Sinonasal osteosarcoma in a horse

Background: Osteosarcomas are common malignant bone tumors described in dogs, humans and cats. However, thereare rare reports in horses. The tumor etiology has not been fully elucidated. Clinical signs are associated to the tumorsize, location and growth characteristics. When located on the face, the most common findings are facial distortion, nasaldischarge and inspiratory dyspnea. The aim of this study was to report an osteoblastic osteosarcoma in a horse, located onthe right maxillary region with projections into the corresponding nostril.Case: A 6-year-old mixbreed saddle gelding, presenting bay coat was admitted to a University Hospital with a chronicsinusitis history. The animal was previously examined and treated by other veterinarians, who suspected of odontogenicmaxillary sinusitis, and therefore a repulsion of the fourth premolar from the right maxilla hemiarcade was performed.However, an improvement of the clinical signs was not observed and subsequently the gelding was referred to a VeterinaryHospital. During physical examination the patient presented dyspnea, tachypnea and tachycardia. An increase on the facesize was observed, together with a fetid and purulent nasal discharge. During oral cavity inspection, a diagonal wear wasdetected at the occlusal surface of the right hemiarcade; food accumulation was seen at the dental extraction site, and acommunication with the rostral maxillary sinus was evidenced, from where a purulent fetid discharge was draining. At theradiographic exam, well defined margins of a tumor were observed, with adjacent bone lysis and the presence of a centralnucleus showing a gross granular mineral radiopacity, distorting the frontal and nasal bones. During the endoscopic exam,a mass partially occluding the right nasal cavity close to the nasal opening was seen, which was blocking the progressionof the endoscopy. However, during the left cavity inspection, at the end of the nasal septum a mass...

Sinonasal osteosarcoma in a horse

Background: Osteosarcomas are common malignant bone tumors described in dogs, humans and cats. However, thereare rare reports in horses. The tumor etiology has not been fully elucidated. Clinical signs are associated to the tumorsize, location and growth characteristics. When located on the face, the most common findings are facial distortion, nasaldischarge and inspiratory dyspnea. The aim of this study was to report an osteoblastic osteosarcoma in a horse, located onthe right maxillary region with projections into the corresponding nostril.Case: A 6-year-old mixbreed saddle gelding, presenting bay coat was admitted to a University Hospital with a chronicsinusitis history. The animal was previously examined and treated by other veterinarians, who suspected of odontogenicmaxillary sinusitis, and therefore a repulsion of the fourth premolar from the right maxilla hemiarcade was performed.However, an improvement of the clinical signs was not observed and subsequently the gelding was referred to a VeterinaryHospital. During physical examination the patient presented dyspnea, tachypnea and tachycardia. An increase on the facesize was observed, together with a fetid and purulent nasal discharge. During oral cavity inspection, a diagonal wear wasdetected at the occlusal surface of the right hemiarcade; food accumulation was seen at the dental extraction site, and acommunication with the rostral maxillary sinus was evidenced, from where a purulent fetid discharge was draining. At theradiographic exam, well defined margins of a tumor were observed, with adjacent bone lysis and the presence of a centralnucleus showing a gross granular mineral radiopacity, distorting the frontal and nasal bones. During the endoscopic exam,a mass partially occluding the right nasal cavity close to the nasal opening was seen, which was blocking the progressionof the endoscopy. However, during the left cavity inspection, at the end of the nasal septum a mass...(AU)

Remanente de saco vitelino / Remaining of the yolk sac / emanescente

Ocurrencia de un remanente de saco vitelino descrito por evaluación macroscópica, radiográfica, ecográfica, tomografía computarizada y histológica del material obtenido de la placenta de una yegua Puro Sangre después del nacimiento del potro viable.(AU)

It was described the occurrence of yolk sac remnant with macroscopic, radiographic, ultrasonographic, tomographic and histologic evaluation of the material obtained from the placenta of a Thoroughbred mare after delivery of a viable foal.(AU)

Ocorrência de remanescente de saco vitelínico descrito por avaliação macroscópica, radiográfica, ultrassonográfica, tomográfica e histológica do material obtido da placenta de uma égua Puro Sangue Inglês após o parto de um potro viável.(AU)

Remanente de saco vitelino / Remaining of the yolk sac / emanescente

Ocurrencia de un remanente de saco vitelino descrito por evaluación macroscópica, radiográfica, ecográfica, tomografía computarizada y histológica del material obtenido de la placenta de una yegua Puro Sangre después del nacimiento del potro viable.

It was described the occurrence of yolk sac remnant with macroscopic, radiographic, ultrasonographic, tomographic and histologic evaluation of the material obtained from the placenta of a Thoroughbred mare after delivery of a viable foal.

Ocorrência de remanescente de saco vitelínico descrito por avaliação macroscópica, radiográfica, ultrassonográfica, tomográfica e histológica do material obtido da placenta de uma égua Puro Sangue Inglês após o parto de um potro viável.

Remanente de saco vitelino / Remaining of the yolk sac / Saco vitelínico remanescente

Ocurrencia de un remanente de saco vitelino descrito por evaluación macroscópica,radiográfica, ecográfica, tomografía computarizada y histológica del material obtenido de laplacenta de una yegua Puro Sangre después del nacimiento del potro viable.

It was described the occurrence of yolk sac remnant with macroscopic, radiographic,ultrasonographic, tomographic and histologic evaluation of the material obtained from theplacenta of a Thoroughbred mare after delivery of a viable foal.

Ocorrência de remanescente de saco vitelínico descrito por avaliação macroscópica,radiográfica, ultrassonográfica, tomográfica e histológica do material obtido da placenta deuma égua Puro Sangue Inglês após o parto de um potro viável.

Undifferentiated pulmonary adenocarcinoma of clear cells associated to hypertrophic osteopathy in a dog

Background: Most of the primary pulmonary tumors in dogs are malignant and from epithelial origin, being bronchioalveolar tumors more prevalent. Adenocarcinoma of clear cells, however, is a very rare pulmonary tumor and its origin is still unknown. It is related to several clinical abnormalities, including hypertrophic osteopathy, an unusual paraneoplastic syndrome characterized by a periosteal reaction along the shaft of long bones. Because of the unusual presentation of the pulmonary adenocarcinoma, the aim of this study was to describe the radiographic, histopathological, and immunohistochemical findings of a dog afflicted with hypertrophic osteopathy secondary to an undifferentiated pulmonary adenocarcinoma of clear cells. Case: A 12-year-old, 45 kg, not castrated male Great Dane dog was presented with painful swelling of all four limbs and moderate respiratory distress. Radiographic examination and computed tomography of the limbs showed palisade-like periosteal bone proliferation involving radius, ulna, femur, patella, tibia, fibula, tarsus, metacarpal, metatarsal and digits, suggesting hypertrophic osteopathy. Radiographic examination and computed tomography of the lungs also showed a round mass well delimited localized in the right diaphragmatic lobe. A lobectomy of the right diaphragmatic lobe and partial lobectomy of accessory lobe were performed. A poorly different...(AU)

Undifferentiated pulmonary adenocarcinoma of clear cells associated to hypertrophic osteopathy in a dog

Background: Most of the primary pulmonary tumors in dogs are malignant and from epithelial origin, being bronchioalveolar tumors more prevalent. Adenocarcinoma of clear cells, however, is a very rare pulmonary tumor and its origin is still unknown. It is related to several clinical abnormalities, including hypertrophic osteopathy, an unusual paraneoplastic syndrome characterized by a periosteal reaction along the shaft of long bones. Because of the unusual presentation of the pulmonary adenocarcinoma, the aim of this study was to describe the radiographic, histopathological, and immunohistochemical findings of a dog afflicted with hypertrophic osteopathy secondary to an undifferentiated pulmonary adenocarcinoma of clear cells. Case: A 12-year-old, 45 kg, not castrated male Great Dane dog was presented with painful swelling of all four limbs and moderate respiratory distress. Radiographic examination and computed tomography of the limbs showed palisade-like periosteal bone proliferation involving radius, ulna, femur, patella, tibia, fibula, tarsus, metacarpal, metatarsal and digits, suggesting hypertrophic osteopathy. Radiographic examination and computed tomography of the lungs also showed a round mass well delimited localized in the right diaphragmatic lobe. A lobectomy of the right diaphragmatic lobe and partial lobectomy of accessory lobe were performed. A poorly different...

Penfigo foliaceo em um felino: relato de caso / Pemphigus foliaceus in a cat: case report / Pénfigo foliáceo en un gato: reporte de un caso

O pênfigo foliáceo é uma das formas mais importantes de dermatoses imunomediadas vesico-pustulosas em cães e gatos. A patogênese da doença está bem documentada em humanos e cães e sugere-se que em felinos o comportamento seja similar, caracterizado pela produção de anticorpos direcionados contra estruturas responsáveis pela manutenção da adesão intercelular. Embora haja relatos de diversas opções de tratamento descritos na literatura para esta dermatopatia, a maioria não foi utilizada em estudos envolvendo um grande número de animais. Descreve-se um caso de pênfigo foliáceo em um gato que respondeu satisfatoriamente apenas à corticoterapia e sem apresentar efeitos adversos.

Pemphigus foliaceus is one of the most important immune-mediated dermatoses in dogs and cats. The pathogenesis of the disease is well documented in humans and dogs and it is suggested its behavior in felines is similar, characterized by the production of antibodies directed against structures responsible for the maintenance of intercellular adhesion. Although there are reports of several treatment options described in literature for this dermatopathy, most have not been used in studies involving an increased number of animals. Here, we report a case of pemphigus foliaceus in a cat which responded favorably only to corticosteroids and without presenting adverse effects.

Pénfigo foliáceo es una de las formas más importantes de dermatosis mediada por la inmunidad en perros y gatos. La patogénesis de la enfermedad está bien documentada en seres humanos y perros, y se sugiere que el comportamiento en los gatos es similar, caracterizada por la producción de anticuerpos dirigidos contra las estructuras responsables del mantenimiento de la adesión intercelular. Aunque hay informes de diversas opciones de tratamiento descritos en la literatura para este dermatopatía más, no se han utilizado en estudios que implican un gran número de animales. Se describe un caso de pénfigo foliáceo en un gato que respondió satisfactoriamente sólo a los corticosteroides y sin presentar efectos adversos.

Evolução do condrossarcoma em tíbia de cão / Evolution of Tibial Chondrosarcoma in a Dog

Background: Chondrosarcoma is a malignant neoplasm of mesenchymal origin that generally develops slowly and has a low incidence of metastasis. It was related in dogs, but rarely in small or giant breeds. The most common site of skeletal chondrossarcoma in dogs is the nasal cavity. The lungs are the most common site of metastatic disease, but other organs may be affected. Chondrosarcoma may be classified into primary or secondary according to location in bone, and histologically into mesenchymal and myxoid subtypes. Thus, this study reports the evolution of an uncommon case of chondrossarcoma in a dog's tibia. Case: A 1.4-year-old dog, 58 kg intact-male Brazilian Mastiff was admitted to the veterinary hospital due to lameness and swelling of the stifle region present for 20 days. Radiographic examination showed lytic bone lesions in the proximal third of the right tibia with periosteal reaction, suggestive of bone tumor. Cytological examination revealed inflammatory process indicative of acute periostitis. The clinical signs improved after treatment with nonsteroidal anti-inflammatory (meloxicam, 0.1 mg/kg orally every 24 h) and analgesic (tramadol hydrochloride, 2 mg/kg orally every 8 h) drugs. However, eight months after the initial presentation, the dog had a recurrence of the lameness, and increase in volume and crepitus on palpation of the right knee. Radiographic examination showed cystic lesion located in proximal tibial epiphysis. After curettage of the lesion, the defect was fi lled with calcium phosphate biomaterial. Cephalexin (30 mg/kg every 12 h orally for 10 days), carprofen (4.4 mg/kg orally every 24 h for 15 days) and chondroitin sulphate (1000 mg orally each 12 h per 30 days) were prescribed postoperatively. The animal showed improvement. At one year after surgery, the dog was presented due progressive weight loss and intermittent lameness of the right hind limb observed for approximately two months. On palpation of the right knee was painful sensitivity and it had a cutaneous nodule three inches. Radiographic examination showed extensive radiolucent cystic area with bone remodeling and periosteal proliferation of the medial aspect of the proximal third of the right tibia. Computed Tomography (CT) demonstrated bone destruction in the proximal portion of the tibia with areas of bone lysis and proliferative irregular reaction, irregular hyperdensity in the medullary region of the right tibia extending to the distal portion of the tibial tuberosity associated with the presence of proliferative periosteal reaction adjacent the bony surfaces, and atrophy of muscles of right hindlimb. Both exams suggested a bone tumor, and bone biopsy was done. The diagnosis was chondrosarcoma. The owner did not authorize the hind limb amputation. Discussion: The diagnosis of chondrosarcoma is based on clinical signs, orthopedic examination findings, radiographic and CT appearance, and cytology. However, definite diagnosis may be obtained only by histopathological examination. Fine needle aspiration samples may contain few cells, and presence of inflammatory process may interfere in diagnosis, as observed in the present case. The tumor is resistant to radiotherapy and chemotherapy. However, surgical removal can be curative, depending upon the location of the chondrosarcoma. Unfortunately, the owner was reluctant to proceed with limb amputation, and the dog was euthanatized after three months of the last evaluation.

Prevention of renal ischemia/reperfusion injury in rats using acetylcysteine after anesthesia with isoflurane.

PURPOSE: To evaluate the effect of N-acetylcysteine, as a renoprotective agent, when administered early after anesthesia induction, against ischemia/reperfusion injury in rats anesthetized with isoflurane. METHODS: Eighteen male Wistar rats weighing > 300 g were anesthetized with isoflurane. The internal jugular vein and the left carotid artery were dissected and cannulated. The animals were randomly divided into GAcetyl, receiving intravenous N-acetylcysteine, 300 mg/kg, and GIsot, isotonic saline. After 30 minutes, right nephrectomy was performed and the left renal artery was clamped during 45 minutes. The animals were sacrificed after 48 hours and blood samples were taken after anesthetic induction and upon sacrificing of the animals to evaluate blood creatinine. The kidneys were sent for histological analysis. RESULTS: The variation in serum creatinine was 2.33 mg/dL ± 2.21 in GAcetyl and 4.38 mg/dL ± 2.13 in GIsot (p=0.074). Two animals presented intense tubular necrosis in GAcetyl, compared to 5 in GIsot. Only GAcetyl presented animals free of tubular necrosis (two) and tubular degeneration (one). CONCLUSION: After renal ischemia/reperfusion, the rats which were given N-acetylcysteine presented less variation in serum creatinine and milder kidney injuries than the control group.

Prevention of renal ischemia/reperfusion injury in rats using acetylcysteine after anesthesia with isoflurane / Prevenção de lesão de isquemia/reperfusão em ratos com acetilcisteína após anestesia com isoflurano

PURPOSE: To evaluate the effect of N-acetylcysteine, as a renoprotective agent, when administered early after anesthesia induction, against ischemia/reperfusion injury in rats anesthetized with isoflurane. METHODS: Eighteen male Wistar rats weighing > 300g were anesthetized with isoflurane. The internal jugular vein and the left carotid artery were dissected and cannulated. The animals were randomly divided into GAcetyl, receiving intravenous N-acetylcysteine, 300mg/kg, and GIsot, isotonic saline. After 30 minutes, right nephrectomy was performed and the left renal artery was clamped during 45 minutes. The animals were sacrificed after 48 hours and blood samples were taken after anesthetic induction and upon sacrificing of the animals to evaluate blood creatinine. The kidneys were sent for histological analysis. RESULTS: The variation in serum creatinine was 2.33mg/dL ± 2.21 in GAcetyl and 4.38mg/dL ± 2.13 in GIsot (p=0.074). Two animals presented intense tubular necrosis in GAcetyl, compared to 5 in GIsot. Only GAcetyl presented animals free of tubular necrosis (two) and tubular degeneration (one). CONCLUSION: After renal ischemia/reperfusion, the rats which were given N-acetylcysteine presented less variation in serum creatinine and milder kidney injuries than the control group.

OBJETIVO: Avaliar o efeito da N-acetilcisteína na proteção renal contra lesão de isquemia/reperfusão, quando administrada logo após a indução anestésica, em ratos anestesiados com isoflurano. MÉTODOS: Dezoito ratos Wistar machos pesando mais que 300g foram anestesiados com isoflurano. A jugular interna direita e a carótida esquerda foram dissecadas e canuladas. Os animais foram distribuídos aleatoriamente em GAcetil, recebendo N-acetilcisteína por via intravenosa, 300mg/kg, e GIsot, solução salina. Foi realizada nefrectomia direita e clampeamento da artéria renal esquerda por 45 min. Os animais foram sacrificados após 48h, sendo colhidas amostras sanguíneas após a indução anestésica e ao sacrifício dos mesmos para avaliar a creatinina sérica. Realizou-se histologia renal. RESULTADOS: A variação da creatinina foi 2,33mg/dL ± 2,21 no GAcetil e 4,38mg/dL ± 2,13 no GIsot (p=0,074). Dois animais apresentaram necrose tubular intensa no GAcetil, comparados a cinco no GIsot. Apenas GAcetil apresentou animais livres de necrose tubular (dois) e degeneração tubular (um). CONCLUSÃO: Após isquemia/reperfusão renais, os ratos aos quais se administrou N-acetilcisteína apresentaram menor variação na creatinina sérica e lesões renais mais leves que o grupo controle.

Prevention of renal ischemia/reperfusion injury in rats using acetylcysteine after anesthesia with isoflurane / Prevenção de lesão de isquemia/reperfusão em ratos com acetilcisteína após anestesia com isoflurano

PURPOSE: To evaluate the effect of N-acetylcysteine, as a renoprotective agent, when administered early after anesthesia induction, against ischemia/reperfusion injury in rats anesthetized with isoflurane. METHODS: Eighteen male Wistar rats weighing > 300g were anesthetized with isoflurane. The internal jugular vein and the left carotid artery were dissected and cannulated. The animals were randomly divided into GAcetyl, receiving intravenous N-acetylcysteine, 300mg/kg, and GIsot, isotonic saline. After 30 minutes, right nephrectomy was performed and the left renal artery was clamped during 45 minutes. The animals were sacrificed after 48 hours and blood samples were taken after anesthetic induction and upon sacrificing of the animals to evaluate blood creatinine. The kidneys were sent for histological analysis. RESULTS: The variation in serum creatinine was 2.33mg/dL ± 2.21 in GAcetyl and 4.38mg/dL ± 2.13 in GIsot (p=0.074). Two animals presented intense tubular necrosis in GAcetyl, compared to 5 in GIsot. Only GAcetyl presented animals free of tubular necrosis (two) and tubular degeneration (one). CONCLUSION: After renal ischemia/reperfusion, the rats which were given N-acetylcysteine presented less variation in serum creatinine and milder kidney injuries than the control group.(AU)

OBJETIVO: Avaliar o efeito da N-acetilcisteína na proteção renal contra lesão de isquemia/reperfusão, quando administrada logo após a indução anestésica, em ratos anestesiados com isoflurano. MÉTODOS: Dezoito ratos Wistar machos pesando mais que 300g foram anestesiados com isoflurano. A jugular interna direita e a carótida esquerda foram dissecadas e canuladas. Os animais foram distribuídos aleatoriamente em GAcetil, recebendo N-acetilcisteína por via intravenosa, 300mg/kg, e GIsot, solução salina. Foi realizada nefrectomia direita e clampeamento da artéria renal esquerda por 45 min. Os animais foram sacrificados após 48h, sendo colhidas amostras sanguíneas após a indução anestésica e ao sacrifício dos mesmos para avaliar a creatinina sérica. Realizou-se histologia renal. RESULTADOS: A variação da creatinina foi 2,33mg/dL ± 2,21 no GAcetil e 4,38mg/dL ± 2,13 no GIsot (p=0,074). Dois animais apresentaram necrose tubular intensa no GAcetil, comparados a cinco no GIsot. Apenas GAcetil apresentou animais livres de necrose tubular (dois) e degeneração tubular (um). CONCLUSÃO: Após isquemia/reperfusão renais, os ratos aos quais se administrou N-acetilcisteína apresentaram menor variação na creatinina sérica e lesões renais mais leves que o grupo controle.(AU)

Africanized honeybee stings: how to treat them / Picadas de abelhas africanizadas: como tratá-las?

INTRODUCTION: In 1956, Africanized honeybees (AHB) migrated from Brazil to other regions of the Western Hemisphere, including South, Central, and North America, except for Canada. Despite being productive, they are highly aggressive and cause fatal accidents. This study aimed to evaluate patients at the Clinical Hospital of Botucatu Medical School (HC-FMB) and to propose treatment guidelines. METHODS: From 2005 to 2006, the clinical and laboratorial aspects of 11 patients (7 male and 4 female) and the anatomopathological aspects of one patient who had died in 2003 were analyzed. RESULTS: The age of the surviving patients varied from 5 to 87 years, with a mean of 42.5 years. The majority of accidents occurred in the afternoon, and the number of stings ranged from 20 to 500. The principal signs and symptoms were pain and local inflammatory signs, nausea, tachycardia, and vomiting. Biochemical findings presented increased levels of creatine phosphokinase, lactate dehydrogenase, and aspartate/alanine aminotransferase. An 11-year-old male patient died upon entering the attic of a two-storey building where he was attacked by a swarm, receiving more than 1,000 stings. He was sent to HC-FMB where he was treated, but he died 24h later. Observed at the autopsy were erythematous-purpuric skin lesions besides necrosis at the sting locations, rhabdomyolysis, focal myocardial necrosis, tubular hydropic degeneration and focal tubular acute necrosis of the kidneys, myoglobinuria, and centrolobular necrosis in the liver. CONCLUSIONS: Accidents caused by multiple AHB stings always constitute a medical emergency. As there is no specific antivenom, we have developed guidelines, including first aid, drugs, and the proper removal of stingers.

INTRODUÇÃO: As abelhas africanizadas (AHBs) migraram do Brasil em 1956 para todo o continente Americano. Apesar de produtivas, são agressivas causando acidentes fatais. O objetivo foi avaliar pacientes atendidos no Hospital das Clínicas da Faculdade de Medicina de Botucatu (HC-FMB) e propor um roteiro de tratamento. MÉTODOS: Entre 2005 e 2006, foram analisados os aspectos clínicos e laboratoriais de 11 pacientes e anatomopatológicos de um que foi a óbito em 2003. RESULTADOS: A idade dos pacientes variou entre 5 e 87 com média de 42,5 anos. Sete eram do sexo masculino e quatro do feminino. O número de picadas variou entre 20 e 500. Nove deles receberam mais de 50 picadas. Os principais sinais e sintomas foram dor local, náuseas, taquicardia e vômitos. Os exames hematológicos mostraram leucocitose, neutrofilia, anemia e desvio à esquerda escalonado. Os exames bioquímicos revelaram níveis elevados de creatinofosfoquinase, desidrogenase lática e aspartato/alanina aminotransferase. O paciente que foi a óbito 24h após o atendimento tinha 11 anos, era do sexo masculino e foi atacado ao adentrar um edifício de dois andares recebendo mais de 1.000 picadas. O exame anatomopatológico mostrou lesões eritemato-purpúricas, além de necrose nos locais das picadas. Apresentou também rabdomiólise, necroses focais do miocárdio, degeneração hidrópica acompanhada de necrose tubular renal aguda, mioglobinúria e necrose centrolobular no fígado. CONCLUSÕES: Os pacientes acometidos por múltiplas picadas necessitam de tratamento imediato e por não dispormos de um soro específico desenvolvemos um roteiro que inclui os primeiros socorros, as drogas a serem empregadas e a retirada dos ferrões corretamente.

Intrasellar chondroid chordoma: a case report.

Chordomas are tumors derived from cells that are remnants of the notochord, particularly from its proximal and distal extremes, they are mainly midline and represent approximately 1% of all malignant bone tumors and 0.1 to 0.2% of intracranial neoplasms. Chordomas involving the sellar region are rare. Herein, we describe a 57-year-old male patient presenting with a history of retro-orbital headache, progressive loss of vision, and clinical features of hypopituitarism, for over 2 months. During evaluation, the CT scan revealed a large contrast-enhancing intrasellar tumor with a 3.6-cm largest diameter. The patient underwent transsphenoidal partial resection of the tumor, and histological examination was consistent with the diagnosis of chondroid chordoma. Although chordomas are rare, they may be considered to constitute a differential diagnostic of pituitary adenomas, especially if a calcified intrasellar tumor with bone erosion is diagnosed.

Africanized honeybee stings: how to treat them.

INTRODUCTION: In 1956, Africanized honeybees (AHB) migrated from Brazil to other regions of the Western Hemisphere, including South, Central, and North America, except for Canada. Despite being productive, they are highly aggressive and cause fatal accidents. This study aimed to evaluate patients at the Clinical Hospital of Botucatu Medical School (HC-FMB) and to propose treatment guidelines. METHODS: From 2005 to 2006, the clinical and laboratorial aspects of 11 patients (7 male and 4 female) and the anatomopathological aspects of one patient who had died in 2003 were analyzed. RESULTS: The age of the surviving patients varied from 5 to 87 years, with a mean of 42.5 years. The majority of accidents occurred in the afternoon, and the number of stings ranged from 20 to 500. The principal signs and symptoms were pain and local inflammatory signs, nausea, tachycardia, and vomiting. Biochemical findings presented increased levels of creatine phosphokinase, lactate dehydrogenase, and aspartate/alanine aminotransferase. An 11-year-old male patient died upon entering the attic of a two-story building where he was attacked by a swarm, receiving more than 1,000 stings. He was sent to HC-FMB where he was treated, but he died 24h later. Observed at the autopsy were erythematous-purpuric skin lesions besides necrosis at the sting locations, rhabdomyolysis, focal myocardial necrosis, tubular hydropic degeneration and focal tubular acute necrosis of the kidneys, myoglobinuria, and centrolobular necrosis in the liver. CONCLUSIONS: Accidents caused by multiple AHB stings always constitute a medical emergency. As there is no specific antivenom, we have developed guidelines, including first aid, drugs, and the proper removal of stingers.

In vivo and in vitro evaluation of an Acetobacter xylinum synthesized microbial cellulose membrane intended for guided tissue repair.

BACKGROUND: Barrier materials as cellulose membranes are used for guided tissue repair. However, it is essential that the surrounding tissues accept the device. The present study histologically evaluated tissue reaction to a microbial cellulose membrane after subcutaneous implantation in mice. Furthermore, the interaction between mesenchymal stem cells and the biomaterial was studied in vitro to evaluate its ability to act as cellular scaffold for tissue engineering. METHODS: Twenty-five Swiss Albino mice were used. A 10 x 10 mm cellulose membrane obtained through biosynthesis using Acetobacter xylinum bacteria was implanted into the lumbar subcutaneous tissue of each mouse. The mice were euthanatized at seven, 15, 30, 60, and 90 days, and the membrane and surrounding tissues were collected and examined by histology. RESULTS: A mild inflammatory response without foreign body reaction was observed until 30 days post-surgery around the implanted membrane. Polarized microscopy revealed that the membrane remained intact at all evaluation points. Scanning electron microscopy of the cellulose membrane surface showed absence of pores. The in vitro evaluation of the interaction between cells and biomaterial was performed through viability staining analysis of the cells over the biomaterial, which showed that 95% of the mesenchymal stem cells aggregating to the cellulose membrane were alive and that 5% were necrotic. Scanning electron microscopy showed mesenchymal stem cells with normal morphology and attached to the cellulose membrane surface. CONCLUSION: The microbial cellulose membrane evaluated was found to be nonresorbable, induced a mild inflammatory response and may prove useful as a scaffold for mesenchymal stem cells.

Fatores de risco para o infarto agudo do miocárdio: estudo de 81 pacientes / Risk factors for accute myocardial infarction: study of 81 patients

O infarto agudo do miocárdio (IAM) constitui-se numa das principais causas de morte no mundo ocidental e a ele estão vinculados uma série de fatores de risco. O presente estudo teve como objetivo conhecer dados referentes ao sexo, à idade e às condições predispoonentes ao IAM da população em estudo. Posteriormente fez-se análise dos dados levantados e a discussão dos pontos mais interessantes. O método de estudo escolhido foi o de rever retrospectivamente os prontuários de cada um dos 81 pacientes acometidos por infarto agudo do miocárdio, no período compreendido entre 1 de julho de 2000 e 1 de julho de 2001, atendidos no Hospital das Clínicas da Faculdade de medicina de Botucatu - Unesp. Os autores concuíram que o perfil do paciente vitimado poi IAM, atendido na instituição supracitada, no período de tempo considerado, era do sexo masculino (69,13 por cento), com idade entre 60 e 69 anos (41,97 por cento) e com pelo menos um fator de risco tradicionalmente descrito na literatura (86,93 por cento)

Esporotricose do gato doméstico (Felis catus): transmissão humana / Sporotrichosis of the domestic cat (Felis catus): human transmission

A case of sporotrichosis transmitted by cat to a veterinarian hospital employees is reported. Inquiry at domiciliary area of the cat's owner revealed two other presumable cases of human sporotrichosis transmitted by cats, and confirmed the diagnosis (by culture of Sporothrix schenckii) of disease in three other domestic cats. Feline sporotrichosis is characterized by ulcerative, cutaneous lesions and systemic dissemination, which invariably cause animal's death. The transmission of sporotrichosis to other animals and humans is enhanced by the great amount of fungus present in cat's lesions.

Morte e necrose celular: revisäo / Death and celular necrosis: a review

Nesta revisäo säo abordados conceitos básicos sobre morte e necrose celular. Säo descritos sequencialmente as alteraçöes morfológicas e as correspondentes repercussöes bioquímicas e funcionais da agressäo celular. Nos mecanismos de morte celular enfatiza-se a açäo do cálcio, as lesöes das membranas e filamentos intermediários, os radicais livres, o papel do Ferro e as lesöes produzidas por vírus