Superficial Necrolytic Dermatitis in a Dog

Background: Superficial necrolytic dermatitis (SDN), hepatocutaneous syndrome (HCS), metabolic epidermal necrosis (MEN), and necrolytic migratory erythema (MEN) are useful terms to describe a disease that likely has a multifactorial etiopathogenesis. SDN is a rare and fatal disease characterized by skin lesions and liver disease. Common skin lesions include hyperkeratosis, fissures, erosion, ulceration, crusting, exudation from the paws, face, perianal regions, and pressure points. This case report aimed to report the case of a bitch that developed the rare Superficial Necrolytic Dermatitis disease, emphasizing the clinical signs of the disease, and the importance of complementary exams such as abdominal ultrasound and skin biopsy for the definitive diagnosis. Case: A 9-year-old, mixed-breed, neutered female was referred for clinical examination with 5 months history of hyperkeratosis and ulceration of the paw pads, presenting pain, lameness and weight loss. Abdominal ultrasound revealed a liver with heterogeneous echotexture, mixed echogenicity, irregular and poorly delimited margins with hypoechoic nodules throughout like honeycombs. The gallbladder was visualized with a moderately thick layer. Histological analysis confirmed the diagnosis of SND. Skin biopsies showed an increase in thickness of the epidermis due to irregular hyperplasia and proliferation of keratinocytes in the basal layer of the epidermis, pallor of the spinous layer of the epidermis and important parakeratosis. Due to the progression of the disease, significant worsening of the patient's clinical condition and pain, associated with the impossibility of cure, the animal was submitted to euthanasia. A necropsy was performed to allow assessment of the liver and pancreas. The biopsies showed a severe proliferative chronic hepatitis, steatosis and cholestasis associated with pancreatitis and necrotic multifocal proliferative fibrinopurulent areas in the pancreas. Discussion: Clinical signs such as lethargy, inappetence, weight loss, as well as the dermatological signs presented by this bitch are nonspecific clinical signs and require a deeper clinical, pathological and histopathological diagnostic investigation to reach the diagnosis of this disease. The definitive diagnosis is made on the basis of a characteristic honeycomb pattern in the liver or associated with a neoplastic finding in the pancreas on ultrasound examination and confirmed by histopathological evaluation of skin biopsies. Palliative treatment with corticosteroid anti-inflammatories, improvement in feed quality, with higher nutritional and protein intake and intravenous amino acid supplementation are suggested by some authors as treatment alternatives. However, not all owners can afford a costly lifetime treatment. With the progressive worsening of the condition, many owners opt for euthanasia as a way to shorten the suffering of the animal. This decision is not an easy one to make. Despite the poor prognosis of the disease, treatment options should be tried by veterinarians and owners prior to the option of euthanasia. However, new affordable nutritional and pharmacological strategies to treat or control the disease are needed in order to improve quality of life of SDN patients. Keywords: canine, bitch, SDN, hepatocutaneous syndrome, metabolic epidermal necrosis, necrolytic migratory, dermatopathy.

Evaluation of diagnostic tests for Babesia bovis

Bovine babesiosis caused by Babesia bovis and Babesia bigemina, is the most important disease transmitted by Rhipicephalus (Boophilus) microplus in tropical and subtropical areas in South America. Definitive diagnosis can be made by detecting infected erythrocytes in blood smears. However, the parasitemia in peripheral blood is often too low for this method to be used for diagnostic purposes. For this reason, several serological tests, including complement fixation, indirect hemagglutination and indirect immunofluorescence (IIF) have been used to detect antibodies in infected cattle. Although these tests allow the detection of persistently infected animals, they have limitations in specificity and/or sensitivity. The IIF has been the most sensitive, but cross-reactivity between species, subjective interpretation, and low production has limited its usefulness. The enzyme linked immunosorbent assay (ELISA) have found wide application in the diagnosis of infectious diseases. The cELISA format (competitive) can provide an additional level of specificity, because the antibody is directed to a single epitope, specific for the organism to be detected. For these reasons, this study aimed to evaluate the sensitivity and specificity of cELISA compared to IIF and nested PCR (nPCR) for diagnosis babesiosis caused by B. bovis. Therefore, blood samples were collected from cattle in Brazil and Argentina, and processed for the diagnosis of B. bovis. The nPCR was used as the gold standard to validate the cELISA and the IIF as a comparative test. The cELISA for the diagnosis of B. bovis presented is easily processed with high levels of sensitivity and specificity. It is easily performed in a high number of samples, making it useful in cases of outbreaks of bovine babesiosis.A babesiose bovina, causada por Babesia bovis e Babesia bigemina, é a doença mais importante transmitida por carrapatos Rhipicephalus (Boophilus) microplus em áreas tropicais e subtropicais da América do Sul. O diagnóstico definitivo pode ser feito através da detecção de eritrócitos infectados em esfregaços sanguineos, porém a parasitemia em sangue periférico é frequentemente muito baixa para que esse método seja utilizado de forma confiável para fins de diagnóstico. Por esse motivo, vários testes sorológicos, incluindo a fixação de complemento, hemaglutinação indireta e imunofluorescência indireta (IIF) têm sido usados para detectar anticorpos em bovinos infectados. Embora estes testes permitam a detecção de animais persistentemente infectados, eles têm limitações na especificidade e/ou sensibilidade. O IIF tem sido o mais sensível, mas a reatividade cruzada entre as espécies, interpretação subjetiva, e baixa produção tem limitado a sua utilidade. Os ELISA têm encontrado ampla aplicação no diagnóstico de doenças infecciosas. O formato cELISA (competitivo) pode fornecer um nível adicional de especificidade, pois o anticorpo é dirigido para um epitopo único específico para o organismo a ser detectado. Por estas razões, este estudo teve como objetivo avaliar a sensibilidade e especificidade do cELISA comparado com IIF e nested PCR (nPCR) para diagnóstico de babesiose causada por B. bovis. Para tanto, amostras de sangue bovino foram coletadas no Brasil e na Argentina e processadas para o diagnóstico de B. bovis. Utilizou-se o nPCR como teste padrão para a validação do cELISA, e a IIF como teste comparativo. O cELISA para diagnóstico de B. bovis apresentou-se de fácil processamento, com altos níveis sensibilidade e especificidade, além da rapidez no processamento de amostras em larga escala, sendo de grande utilidade para casos de surtos de babesiose bovin

Superficial Necrolytic Dermatitis in a Dog

Background: Superficial necrolytic dermatitis (SDN), hepatocutaneous syndrome (HCS), metabolic epidermal necrosis (MEN), and necrolytic migratory erythema (MEN) are useful terms to describe a disease that likely has a multifactorial etiopathogenesis. SDN is a rare and fatal disease characterized by skin lesions and liver disease. Common skin lesions include hyperkeratosis, fissures, erosion, ulceration, crusting, exudation from the paws, face, perianal regions, and pressure points. This case report aimed to report the case of a bitch that developed the rare Superficial Necrolytic Dermatitis disease, emphasizing the clinical signs of the disease, and the importance of complementary exams such as abdominal ultrasound and skin biopsy for the definitive diagnosis. Case: A 9-year-old, mixed-breed, neutered female was referred for clinical examination with 5 months history of hyperkeratosis and ulceration of the paw pads, presenting pain, lameness and weight loss. Abdominal ultrasound revealed a liver with heterogeneous echotexture, mixed echogenicity, irregular and poorly delimited margins with hypoechoic nodules throughout like honeycombs. The gallbladder was visualized with a moderately thick layer. Histological analysis confirmed the diagnosis of SND. Skin biopsies showed an increase in thickness of the epidermis due to irregular hyperplasia and proliferation of keratinocytes in the basal layer of the epidermis, pallor of the spinous layer of the epidermis and important parakeratosis. Due to the progression of the disease, significant worsening of the patient's clinical condition and pain, associated with the impossibility of cure, the animal was submitted to euthanasia. A necropsy was performed to allow assessment of the liver and pancreas. The biopsies showed a severe proliferative chronic hepatitis, steatosis and cholestasis associated with pancreatitis and necrotic multifocal proliferative fibrinopurulent areas in the pancreas. Discussion: Clinical signs such as lethargy, inappetence, weight loss, as well as the dermatological signs presented by this bitch are nonspecific clinical signs and require a deeper clinical, pathological and histopathological diagnostic investigation to reach the diagnosis of this disease. The definitive diagnosis is made on the basis of a characteristic honeycomb pattern in the liver or associated with a neoplastic finding in the pancreas on ultrasound examination and confirmed by histopathological evaluation of skin biopsies. Palliative treatment with corticosteroid anti-inflammatories, improvement in feed quality, with higher nutritional and protein intake and intravenous amino acid supplementation are suggested by some authors as treatment alternatives. However, not all owners can afford a costly lifetime treatment. With the progressive worsening of the condition, many owners opt for euthanasia as a way to shorten the suffering of the animal. This decision is not an easy one to make. Despite the poor prognosis of the disease, treatment options should be tried by veterinarians and owners prior to the option of euthanasia. However, new affordable nutritional and pharmacological strategies to treat or control the disease are needed in order to improve quality of life of SDN patients. Keywords: canine, bitch, SDN, hepatocutaneous syndrome, metabolic epidermal necrosis, necrolytic migratory, dermatopathy.

Presence of Gasterophilus (Leach, 1817) (Diptera: Oestridae) in horses in Rio Grande do Sul State, Brazil

Com o objetivo de verificar a presença de larvas do gênero Gasterophilus no Estado do Rio Grande do Sul, foi realizado um estudo com 395 eqüinos sacrificados em um abatedouro da cidade de Pelotas. O material analisado revelou que 126 animais (31,90%) apresentaram a infecção, sendo que 100 animais (25,32%) estavam infectados por Gasterophilus nasalis e 47 (11,90%) por G. intestinalis. Estes resultados também representam o primeiro relato definitivo de estabelecimento de G. intestinalis como parasito de eqüinos no Brasil. As implicações prováveis da presença de G. intestinalis no Brasil são discutidas.With the purpose of verify the presence of larvae from the genus Gasterophilus in the Rio Grande do Sul State, a study was undertaken using 395 horses taken to slaughter in the city of Pelotas. The material analysis revealed that 126 animals (31,90%) presented infection, with 100 animals (25,32%) infected by Gasterophilus nasalis, and 47 animals (11,90%) infected by G. intestinalis. These results also represent the first report of the definite establishment of G. intestinalis as a horse parasite in Brazil. The probable implications of G. intestinalis occurrence in Brazil are discussed