Temporal and spatial spread of Hypoderma actaeon infection in roe deer from peninsular Spain determined by an indirect enzyme-linked immunosorbent assay.

The host switching of Hypoderma actaeon (Diptera: Oestridae), a specific parasite of red deer (Cervus elaphus), towards roe deer (Capreolus capreolus) has been recently reported in Spain. To provide information about the temporal and spatial spreading of H. actaeon infection in roe deer, 244 serum samples from animals hunted in Spain between 2013 and 2018 were analysed by an indirect enzyme-linked immunosorbent assay. The overall seropositivity was 13.9%. Seropositivity was higher in continental (27.7%) and mountainous (12%) areas from central Spain, followed by southern-Mediterranean (11.2%) and northern-oceanic regions (3.5%). Differences were significant between central-continental and northern-oceanic regions (P = 0.003). No differences were found according to the sex and age of roe deer (P > 0.05). In 2013, all seropositive animals were concentrated in two distant areas in central and southern Spain, suggesting that the host switch could have occurred independently in both regions. Changes in the pattern of distribution of red deer and roe deer could have favoured the spreading of this myiasis towards roe deer, indicating that roe deer may become infested by H. actaeon in areas where both cervids coexist at high densities.

Sarcoma cardiaco con metástasis a encéfalo y miasis / Cardiac sarcoma with encephalon metastasis and myiasis

Los sarcomas cardíacos, son una entidad muy rara que a menudo son asintomáticos hasta que están avanzados, y aun así producen síntomas inespecíficos e imitan otras patologías. El pronóstico sombrío resulta de una invasión local extensa y / o metástasis a distancia en la presentación. Se presenta una paciente de sexo femenino, de 24 años de edad, preveniente del área rural de Paraguay, que fue diagnosticado con sarcoma cardiaco primario. Un año después de la intervención quirúrgica, la paciente regresa al servicio, donde se detecta metástasis a encéfalo, concomitantemente se aprecia miasis, por lo que es ingresada a la unidad de cuidados intensivos, para seguimiento. Se puede apreciar la falta total de seguimiento a esta paciente, por lo que ha ingresado en este estado al servicio, por lo que es fundamental la implementación de programas de seguimiento a estos pacientes para evitar complicaciones prevenibles(AU)

Cardiac sarcomas are a very rare entity that are often asymptomatic until they are advanced, and even so produce nonspecific symptoms and mimic other pathologies. The somber prognosis results from extensive local invasion and / or distant metastasis in the presentation. We present a 24-year female patient from the rural area of Paraguay, who was diagnosed with primary cardiac sarcoma. One year after the surgical intervention, the patient returns to the service, where metastasis to the brain is detected, concomitantly myiasis is seen, and therefore, she is admitted to the intensive care unit for follow-up.The total lack of follow-up to this patient can be appreciated, which is why she has entered the service in this state, so it is essential to implement follow-up programs for these patients to avoid preventable complications(AU)

LONGRANGE® (eprinomectin 5% w/v extended-release injection) efficacy against Hypoderma lineatum in an endemic area in southern Italy.

BACKGROUND: Despite intensive control measures including governmental campaigns using highly-efficacious systemic insecticides, there is evidence for persisting or recurring bovine Hypoderma species populations in parts of Europe, the USA and Canada. The present study evaluated the efficacy of LONGRANGE® (eprinomectin 5% w/v extended-release injection) against the infestation of cattle with Hypoderma lineatum, which is considered to be the predominant bovine warble fly in southern Europe and in North America. METHODS: Thirty-six local breed cattle sourced in an endemic area in southern Italy and confirmed positive for Hypoderma exposure by ELISA were randomly assigned to three groups of 12 animals each. Cattle of one group served as control and received saline injectable solution, whereas those in the two other groups received LONGRANGE® by subcutaneous injection. LONGRANGE® was administered once, either when Hypoderma larvae were expected to be first-instars (L1) or after warbles development, with Hypoderma larvae moulting to the second-(L2) and third-(L3) instars. Cattle were checked at intervals for warbles and Hypoderma larvae were collected, examined for their viability and morphologically identified. The detection of Hypoderma on cattle was terminated when warbles were no longer emerging. RESULTS: All intact larvae collected were identified as H. lineatum. No live larvae were collected from any animal treated with LONGRANGE® while live specimens were sampled from nine of the 12 control cattle (1 to 9 larvae per animal) (P = 0.0001 at α = 0.05). LONGRANGE® treatment was well accepted and no adverse events related to treatment or other health problems were observed. CONCLUSIONS: This study confirmed the continued 'preventive' (efficacy against migrating L1) and 'therapeutic' (efficacy against L2 and L3 in warbles) efficacy of LONGRANGE® against H. lineatum infestation of cattle under contemporary field conditions.

Hypodermosis in cattle translocated to Tamil Nadu from Punjab.

Fifteen apparently healthy Kandari cross-bred cattle aged about 4 years were purchased from Rurki, Patiala district of Punjab by a private dairy farmer in Erode, Tamil Nadu. Four animals showed eruptions on the lateral thoracic and dorsal abdominal regions of the body after 15-day period of quarantine. Manual palpation of the eruptions resulted in the emergence of larval stages of dipteran flies, identified by their morphology as Hypoderma from these animals. Molecular identification based on mitochondrial cytochrome oxidase-1 (COX-1) gene confirmed it to be Hypoderma lineatum. Treatment with oral ivermectin did not have any curative effects, with exacerbation of disease being noticed, as more than 500 eruptions subsequently emerged in each animal, which had to be culled. Consequences of long distance migration of host on parasite epidemiology are discussed. Awareness must be created among livestock farmers to prevent their economic loss while purchasing cattle from different parts of the country.

A computational structural analysis of functional attributes of hypodermin A and B proteins: A way forward for vaccine development.

Hypodermosis is a parasitic disease of cattle. The pathogenicity of the disease is attributed to Hypodermin proteins (Hypodermin A, Hypodermin B and Hypodermin C). Studies suggest that Hypodermin proteins may be defined as Serine proteases and collagenases. The structure of both proteases Hypodermin A and Hypodermin B were modeled using the Swiss-model server followed by its validation using Procheck, Errat and Verify-3D. Afterwards, both Hypodermin A and Hypodermin B were docked against collagen in order to study its interaction with respective Hypodermin proteins. The structure of both Hypodermin A and Hypodermin B showed more bent towards hydrophobic nature as more beta sheets were present in them. Both structures were also superimposed to check out similarities and differences present between them. Serine, Aspartic acid, Histidine, Glutamic acid and Lysine are found as interacting residues that are involved in hydrogen bonding with collagen. The interactions are found in the active domain region of Hypodermin proteins. The interacting residues were present in the active region of the hypodermin proteins thus validating the docking studies. This study may help in the drug development against hypodermosis with least side effects.

Distribución estacional de miasis mucocutánea. Nuestra experiencia / Seasonal distribution of mucocutaneousmyiasis. Our experience / Distribuição sazonal de miíase mucocutânea. A nossa experiencia

Introducción: la miasis es una lesión producida por larvas de mosca que infestan animales, de cuyos tejidos se alimentan en forma parasitaria. En nuestro servicio de otorrinolaringología tratamos frecuentemente pacientes con miasis mucocutáneas. El comprender la distribución estacional de esta patología podría ser una herramienta útil para la prevención de la misma. Métodos: Se valoraron las historias clínicas informatizadas del servicio de Otorrinolaringología del Hospital Federico Abete de Malvinas Argentinas, entre enero de 2013 y diciembre de 2015, utilizando como filtro la palabra “miasis”; de las cuales se analizaron las variables: mes de infestación, sitio anatómico comprometido, la edad, el género y la temperatura al momento de la consulta. Resultados: Se encontraron 27 pacientes. La edad promedio fue de 42 años. Quince pacientes masculinos y 12 femeninos. Sitio anatómico comprometido: conducto auditivo externo: 11; traqueostoma: 8; Sitio operatorio: 5; oído medio: 3. Todos fueron diagnosticados en las estaciones más cálidas. Conclusiones: Se observó la aparición de miasis en las estaciones más cálidas. Sería aconsejable tomar mayor cantidad de medidas preventivas durante estas épocas del año, para evitar los casos de infestación larvaria, cuando es posible.

Introduction: Myiasis refers to the damage caused by fly larvaes, which infest animals, including humans, and who feed in form parasitic of their dead or living tissue, causing tissue destruction. In our department of otolaryngology, we often treat patients with mucocutaneous myiasis. Understand the seasonal distribution of this disease could be a useful tool for preventing it. Method: Computerized medical records of Otolaryngology Service of Hospital Municipal Dr. Federico Abete of Malvinas Argentinas were valued, in the period between 2013 and 2015, it was used as a filter the word “myiasis”. Were found a series of 27 cases with diagnosis of mucocutaneous myiasis; of which were analyzed the variables: month of infestation, involved anatomic site, age and temperature at the time of medical consultation. Results: 27 patients were found. The average age was 42 years. 15 male patients and 12 female patients. Involved anatomic site: external auditory canal: 11; tracheostomy: 8; infestation surgical site: 5; middle ear: 3. All were diagnosed in the warmer seasons. Conclusions: The appearance of myiasis was observed in the warmer seasons. It would be advisable to take as many preventative measures during these times of the year to avoid cases of larval infestation, when possible.

Introdução: Miíase é uma lesão causada por larvas de moscas que infestam animais e dos que se alimentam de forma parasitária de seus tecidos. Em nosso departamento de otorrinolaringología tratamos muitas vezes pacientes com miíase mucocutânea. Compreender a distribuiçãos a zonal destado ença poderia ser uma ferramenta útil para evitar isso. Método: Forama valiados registros médicos computadorizados de Serviço de Otorrinolaringologia do Hospital Municipal Dr. Federico Abete de Malvinas Argentinas, no período entre 2013 e 2015, ele foi usado como filtro a palavra “miasis”. Foram encontradas uma série de 27 casos com diagnóstico de miíase mucocutânea; dos quais foram analisados as variáveis: mês de infestação, local anatómico en volvidos, idade e sexo dos pacientes; que foram comparados com os dados de temperatura do Servicio Meteorológico Nacional. Resultados: 27 pacientes foram encontrados. A idade média foi de 42 anos. 15 pacientes do sexo masculino e 12 do sexo feminino. Local anatômico envolvidos: canal auditivo externo: 11; traqueostomia: 8; infestação de sítio cirúrgico: 5; ouvido médio: 3. Todos foram diagnosticados nas estações mais quentes. Conclusões: O aparecimento de miíases foi observada nas estações mais quentes. Seria aconselhável tomar tantas medidas preventivas durante estas épocas do ano para evitar casos de infestação larval, quando possível.

Treatment and control of bovine hypodermosis with ivermectin long-acting injection (IVOMEC® GOLD).

BACKGROUND: The studies reported here were conducted to assess the efficacy of ivermectin long-acting injection (IVM LAI; IVOMEC® GOLD, Merial; 3.15 % w/v ivermectin) for the treatment and control of natural infestations of cattle by Hypoderma bovis and Hypoderma lineatum, which are the most economically important oestrid flies of cattle in the northern hemisphere. METHODS: Cattle selected from herds with a history of Hypoderma infestation were grouped into blocks of three (Italy, 33 cattle; Germany, 30 cattle) or two (USA, 16 cattle) animals each, on the basis of positivity at the pre-treatment anti-Hypoderma antibody titres. Within each block, animals were randomly allocated to one of the following treatment regimens: saline (control); IVM LAI, administered at the predicted time of occurrence of first-instar larvae (Italy, Germany, USA); IVM LAI, administered at the predicted time of occurrence of second- and/or third-instar larvae (Italy, Germany). All treatments were administered by subcutaneous injection in correspondence of the area anterior to the shoulder at 1 ml/50 kg body weight, which corresponds to 630 mcg IVM/kg for IVM LAI. RESULTS: No Hypoderma larvae emerged from animals treated with IVM LAI, whereas live H. lineatum (Italy) or H. bovis (Germany, USA) larvae were collected from saline-treated animals (P < 0.01). No adverse reactions to treatments were in any of the animals enrolled in the study. CONCLUSIONS: The results from this study demonstrate that ivermectin in a long-acting formulation is 100 % efficacious in the treatment of cattle naturally infested by H. bovis and H. lineatum larvae at all stages of development. IVM LAI can, therefore, be used as 'prophylactic' treatment for Hypoderma spp. infestations in absence of external evidence of their presence and thus prior to skin and carcass damage, and as 'therapeutic' treatment, when warbles are already present.

Molecular Characterization and Chronobiology of Hypodermosis in Cattle Slaughtered in the Diyarbakir Province of Turkey.

OBJECTIVE: The aim of present study was to investigate the chronobiology and identification of Hypoderma species in cattle slaughtered in the Diyarbakir Province of Turkey. METHODS: In total, 736 hides and subcutaneous tissue of slaughtered cattle were examined for the presence of second- and third-instar larvae in the slaughterhouse between November 2012 and May 2013. Third-instar larvae were collected from the slaughterhouses, and gDNA isolates were examined by PCR-RFLP analysis of the cytochrome c oxidase I (COI) gene of mt-DNA using TaqI enzyme. RESULTS: In total, 62 out of 736 cattle (8.42%) were found to be positive for Hypoderma larvae. A total of 328 (90 second- and 238 third-instar) Hypoderma larvae were detected in the hide and subcutaneous tissue of the back of infested cattle. All the 238 third-instar larvae (100%) were identified as H. bovis by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis. The mean number of Hypoderma larvae in each cow was 5.29% (62/736). In the examined cattle, second-instar larvae were observed starting from the second week of January and subcutaneous nodules were found until the last week of April. CONCLUSION: H. bovis was the dominant species detected in the Diyarbakir Province.

Paciente con miasis vulvovaginal posterior a vulvectomía simple / Patient with Vulvo Vaginal Mycosis after Single Vulvectomy

Las miasis son infestaciones en vertebrados vivos causados por las larvas de diversas especies de moscas (dípteros).El objetivo del trabajo es presentar la evolución de este caso por ser una enfermedad muy rara en Cuba. Se presenta una paciente femenina, piel blanca,de 70 años de edad y antecedentes de hipertensión arterial crónica.Hace nueve meses le fue diagnosticado un proceso neoformativo de vulva,motivo por el cual fue intervenida quirúrgicamente hace 39 días en otro centro hospitalario.Ahora acude al cuerpo de guardia por constatarse aumento de volumen en la zona quirúrgica,prurito intenso y secreciones fétidas.Por este motivo fue ingresada para estudio y tratamiento en sala.Se le diagnosticó miasis vulvovaginal.Tuvo una evolución satisfactoria en sala gracias a las curas locales y el tratamiento con antibióticos(AU)

The myiasis are infestations in living vertebrates caused by the larvae of several species of flies (Diptera). The aim of this paper is to present the evolution of this case as a very rare disease in Cuba. A case is presented of a female patient, white skin, 70 years old having a history of chronic hypertension. Nine months earlier, she had been diagnosed with vulvar neoformative process, for which she underwent surgery -39 days before this consultation in another hospital. She went to the emergency room due to an increased volume in the surgical area, severe itching, and fetid secretions. She was admitted in hospital for study and treatment. She was diagnosed vulvovaginal miasis. She had a satisfactory evolution thanks to local cures and treatment with antibiotics(AU)

Miasis furunculoide / Furunculoid myiasis

No disponible

[The first case of Hypoderma tarandi-associated human myiasis in Greenland]. / Første tilfælde af Hypoderma tarandi-associeret myiasis på Grønland.

We present the first case of human myiasis in Greenland caused by the warble fly Hypoderma tarandi. Noticing a persisting, migrating, stinging facial sensation, a female patient eventually extirpated a larva from her upper eyelid, and the larva was confirmed to species level using DNA-based methods. A high prevalence of H. tarandi in reindeer, the main reservoir host, and increasing populations of musk ox may imply an increased risk of zoonotic transmission. Although diagnosis is challenging, rapid intervention is crucial to reduce the risk of ophthalmomyiasis.

Oestrus ovis infection of grazing sheep during summer in southern Chile

Oestrus ovis is a botfly whose larvae cause nasal myiasis, an environmental-dependent disease in small ruminants, generating acute and chronic injuries in the cranial cavities of sheep. Chile is a country of the southernmost worldwide distribution of this parasite, and there is few information about. Whence, the objective of this study was to approximate the epidemiological situation of O. ovis infection in Chilean sheep. From December 2009 to March 2010, a total of 87 samples were obtained by necropsy for skull inspection. The larvae were collected, and microscopically identified. The prevalence in the sampled sheep was 60.9%. From those that were infected, 85.7% (18/21) of sheep were 1 to 3 years old, constituting the stratum with the highest prevalence. The difference of infection in females and males was not significant. The high risk of infection seems to be dependent upon the environmental conditions of this southern region, especially during summer when the first larval stage (L1) could be found as the evidence. Therefore, the disease should be considered as a significant problem for this kind of livestock production.

Frequência populacional de Dermatobia hominis (Linnaeus Jr., 1781) (Diptera: Cuterebridae) e sua correlação com variáveis climáticas, no Sudeste do Brasil / Population variations of Dermatobia hominis (Linnaeus Jr., 1781) (Diptera: Cuterebridae) and correlation with variable climate in southeast Brazil

Dermatobia hominis infestation in dairy cattle was investigated, searching for the existence of correlations between the incidence of botfly and climatic factors (temperature, relative humidity, and rainfall) and its distribution on the animal body surface. Two geographical areas located in the southeast region of Brazil were selected. Area 1- tropical and sub-tropical climate of altitude (Cwa); Area-2 tropical climate (Aw). During the period from May to December 2013, 10 animals were selected in each area and biweekly field collections were carried out for quantification of the average number of larvae in the herd. Larval nodes were registered during every month of the survey. Area 1 had an average of 12.94 larvae/month and Area 2 an average of -7.58 larvae/month. No correlation between the number of larvae and the climatic variables (p > 0.05) was found in Area 2. A positive correlation between the average number of larvae and the temperature (p = 0.011) and precipitation (p = 0.034) was found in Area 1. These climatic factors are related to soil characteristics, influencing the penetration of L3 larvae and the pupal period. The greatest number of nodules was found in the anterior inferior region, followed by the anterior superior region of the animal body. The infestation in these regions deserves a special emphasis because these are the regions comprising the part of the animals hides which can be industrialized, and thus represent the largest cause of economic losses...

Foi avaliada a frequência de infestação por larvas de Dermatobia hominis em bovinos leiteiros, investigando-se a existência de correlação entre a incidência do berne e os fatores climáticos (temperatura, umidade relativa e precipitação pluviométrica) com a sua distribuição na superfície corporal dos animais. Foram selecionadas duas áreas localizadas na região Sudeste do Brasil: Área 1: clima subtropical/tropical de altitude (Cwa); Área 2: clima tropical (Aw). As observações foram realizadas no período de maio a dezembro de 2013. Em cada propriedade foram examinados dez animais em coletas de campo quinzenais para o levantamento do número de nódulos de berne. Foram registrados nódulos durante todos os meses de coleta. A Área 1 apresentou média de 12,94 bernes/mês, e a Área 2, 7,58 bernes/mês. Na Área 2, não foi constatada a existência de correlação entre o número de bernes e as variáveis climáticas (p > 0,05). Na Área 1, houve correlação entre o número médio de bernes com a temperatura (p = 0,011) e a precipitação (p = 0,034). Esses fatores climáticos, relacionados às características edáficas, influenciam a penetração das larvas L3 e o período pupal. O maior número de nódulos foi encontrado na região anterior inferior, seguida pela região anterior superior do corpo dos animais, regiões nobres que compõe a parte industrializável da pele do animal e que representam a maior causa de prejuízo econômico...

A 4-years monitoring of Hypoderma diana in horses from the Czech Republic.

The occurrence of Hypoderma diana (Diptera: Hypodermatidae) in a herd of 15 horses was observed during a 4-year period (2010-2013) in northwest Bohemia. During this period, infestation by the warble fly H. diana increased from 12.5% in 2010 to 53.3% in 2013. Nodules were observed on the neck, back, stomach, legs, and head. The incidence of H. diana was probably influenced by the presence of a specific host mouflon (Ovis orientalis musimon).

[Control of bovine hypodermosis in Switzerland; looking back]. / Die erfolgreiche Bekämpfung der Hypodermose in der Schweiz: Ein Blick zurück.

For many years, hypodermosis control - which started in the 1920's - was unsatisfactory, partly due to a lack of efficacy or a too high toxicity of the available products. An improved control became possible with the introduction (1957) of the organophosphate Metrifonate (Neguvon®, Bayer AG). Subsequent large-scale campaigns according to the Federal Ordinance on epizootic diseases (1967) quite reduced hypodermosis in Switzerland. However, due to a limited use of the product (only young and alpine-grazing cattle were allowed to be treated, administratively indicated maximum dose, side-effects) and its incomplete efficacy, a full control was not possible. The decision to maintain hypodermosis as a "notifiable" disease then allowed further epidemiological studies. In 2000/2001 a concerted action in close cooperation with the cantonal veterinarians allowed a consequent and systematic treatment of all cattle in all endemic areas by the large-scale use of Eprinomectin (Eprinex®, Merial Inc.) for dairy cattle and of Ivermectin (Merial Inc.) as microdose "off-label" for young cattle has led to a rapid and sustainable success.

[Cytochrome oxidase I gene sequences that cause hypodermosis cattle species by PCR-RFLP technique investigation]. / Sigirlarda Hypodermosise Sebep Olan Türlerin Sitokrom Oksidaz I Gen Dizilerinin PCR-RFLP Teknigi ile Arastirilmasi

OBJECTIVE: The importance for the health of cattle Hypodermosis (Nokra) species that cause disease by Polymerase Chain Reaction- Restriction Fragment Length Polymorphism (PCR-RFLP) method was investigated. METHODS: The molecular analysis of Hypoderma species specific sequences located on the Cytochrome C Oxidase I (COI) (mtDNA) gene by PCR-RFLP method was successfully carried out. RESULTS: DNAs were obtained using the extraction kit and Polymerase chain reaction (PCR) foe amplification of the mitochondrial DNA gene yielded for 688bp COI gene on agarose gel. Using the PCR amplification and HinfI, RsaI and TaqI restriction enzymes, mitochondrial DNA gene regions were amplified with the RFLP technique. CONCLUSION: The mitochondrial COI gene region of the genus Hypoderma for the molecular identification of potential answers questions, such as the level, which indicates that it may be very useful. In this study, in the city of Van, it is also important that the Hypoderma species be defined in terms of the first molecular study.

The efficacy of eprinomectin extended-release injection against Hypoderma spp. (Diptera: Oestridae) in cattle.

The efficacy of eprinomectin in an extended-release injection (ERI) formulation was determined in cattle harboring naturally acquired infestations of first- or second- and third-stage larvae of Hypoderma spp. in three studies conducted according to the same protocol in the USA (two studies) and Germany (one study). Thirty cattle sourced from herds with a history of Hypoderma infestation were included in each study. Cattle were formed into replicates of three animals each on the basis of pre-treatment anti-Hypoderma antibody titers. Within replicates each animal was randomly allocated to one of the following treatments: ERI vehicle (control) at 1 mL/50 kg bodyweight, administered once on Day 0; Eprinomectin 5% ERI at 1 mL/50 kg bodyweight (1.0 mg eprinomectin/kg), administered once on Day 0 (when larvae were expected to be first instars); or Eprinomectin 5% ERI at 1 mL/50 kg bodyweight (1.0 mg eprinomectin/kg), administered once when larvae were second or third instars (study dependent, Day 73, 119, or 140). Treatments were administered by subcutaneous injection in front of the shoulder. In all studies, emerging and/or expressed Hypoderma larvae were recovered, speciated, and counted and viability was determined. Eprinomectin LAI treatment was 100% (p<0.05) efficacious against first- and second- or third-stage larvae of Hypoderma bovis (two studies) and Hypoderma lineatum (one study). All animals accepted the treatment well. No adverse reaction to treatments was observed in any animal in any study.

Effect of reinfestations on systemic immune responses in cattle naturally infested by Hypoderma sp. (Diptera: Oestridae).

Systemic humoral and cellular immune responses were studied during natural infestations by Hypoderma lineatum in cattle at their first (G-1) and second exposure (G-2). Four out of seven animals in G-1 were palpation positive, with a mean intensity of 11.2 (12.81SD) warbles; the same proportion (4/7) presented warbles in G-2 but the intensity was 3.7 (2.21SD). The evolution of total IgG levels was characterized by a noticeable increment coinciding with the presence of warbles on the back, especially in G-2. The IgG1 isotype displayed a parallel evolution in both groups, with peak values prior to the appearance of first warbles. The IgG2 subclass followed an irregular pattern in both groups and IgM maintained low and constant levels throughout the study, mainly in G-1. CD4/CD8 ratios showed a predominance of CD4(+) throughout the infestation, principally in G-2 during the warble season. The evolution of IFN-γ in G-2 was constant, whereas in G-1 there was a gradual descent until warble emergence. The dynamics of the IL-10 differed between G-1 and G-2, although both groups showed a significant drop after the exit of the larvae that could be implicated in the termination of the inflammatory response. IL-4 and TNF-α levels did not show differences between groups. Our results suggest that the resistance mechanisms would become more apparent at the latest stages of the infestation by Hypoderma, supporting the hypothesis that considerable larval destruction in sensitized animals might take place after their arrival to the back.

Pielonefritis xantogranulomatosa en un adolescente / Xanthogranulomatous pyelonephritis in an adolescent

Se presenta el caso clínico de un adolescente de 15 años de edad, con antecedente de piodermitis, quien fue remitido al Hospital Docente Pediátrico Sur de Santiago de Cuba por presentar fiebre, dolor lumboabdominal del lado derecho y afectación del estado general. Desde los puntos de vista clínico e imagenológico se diagnosticó un tumor en el riñón derecho, lo cual obligó a realizarle una nefrectomía de dicho riñón. Los hallazgos anatomopatológicos confirmaron la presencia de pielonefritis xantogranulomatosa(AU)

The case report of a 15 year-old adolescent is presented, with a history of pyodermitis who was referred to the Southern Children Teaching Hospital from Santiago de Cuba for presenting with fever, right lumbar abdominal pain and a compromised general status. From the clinical and imaging points of view a tumor was diagnosed in the right kidney, which forced to perform a nephrectomy of this kidney. The pathological findings confirmed the presence of xanthogranulomatous pyelonephritis(AU)