Surgical removal of periocular neoformation in Peixe -Kinguiu (Carassius Auratus) submitted to anesthesia with propofol in combination with morphine: case report / Remoção cirúrgica de neoformação periocular em peixe-kinguiu (Carassius Auratus) submetido à anestesia com propofol em associação com morfina: relato de caso

Different anesthetic agents are commonly used during procedures performed in aquaculture to minimize stress and maximize fish welfare during handling. A Kinguio fish was treated with a history of a mass near the left eye. In the clinical evaluation, a pedunculated neoformation was found in the periocular region. The fish was submitted to anesthesia for surgical removal of the mass, which was later referred to histopathological evaluation, revealing myxoma. The anesthesia protocol used 1% propofol at a concentration of 5 mg/liter of water and morphine at a dose of 5 mg/kg, intramuscularly. Immediately after the end of the procedure, the fish was returned to the aquarium and its anesthetic recovery was observed. The objective of this report is to describe a surgical procedure in kinguio fish and to determine the efficacy of propofol associated with morphine in this species. As a result, complete immobilization of the fish was obtained with propofol, reaching the fourth stage of anesthesia and the administration of morphine suggested being able to provide effective and long-lasting analgesia. It is concluded that despite the positive results obtained, anesthesia in fish still needs to be extensively investigated to refine analgesia protocols during procedures that cause pain and stress.

Diferentes agentes anestésicos são usados durante procedimentos realizados na aquicultura para minimizar o estresse e maximizar o bem-estar dos peixes durante o processo de manejo. Um peixe kinguiu foi atendido com histórico de presença de uma massa próxima ao olho esquerdo. Na avaliação clínica, constatou-se uma neoformação pedunculada na região periocular. O peixe foi submetido à anestesia para remoção cirúrgica da massa, que posteriormente foi encaminhada para avaliação histopatológica, a qual revelou mixoma. Como protocolo de anestesia, utilizou-se propofol 1% diluído em água, na concentração de 5mg/litro, e morfina, na dose de 5mg/kg, na concentração de 10mg/mL, intramuscular. Imediatamente após o procedimento, o peixe foi devolvido ao aquário para observação da recuperação anestésica. O objetivo deste relato é descrever um procedimento cirúrgico em peixe kinguio e determinar a eficácia do propofol associado à morfina nessa espécie. Como resultados, obteve-se a imobilização completa do peixe com o uso do propofol, atingindo o quarto estágio da anestesia, e a administração da morfina sugeriu ser capaz de proporcionar analgesia eficaz e duradoura. Conclui-se que, apesar dos resultados positivos obtidos, a anestesia em peixes precisa ainda ser bastante investigada para refinar os protocolos de analgesia durante os procedimentos que causam dor e estresse.

Obstrução estrangulada de jejuno como complicação pós-operatória de ressecção do cólon maior eqüino: relato de caso / Jejunal strangulative obstruction as a post-operative complication of large colon ressection in a mare: case report

Em uma égua, submetida à laparotomia para correção de vólvulo do cólon maior, realizou-se enterectomia próximo ao ligamento cecocólico seguida de enteroanastomose término-terminal. Nas primeiras 24 horas do período pós-operatório, houve piora dos sinais clínicos, com ocorrência de dor, refluxo enterogástrico e agravamento do quadro de endotoxemia. Frente ao prognóstico desfavorável, optou-se pela eutanásia. Durante a necropsia, não foram constatadas falhas na enteroanastomose ou sinais de peritonite séptica. Observou-se encarceramento de uma alça de jejuno, que se apresentava justaposta à extremidade livre da prega cecocólica e comprimida entre o corpo do ceco e o cólon ventral direito remanescente, caracterizando obstrução do tipo estrangulada. Esse achado foi compatível com o agravamento do quadro clínico observado no pós-operatório. Essa ocorrência sugere a necessidade de uma adaptação na técnica de ressecção do cólon maior, de forma a reduzir o espaço cecocólico e evitar um possível encarceramento de alças de intestino delgado.(AU)

A mare subjected to laparotomy to treat a large colon volvulus had the large colon transected close to the cecocolic ligament followed by anastomosis using end-to-end technique. Despite intensive care, worsening of the clinical signs occurred during the first 24 hours after surgery including pain, enterogastric reflux and grievance of the endotoxemia symptoms. Euthanasia was performed. During necropsy, no signs of failure of the anastomosis and peritonitis were found but a strangulated segment of jejunum was observed adjacent to the cecocolic fold and compressed by the body of the cecum and the reminiscent rigth ventral colon. This finding was associated with the worsening of the clinical signs during the post-operative period. This report indicates that an adaptation in the large colon resection technique reducing the cecocolic space may be beneficial in avoiding such complication.(AU)

Obstrução estrangulada de jejuno como complicação pós-operatória de ressecção do cólon maior eqüino: relato de caso / Jejunal strangulative obstruction as a post-operative complication of large colon ressection in a mare: case report

Em uma égua, submetida à laparotomia para correção de vólvulo do cólon maior, realizou-se enterectomia próximo ao ligamento cecocólico seguida de enteroanastomose término-terminal. Nas primeiras 24 horas do período pós-operatório, houve piora dos sinais clínicos, com ocorrência de dor, refluxo enterogástrico e agravamento do quadro de endotoxemia. Frente ao prognóstico desfavorável, optou-se pela eutanásia. Durante a necropsia, não foram constatadas falhas na enteroanastomose ou sinais de peritonite séptica. Observou-se encarceramento de uma alça de jejuno, que se apresentava justaposta à extremidade livre da prega cecocólica e comprimida entre o corpo do ceco e o cólon ventral direito remanescente, caracterizando obstrução do tipo estrangulada. Esse achado foi compatível com o agravamento do quadro clínico observado no pós-operatório. Essa ocorrência sugere a necessidade de uma adaptação na técnica de ressecção do cólon maior, de forma a reduzir o espaço cecocólico e evitar um possível encarceramento de alças de intestino delgado.

A mare subjected to laparotomy to treat a large colon volvulus had the large colon transected close to the cecocolic ligament followed by anastomosis using end-to-end technique. Despite intensive care, worsening of the clinical signs occurred during the first 24 hours after surgery including pain, enterogastric reflux and grievance of the endotoxemia symptoms. Euthanasia was performed. During necropsy, no signs of failure of the anastomosis and peritonitis were found but a strangulated segment of jejunum was observed adjacent to the cecocolic fold and compressed by the body of the cecum and the reminiscent rigth ventral colon. This finding was associated with the worsening of the clinical signs during the post-operative period. This report indicates that an adaptation in the large colon resection technique reducing the cecocolic space may be beneficial in avoiding such complication.

Predictors related to the occurrence of a measles epidemic in the city of São Paulo in 1997.

A matched case-control study was performed to identify risk factors for measles during an epidemic that occurred in 1997 in the city of São Paulo, in the Brazilian state of the same name. Measles cases from the city of São Paulo from 1 January 1997 to 15 August 1997 were included in the study. The criteria for case definition were age below 30 years, having received no measles vaccine 5-21 days before the onset of rash, and laboratory confirmation by IgM antibodies detection. From a bank of confirmed measles cases, 130 cases for each of five age ranges (under 1 year, 1-5 years, 6-20 years, 21-24 years, and 25-29 years) were picked at random according to a systematic criterion proportional to the number of cases in seven areas of the city. Data were collected through a home survey, and for each measles case studied two controls matched by age and place of residence were selected. The matched conditional logistic regression analysis for the potential risk factors from the univariate analysis showed that the best predictors for acquiring measles during the epidemic were: lack of measles vaccination, previous contact with a measles-like disease at home or on the job, having been born either outside the state of São Paulo or in a rural area, being employed, and spending time in a semiclosed institution, such as a nursery, day care center, or school. The risk factors were not homogeneous for the different age groups. The data in the present survey suggest that, in addition to lack of vaccination, other risk factors should be considered when planning a measles vaccination strategy for a developing country.

[Outbreak of malaria induced among users of injectable drugs]. / Surto de malária induzida entre usuários de drogas injetáveis.

Five cases of malaria were detected among cocaine users by the local health service in Bauru, a city with a population of 260,000, located 324 km from S. Paulo, Brazil, during the first three weeks of July 1990. Autochthonous malaria had not occurred in Bauru since 1978, and all the five cases denied having recently traveled to endemic areas. An extensive epidemiologic survey conducted from July 19 to September 13 revealed that the 5 cases were in fact part of a malaria outbreak among endovenous drug users. Moreover, at least 114 other people, who had in the last three months shared syringes and needles with one or more proved cases, were also involved in the outbreak. One hundred and two people were identified and interviewed orally. The examination of thick smears made from samples collected from 99 of them confirmed 21 cases of vivax malaria. Three people with negative blood smears had an indirect immunofluorescent assay positive to P. vivax antigen. Although the index case could not be discovered, the investigation suggested that one or more people who had recently traveled to the Amazon region might have introduced the disease. The control of the outbreak was achieved after offering treatment with chloroquine (10 tablets) to confirmed cases and contacts, followed by weekly suppressive chloroquine (2 tablets) until the last contact was detected. Malaria examination of 91 blood samples also revealed a high prevalence of hepatitis B virus infection (40%) and HIV infection (58%) among those involved in the outbreak. The strategy used to identify the cases and the contacts and the difficulties overcome in carrying it through are described.(ABSTRACT TRUNCATED AT 250 WORDS)