Adenocarcinoma acinar pulmonar primário em gato : relato de caso

Among the diseases that cause dyspnea in felines, primary pulmonary neoplasia is rare and tends to affect senile cats. This study reports the case of a seven teen year old FeLV infected cat who was diagnosed acinar adenocarcinoma of the lung and kidney metastasis. It presented prostration and anorexia and was hospitalized with dyspnea and pleural effusion. Chest radiography indicated increased radiopacity in the cranial portion of the right hemithorax, compatible with presence of intrathoracic mass and the cytologic analysis of pleural effusion suggested feline infectious peritonitis. The animal died two days after, and the definitive diagnosis was concluded after necropsy and histopathological examination. Pulmonary adenocarcinoma should be included with differential diagnosis of respiratory diseases in cats, especially the elderly.Entre as doenças que causam dispneia em felinos, a neoplasia pulmonar primária é rara e costuma acometer gatos senis. Este trabalho tem por objetivo relatar o caso de um felino, de 17 anos, portador do vírus da leucemia felina, diagnosticado com adenocarcinoma acinar pulmonar primário com metástase no rim e na pleura parietal. O paciente apresentava histórico inespecífico, sendo as principais queixas prostração e anorexia, e foi internado apresentando dispneia e efusão pleural. A radiografia torácica indicou aumento da radiopacidade na porção cranial do hemitórax direito, compatível com presença de neoformação intratorácica. A citologia da efusão foi sugestiva de peritonite infecciosa felina. O animal veio a óbito dois dias após o atendimento inicial e o diagnóstico definitivo foi determinado por meio da necropsia e da avaliação histológica. O adenocarcinoma pulmonar deve ser incluído como diagnóstico diferencial de doenças respiratórias em gatos, principalmente idosos

Intoxicação por amitraz em um gato

A 4-month-old male Himalayan cat presented with clinical signs of acute lethargy and motor incoordination after being treated with amitraz for parasite control. On clinical examination, the patient was lethargic and ataxic with severe pulicosis, hypothermia, pale mucous membranes, bradycardia, weak femoral pulses, hyperglycemia, and bilateral mydriasis. Blood tests revealed non-regenerative hypochromic microcytic anemia. Serum alanine levels were elevated tenfold. The patient received supportive treatment with atipamezole (an α2-adrenergic antagonist) at a dose of 0.1 mg/kg intramuscularly. After 24 h of hospitalization and constant monitoring, the patient recovered and was discharged. The published literature showed that the active ingredient amitraz is effective in the treatment of some parasitic diseases in cats, such as scabies and demodicosis; therefore, it is still used for this purpose. Given the small therapeutic margin of this insecticide, veterinarians should caution owners about its potential toxicity. This report emphasized the significance of amitraz intoxication in feline species and the success of the treatment, which should be initiated in the first hour after intoxication.Um gato da raça Himalaia, macho, com quatro meses de idade, apresentou sinais clínicos de letargia aguda e incoordenação motora após ser medicado com amitraz para controle de parasitas. No exame clínico, o paciente se apresentava letárgico e atáxico, com pulicose grave, hipotermia, mucosaspálidas, bradicardia, pulso femoral fraco, hiperglicemia e midríase bilateral. O exame de sangue revelou anemia microcítica hipocrômica não regenerativa. Os níveis séricos de ALT estavam 10x elevados. O paciente recebeu tratamento de suporte e administração de atipamezol (antagonista α2-adrenérgico) na dose de 0,1 mg/kg por via intramuscular. Após 24 horas de internação e acompanhamento constante, o paciente se recuperou e recebeu alta. Dados publicados na literatura demonstram que o princípio ativo amitraz é eficaz no tratamento de algumas doenças parasitárias em gatos como sarna e demodicose e, portanto, ainda é utilizado para esta finalidade. Dada a pequena margem terapêutica deste inseticida, os veterinários devem informar os proprietários sobre o seu potencial de toxicidade. O objetivo deste relato é enfatizar a importância da intoxicação por amitraz na espécie felina e o sucesso do tratamento, que deve ocorrer nas primeiras horas após a intoxicação

Ureterolitíase bilateral em um gato de sete meses de idade

Feline ureteral obstruction can have several causes; however, ureterolithiasis has been increasing in occurrence. The restriction of urinary flow induced by the obstruction has harmful consequences to the body and can lead to acute renal failure. Calcium oxalate ureterolithiasis is reported in older cats, aged mean 12 years old. A case of bilateral ureteral obstruction in a 7-month-old mixed breed cat is described in this report. Imaging tests such as abdominal ultrasonography, radiography and excretory urography were performed to determine the diagnosis. The surgical procedure of bilateral ureterotomy was then performed, which allowed the improvement of the urinary flow of both kidneys and the resolution of clinical signs caused by uremia. The quantitative analysis of both uroliths revealed the composition of 100% monohydrate calcium oxalate. Calcium oxalate stones can also cause ureteral obstruction in young cats; although, are less common in this age. When conservative treatment fails, surgical intervention becomes necessary for the rapid return of renal function. To author’s knowledge this is the first report of a ureterolithiasis caused by calcium oxalate in a young cat.A obstrução ureteral em gatos pode ter diversas causas, entretanto, a ureterolitíase vem apresentando um aumento na sua ocorrência. A restrição do fluxo urinário induzida pela obstrução traz consequências graves ao organismo, podendo levar a insuficiência renal aguda. A ureterolitíase por cálculos de oxalato de cálcio é relatada em gatos mais velhos, com média de idade de 12 anos. Um caso de obstrução ureteral bilateral em um gato, SRD, com sete meses de idade é descrito nesse relato. Exames de imagem, como ultrassonografia e radiografia abdominais e urografia excretora, foram realizados para confirmar o diagnóstico. O procedimento cirúrgico de ureterotomia bilateral foi então realizado, permitindo a melhora do fluxo urinário de ambos os rins e dos sinais clínicos de uremia. A análise quantitativa de ambos os urólitos revelou a composição de 100% oxalato de cálcio monohidratado. Cálculos de oxalato de cálcio são um diagnóstico diferencial para obstrução ureteral também em gatos jovens, apesar de serem menos comuns. Quando há falha no tratamento conservador, a intervenção cirúrgica torna-se necessária para o rápido restabelecimento e preservação da função renal. No conhecimento dos autores, esse é o primeiro relato de ureterolitíase causada por oxalato de cálcio em um gato jovem

Aplicação da toxina botulínica associada no tratamento de paralisia facial

A paralisia facial é uma doença que afeta a inervação motora da face, caracterizada pela diminuição de força na musculatura facial unilateral, que normalmente envolve uma hemiface que normalmente possui causa desconhecida. A Toxina botulínica se caracteriza como uma proteína produzida pela bacteria Clostridium botulinum, conhecida pela doença de botulismo. Essa toxina tem a função de paralisar a região onde foi aplicada, fazendo com que assim não ocorra a contração muscular. A toxina age nos termiais pré-sinápticos impedindo a liberação de acetilcolina na junção neuromuscular. Na paralisia facial, a toxina atua reduzindo as ações involuntárias dos músuculos, diminuindo a assimetria e a hiperfunção. Portanto, o objetivo do presente trabalho é fazer uma revisão da literature acerca do uso da toxina botulínica no tratamento da paralisia facial. Deste modo, os artigos incluidos obedecem os seguintes critérios: escritos em português, que tivessem toda a sua leitura disponível, abordassem acerca da Toxina Butolínica, da Paralisia facial, das características destes, bem como de sua corelação, dentre outras vertentes relacionadas que visem explicar a temática

Bem estar do trabalhador é essencial para o bem estar animal?

Increasingly, animal welfare (AW) is gaining ground worldwide because of pressure from importing countries, as well as the demand from a more conscious society regarding the living conditions of farm animals. Despite the growing concern about AW, there are few studies of stock person’s welfare and how it might influence AW. The treatment of animals connects to stockpersons’ attitudes and behaviour, which in turn are associated with several human factors such as initial experience in the activity, welfare, quality of working conditions and human-animal relationship. Many authors have investigated this relationship and its association with positive attitudes of stock persons towards animals, which consequently influence AW and productivity. However, currently, there is no highlighted concern about the human issue, as the stock person welfare (SW), believed to be a key aspect of a successful implementation of AW programs. The present work suggests a broader view concerning AW, its relation to SW and the importance of improving both aspects in livestock systems.Cada vez mais o bem-estar animal (BEA) está ganhando espaço mundialmente, tanto pela pressão dos países importadores, quanto pela demanda por uma sociedade mais consciente em relação às condições de vida dos animais de produção. Apesar da crescente preocupação com o BEA, há poucos estudos sobre o bem-estar dos trabalhadores e como isso pode influenciar no BEA. O tratamento dos animais está ligado às atitudes e aos comportamentos dos trabalhadores, que por sua vez estão associados a vários fatores humanos, como experiência inicial na atividade, bem-estar e qualidade das condições de trabalho e relação homem-animal. Muitos autores têm investigado essa relação e sua associação às atitudes positivas dos trabalhadores em relação aos animais, o que, consequentemente, influencia o BEA e a produtividade. No entanto, atualmente, não há nenhuma preocupação destacada sobre a questão humana, como o bem-estar dos trabalhadores (BT), que se acredita ser aspecto chave para uma implementação bem sucedida dos programas de BEA. O presente trabalho sugere uma visão mais ampla sobre o BEA, sua relação com o BT e a importância de se melhorar ambos os aspectos em sistemas de produção animal

Clinical and nutritional follow-up of cats with chronic kidney disease fed with a renal prescription diet

Background: The use of prescription diets for cats with chronic kidney disease (CKD) is one of the main management approach of this disease in cats, and is considered a renoprotective strategy that may promote increased survival and/or improve quality of life, according to the stage of CKD. Besides that, nutritional assessment is important to monitor the maintenance of quality of life of the patients and their response to disease, especially those with chronic conditions. The aim of this study was to follow the clinical and nutritional status of cats with chronic kidney disease (CKD) IRIS stages II, III and IV fed with a renal prescription diet, followed for 12 months. Materials, Methods & Results: Patients were fed exclusively with a dry renal prescription diet and medications for the management of CKD were prescribed when needed. Exclusion criteria were cats that already received a renal prescription diet or medications for the treatment of CKD. Cats were evaluated every 2 months, considering body weight (BW), body condition score (BCS), muscle mass score (MMS), clinical and laboratory parameters. In all assessments, a complete blood count and biochemistry were performed by conventional methods with the patient fasted for 12 h. In addition, urinalysis, urine protein:creatinine ratio (UPC) and urine culture were performed from a urine sample collected by cystocentesis. The quantitative variables were tested for their stability on consecutive assessments using the non-parametric Friedman test, and did not present significant variation during follow-up, except for systolic blood pressure (SBP). Eight cats with a diagnosis of CKD were included in the study and 6 of them remained in the same CKD stage during follow-up. On cat died due to an unrelated CKD cause. Regarding nutritional assessment, 5 of 7 cats maintained BW during the 12 months. Of these, 4 also maintained MMS and BCS. Three of 7 cats presented a decrease in MMS, 2 of which presented also a decreased BW and one maintained BW. Discussion: IRIS staging results combined with Friedman’s analysis demonstrated that the diet and the clinical management were effective in the non-progression of CKD in this study. As renal injury is not expected to be reversed in CKD, the maintenance of cats in the same IRIS stages and the minimum variation of the parameters is considered a positive result in this study. Hypertensive cats started on antihypertensive therapy during the study, achieving adequate control of SBP in most cases, what can justify the variation of this clinical parameter over the 12 months. Hyperphosphatemia was a frequent alteration, included stage II cats, and presented a positive response to nutritional and medical therapy. Despite CKD staging progression was not observed in most cats using serum creatinine as a single parameter, some cats presented BW and MMS reduction, which may have influenced this result. Weight loss and muscle wasting may have occurred by several reasons, including periods of hyporexia, presence of concomitant diseases, aging process or reduced protein content on renal prescription diets. This study enhances the importance of the association of clinical and nutritional management in the maintenance of cats with CKD. We suggest that other studies are done during longer periods of time and with a larger sample to support the results found. We also suggest new studies to evaluate the protein requirements for cats with CKD

Clinical and Nutritional Follow-up of Cats with Chronic Kidney Disease Fed with a Renal Prescription Diet

Background: The use of prescription diets for cats with chronic kidney disease (CKD) is one of the main management approach of this disease in cats, and is considered a renoprotective strategy that may promote increased survival and/or improve quality of life, according to the stage of CKD. Besides that, nutritional assessment is important to monitor the maintenance of quality of life of the patients and their response to disease, especially those with chronic conditions. The aim of this study was to follow the clinical and nutritional status of cats with chronic kidney disease (CKD) IRIS stages II, III and IV fed with a renal prescription diet, followed for 12 months. Materials, Methods & Results: Patients were fed exclusively with a dry renal prescription diet and medications for the management of CKD were prescribed when needed. Exclusion criteria were cats that already received a renal prescription diet or medications for the treatment of CKD. Cats were evaluated every 2 months, considering body weight (BW), body condition score (BCS), muscle mass score (MMS), clinical and laboratory parameters. In all assessments, a complete blood count and biochemistry were performed by conventional methods with the patient fasted for 12 h. In addition, urinalysis, urinary protein:creatinine ratio (UPC) and urine culture were performed from a urine sample collected by cystocentesis. The quantitative variables were tested for their stability on consecutive assessments using the non-parametric Friedman test, and did not present significant variation during follow-up, except for systolic blood pressure (SBP). Eight cats with a diagnosis of CKD were included in the study and 6 of them remained in the same CKD stage during follow-up. On cat died due to an unrelated CKD cause. Regarding nutritional assessment, 5 of 7 cats maintained BW during the 12 months. Of these, 4 also maintained MMS and BCS. Three of 7 cats presented a decrease in MMS, 2 of which presented also a decreased BW and one maintained BW.Discussion: IRIS staging results combined with Friedman’s analysis demonstrated that the diet and the clinical management were effective in the non-progression of CKD in this study. As renal injury is not expected to be reversed in CKD, the maintenance of cats in the same IRIS stages and the minimum variation of the parameters is considered a positive result in this study. Hypertensive cats started on antihypertensive therapy during the study, achieving adequate control of SBP in most cases, what can justify the variation of this clinical parameter over the 12 months. Hyperphosphatemia was a frequent alteration, included stage II cats, and presented a positive response to nutritional and medical therapy. Despite CKD staging progression was not observed in most cats using serum creatinine as a single parameter, some cats presented BW and MMS reduction, which may have influenced this result. Weight loss and muscle wasting may have occurred by several reasons, including periods of hyporexia, presence of concomitant diseases, aging process or reduced protein content on renal prescription diets. This study enhances the importance of the association of clinical and nutritional management in the maintenance of cats with CKD. We suggest that other studies are done during longer periods of time and with a larger sample to support the results found. We also suggest new studies to evaluate the protein requirements for cats with CKD

Perinephric Pseudocyst in a Two-Month-Old Female Cat

Background: Perinephric pseudocyst is defined as an accumulation of fluid in fibrous sacs surrounding one or both kidneys, and may be located in the subcapsular or extracapsular region. Histologically, it is characterized by the absence of an epithelial lining to the cyst wall and the term pseudocyst is used. This condition have been reported sporadically in cats, and is associated with chronic kidney disease, mainly in older animals. The diagnosis is based on imaging tests and the prognosis is related to the severity of renal dysfunction. The aim of this report is to describe an unusual presentation of perinephric pseudocyst in a very young female cat.Case: A mixed-breed 2-month-old female cat was evaluated for presenting abdominal distension and anatomical deformities of the limbs. Renomegaly on the left side was noted during abdominal palpation. On presentation, the serum creatinine was 134 μmol/L. Urinalysis showed mild proteinuria, presence of squamous and transitional cells, and rare bacteria. The urine specific gravity was 1.044 and urine protein to creatinine ratio was 0.23. Abdominal ultrasonography revealed a large anechoic subcapsular cyst on the left kidney, in adittion to dilatation of renal pelvis and calyces. The excretory urography showed left renomegaly, and the nephrogram and pyelogram were not clearly observed in this kidney, indicating unilateral deficiency in renal filtration. The cat was referred to unilateral left nephrectomy but died shortly before surgery. At necropsy,marked left kidney enlargment was observed (6.5 x 4.5 x 1.5 cm), with a cystic aspect, occupying almost the entire abdominal cavity. The cystic content was translucent and was compressing the renal parenchyma, resulting in hydronephrosis. The capsule forming the cyst wall was composed of connective tissue, characterizing the perinephric pseudocyst.Discussion: Reports show cases of perinephric pseudocyst affecting mostly older animals, above eight years old. In one retrospective study of 26 cases, 73% were male and the mean age was eleven years, ranging from four to 18 years old. Another study of 13 cases showed a mean age of 16 years. In this report, unexpectedly, the patient was too young comparedto these other cases, but the clinical presentation was similiar. Being a young animal, in the absence of ureterolithiasis or history of trauma, it is suggested a congenital origin for the disease. Loss of renal function and azotemia may occur in about 90% of the cases by compression of the renal parenchyma by the pseudocyst or due to associated interstitial fibrosis. In this case, the serum creatinine concentration was above the reference value proposed for pediatric patients therefore, the cat may be considered azotemic. Beyond that, the excretory urography indicated no proper excretory function on the left kidney. It is proposed that the renal function was being compensated by the contralateral kidney. The clinical and imaging findings of this case are compatible with perinephric pseudocyst, which was confirmed by necropsy and histopathologicalexamination. This condition is not commonly reported in cats of pediatric age, althought it must be considered as a differencial diagnosis to cats presenting abdominal distension and renomegaly, even young ones. Imaging tests were important in this case, not only to direct the diagnosis, but also contributing in evaluating the renal excretory function.Keywords: perirenal pseudocyst, pararenal cyst, feline

A comparison between bioconstruction and traditional construction: analysis of technical, economic and environmental feasibility

Os princípios da sustentabilidade estão cada vez mais presentes na sociedade. Na construção civil torna-se comum a busca de edificações sustentáveis que relacionam o equilíbrio entre as atividades humanas, a economia e o meio ambiente. A eficiência energética nesse setor necessita ser notada, desde a etapa de planejamento até a de construção e também garantir que, durante a vida útil dessa edificação, ela tenha um consumo eficiente. Nas últimas décadas, estudos e desenvolvimento de novos processos construtivos e uso de materiais alternativos aos tradicionais tem aumentado. Dentro desse cenário, foi desenvolvida a bioconstrução. Conceito que resgata as técnicas milenares e desenvolve as técnicas atuais para garantir a sustentabilidade desde o processo construtivo até o período pós-ocupação. Diante disso, o presente artigo apresenta uma comparação entre o método construtivo de edificação com alvenaria de vedação tradicional e a bioconstrução, apresentando os pontos positivos e os negativos de cada um, com ênfase na viabilidade técnica e econômica.The principles of sustainability are increasingly present in society. In the construction industry it becomes common the search for sustainable buildings that relate the balance between human activities, the economy and the environment. Energy efficiency in this sector needs to be noticed, from the planning stage to the construction phase, and also to ensure that it has an efficient consumption during the life of the building. In the last decades, studies and development of new constructive processes and use of materials alternative to traditional ones has increased. Within this scenario, the bioconstruction was developed. Concept that rescues the millenarian techniques and develops the current techniques to guarantee the sustainability from the constructive process until the post- occupation period. Therefore, the present article presents a comparison between the construction method of building with traditional masonry and the bioconstruction, presenting the positive and negative points of each one, with emphasis on technical and economic feasibility