RESUMO.-[Acanthamoebíase sistêmica associada a cinomose canina em cães na região semiárida da Paraíba.] Infecções por amebas de vida livre podem causar doença sistêmica nos animais e no homem. Descrevem--se os aspectos epidemiológicos, clínicos e patológicos de acanthamoebíase disseminada associada com cinomose em três cães na região semiárida da Paraíba, Nordeste do Brasil. Os cães afetados desenvolveram sinais respiratórios e neurológicos progressivos, que evoluíram para a morte em dois a 20 dias. Na necropsia havia áreas nodulares, irregulares e amarelo-avermelhadas distribuídas aleatoriamente em pulmões, coração, rins, fígado, baço, linfonodos, adrenal e intestino. Em um caso havia foco de malácia no córtex parietal e outro em núcleo da base encefálica. Histologicamente, foram observados piogranulomas com áre-as de necrose e hemorragia em todos os órgãos afetados, associados a miríades de amebas intralesionais. Nos três casos havia cinomose concomitante, que possivelmente desencadeou imunossupressão nos cães. O diagnóstico foi realizado através dos achados microscópicos de infecção por amebas de vida livre e confirmado Acanthamoeba sp. pela imuno-histoquímica. Infections by free-living amoebae can cause systemic disease in animals and humans. We describe the epidemiological, clinical and pathological aspects of disseminated acanthamoebiasis associated with canine distemper in three dogs of the semiarid region of Paraíba, Northeastern Brazil. Affected dogs developed progressive neurological and respiratory signs that progressed to death within in two to 20 days. Gross lesions were irregular and with yellow--reddish nodules randomly distributed in the lungs, heart, kidneys, spleen, lymph nodes, adrenals, and intestine. One dog had foci of malacia in the parietal cortex and another one in nucleus of brain basis. Histologically, pyogranulomas with areas of necrosis and hemorrhage in all organs affected were observed, associated with myriads of intralesional amoebic trophozoites. All three cases were concomitant canine distemper, that possibly triggered immunosuppression in the dogs. The diagnosis was performed through microscopic findings of infection by free-living amoebae and confirmed Acanthamoeba sp. by immunohistochemistry.INDEX TERMS: Acanthamoeba sp., amebiasis, opportunistic diseases, canine distemper, diseases of dogs.
We describe an outbreak of histomoniasis in free-range chickens (Gallus gallus domesticus) in the semiarid region of Paraíba State, Brazil. Juvenile chickens aged approximately 48 days showed disease over a 15-day period. Seven of 16 chickens showed yellow, watery stool, anorexia, lethargy, and death within 3-5 days of clinical illness. The mortality rate was 43.7%. The chickens were raised in a backyard with 12 adult birds that remained healthy. None of the chickens were vaccinated or dewormed. A necropsy on one deceased bird showed lesions confined to the cecum and liver. The left cecum was distended and had yellow, slightly elevated areas on the serosa. The liver was reddened with centrally depressed areas surrounded by a pale halo, which were distributed throughout the capsular surface and extended deep throughout the parenchyma. Microscopically, typhlitis and pyogranulomatous necrotizing hepatitis associated with numerous intralesional Histomonas trophozoites was observed. The birds were administered metronidazole and albendazole, which effectively controlled the histomoniasis. Although histomoniasis is rare in free-range poultry, it can occur and cause high mortality and significant economic losses.
We report a case of intestinal intussusception secondary to enteritis caused by Pythium insidiosum infection in a 1-year-old mixed breed bitch that died after a 30-day history of bloody diarrhea, anorexia, weight loss, listlessness, dehydration, and pale mucous membranes. Necropsy revealed two areas of intussusception, one jejunum-jejunal and one ileum-cecum-colic. The first intussusception showed slight congestion of the intestinal loop, which was resolved by manual traction, while the second intussusception exhibited thickening, irregular yellow spots, and transmural congestion. Histologically, the jejunum-jejunal segment had ischemic lesions secondary and ileum-cecum-colic intussusception there was also necrotizing, pyogranulomatous enteritis associated with negative images of intralesional fungal hyphae that were well visualized by silver impregnation. Immunohistochemistry identified the hyphae as Pythium insidiosum. The diagnosis was made based on the histological changes and confirmed by immunohistochemistry. We can conclude that enteritis by P. insidiosum in dogs can occasionally cause intestinal intussusception and result in acute death.
The objective of this study was to describe the clinical, pathological, and immunohistochemistry characteristics of five cases of toxoplasmosis, an infection often associated with distemper in dogs. From January 2000 to December 2012, a retrospective study was performed analyzed dogs with distemper in the semiarid region of Paraíba. We evaluated this sample to focus on individuals who presented with concomitant structures in protozoa characteristics, and performed immunohistochemistry (IHC) tests using polyclonal anti-Toxoplasma gondii antibody. In all cases, the clinical signs were similar including digestive changes, as well as respiratory, neurological, and ocular lesions, suggesting an infection of canine distemper virus. The diagnosis of distemper was confirmed on histopathological analysis depending on the presence of intranuclear and intracytoplasmic eosinophilic inclusion bodies in different tissues. Histopathological examination also revealed the characteristic presence of parasitic cysts T. gondii in the brain in four cases, and in the lung in one case. The brain cysts were associated with multifocal areas of malacia and lung there was alveolar septa thickening due to infiltration of macrophages, lymphocytes, and plasma cells, with moderate proliferation of type II pneumocytes and coalescing multifocal areas of necrosis. These cysts are characterized by round and strongly basophilic structures, measuring approximately 5 to 70 µm, delimited by thin wall, stained by hematoxylin and eosin, and immunomarked as brown by immunohistochemistry (IHC) using the chromogen DAB. The diagnosis of toxoplasmosis associated with infection by canine distemper virus in the five case studied was based on microscopic findings and confirmed by immunohistochemistry. Toxoplasmosis should be included in the differential diagnosis of dogs with severe progressive systemic signs, especially when respiratory and neurological involvement is suspected. ResumoObjetivou-se com este trabalho descrever as características clínicas, patológicas e imuno-histoquímica de cinco casos de toxoplasmose associados à cinomose em cães no semiárido da Paraíba. Para isso, foi realizado um estudo retrospectivo durante o período de janeiro de 2000 a dezembro de 2012, sendo identificados e selecionados os casos de cães com cinomose. Destes, foram avaliados os que apresentavam concomitantemente estruturas características de protozoários e realizada a imunohistoquímica (IHQ) com anticorpo policlonal anti-Toxoplasma gondii. Em todos os casos os sinais clínicos foram semelhantes e sugestivos de infecção pelo vírus da cinomose canina, variando de alterações digestivas, respiratórias, neurológicas e lesões oculares. O diagnóstico de cinomose foi confirmado na histopatologia através da presença de corpúsculos de inclusões virais eosinofílicos intranucleares e intracitoplasmáticos em diferentes tecidos. O exame histopatológico revelou ainda a presença dos cistos parasitários característicos de T. gondii no encéfalo em quatro casos e no pulmão em um cas...
This study reports the clinicopathological, immunohistochemical, and molecular findings from two cases of systemic toxoplasmosis in pigs showing apathy and dyspnea. In the post-mortem examination, severe diffuse necrotizing bronchointerstitial pneumonia with numerous intralesional tachyzoites of Toxoplasma gondii was observed. The lungs had not collapsed but were diffusely reddened, and the parenchyma showed friable whitish subpleural nodules with multifocal to coalescent distribution and diameters of 0.5-1.0 cm. The histopathological findings comprised mononuclear inflammation and multifocal areas of necrosis in alveolar septa (cases 1 and 2). In addition, esophagitis and ulcerations in the mucosa of the stomach and the small and large intestines were observed (case 1). Immunohistochemical analysis using anti-T. gondii antibodies on lung tissue in both cases revealed strong immunolabeling of free tachyzoites and tachyzoites in the cytoplasm of histiocytes and in cysts. Nested PCR targeting a 155-bp fragment of the B1 gene of T. gondii was positive for the DNA extracted from lung fragments from the two pigs. Genotyping of the samples by means of PCR-RFLP (10 markers) and by means of microsatellites (15 of them) revealed that these animals were infected with T. gondii that was molecularly characterized as the non-archetypal genotype Chinese 1. This presents worldwide circulation, but it had not previously been described in Brazil. The microsatellite analysis showed that the animals were infected with the same T. gondii isolate circulating in the environment.
The objective of this study was to describe the clinical, pathological, and immunohistochemistry characteristics of five cases of toxoplasmosis, an infection often associated with distemper in dogs. From January 2000 to December 2012, a retrospective study was performed analyzed dogs with distemper in the semiarid region of Paraíba. We evaluated this sample to focus on individuals who presented with concomitant structures in protozoa characteristics, and performed immunohistochemistry (IHC) tests using polyclonal anti-Toxoplasma gondii antibody. In all cases, the clinical signs were similar including digestive changes, as well as respiratory, neurological, and ocular lesions, suggesting an infection of canine distemper virus. The diagnosis of distemper was confirmed on histopathological analysis depending on the presence of intranuclear and intracytoplasmic eosinophilic inclusion bodies in different tissues. Histopathological examination also revealed the characteristic presence of parasitic cysts T. gondii in the brain in four cases, and in the lung in one case. The brain cysts were associated with multifocal areas of malacia and lung there was alveolar septa thickening due to infiltration of macrophages, lymphocytes, and plasma cells, with moderate proliferation of type II pneumocytes and coalescing multifocal areas of necrosis. These cysts are characterized by round and strongly basophilic structures, measuring approximately 5 to 70 µm, delimited by thin wall, stained by hematoxylin and eosin, and immunomarked as brown by immunohistochemistry (IHC) using the chromogen DAB. The diagnosis of toxoplasmosis associated with infection by canine distemper virus in the five case studied was based on microscopic findings and confirmed by immunohistochemistry. Toxoplasmosis should be included in the differential diagnosis of dogs with severe progressive systemic signs, especially when respiratory and neurological involvement is suspected. ResumoObjetivou-se com este trabalho descrever as características clínicas, patológicas e imuno-histoquímica de cinco casos de toxoplasmose associados à cinomose em cães no semiárido da Paraíba. Para isso, foi realizado um estudo retrospectivo durante o período de janeiro de 2000 a dezembro de 2012, sendo identificados e selecionados os casos de cães com cinomose. Destes, foram avaliados os que apresentavam concomitantemente estruturas características de protozoários e realizada a imunohistoquímica (IHQ) com anticorpo policlonal anti-Toxoplasma gondii. Em todos os casos os sinais clínicos foram semelhantes e sugestivos de infecção pelo vírus da cinomose canina, variando de alterações digestivas, respiratórias, neurológicas e lesões oculares. O diagnóstico de cinomose foi confirmado na histopatologia através da presença de corpúsculos de inclusões virais eosinofílicos intranucleares e intracitoplasmáticos em diferentes tecidos. O exame histopatológico revelou ainda a presença dos cistos parasitários característicos de T. gondii no encéfalo em quatro casos e no pulmão em um cas...
RESUMO.-[Pitiose em cães na região semiárida do Nordeste, Brasil.] Descrevem-se os aspectos epidemiológicos, clínicos e patológicos de cinco casos de pitiose em cães na região semiárida do Nordeste. A doença ocorreu em cães com idade entre um e três anos, fêmeas e machos, de diferentes raças. Os cães eram criados em zona urbana, mas ocasionalmente eram levados para zona rural e tinham contato com áreas alagadas. Em um caso não havia informações no histórico sobre acesso à zona rural. Os principais sinais clínicos observados foram perda de peso, vômito, diarreia e tenesmo.Macroscopicamente havia espessamento da parede do intestino com massas firmes, irregulares, com áreas granulares amareladas entremeadas por tecido esbranquiçado, no duodeno, cólon e reto, que se estendia ao pâncreas e linfonodos, além de fígado e vagina. Na pele havia área de alopecia e ulcerações irregulares, algumas contendo pequenas cavitações com secreção serosanguinolenta. Microscopicamente havia inflamação piogranulomatosa e em um caso também havia necrose eosinofílica associada a imagens negativas tubuliformes pela hematoxilina e eosina, fortemente impregnadas pelo GMS e fracamente coradas pelo PAS. As hifas foram fortemente imunomarcadas pela imuno-histoquímica com anticorpo policlonal anti-Pythium insidiosum. A doença ocorre esporadicamente em cães no semiárido nordestino, entretanto deve ser incluída no diagnostico diferencial das doenças em cães com evolução crônica e proliferativa que acometem o sistema gastrintestinal, e frente a lesões cutâneas de difícil tratamento. We describe the epidemiological, clinical and pathological features of five cases of pythiosis in dogs in northeast semiarid. The disease occurred in dogs with age between one and three years, females and males of different breeds. The dogs were created in urban areas, but were occasionally taken to the countryside and then had contact with wetlands. The main clinical signs were weight loss, vomiting, diarrhea and tenesmus. Macroscopically there were intestinal wall thickening with irregular firm masses with yellowish granular areas interspersed with a whitish tissue, involving the duodenum, colon and rectum, extending to the lymph nodes and pancreas, and the vagina and liver. In the skin there were areas of alopecia and irregular ulcerations, some containing small cavitations with serosanguineous secretion. Microscopically there were pyogranulomatous inflammation and in one case also there were eosinophilic necrosis associated with negative images tubuliformes by hematoxylin and eosin, strongly stained by GMS and weakly by PAS. Hyphae were strongly marked by immunohistochemistry with polyclonal anti-Pythium insidiosum. The disease occurs sporadically in dogs in the semiarid Northeast, however should be included in the differential diagnosis of chronic diseases and proliferative aspect of the gastrointestinal system, and front skin lesions of difficult treatment.
Background: Fungi of the genus Aspergillus are ubiquitous microorganisms of opportunistic character, of which animals and humans are continually exposed. Are described three main forms of aspergillosis in dogs: nasal, disseminated and bronchopulmonary. This form which is restricted to the lung parenchyma is considered rare in dogs. The aim of this paper is to report a case of pulmonary aspergillosis associated to acute myocardial infarction in a dog, focusing on epidemiological, clinical, pathological and immunohistochemical characteristics. Case: A male dog, 4-year-old, Pinscher, clinically presented dyspnea, anorexia, vomiting, concentrated urine and dark and mollifed faeces. On physical examination, there were congested oral and conjunctival mucosas, dehydration and petechiae in the outer ear. The animal died fve days after the clinical attendance and was sent for necropsy. The macroscopic lesions were restricted to the lung, heart and liver. There were multifocal areas of consolidation in the lung parenchyma and yellowish content in the trachea and bronchi lumen. The heart was rounded and with pale areas in the myocardium. Liver was discreet accentuation of the lobular pattern. Histologically the lesion was characterized by pyogranulomatous and necrotizing bronchopneumonia, multifocal to coalescing, moderate, associated with myriads of intralesional hyphae consistente with Aspergillus spp., associated with acute myocardial infarction. The hyphae weakly stained basophilic by hematoxylin and eosin were strongly impregnated by Grocott’s methenamine silver nitrate and showed strong immunolabelling of the cytoplasm, which were evidenced in brown. There were areas of acute myocardial infarction and hepatocellular degeneration and congestion in the liver, although fungal hyphae were not observed in these tissues. Discussion: The diagnosis of pulmonary aspergillosis was established based on the morphological and tinctorial characteristics of the agent and confrmed by immunohistochemistry. In this case, is not included in the clinical history any conditions that could promote immunosuppression, neither were observed morphological changes in the pathological examination which suggested other intercurrent diseases. It is likely that the dog has been exposed to the inhalation of large amounts of conidia for a long period of time, condition that favors the occurrence of the disease, even in immunocompetent animals. Probably were not evidenced severe respiratory clinical signs, that characterize the pulmonary impairment, due to the shortcourse of the disease. The pyogranulomatous and necrotizing inflammatory reaction is typical of fungal infection and was restricted to the lung parenchyma. The areas of coagulation necrosis observed in the myocardium are probably secondary to vascular injury caused by the fungi, with subsequent thromboembolism, ischemia and infarction. In Brazil, there are few reports of aspergillosis in dogs, have been reported the nasal and systemic forms. In the world literature, there are few reports about this bronchopulmonary form of the disease. Although uncommon, pulmonary aspergillosis should be considered in the differential diagnosis of diseases that affect the lower respiratory tract of dogs, as well as it’s systemic complications resulting from angioinvasive characteristic of the fungus, which in this case was determinant to the death of the animal. Keywords: Aspergillus, fungal disease, respiratory tract
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