o risco de exposição ao E. canis e outros patógenos transmitidos por carrapatos.

Effect of age, sex, and body size on the blood biochemistry and physiological constants of dogs from 4 wk. to > 52 wk. of age.

BACKGROUND: Blood biochemistry and reference intervals help to differentiate between healthy and ill dogs as well as to provide information for the prognosis, evaluation, and monitoring; however, these intervals are often obtained from adult animals. It is essential to understand that puppies and adults are physiologically different, which justifies the need to obtain age-specific biochemical reference intervals. The aim of this research was to assess the potential effect of age, sex, body size, and their interaction on routine biochemical analytes and physiological constants (body temperature, heart rate, and respiratory rate). To carry out the research, we selected 197 healthy dogs of both sexes and different body sizes (small, medium and large) classified by age: group I (4-8 wk), group II (9-24 wk), group III (25-52 wk), and group IV (> 52 wk). The biochemical analysis included the measurement of the enzymatic activity of aspartate aminotransferase (AST), alanine aminotransferase (ALT), lactate dehydrogenase (LDH), gamma-glutamyl transferase (GGT), alkaline phosphatase (ALP), and the concentrations of cholesterol, triglycerides, total proteins, albumin, globulins, glucose, urea, and creatinine. Statistical analyses used analysis of variance (ANOVA) and a general linear model (GLM), which allows the comparison of multiple factors at two or more levels (p < 0.05). RESULTS: The results of this study showed that ALT, total protein, albumin, globulin, urea, creatinine, and body temperature levels were lower in puppies than in adult dogs of group IV (p < 0.05), while the enzymatic activity of ALP, LDH, glucose concentration, and heart rate were higher. Whereas sex, body size and the interaction did not show a significant effect (p > 0.05). CONCLUSIONS: Some biochemical components are influenced by age. For this reason, this manuscript contributes with additional data for the clinical interpretation of blood biochemical results in puppies.

Hematology and biochemistry of buffalo (Bubalus bubalis): influence of sex and age on reference values.

This research aimed to obtain a hematological and biochemical profile of buffalos (Bubalus bubalis) bred in a region of the Brazilian Legal Amazon. A total of 73 animals of mixed races, divided into three groups, were studied: group 1 (G1) comprised animals up to 11 months old; in group 2 (G2), subjects were 12 to 23 months old; and, in group 3 (G3), they were 24 months old and older. We performed the hematological analysis manually, and, for the biochemistry, we used biochemical analyzers. Age of the animals has influenced the monocyte count. The counting of these cells was higher (p > 0.05) in younger animals (G1). There was no difference (p > 0.05) in hematological parameters concerning sex. In regard to biochemistry, we found that age influenced results for albumin and urea. Animals from G1 had higher albumin values when compared to G2 and G3. Serum urea values were higher in animals from G3. Regarding the serum mineral parameters, there were no significant results when the different age groups and both sexes were compared. Thus, the hematological and biochemical values obtained can work as a reference for the bubaline species of animals bred in the studied region, under the same management and breeding conditions. Sex and age of the animals are necessary for the interpretation of the tests.

Automated Immunohistochemistry Assay for the Detection of Napsin-A in Formalin-Fixed Paraffin-Embedded Tissues from Lung Tumors.

Immunohistochemistry (IHC) enables the selective detection of proteins in cells of formalin-fixed-paraffin-embedded (FFPE) tissue sections. This technique plays a key role in the identification and classification of primary lung cancer tumors through the evaluation of the expression of the aspartic proteinase Napsin-A. However, immunohistochemistry is a complex process involving many critical steps and the lack of standardization as well as inappropriate analytical conditions may contribute to inconsistent results between laboratories. Automated immunohistochemistry addresses this issue by ensuring the quality and the reproducibility of the results among different laboratories. Here we describe an automated IHC protocol used in our laboratory for the detection of Napsin-A in FFPE lung tissue sections.

Highlights and Perspectives From a Collaborative Global Health Pathology Experience in Trinidad and Tobago.

OBJECTIVES: Global health education is important during residency training in exposing doctors to conditions that are not common in the United States and developing their awareness of global health care disparities. Most medical decisions are based on results from anatomic or clinical pathology laboratories, which are essential services for appropriate medical care in international settings. Nevertheless, US pathology residency trainees have limited global health exposure and thus are rarely exposed to diagnostic services in these settings. Moreover, literature documenting what is needed to create a global health elective in pathology is limited. METHODS: We designed an international pathology elective in Trinidad and Tobago involving one main public hospital site and several off-site laboratories. Objectives and goals were established before the rotation. Apart from daily mentor-led education sessions, the trainee participated in teaching, quality improvement projects, and cultural experiences. Engagement with medical officers, personnel staff, and people in the community was encouraged.Results: Challenges encountered included funding, transportation, limited laboratory resources, medical registration, and malpractice insurance. These were mitigated through carefully planned steps, including communicating with registration bodies and liaising with pathology organizations for funding. CONCLUSIONS: Overall, the global health rotation was successful. We provide a detailed roadmap for other pathology training programs interested in establishing similar global health electives.

Health status of Polychrus gutturosus based on physical examination, hematology and biochemistry parameters in Costa Rica.

Studies evaluating the health status and characteristics of free-ranging wildlife populations are scarce or absent for most species. Saurian health assessments are usually performed in species that have conservation issues or that are kept in captivity. The Berthold's bush anole (Polychrus guturossus) is one of eight species belonging to the genus Polychrus, the only representative of the family Polychrotidae. Only a handful of studies have been reported concerning these lizard's morphological variation, ecology, and natural history, probably because P. gutturosus is a canopy dweller and it can be difficult to locate individuals. It is believed that deforestation and habitat modification could pose a threat for this species, although to date no health assessment has been done. The aim of this study was to generate health baseline data on P. gutturosus. Forty Berthold's bush anoles (20 males and 20 females) were sampled at the Pacific versant in Costa Rica, where physical examination, skin and cloacal temperatures, and blood samples were obtained from individuals immediately after capture. Animals from the studied population were all healthy (body condition 2.5-3.0/5.0). No lesions or ectoparasites were detected, but hemoparasites were found in nine individuals. Hematological and biochemical values were obtained, and the morphology of leukocytes were found to be similar to other iguanians. A positive correlation was found between the tissue enzymes aspartate aminotransferase (AST) and creatinine kinase (CK) and a negative correlation was found between skin and cloacal temperatures and AST and CK. There were positive correlations between female weight and total protein, calcium, and the calcium and phosphorus ratio. No significant inter-sex differences were found in biochemical values, despite females being larger than males. This is the first health assessment performed on a free-ranging canopy dwelling lizard. These findings provide baseline data that may be useful for future monitoring if the species faces changes in health status due to anthropogenic causes or natural disturbances.

Referências hematológicas e bioquímicas em coelhos domésticos (Oryctolagus cuniculus) da região de Canoas (RS) / Hematological and biochemical reference values in domestic rabbits (Oryctolagus cuniculus) from Canoas city (RS) / Referencias hematológicas y bioquímicas en conejos domésticos (Oryctolagus cuniculus) de la región de Canoas (RS)

Os coelhos domésticos (Oryctolagus cuniculus) são criados para produção de carne, lã, pele, pesquisas em laboratório e como animais de companhia. O objetivo do presente trabalho é determinar os parâmetros hematológicos e bioquímicos de coelhos domésticos com raças variadas, no Hospital Veterinário da Universidade Luterana do Brasil (ULBRA/CANOAS–RS). Para a determinação bioquímica foram utilizados kits reagentes Labtest®, analisados em espectrofotômetro BA-88 Mindray®, o hemograma foi realizado em contador hematológico (Sysmex® PocH-100iV Diff) com diferenciação leucocitária por microscopia óptica. A proteína plasmática total (PPT) foi realizada por refratometria, para o fibrinogênio usou-se a técnica de precipitação por calor. Os valores bioquímicos obtidos foram: Albumina 4,0 – 5,2 g/dL, alanina aminotransferase (ALT) 42,0 – 68,0 UI/L, creatinina 1,1 – 1,3 mg/dL, gama-glutamil transferase (GGT) 21,0 – 27,0 UI/L e ureia 38,0 – 46,0 mg/dL. Os parâmetros hematológicos foram: Eritrócitos (x106μL) 5,4 – 6,8; hematócrito (%) 41 – 49; Volume Corpuscular Médio (VCM) (fL) 71 – 77; Amplitude de Distribuição dos Eritrócitos (RDW) (%) 13,2 – 17,8; plaquetas (μL) 328.000 – 544.000; PPT (g/dL) 6,5 – 7,7; fibrinogênio (mg/dL) 12 – 300; leucócitos totais (μL) 5.800 – 10.800; heterófilos (μL) 1.400 – 4.400; eosinófilos (μL) 0 – 360; linfócitos (μL) 2.800 – 6.600; monócitos (μL) 40 – 800; basófilos (μL) 0 – 36.

Domestic rabbits (Oryctolagus cuniculus) are bred for the production of meat, wool, fur, laboratory research and as companion animals. The objective of the present work is to determine the hematological and biochemical parameters of domestic rabbits of different breeds, at the Veterinary Hospital of Universidade Luterana do Brasil (ULBRA/CANOAS–RS). For biochemical determination, Labtest® reagent kits were used, analyzed in a BA–88 Mindray® spectrophotometer, the blood count was performed in a hematological counter (Sysmex® PocH–100iV Diff) with leukocyte differentiation by optical microscopy. Total plasma protein (TPP) was performed by refractometry, for fibrinogen the heat precipitation technique was used. The biochemical values ​​obtained were: Albumin 4.0 – 5.2 g/dL, alanine aminotransferase (ALT) 42.0 – 68.0 IU/L, creatinine 1.1 – 1.3 mg/dL, gamma-glutamyltransferase (GGT) 21.0 – 27.0 IU/L and urea ​​38.0 – 46.0 mg/dL. The hematological parameters were: RBC (x106μL) 5.4 – 6.8; packed cell volume (%) 41 – 49; mean cell volume (MCV) (fL) 71 – 77; red blood cell distribution width (RDW) (%) 13.2 – 17.8; platelets (μL) 328.000 – 544.000; TPP (g/dL) 6.4 – 7.7; fibrinogen (mg / dL) 12 – 300; leukocytes (μL) 5.800 – 10.800; heterophiles (μL) 1.400 – 4.400; eosinophils (μL) 0 – 360; lymphocytes (μL) 2.800 – 6.600; monocytes (μL) 40 – 800; basophils (μL) 0 – 36.

Los conejos domésticos (Oryctolagus cuniculus) se crían para carne, lana, producción de pieles, investigación de laboratorio y como animales de compañía. El objetivo del presente trabajo es determinar los parámetros hematológicos y bioquímicos de conejos domésticos de diferentes razas, en el Hospital Veterinario de la Universidade Luterana do Brasil (ULBRA/CANOAS – RS). Para la determinación bioquímica se utilizaron kits de reactivos Labtest®, analizados en un espectrofotómetro BA-88 Mindray®, el hemograma se realizó en un contador hematológico (Sysmex® PocH-100iV Diff) con diferenciación leucocitaria por microscopía óptica. La proteína plasmática total (PPT) se realizó mediante refractometría, para el fibrinógeno se utilizó la técnica de precipitación por calor. Los valores bioquímicos obtenidos fueron: Albúmina 4,0 - 5,2 g/dL, alanina aminotransferasa (ALT) 42,0 – 68,0 UI/L, creatinina 1,1 – 1,3 mg/dL, gamma-glutamil transferasa (GGT) 21,0 – 27,0 UI/L y urea 38,0 – 46,0 mg/dL. Los parámetros hematológicos fueron: Eritrocitos (x106μL) 5,4 – 6,8; hematocrito (%) 41 – 49; Volumen corpuscular medio (MCV) (fL) 71 – 77; Rango de distribución de eritrocitos (RDW) (%) 13,2 – 17,8; plaquetas (μL) 328.000 – 544.000; PPT (g/dL) 6,5 – 7,7; fibrinógeno (mg/dL) 12 – 300; leucocitos totales (μL) 5,800 – 10,800; heterófilos (μL) 1.400 – 4.400; eosinófilos (μL) 0 – 360; linfocitos (μL) 2.800 – 6.600; monocitos (μL) 40 – 800; basófilos (μL) 0 – 36.

Referências hematológicas e bioquímicas em coelhos domésticos (Oryctolagus cuniculus) da região de Canoas (RS) / Hematological and biochemical reference values in domestic rabbits (Oryctolagus cuniculus) from Canoas city (RS) / Referencias hematológicas y bioquímicas en conejos domésticos (Oryctolagus cuniculus) de la región de Canoas (RS)

Os coelhos domésticos (Oryctolagus cuniculus) são criados para produção de carne, lã, pele, pesquisas em laboratório e como animais de companhia. O objetivo do presente trabalho é determinar os parâmetros hematológicos e bioquímicos de coelhos domésticos com raças variadas, no Hospital Veterinário da Universidade Luterana do Brasil (ULBRA/CANOAS–RS). Para a determinação bioquímica foram utilizados kits reagentes Labtest®, analisados em espectrofotômetro BA-88 Mindray®, o hemograma foi realizado em contador hematológico (Sysmex® PocH-100iV Diff) com diferenciação leucocitária por microscopia óptica. A proteína plasmática total (PPT) foi realizada por refratometria, para o fibrinogênio usou-se a técnica de precipitação por calor. Os valores bioquímicos obtidos foram: Albumina 4,0 5,2 g/dL, alanina aminotransferase (ALT) 42,0 68,0 UI/L, creatinina 1,1 1,3 mg/dL, gama-glutamil transferase (GGT) 21,0 27,0 UI/L e ureia 38,0 46,0 mg/dL. Os parâmetros hematológicos foram: Eritrócitos (x106μL) 5,4 6,8; hematócrito (%) 41 49; Volume Corpuscular Médio (VCM) (fL) 71 77; Amplitude de Distribuição dos Eritrócitos (RDW) (%) 13,2 17,8; plaquetas (μL) 328.000 544.000; PPT (g/dL) 6,5 7,7; fibrinogênio (mg/dL) 12 300; leucócitos totais (μL) 5.800 10.800; heterófilos (μL) 1.400 4.400; eosinófilos (μL) 0 360; linfócitos (μL) 2.800 6.600; monócitos (μL) 40 800; basófilos (μL) 0 36.(AU)

Domestic rabbits (Oryctolagus cuniculus) are bred for the production of meat, wool, fur, laboratory research and as companion animals. The objective of the present work is to determine the hematological and biochemical parameters of domestic rabbits of different breeds, at the Veterinary Hospital of Universidade Luterana do Brasil (ULBRA/CANOAS–RS). For biochemical determination, Labtest® reagent kits were used, analyzed in a BA–88 Mindray® spectrophotometer, the blood count was performed in a hematological counter (Sysmex® PocH–100iV Diff) with leukocyte differentiation by optical microscopy. Total plasma protein (TPP) was performed by refractometry, for fibrinogen the heat precipitation technique was used. The biochemical values ​​obtained were: Albumin 4.0 5.2 g/dL, alanine aminotransferase (ALT) 42.0 68.0 IU/L, creatinine 1.1 1.3 mg/dL, gamma-glutamyltransferase (GGT) 21.0 27.0 IU/L and urea ​​38.0 46.0 mg/dL. The hematological parameters were: RBC (x106μL) 5.4 6.8; packed cell volume (%) 41 49; mean cell volume (MCV) (fL) 71 77; red blood cell distribution width (RDW) (%) 13.2 17.8; platelets (μL) 328.000 544.000; TPP (g/dL) 6.4 7.7; fibrinogen (mg / dL) 12 300; leukocytes (μL) 5.800 10.800; heterophiles (μL) 1.400 4.400; eosinophils (μL) 0 360; lymphocytes (μL) 2.800 6.600; monocytes (μL) 40 800; basophils (μL) 0 36.(AU)

Los conejos domésticos (Oryctolagus cuniculus) se crían para carne, lana, producción de pieles, investigación de laboratorio y como animales de compañía. El objetivo del presente trabajo es determinar los parámetros hematológicos y bioquímicos de conejos domésticos de diferentes razas, en el Hospital Veterinario de la Universidade Luterana do Brasil (ULBRA/CANOAS RS). Para la determinación bioquímica se utilizaron kits de reactivos Labtest®, analizados en un espectrofotómetro BA-88 Mindray®, el hemograma se realizó en un contador hematológico (Sysmex® PocH-100iV Diff) con diferenciación leucocitaria por microscopía óptica. La proteína plasmática total (PPT) se realizó mediante refractometría, para el fibrinógeno se utilizó la técnica de precipitación por calor. Los valores bioquímicos obtenidos fueron: Albúmina 4,0 - 5,2 g/dL, alanina aminotransferasa (ALT) 42,0 68,0 UI/L, creatinina 1,1 1,3 mg/dL, gamma-glutamil transferasa (GGT) 21,0 27,0 UI/L y urea 38,0 46,0 mg/dL. Los parámetros hematológicos fueron: Eritrocitos (x106μL) 5,4 6,8; hematocrito (%) 41 49; Volumen corpuscular medio (MCV) (fL) 71 77; Rango de distribución de eritrocitos (RDW) (%) 13,2 17,8; plaquetas (μL) 328.000 544.000; PPT (g/dL) 6,5 7,7; fibrinógeno (mg/dL) 12 300; leucocitos totales (μL) 5,800 10,800; heterófilos (μL) 1.400 4.400; eosinófilos (μL) 0 360; linfocitos (μL) 2.800 6.600; monocitos (μL) 40 800; basófilos (μL) 0 36.(AU)

Uses and limits of the clinical laboratory in the COVID-19 pandemic: a didactic review

SUMMARY The world is currently experiencing an unprecedented pandemic of a new disease, the coronavirus disease (COVID-19), which has unusual clinical and immunological presentations. This is especially true regarding the choice and interpretation of laboratory test results. In this review, we have provided didactic information for physicians on the current concepts and practical guidance regarding COVID-19.

Perfil hematológico e bioquímico de bovinos da raça Aberdeen Angus da fazenda escola da ULBRA – Canoas/RS / Hematologic and biochemical profile of Aberdeen Angus breed cattle from School Farm ULBRA– Canoas/RS

A análise do hemograma e bioquímica sérica são exames utilizados para avaliar o estado de saúde do indivíduo e também do rebanho. Valores de referência locais são adequados para uma melhor avaliação devido a influência de fatores ambientais e de manejo dos animais. Desta forma, o objetivo deste trabalho foi determinar valores de referência para os bovinos da raça Aberdeen Angus criados na Fazenda Escola do curso de Medicina Veterinária da ULBRA-Canoas e a influência dos fatores etários sobre os valores obtidos. Foram utilizados 40 animais divididos em 3 grupos, o grupo 1 (G1, n=8) com animais de 3 a 11 meses, grupo 2 (G2, n=9) com animais de 12 a 36 meses e o grupo 3 (G3, n=23) com animais acima de 36 meses. Os hemogramas foram realizados em contador hematológico automatizado e as análises bioquímicas foram feitas em analisador bioquímico semi-automatizado. A análise estatística foi feita através do programa SAS (Statistical Analysis System), utilizando o teste T Student para determinar as diferenças significativas e o intervalo de confiança. Houve influência da idade em quase todos os parâmetros analisados, exceto eritrócitos e creatina quinase. Os valores obtidos poderão ser utilizados como referência para os animais da Fazenda Escola ULBRA.

Blood cell analysis and serum biochemistry are tests used to evaluate the health status of the individual and also the herd. Local reference values are adequate for better evaluation due to the influence of environmental and animal management factors. Thus, the objective of this work was to determine reference values for Aberdeen Angus cattle raised at the School Farm of the Veterinary Medicine course of ULBRA-Canoas and the influence of age factors on the values obtained. Forty animals were divided into 3 groups, group 1 (G1, n = 8) with animals from 3 to 11 months, group 2 (G2, n = 9) with animals from 12 to 36 months and group 3 (G3, n = 23) with animals over 36 months. Blood counts were performed on an automated hematology counter and biochemical analyzes were performed on a semi-automated biochemical analyzer. Statistical analysis was performed using the SAS (Statistical Analysis System) program, using the Student T test to determine significant differences and confidence interval. There was an influence of age on almost all parameters analyzed, except erythrocytes and creatine kinase. The values obtained may be used as reference for the animals of the School Farm ULBRA.

Perfil hematológico e bioquímico de bovinos da raça Aberdeen Angus da fazenda escola da ULBRA Canoas/RS / Hematologic and biochemical profile of Aberdeen Angus breed cattle from School Farm ULBRACanoas/RS

A análise do hemograma e bioquímica sérica são exames utilizados para avaliar o estado de saúde do indivíduo e também do rebanho. Valores de referência locais são adequados para uma melhor avaliação devido a influência de fatores ambientais e de manejo dos animais. Desta forma, o objetivo deste trabalho foi determinar valores de referência para os bovinos da raça Aberdeen Angus criados na Fazenda Escola do curso de Medicina Veterinária da ULBRA-Canoas e a influência dos fatores etários sobre os valores obtidos. Foram utilizados 40 animais divididos em 3 grupos, o grupo 1 (G1, n=8) com animais de 3 a 11 meses, grupo 2 (G2, n=9) com animais de 12 a 36 meses e o grupo 3 (G3, n=23) com animais acima de 36 meses. Os hemogramas foram realizados em contador hematológico automatizado e as análises bioquímicas foram feitas em analisador bioquímico semi-automatizado. A análise estatística foi feita através do programa SAS (Statistical Analysis System), utilizando o teste T Student para determinar as diferenças significativas e o intervalo de confiança. Houve influência da idade em quase todos os parâmetros analisados, exceto eritrócitos e creatina quinase. Os valores obtidos poderão ser utilizados como referência para os animais da Fazenda Escola ULBRA.(AU)

Blood cell analysis and serum biochemistry are tests used to evaluate the health status of the individual and also the herd. Local reference values are adequate for better evaluation due to the influence of environmental and animal management factors. Thus, the objective of this work was to determine reference values for Aberdeen Angus cattle raised at the School Farm of the Veterinary Medicine course of ULBRA-Canoas and the influence of age factors on the values obtained. Forty animals were divided into 3 groups, group 1 (G1, n = 8) with animals from 3 to 11 months, group 2 (G2, n = 9) with animals from 12 to 36 months and group 3 (G3, n = 23) with animals over 36 months. Blood counts were performed on an automated hematology counter and biochemical analyzes were performed on a semi-automated biochemical analyzer. Statistical analysis was performed using the SAS (Statistical Analysis System) program, using the Student T test to determine significant differences and confidence interval. There was an influence of age on almost all parameters analyzed, except erythrocytes and creatine kinase. The values obtained may be used as reference for the animals of the School Farm ULBRA.(AU)

David Matto y su contribución a la patología clínica y psiquiatría en el Perú / David Matto and his contribution on clinical pathology and psychiatrics in Peru

RESUMEN El doctor David Matto Usandivaras realizó importantes contribuciones a la medicina peruana, en particular en las especialidades de Patología Clínica y Psiquiatría, hacia finales del siglo XIX e inicios del siglo XX, que coincidió con la corriente cientificista que comenzó a prevalecer paulatinamente en los años posteriores a la Guerra del Pacífico. No obstante, el trascurrir del tiempo difuminó tales aportes, por lo que el objetivo de este artículo es rescatarlos y situarlos en el lugar que merecen para memoria de todos los miembros de la comunidad médica nacional y en especial de los facultativos de ambas especialidades.

ABSTRACT Doctor David Matto-Usandivaras made important contributions in Peruvian medicine, particularly in clinical pathology and psychiatrics, at the end of 19th and at the beginning of the 20th century, coinciding with the scientificist thoughts that became prevalent in the years after the war between Peru and Chile. Nonetheless, time passed by and his contributions became forgotten, so the purpose of this paper is to rescue Dr. Matto-Usandivaras contributions and place them in a proper context so members of the Peruvian medical community - particularly pathologists and psychiatrists - may become more knowledgeable of his valuable work.

Immunopathological mechanisms involved in SARS-CoV-2 infection / Mecanismos imunopatológicos envolvidos na infecção por SARS-CoV-2

ABSTRACT Introduction: Coronavirus disease 2019 (Covid-19) has become a global health emergency. Although many scientific advances have been achieved over the last few months, the knowledge about how the etiologic agent SARS-CoV-2 interacts with the host's immune system, regulating the pathogenesis and the outcome of the disease, is not yet fully understood. Objective: This is a narrative literature review to discuss the available evidence on modes of transmission and the main immunopathological mechanisms involved in SARS-CoV-2 infection. Material and method: A search in the indexed journals was carried out in the PubMed/MEDLINE database, during the period from January to May 2020. The following descriptors were used in the research: Covid-19, SARS-CoV-2, transmission, immunity, immunopathogenesis, and pathogenesis. Results and discussion: Transmission of SARS-CoV-2 occurs through contact with airway secretions from a symptomatic patient. However, scientific evidence encourages transmission by asymptomatic and/or oligosymptomatic patients. Immunopathological studies suggest that the hypercytokinaemia promotes lung tissue damage and, subsequently, organ and system involvement, leading to decompensation, organ dysfunction and death. Regarding the humoral response, the high titers of B lymphocytes and antibodies, traditionally, correlated with the protection of the host, may be associated with the severity of the disease by SARS-CoV-2. Conclusion: The host's immune response is determinant in the pathogenesis of Covid-19. However, further in vivo and/or in vitro studies are needed to elucidate the pathogenic mechanisms of SARS-CoV-2 and, thus, assist in the development of a vaccine and/or therapeutic target.

RESUMEN Introducción: La enfermedad por coronavirus 2019 (Covid-2019) se ha convertido en una emergencia sanitaria mundial. A pesar de los muchos avances científicos recientes, el conocimiento acerca de cómo el agente etiológico SARS-CoV-2 interactúa con el sistema inmunitario del huésped, regulando la patogénesis y el resultado de la enfermedad, todavía no está totalmente claro. Objetivo: Revisión de la literatura a fin de discutir la evidencia disponible sobre las formas de transmisión y los principales mecanismos inmunopatológicos involucrados en la infección por SARS-CoV-2. Material y métodos: Se realizó una búsqueda por periódicos indexados en la base de datos PubMed/MEDLINE, desde enero hasta mayo de 2020. Se han utilizado las siguientes palabras clave en la investigación: Covid-19, SARS-CoV-2, transmission, immunity, immunopathogenesis y pathogenesis. Resultados y discusión: La transmisión del SARS-CoV-2 ocurre por el contacto con secreciones de las vías respiratorias de un paciente sintomático. Sin embargo, evidencias científicas indican la transmisión por pacientes asintomáticos y/o oligosintomáticos. Estudios inmunopatológicos sugieren que la tormenta de citocinas causa lesión en pulmones y, posteriormente, daño en órganos y sistemas, que conduce a la descompensación, disfunción orgánica y muerte. Sobre la inmunidad humoral, los títulos elevados de linfocitos B y anticuerpos, tradicionalmente relacionados con la protección del huésped, pueden estar asociados a la gravedad de la enfermedad por SARS-CoV-2. Conclusión: La respuesta inmunológica del huésped es determinante para la patogénesis de la Covid-19. No obstante, se necesitan más estudios in vivo y/o in vitro para aclarar los mecanismos de patogenicidad del SARS-CoV-2 y, así, ayudar en el desarrollo de una vacuna y/u objetivo terapéutico.

RESUMO Introdução: A doença do coronavírus 2019 (Covid-19) tornou-se uma emergência de saúde mundial. Embora muitos avanços científicos tenham sido alcançados nos últimos meses, o conhecimento sobre como o agente etiológico SARS-CoV-2 interage com o sistema imunológico do hospedeiro, regulando a patogênese e o resultado da doença, ainda não está totalmente esclarecido. Objetivo: Revisão da literatura com o objetivo de discutir as evidências disponíveis sobre as formas de transmissão e os principais mecanismos imunopatológicos envolvidos na infecção pelo SARS-CoV-2. Material e método: Realizou-se uma busca de periódicos indexados na base de dados PubMed/MEDLINE, durante o período de janeiro a maio de 2020. Os seguintes descritores foram utilizados na pesquisa: Covid-19, SARS-CoV-2, transmission, immunity, immunnopathogenesis e pathogenesis. Resultados e discussão: A transmissão do SARS-CoV-2 ocorre pelo contato com secreções das vias aéreas de um paciente sintomático. No entanto, evidências científicas fomentam a transmissão por pacientes assintomáticos e/ou oligossintomáticos. Os estudos imunopatológicos sugerem que a hipercitocinemia promove lesão do tecido pulmonar e, posteriormente, comprometimento de órgãos e sistemas, levando a descompensação, disfunção orgânica e óbito. Sobre a resposta humoral, os altos títulos de linfócitos B e anticorpos, tradicionalmente correlacionados com a proteção do hospedeiro, podem estar associados à gravidade da doença pelo SARS-CoV-2. Conclusão: A resposta imunológica do hospedeiro é determinante na patogênese da Covid-19. No entanto, mais estudos in vivo e/ou in vitro são necessários para elucidar os mecanismos de patogenicidade do SARS-CoV-2 e, assim, auxiliar no desenvolvimento de uma vacina e/ou alvo terapêutico.