Infecção natural por Trypanosoma cruzi em um cão na região central do Brasil: relato de caso

RESUMO Trypanosoma cruzi, infecta cerca de 10 milhões de pessoas, principalmente na América Latina e mais de 25 milhões apresentam-se em risco de adquirir a doença nas áreas endêmicas. Os cães são considerados importantes reservatórios representando fator de risco para a população humana. Este relato descreve caso de doença de Chagas em cão na cidade de Cuiabá. O diagnóstico foi feito a partir do exame direto, apresentando inúmeras formas tripomastigotas em esfregaço sanguíneo. Amastigotas foram visualizadas na microscopia de medula óssea, linfonodo, rins, fígado e cérebro. A infecção por T. cruzi (ZIII) foi confirmado através do sequenciamento de produtos amplificados pela PCR. O animal apresentou sinais multissistêmicos, evoluindo para óbito. Apesar da doença de Chagas aguda em humanos não ser descrita em Cuiabá, este é o primeiro relato de um caso canino nessa região, fato que, constitui alerta aos profissionais da saúde e autoridades sanitárias para a possibilidade da transmissão desta zoonose em Cuiabá.SUMMARY It is estimated that about 10 million people are infected with Trypanosoma cruzi worldwide, mostly in Latin America and more than 25 million are at risk of acquiring this infection in endemic areas. Dogs are an important reservoir for this pathogen and thus, considered a risk factor for human populations. This report describes one case of Chagas disease in a dog from Cuiabá, Mato Grosso State, Brazil. The diagnosis was obtained by direct examination of trypomastigote forms in blood smears. Amastigotes forms were visualized in microscopy of the bone marrow, lymph nodes, kidneys, liver and brain. The T. cruzi (ZIII) infection was confirmed by Polymerase Chain Reaction, and sequencing. The animal presented multisystemic failure and died. Although acute Chagas disease in humans is not reported in Cuiabá, this is the first report of a canine case in this region. This case represents a warning, to health professionals and authorities, to the possibility of transmission of this zoonosis in Cuiabá

Como os médicos veterinários de Cuiabá, Mato Grosso, encaram a Leishmaniose Visceral Canina?

As pesquisas sobre o conhecimento da população brasileira acerca das leishmanioses em geral é escassa, verificando-se ainda conhecimentos superficiais e reduzidos. Não foram encontrados outros estudos no Brasil que avaliassem o conhecimento da doença pelos médicos veterinários, apenas em profissionais de saúde de forma geral. Este estudo teve por objetivo avaliar o conhecimento e conduta dos clínicos veterinários de pequenos animais perante a leishmaniose visceral canina, através da aplicação de questionário individualizado. As provas sorológicas, ELISA e RIFI, preconizadas pelo Ministério da Saúde são adotadas por 45,45% (25/55) dos médicos veterinários entrevistados, as técnicas parasitológicas por 32,73% (18/55). Ao recomendar o sacrifício, 47,27% (26/55) dos veterinários justificam ser uma orientação ministerial, sendo portanto uma obrigação do clínico, 23,64% (13/55) relacionam a importância para manter a saúde da família, 1,82% (1/55) alegam que é imprescíndivel para o controle da doença, 10,91% (6/55) deram as três justificativas. Conclui-se que os médicos veterinários estão bem informados sobre a leishmaniose visceral canina, podendo ser aliados no controle da doença na região, agindo como propagadores dos métodos de controle conhecidos até o momento

Granulomatous Lymphadenitis in a Dog Caused by Mycobacterium intracellulare

Background: Mycobacteriosis is caused by bacteria belonging to the genus Mycobacterium, with considerable zoonotic potential and risk to public health. Infection in dogs is rare and is usually associated with immunosuppression, resulting from eating meat or contact with contaminated soil or fomites. Dogs are also known as potential sources for the spread of atypical tuberculosis in humans and other animals. This paper aims to describe the clinical, cytological, histopathological, and molecular findings of a male canine seen at University Veterinary Hospital of Cuiabá, Mato Grosso, with generalized lymphadenomegaly associated Mycobacterium intracellulare infection.Case: A 2-year-old male Lhasa Apso dog was referred to the University Veterinary Hospital in Cuiabá city, located in the Midwest region of Brazil. The patient had a history of intermittent claudication of the left pelvic limb for approximately 6 months and lymphadenomegaly with progression for approximately 2 months. The dog had wheezing and generalized lymphadenopathy (submandibular, axillary, and popliteal lymph nodes); cryptorchidism was also observed. A complete blood count revealed nonspecific results, and in the serum biochemical profile, the values of urea, creatinine, albumin, and alanine aminotransferase were within the reference range. No changes were observed on the radiography of the femurotibiopatellar joints. Considering the generalised lymphadenopathy, fine needle aspiration cytology and histopathological examination through biopsy of the lymph nodes was performed. On the cytology and histopathology, numerous negative images of moderately refringent bacillary structures distending the cytoplasm from the macrophages was found. The samples were also subjected to special Ziehl-Neelsen staining, which confirmed an accentuated and diffuse granulomatous lymphadenitis associated with alcohol acid-resistant bacilli. The polymerase chain reaction (PCR) was used to amplify the DNA of the lymph node fragment for the hsp65 gene, which was subjected to genetic sequencing and construction of a phylogenetic tree, with 99.77% genetic similarity for the species M. intracellulare. As treatment, doxycycline (10 mg/kg twice a day for 60 days) and enrofloxacin (5 mg/kg once a day for 10 days) were prescribed. However, the canine suffered car trauma leading to a fractured pelvis, which motivated the owner to opt for euthanasia at another veterinary establishment.Discussion: In the reported case, it was not possible to determine the source of infection, as the owners reported that the animal lived inside the house with only sporadic access to the street. The clinical signs manifested by this dog were nonspecific, and only the signs of generalised lymphadenopathy could be correlated with the signs expected in the infection with this mycobacterium. The hematological and biochemical laboratory findings were nonspecific, and it did not demonstrate the involvement of other organs. Considering the findings in cytology and histology, mycobacterial infection can be suspected. The diagnosis was confirmed through pathological and molecular findings. In this case, the PCR technique was used with partial amplification of the hsp65 gene and subsequent genetic sequencing, making it possible to identify a species like M. intracellulare (99.77% similarity). Due to euthanasia for another reason, it was impossible to monitor the dog's treatment and investigate other changes in the post mortem examination, especially the pulmonary lesions frequently described in M. intracellulare infection in humans.Keywords: Mycobacterium avium complex (MAC), canine, infection, non-tuberculous mycobacteriosis

Molecular detection of feline arthropod-borne pathogens in cats in Cuiaba, state of Mato Grosso, central-western region of Brazil

Micoplasmas hemotróficos (hemoplasmas), Bartonella sp., Hepatozoon sp. e Cytauxzoon felis se destacam como importantes patógenos que circulam entre gatos e hospedeiros invertebrados. O presente estudo objetivou detectar e, posteriormente confirmar por seqüenciamento, a presença de DNA de hemoplasmas, Bartonella sp., Hepatozoon sp. e Cytauxzoon felis em amostras de sangue de gatos de Cuiabá, MT, Brasil. Entre fevereiro/2009 e fevereiro de 2011, amostras de sangue acrescidas de EDTA foram coletadas de 163 gatos mantidos em quatro diferentes abrigos na cidade de Cuiabá, estado do Mato Grosso, Brasil, e de 15 gatos atendidos no Hospital Veterinário da Universidade Federal do Mato Grosso (UFTM). Dos 178 gatos amostrados, 15 (8,4%) foram positivos para hemoplasmas: quatro (2,2%) para Mycoplasma haemofelis, 12 (6,7%) para ‘Candidatus M. haemominutum’ e um (0,5%) para ‘Candidatus M. turicensis’. Um (0.5%) gato, atendido no Hospital Veterinário da UFMT, estava co-infectado com M. haemofelis, ‘Candidatus M. haemominutum’ e ‘Candidatus M. turicensis’, baseado na confirmação por sequenciamento. Quatro gatos mostraram-se positivos para Bartonella spp.: três (1,7%) para B. henselae e um (0.5%) para B. clarridgeiae. Todos os gatos amostrados mostraram-se negativos para Cytauxzoon sp. e Hepatozoon sp. Este estudo mostrou que gatos mantidos em abrigos na cidade de Cuiabá, estado do Mato Grosso, são expostos a hemoplasmas e espécies de Bartonella sp.Hemotrophic mycoplasmas (hemoplasmas), Bartonella sp., Hepatozoon sp. and Cytauxzoon felis are prominent pathogens that circulate between cats and invertebrate hosts. The present study aimed to detect the presence of DNA from hemoplasmas, Bartonella sp., Hepatozoon sp. and Cytauxzoon felis, and then confirm it by means of sequencing, in blood samples from cats in Cuiabá, MT, Brazil. From February 2009 to February 2011, blood samples with added EDTA were collected from 163 cats that were being housed in four different animal shelters in the city of Cuiabá, state of Mato Grosso, Brazil and from 15 cats that were admitted to the veterinary hospital of the Federal University of Mato Grosso (UFMT). Out of the 178 cats sampled, 15 (8.4%) were positive for hemoplasmas: four (2.2%) for Mycoplasma haemofelis, 12 (6.7%) for ‘Candidatus M. haemominutum’ and one (0.5%) for ‘Candidatus M. turicensis’. One cat (0.5%), a patient that was attended at the veterinary hospital, was coinfected with M. haemofelis, ‘Candidatus M. haemominutum’ and ‘Candidatus M. turicensis’, based on sequencing confirmation. Four cats were positive for Bartonella spp.: three (1.7%) for B. henselae and one (0.5%) for B. clarridgeiae. None of the animals showed Cytauxzoon sp. or Hepatozoon sp. DNA in their blood samples. This study showed that cats housed in animal shelters in the city of Cuiabá, state of Mato Grosso, are exposed to hemoplasmas and Bartonella species.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP