Doenças de pele em equídeos no semiárido brasileiro / Skin disease of equidae in the Brazilian semiarid region

As doenças que acometem a pele e anexos de equídeos no semiárido nordestino foram analisadas mediante um estudo retrospectivo dos registros de atendimento na Clínica de Grandes Animais do Hospital Veterinário da Universidade Federal de Campina Grande, de janeiro de 2002 a dezembro de 2012. Dos 2.054 atendimentos 1.786 eram equinos, 200 eram asininos e 58 eram muares. Os diagnósticos de dermatopatias totalizaram 535 casos (26,05%) dos quais 447 foram em equinos, 68 em asininos e 20 em muares. Nos equinos as dermatopatias mais frequentes foram a pitiose (24,38%), as feridas traumáticas (23,04%), os abscessos (12,75%), o tecido de granulação (8,5%) e a habronemose (7,38%). Juntas essas enfermidades totalizaram 76,05% dos diagnósticos de dermatopatias para essa espécie. Em asininos as doenças mais frequentes foram feridas traumáticas (47,5%), sarcoide (19,11%) e abscessos (13,23%). Estas enfermidades juntas representaram 79,84% das doenças de pele nesta espécie. Os muares apresentaram feridas traumáticas em 30% dos casos e carcinoma de células escamosas e habronemose em 15% cada. As três enfermidades representaram 60% dos diagnósticos de doenças de pele nesta espécie. Conclui-se que as doenças de pele são uma das principais causas de atendimento clínico em equídeos na região semiárida do nordeste do Brasil e os conhecimentos gerados neste estudo são importantes para o reconhecimento, diagnóstico e tratamento das mesmas...

Diseases that affect the skin and appendages of equidae in the semiarid region of northeastern Brazil were analyzed through a retrospective study of records of the Large Animal Clinic of the Veterinary Hospital at the Federal University of Campina Grande, from January 2002 to December 2012. At all, 2054 equidae entered the hospital being 1786 horses, 200 donkeys, and 58 mules. A total of 535 (26.05%) were affected by skin diseases, 447 horses, 68 donkeys and 20 mules. In horses the more prevalent skin diseases were pythiosis (24.38%), traumatic injuries (23.04%), abscesses (12.75%), granulation tissue (8.5%), and habronemiasis (7.38%); together, these diseases represented 76% of dermatological problems observed in this species. In donkeys the more frequent diseases, representing 79.84% of the skin diseases, were traumatic wounds (47.5%), sarcoid (19.11%), and abscesses (13.23%). In mules the most frequent disease was traumatic wounds (30%) and habronemiasis and squamous cell carcinoma (15% each), which together accounted for 60% of the skin diseases in this species. It is concluded that skin diseases are important in equidae in the semiarid region of northeastern Brazil and the knowledge generated in this work is important for the diagnosis and treatment of these diseases...

Ocorrência de micoses e pitiose em animais domésticos: 230 casos / Occurrence of mycoses and pythiosis in domestic animals: 230 cases

A retrospective study was performed to determine the main mycoses and oomycosis that affected domestic animals diagnosed in the Laboratório de Patologia Veterinária (LPV) of the Universidade Federal de Santa Maria (UFSM). A total of 29,686 exams (9,487 necropsy reports and 20,199 biopsy reports) performed between January 1990 and December 2012 were analyzed. Two hundred and thirty cases (78% of mycoses and 22% of pythiosis) were found. Data about epidemiology, clinical signs, gross and histologic lesions were obtained from the reports. In two cases the fungi observed were not identified. The main diseases observed, in descending order of prevalence, were: pythiosis, candidiasis, aspergillosis, zygomycosis, dermatophytosis, mallasseziosis, cryptococcosis, megabacteriosis, and sporothrichosis. Others diseases with only one cases each were histoplasmosis and pneumocystosis. Pythiosis affected mainly horses and the mycosis affected mainly companion animals (dogs and cats).

Para determinar as principais micoses e oomicoses que acometeram animais domésticos na área de abrangência do Laboratório de Patologia Veterinária (LPV) da Universidade Federal de Santa Maria (UFSM), foi realizado um estudo retrospectivo em 9.487 protocolos de necropsias e 20.199 exames histopatológicos (totalizando 29.686 casos), realizados no LPV-UFSM, entre janeiro de 1990 e dezembro de 2012. Do total de protocolos analisados, 230 apresentaram micoses ou pitiose (oomicose), sendo 179 casos (78%) de micoses e 51 casos (22%) de pitiose. Os protocolos foram revisados para determinar os principais achados referentes à epidemiologia, sinais clínicos e às alterações macroscópicas e microscópicas. Em dois casos (0,8%) não foi possível determinar o gênero ou o grupo do fungo observado. As principais doenças diagnosticadas, em ordem decrescente de prevalência, foram: pitiose, candidíase, aspergilose, zigomicose, dermatofitose, malasseziose, criptococose, megabacteriose e esporotricose. Outras doenças diagnosticadas numa única ocorrência cada foram histoplasmose e pneumocistose. Os equinos foram os mais acometidos pela pitiose e os animais de companhia (cães e gatos) foram os mais acometidos pelas micoses.

In vitro reproduction of the life cycle of Pythium insidiosum from kunkers' equine and their role in the epidemiology of pythiosis.

Pythium insidiosum is an important pathogen of mammals' species, including humans. Equine is the main species affected by this oomycete. P. insidiosum requires an aquatic environment to develop its life cycle, and the susceptible hosts are contaminated when they contact the microorganism in swampy areas. The equine pythiosis is characterized by the formation of irregular masses within the cutaneous lesions, called kunkers, which easily detach from the lesion. From these structures, it is possible to isolate P. insidiosum in pure cultures. The present study aimed to reproduce in vitro the life cycle of P. insidiosum from kunkers of equine clinical lesions. Fifteen kunkers from different horses were tested. It was observed that the discharge of zoospores occurred after 24-48 h of incubation at 37 °C in, respectively, 40 and 47 % of the kunkers evaluated. Only two samples showed no development of the asexual cycle of P. insidiosum under the conditions tested. It was possible to demonstrate that kunkers are able to restart the asexual cycle of P. insidiosum. Based on our in vitro results, we highlight the importance of these structures in the epidemiology of the pythiosis, since kunkers can be a potential source of contamination of this oomycete for aquatic environments.

Cutaneous pythiosis in two dogs from Wisconsin, USA.

BACKGROUND: Pythium insidiosum is an oomycete that causes cutaneous lesions or infiltrative gastrointestinal disease in dogs, cats, humans, horses and other mammals, primarily in tropical and subtropical climates. HYPOTHESIS/OBJECTIVES: We report the clinicopathological findings associated with cutaneous pythiosis in two dogs from a Northern temperate climate zone. ANIMALS: A 3-year-old intact male Chesapeake Bay retriever was presented with an ulcerated soft-tissue swelling over the left eye. A 4-year-old spayed female German shepherd dog was presented with a soft-tissue swelling overlying the right hock. Both dogs lived in northern latitudes (between 43 and 45°N) and neither had travelled outside of Wisconsin or Michigan's upper peninsula, USA. METHODS: Histopathological examination and culture of affected tissues on specialized media, serology for anti-P. insidiosum antibodies, P. insidiosum-specific PCR and ribosomal RNA gene sequencing were carried out. RESULTS: Histopathological examination revealed pyogranulomatous and eosinophilic inflammation associated with wide, poorly septate hyphae. CONCLUSIONS AND CLINICAL IMPORTANCE: Even clinicians who practice in temperate climates should consider pythiosis as a differential diagnosis for young to middle-aged adult dogs presented with ulcerated cutaneous nodules or infiltrative gastrointestinal disease.

Canine gastrointestinal pythiosis treatment by combined antifungal and immunotherapy and review of published studies.

Pythium insidiosum is an oomycete, a fungal like microorganism, which infects mammals, causing pythiosis in animals and humans, especially in tropical and subtropical regions around the world. The treatment for this infection is very difficult, and therapeutic options commonly comprise surgery, immunotherapy and antimicrobial drugs. The present report describes the clinical healing of a dog with gastrointestinal pythiosis by treatment with a combination of antifungals and immunotherapy, as well as reviews the cases reported in the literature that used some type of therapy for canine pythiosis. A 2.5-year-old male beagle initially showed sporadic vomiting episodes, and this symptom became more frequent 5 months after the onset of clinical signs. Celiotomy procedure found thickness of the stomach wall extending to the pylorus and duodenum. A biopsy was performed, and the diagnosis of pythiosis was made by mycological, histopathological analyses and molecular identification. Therapy was based on an association of terbinafine plus itraconazole during 12 months and immunotherapy for 2.5 months. The healing of the dog reported here allows us to propose the use of immunotherapy associated with antifungal therapy to treat canine gastrointestinal pythiosis. However, additional studies should be performed on a larger number of patients to establish a standard treatment protocol for canine pythiosis.

Pathology of nasal infection caused by Conidiobolus lamprauges and Pythium insidiosum in sheep.

Conidiobolomycosis and pythiosis are important diseases of sheep in midwestern Brazil. Veterinary practitioners consider it difficult to differentiate between these diseases because they have similar clinical features. In this study, 186 sheep were subjected to necropsy examination over a 6-year period. Thirty (16.1%) cases of rhinitis in sheep that were caused by Conidiobolus lamprauges (n = 15) or Pythium insidiosum (n = 15) were investigated further. The lesions of C. lamprauges infection were mainly rhinopharyngeal (86.7%), localized to the ethmoidal region and associated with exophthalmos. The lesions appear as a white to yellow, firm mass that microscopically appears as a granulomatous inflammatory reaction with numerous giant cells. In contrast, P. insidiosum infection is associated with rhinofacial (93.3%) lesions that mainly involve the frontal region and hard palate and appear as an irregular, friable, yellow to red mass. Microscopically, pythiosis presents as diffuse necrotizing eosinophilic rhinitis. Immunohistochemistry using polyclonal antisera raised specifically against the two organisms was used to confirm the identity of the infectious agent in each disease. This study reports the first immunohistochemical diagnosis of conidiobolomycosis and the first description of a rhinopharyngeal lesion caused by P. insidiosum in sheep.

Enzymatic variability among Brazilian Pythium insidiosum isolates.

BACKGROUND: Pythium insidiosum is an oomycete classified in the kingdom Stramenopila. P. insidiosum hyphae are not able to initiate infection without the secretion of hydrolytic enzymes, which are considered an important factor in microbial virulence. AIMS: To evaluate the extracellular enzymatic activity of 14 Brazilian P. insidiosum isolates and a standard strain (ATCC 58637) by the API-ZYM System screening method. METHODS: Zoospores were grown in RPMI 1640 broth, and 65 µL of the liquid phase were inoculated in each cupule of the API-ZYM strips. RESULTS: Differences in the enzymatic activities were observed among the isolates, although phosphohydrolases and ester hydrolases were conspicuous among all isolates. ß-glucosidase was also present in most of the isolates. Enzymatic activities of α-glucosidase and chymotrypsin were not observed, differing from a previous study involving Australian isolates and intracellular enzymes. CONCLUSIONS: The discrepancy in the enzymatic profile observed among Brazilian P. insidiosum isolates reflects the phenotypic variations found in susceptibility tests.

Insights into the pathophysiology of iron metabolism in Pythium insidiosum infections.

Pythium insidiosum causes life-threatening disease in mammals. Animals with pythiosis usually develop anemia, and most human patients are reported to have thalassemia and the major consequence of thalassemia, iron overload. Therefore, this study evaluated the iron metabolism in rabbits experimentally infected with P. insidiosum. Ten infected rabbits were divided into two groups: one groups received a placebo, and the other was treated with immunotherapy. Five rabbits were used as negative controls. The hematological and biochemical parameters, including the iron profile, were evaluated. Microcytic hypochromic anemia was observed in the infected animals, and this condition was more accentuated in the untreated group. The serum iron level was decreased, whereas the transferrin level was increased, resulting in low saturation. The level of stainable iron in hepatocytes was markedly decreased in the untreated group. A high correlation was observed between the total iron binding capacity and the lesion size, and this correlation likely confirms the affinity of P. insidiosum for iron. The data from this study corroborate the previous implications of iron in the pathogenesis of pythiosis in humans and animals.

Pitiosis gástrica en un perro / Gastric pythiosis in a dog

Antecedentes. El patógeno responsable de la pitiosis es Pythium insidiosum, un oomiceto acuático, perteneciente a la familia Pythiaceae, orden Peronosporales, clase Oomycetes, y perteneciente al reino Stramenopila. Objetivos. Describir la sintomatología, los cambios anatomopatológicos y métodos de diagnóstico de la pitiosis gástrica en perros. Métodos. Una perra hembra de raza Pastor Alemán, de 3 años de edad, y con acceso a tierras pantanosas, fue llevada a consulta por un cuadro de vómitos con diarrea recurrente de 30 días de evolución. Durante la exploración clínica, se identificó una masa palpable en el abdomen que ocupaba la región epigástrica izquierda, por lo que se procedió a la realización de un examen radiológico, simple y con contraste, junto con una ecografía abdominal. Más tarde, fue derivada para una laparotomía exploratoria con la finalidad de proceder a la exéresis de la masa. Debido a su tamaño, la exéresis no fue posible, por lo que se sacrificó al animal. Se obtuvieron muestras del tumor y se enviaron al laboratorio para su análisis morfológico e inmunohistoquímico. Resultados. Los cambios observados en los estudios de diagnóstico por imagen eran compatibles con un diagnóstico de pitiosis gástrica. En el examen citológico e histopatológico se identificaron hifas no tabicadas, mientras que el examen inmunohistoquímico fue intensamente positivo para la presencia de anticuerpos anti-Pythium, confirmando el diagnóstico de pitiosis. Conclusiones. El diagnóstico de pitiosis en perros se establece tardíamente, por lo que suele evolucionar hacia la muerte del animal. El diagnóstico definitivo debe establecerse a través de exámenes citológicos, histológicos e inmunohistoquímicos(AU)

Background. Pythiosis is caused by the agent Pythium insidiosum, an aquatic oomycete of the kingdom Stramenopila. Aims. To describe the symptoms, pathological changes and diagnosis methods of gastric pythiosis in dogs. Methods. A three-year-old female German shepherd, with access to wetlands, was attended due to vomiting and recurrent diarrhea of 30 days of duration. A palpable mass in the abdomen filling the left epigastric region was identified in the clinical examination. Simple and contrasted radiological examination and ultrasound of abdominal cavity were performed. The animal was referred for exploratory laparotomy for the removal of the mass. The extent of the mass prevented from the excision and the animal was euthanized. Samples of the tumor mass were collected and sent for morphological study and immunohistochemistry. Results. The changes observed in imaging studies were consistent with gastric pythiosis. In cytology and histopathology, non-septate hyphae were identified, and in immunohistochemistry a strong positivity of anti-Pythium antibodies was observed, confirming the diagnosis of pythiosis. Conclusions. Pythiosis in dogs is diagnosed late and tends to evolve in the animal's death. The definitive diagnosis is by cytology, histology and immunohistochemistry(AU)

Pythiosis of the digestive tract in sheep.

Cutaneous and rhinofacial infections by Pythium insidiosum have previously been reported in sheep in Brazil. In the current study, a new form of pythiosis involving the alimentary tract of 2 nursing lambs from 2 different farms in the semiarid region of Brazil is described. The first lamb showed food regurgitation, lethargy, and anorexia, and died 5 days after the presentation of clinical signs. The second lamb had no history of gastrointestinal disease before death. Necropsy findings were similar in both lambs. The mucosa of the esophagus, reticulum, rumen, omasum, and abomasum showed ulcerated areas covered by yellowish caseous granular exudate. The lesions were transmural and extended to the serosal surfaces, and adhesions were observed between the serosa of the forestomachs and abomasum to the liver and diaphragm. Histologic lesions consisted of pyogranulomatous necrotizing transmural esophagitis, rumenitis, reticulitis, omasitis, and abomasitis with vascular thrombosis and intralesional hyphae. Pythium insidiosum was confirmed as the etiology by immunohistochemistry and culture. The presence of sheep in the vicinity of water ponds during the hot, dry season when forage is not available in the pastures seems to be the main predisposing factor for the occurrence of pythiosis in sheep in the Brazilian semiarid region.

Epidemiologia da pitiose equina na Região Sul do Rio Grande do Sul / Epidemiology of equine pythiosis in southern of Rio Grande do Sul State, Brazil

Foi realizado um levantamento dos casos de pitiose equina recebidos no Laboratório Regional de Diagnóstico da Faculdade de Veterinária da Universidade Federal de Pelotas, no período de janeiro de 1979 a julho de 2011, com o objetivo de determinar as condições epidemiológicas em que a doença ocorre na região sul do Rio Grande do Sul. Nesse período foram recebidos 1888 materiais de equinos, dos quais, 435 eram provenientes do sistema tegumentar e 63 (14,5%) corresponderam à pitiose. Os animais afetados eram de ambos os sexos com idades variando entre oito meses e 22 anos. A raça mais frequentemente afetada foi a Crioula. A maioria dos casos de pitiose foi encaminhada ao laboratório entre março e junho. A evolução das lesões de pitiose variou de duas semanas até um ano. Os municípios com maior número de casos de pitiose foram Pelotas (22/63) Santa Vitória do Palmar (15/63) e Rio Grande (8/63). Foi observado que na maioria dos casos, no mês provável de infecção a temperatura máxima foi superior ou próxima a 30°C em pelo menos um dia. A observação de casos em épocas mais frias do ano pode ser devido ao fato da temperatura de águas estagnadas ser mais elevada que a temperatura ambiental o que permite o desenvolvimento das estruturas infectantes de Pythium insidiosum.

A survey of cases of equine pythiosis received by the Laboratório Regional de Diagnóstico, Faculdade de Veterinária, Universidade Federal de Pelotas, from January 1979 to July 2011, was made to determine the epidemiological conditions in which the disease occurs in southern Rio Grande do Sul. Samples from 1888 horses were received; 435 samples were from the integumentary system, of which 63 (14.5%) corresponded to pythiosis. The affected animals were of both sexes and their age ranged from 8 months to 22 years. Crioulo was the most prevalent breed. Most cases of pythiosis were sent to the laboratory between March and June. The evolution of the lesions due to pythiosis ranged from 2 weeks to 1 year. The municipalities with the greatest number of cases were Pelotas (22/63), Santa Vitória do Palmar (15/63) and Rio Grande (8/63). With respect to the climatic data, in most cases the maximum temperature in the probable month of infection was above or close to 30°C during at least one day. The observation of cases in the colder seasons of the year could be due to the stagnant water temperature higher than the temperature of the air, which allows the development of infective structures of Pythium insidiosum.

Treatment of pythiosis in equine limbs using intravenous regional perfusion of amphotericin B.

OBJECTIVE: To evaluate the effects of intravenous regional limb perfusion (IRLP) administration of amphotericin B in horses to treat pythiosis after surgical excision and thermocautery. STUDY DESIGN: Case series. ANIMALS: Horses (n = 12) with Pythium insidiosum infection of the distal aspect of the thoracic or pelvic limbs. METHODS: After surgical excision of granulation tissue and thermocautery, 50 mg amphotericin B was administered by IRLP through a catheter placed in a superficial vein of the affected limb next to the lesion after placing a tourniquet above the injection site. The lesions and locomotor system were evaluated before treatment and at 7, 14, 21, 28, 35, and 60 days. RESULTS: Ninety-two percent of horses treated with amphotericin B had complete lesion resolution 35 or 60 days after 1 or 2 IRLP treatments, respectively. IRLP induced limb edema and pain during regional palpation in 42%, and inflammation of the injection site in 33% of horses; however these signs resolved after 14 days. CONCLUSIONS: IRLP administration of amphotericin B was effective for treating pythiosis in equine limbs, resolving infection with manageable side effects.

Treatment of intestinal pythiosis in a dog with a combination of marginal excision, chemotherapy, and immunotherapy.

CASE DESCRIPTION: A 1.5-year-old mixed-breed dog was examined because of a 1-month history of anorexia, vomiting, diarrhea, and weight loss. CLINICAL FINDINGS: The dog was very thin on physical examination (body condition score, 3/9). Results of all diagnostic tests were within reference limits except intestinal thickening and lymphadenopathy were identified on abdominal ultrasound examination. During exploratory laparotomy, thickening at the ileocecal-colic junction and within the transverse colon and mesenteric lymphadenopathy were identified, and the ileocecal-colic junction was resected. Histopathologic evaluation of the ileocecal-colic junction and full-thickness biopsy specimens from other sites as well as results of a serum ELISA were diagnostic for gastrointestinal Pythium insidiosum infection. TREATMENT AND OUTCOME: Pythiosis was initially treated medically with administration of itraconazole and terbinafine by mouth, but the colonic lesion was progressive with this regimen. Two months after diagnosis, a subtotal colectomy was performed; marginal excision (0.6 cm) was obtained at the aboral margin. The dog was treated with 3 doses of a pythiosis vaccine beginning approximately 2 weeks after surgery and was continued on itraconazole and terbinafine for 5 months. Parenteral and enteral nutrition as well as considerable general supportive care were required postoperatively. Six months after treatment, the dog had a normal serum ELISA titer. Two years after treatment, the dog had returned to preoperative weight and was clinically normal. CLINICAL RELEVANCE: This patient had an unusually positive therapeutic response to chronic, extensive, marginally excised gastrointestinal pythiosis.

Equine pythiosis: report in crossed bred (Criole Venezuelan) horses.

Pythium insidiosum is a pathogenic oomycete known since 1890 that causes pythiosis in mammals. In this report, seven P. insidiosum isolates were recovered from Venezuelan horses and were characterized. The strains were recovered from biopsied tissues and kunkers collected from granulomatous masses located on the hind limb and from a nodular lesion in the left upper eyelid, which decrease the ability of the horses to be used for working purposes. The methods used to identify P. insidiosum isolates were based on the production of sporangia and zoospores, histopathology and PCR assay. To further characterize these strains, portions of the 18S rRNA genes of the seven isolates were sequenced. The sequences showed high homology to previously described P. insidiosum DNA sequences available in GenBank. Similar studies based on the morphological, histological and molecular data identified the etiological agent in samples of granulomatous lesions in these equines as P. insidiosum. In America, the infection has been diagnosed more frequently in equines of Brazil, Colombia, Costa Rica and the United States of America.

Dual infection with Pythium insidiosum and Blastomyces dermatitidis in a dog.

A 4-year-old male neutered Labrador Retriever with severe gastrointestinal signs, but no respiratory signs, was diagnosed with multifocal pyogranulomatous gastritis, enteritis, and lymphadenitis with intralesional hyphae and multifocal pyogranulomatous pneumonia with intralesional yeast. Based on cytologic evaluation, histologic examination with special stains, and immunohistochemical analysis of tissues collected antemortem or at necropsy, dual infections with Pythium insidiosum and Blastomyces dermatitidis were detected and are reported for the first time.

Pythium insidiosum: morphological and molecular identification of Brazilian isolates / Pythium insidiosum: identificação morfológica e molecular de isolados brasileiros

Pythium insidiosum is an oomycete belonging to the kingdom Stramenipila and it is the etiologic agent of pythiosis. Pythiosis is a life-threatening infectious disease characterized by the development of chronic lesions on cutaneous and subcutaneous, intestinal, and bone tissues in humans and many species of animals. The identification of P. insidiosum is important in order to implement a rapid and definitive diagnosis and an effective treatment. This study reports the identification of 54 isolates of P. insidiosum of horses, dogs and sheep that presented suspicious clinical lesions of pythiosis from different regions in Brazil, by using morphological and molecular assays. Throughout the PCR it was possible to confirm the identity of all Brazilian isolates as being P. insidiosum.

Pythium insidiosum é um oomiceto pertencente ao Reino Stramenopila e agente etiológico da pitiose, uma doença infecciosa com riscos de morte. A pitiose é caracterizada pelo desenvolvimento de lesões crônicas sobre os tecidos cutâneos, subcutâneas, intestinal e ósseo em humanos e muitas espécies de animais. A identificação de P. insidiosum é importante, a fim de se obter um diagnóstico rápido e definitivo, bem como um tratamento eficaz. Este estudo relata a identificação de 54 isolados de P. insidiosum de cavalos, cães e ovelhas que apresentavam lesões compatíveis e suspeita clínicas de pitiose, provenientes de diferentes regiões do Brasil, através de métodos morfológicos e moleculares. Através da PCR foi possível confirmar a identidade de todos os isolados brasileiros como sendo P. insidiosum.

Gastric pythiosis in a dog.

BACKGROUND: Pythiosis is caused by the agent Pythium insidiosum, an aquatic oomycete of the kingdom Stramenopila. AIMS: To describe the symptoms, pathological changes and diagnosis methods of gastric pythiosis in dogs. METHODS: A three-year-old female German shepherd, with access to wetlands, was attended due to vomiting and recurrent diarrhea of 30 days of duration. A palpable mass in the abdomen filling the left epigastric region was identified in the clinical examination. Simple and contrasted radiological examination and ultrasound of abdominal cavity were performed. The animal was referred for exploratory laparotomy for the removal of the mass. The extent of the mass prevented from the excision and the animal was euthanized. Samples of the tumor mass were collected and sent for morphological study and immunohistochemistry. RESULTS: The changes observed in imaging studies were consistent with gastric pythiosis. In cytology and histopathology, non-septate hyphae were identified, and in immunohistochemistry a strong positivity of anti-Pythium antibodies was observed, confirming the diagnosis of pythiosis. CONCLUSIONS: Pythiosis in dogs is diagnosed late and tends to evolve in the animal's death. The definitive diagnosis is by cytology, histology and immunohistochemistry.

A comparative study of the histopathology and immunohistochemistry of pythiosis in horses, dogs and cattle.

Twenty-one cases of pythiosis in horses (n = 10), dogs (n = 9) and cattle (n = 2) were investigated. The aetiology in all cases was confirmed by immunohistochemistry. Data related to the clinical course and outcome and localization of the lesions were obtained from pathology reports. The equine lesions consisted of fibrotic tissue with multiple, often coalescing, areas of immature granulation tissue encircling eosinophilic cores. Affected dogs had gastrointestinal and/or cutaneous lesions with either or both of a granulomatous/pyogranulomatous or necrotizing eosinophilic inflammatory reaction. In cattle, cutaneous lesions were characterized by multifocal to coalescing granulomas with surrounding fibrosis. The number of intralesional hyphae, the distribution of hyphae, the presence of angioinvasion and the nature of the local inflammatory reactions were associated with the different types of lesions observed.

Vulvar pythiosis in two captive camels (Camelus dromedarius).

Two camels (Camelus dromedarius), 3- and 4-years-old, respectively, from an eastern Tennessee wildlife farm presented with persistent weight loss and large vulvar masses. An initial biopsy of the vulvar mass of one of the camels performed by a local veterinarian showed eosinophilic dermatitis. An allergic or parasitic dermatitis was suspected. The two camels were treated with one dose of sodium iodide (66 mg/kg, in 1.0 L of normosolR, IV) and ivermectin 1% (200 ug/kg PO). Upon presentation at the Veterinary Teaching Hospital, University of Tennessee, additional biopsies of the masses again revealed eosinophilic dermatitis. Microscopic examination of a Gomori methenamine silver (GMS)-stained section prepared from the biopsy of one of the camels revealed the presence of fungal-like hyphae of a mold which was suspected to be Pythium insidiosum. The vulvar masses were surgically debulked in both animals and sodium iodide and Pythium-immunotherapy prescribed. Pythium insidiosum was isolated in culture and hyphae elements were detected in histological sections confirming the diagnosis of pythiosis in both animals. Despite signs of progressive healing of the vulvar surgical areas, postoperative persistent weight lost in one of the camels suggested the possibility of gastro intestinal (GI) tract pythiosis. This camel died 5 months after the first onset of clinical signs and unfortunately a necropsy was not performed. The other camel responded well to the combination of surgery, iodides, and immunotherapy and has currently rejoined the other members of the herd.

Pitiose em animais de produção no Pantanal Matogrossense / Pythiosis of livestock in the Pantanal, Mato Grosso, Brazil

An epidemiological study (2009-2010) included cattle and horses affected with pythiosis from farms in Pantanal, Mato Grosso, Brazil. The disease occurred predominantly from November to March annually, period of the local rainy season. The mean annual incidence of pythiosis was 0.22 percent and 12.5 percent in cattle and horses, respectively. In cattle, the case distribution occurred during the peak of the floods and was restricted to 6 to 18 months of age heifers. Mild perilesional edema and lameness evolved to spontaneous resolution within until 90 days. In horses, pythiosis affected animals of both sexes with 3 to 8 years of age. Reinfection afflicted one horse. The lesions evolved to extensive granulation tissue and ‘kunkers' in horses that experienced marked cachexy. Death occurred three to seven months after the beginning of symptoms. The mean mortality rate was 5.88 percent and the case fatality rate was 45.45 percent. Diagnosis was confirmed by ELISA test, PCR, histopathology (HE and Grocott) and isolation of Pythium insidiosum. In the endemic area studied, the disease in cattle did not represent an economic impact; on the other hand, the majority of cases in horses progressed unsatisfactorily. The incidence of pythiosis in horses was 57.23 times the incidence recorded in cattle, with statistical significance. While environmental flooded conditions were the same, such difference might be associated with species susceptibility, behavior and management.

Realizou-se, em quatro propriedades rurais no Pantanal Matogrossense, em 2009 e 2010, um estudo clínico e epidemiológico da pitiose em bovinos e equinos. A enfermidade ocorreu predominantemente entre os meses de novembro e março, correspondendo ao período chuvoso na região. A incidência média anual foi de 0,22 por cento e 12,5 por cento em bovinos e equinos, respectivamente. Nos bovinos, a distribuição dos casos ocorreu no ápice das cheias e restringiu-se a novilhas de 6 a 18 meses de idade, nas quais as lesões cutâneas estiveram associadas com edemas perilesionais discretos e claudicações, mas curaram espontaneamente, em um período máximo de 90 dias. Nos equinos, a pitiose acometeu animais de ambos os sexos, de três a oito anos de idade e registrou-se um caso de reinfecção. A doença evoluiu com agravos no sítio lesional, com desenvolvimento de extenso tecido de granulação, kunkersem permeio à lesão, acentuada caquexia e mortes, as quais ocorreram entre três e sete meses após o início dos sinais. A mortalidade média foi 5,88 por cento e a letalidade 45,45 por cento. A confirmação do diagnóstico incluiu ELISA-teste, PCR, histopatologia (HE e Grocott) e isolamento de P. insidiosum. Na área endêmica estudada, a enfermidade não causou impacto econômico em bovinos, a despeito da evolução insatisfatória registrada na maioria dos equinos. Nesse estudo, a incidência de pitiose em equinos foi 57,23 vezes a observada em bovinos, com significância estatística. Apesar das mesmas condições ambientais, tal diferença foi provavelmente associada com susceptibilidade, comportamento e manejo das espécies nos campos alagados.