Diseases with neurological manifestations diagnosed in cattle in the hospital routine: a retrospective epidemiological study (2009-2019) / Enfermidades com manifestações neurológicas diagnosticadas em bovinos na rotina hospitalar: estudo epidemiológico retrospectivo (2009-2019)

Abstract Neurological disorders in cattle comprise a group of economically relevant diseases with high occurrence and mortality. In this way, the objective was to carry out an epidemiological study of the diseases with neurological manifestations in cattle admitted (alive or dead) to the Garanhuns Bovine Clinic/Federal Rural University of Pernambuco (CBG/UFRPE) from January 2009 to December 2019. Epidemiological information was collected from the clinical records regarding the age group, rearing system, time of year, and area of origin of the animals. The diseases were grouped into categories according to their origin: toxic or toxi-infectious, viral, traumatic/physical, parasitic, metabolic degenerative, bacterial, neoplastic, and others. A total of 6103 cattle were treated during the study period, of which 604 (10.1%) were diagnosed with diseases that had neurological manifestations. Of these, 331 cases were of single occurrence, and 231 cases occurred as outbreaks in the herd. Death was the outcome in almost 80% of the cases (465/596). The frequencies of the different categories were toxic or toxi-infectious (25.2%), viral (21.5%), traumatic/physical (13.6%), parasitic (9.8%), metabolic (9.3%), degenerative (2.3%), bacterial (2.2%), neoplastic (1.2%), and others (1.2%). It was found that almost half of the animals were older than 24 months (229/475), almost 80% were females, more than 60% were submitted to a semi-intensive to intensive rearing system, and the occurrence of disease was higher during the dry period of the year (363/614). The three most frequent neurological diseases in this study were rabies, trauma, and botulism.

Resumo Os distúrbios neurológicos em bovinos abrangem um grupo de enfermidades economicamente relevantes de elevada ocorrência e mortalidade. Desta forma, objetivou-se realizar um estudo epidemiológico das enfermidades que cursaram com manifestações neurológicas que deram entrada (vivos ou mortos) na Clínica de Bovinos de Garanhuns/Universidade Federal Rural de Pernambuco no período de janeiro de 2009 a dezembro de 2019. Nos prontuários clínicos, foram coletadas informaçõe epidemiológicas referentes ao sexo; a faixa etária; ao sistema de criação, época do ano e a área de procedência dos animais. As doenças foram agrupadas em categorias de acordo com sua origem: tóxica ou toxi-infecciosa, viral, traumática, parasitária, degenerativa, metabólica, bacteriana, neoplásica e outras. Um total de 6103 bovinos foram atendidos no período estudado, dos quais 604 (10,1 %) foram diagnosticados com enfermidades que cursaram com manifestações neurológicas. Destes, 331 casos foram de ocorrência individual, 231 casos cursaram como surtos no rebanho. Quase 80% dos casos (465/596) teve o óbito como desfecho. As frequências das distintas categoria foram tóxica ou toxi-infecciosa (25,2%), viral (21,5%), traumática/física (13,6%), parasitária (9,8%), metabólica (9,3%, degenerativa (2,3%), bacteriana (2,2%), neoplásica (1,2%), outras (1,2%). Verificou-se que quase metade dos animais apresentavam idade superior a 24 meses (229/475), quase 80% eram fêmeas, mais de 60% eram submetidos a um sistema de criação de semi-intensivo a intensivo e a ocorrência foi maior durante o período seco do ano (363/614). As três enfermidades com manifestações neurológicas de maior ocorrência neste estudo foram a raiva, os traumatismos e o botulismo.

Clinical and laboratory indicators predictive of the negative outcome of gastrointestinal emergencies in cattle / Indicadores clínicos e laboratoriais preditivos do desfecho negativo de emergências gastrointestinais em bovino

This study aimed to identify clinical and laboratory variables that could help predict the negative outcome in cattle affected by gastrointestinal emergencies. A retrospective cohort study was carried out using multivariate logistic regression analysis based on data collected from the clinical records of cattle hospitalized at the Garanhuns Bovine Clinic, UFRPE campus. One hundred and twenty-two cattle met the inclusion criteria established for the study. Among the clinical variables, heart rate (HR) and abdominal distension are associated with the outcome in animals with right displaced abomasum (RDA), and anorexia and 10% dehydration in animals with an obstructive intestinal disorder. Among the laboratory variables, plasma fibrinogen (PF) and total leukocyte count were associated with the outcome in animals with RDA, while PF and plasma L-lactate were associated with animals with an obstructive intestinal disorder. HR and the total leukocyte count remained in the final model of the regression adjusted for animals with RDA. On the other hand, plasma L-lactate and PF remained in the final model in the adjusted model for animals with an obstructive intestinal disorder. Cattle with RDA and HR higher than 90 bpm present an increased chance of having a negative outcome whereas cattle with obstructive intestinal disorder and plasma L-lactate higher than 1.84 mmol/L or PF higher than 850 mg/dL have a higher chance of not survive. Therefore, clinical and laboratory variables such as HR, fibrinogen, and plasma L-lactate are useful to predict the negative outcome in cattle with gastrointestinal emergencies, especially RDA and obstructive intestinal disorders.(AU)

Este estudo teve como objetivo identificar variáveis clínicas e laboratoriais que pudessem ajudar a predizer o desfecho negativo em bovinos acometidos por emergências gastrointestinais. Foi realizado um estudo de coorte retrospectivo por meio de análise de regressão logística multivariada com base em dados coletados dos prontuários de bovinos internados na Clínica de Bovinos de Garanhuns, campus da UFRPE. Cento e vinte e dois bovinos atenderam aos critérios de inclusão estabelecidos para o estudo. Dentre as variáveis clínicas, a frequência cardíaca e a distensão abdominal estão associadas ao desfecho em animais com deslocamento de abomaso à direita (DAD), e anorexia e 10% de desidratação em animais com distúrbio intestinal obstrutivo. Entre as variáveis laboratoriais, o fibrinogênio plasmáticao (FP) e a contagem total de leucócitos foram associados ao desfecho em animais com DAD, enquanto o FP e o L-lactato plasmático foram associados a animais com distúrbio intestinal obstrutivo. A frequência cardíaca (FC) e a contagem total de leucócitos permaneceram no modelo final da regressão ajustada para animais com DAD. Por outro lado, o L-lactato plasmático e o FP permaneceram no modelo final ajustado para animais com distúrbio intestinal obstrutivo. Bovinos com DAD e FC maior que 90 bpm apresentam maior chance de ter um desfecho negativo, enquanto bovinos com distúrbio intestinal obstrutivo e L-lactato plasmático maior que 1,84 mmol/L ou FP maior que 850 mg/dL têm maior chance de não sobreviver. Portanto, variáveis clínicas e laboratoriais como FC, FP e L-lactato plasmático são úteis para predizer o desfecho negativo em bovinos com doenças emergências gastrointestinais, especialmente DAD e distúrbios intestinais obstrutivos.(AU)

Epidemiological and anatomopathological findings of type 1 and 2 abomasum ulcers in cattle with different comorbidities / Achados epidemiológicos e anatomopatológicos de úlceras do abomaso tipo 1 e 2 em bovinos com diferentes comorbidades primárias

This study aimed to investigate the epidemiological and pathological findings of type 1 and 2 abomasal ulcers in cattle with different primary comorbidities. A total of 201 animals; 40/201 (20%) were young cattle under the age of two years and 161/201 (80%) were adult cattle over the age of two years, which were hospitalized for clinical care 152/201 (75,62%), 19/201 (9,45%) obstetric care, 17/201 (8,46%) surgical care and 13/201 (6,47%) for anatomopathological diagnosis, being euthanized or had natural death. The diagnosis of ulcers was based on the result of the post-mortem examination (macroscopic and histopathological analysis). Histopathological examination was performed on 201 fragments of ulcers and classified as type 1 or type 2. Of these, 193/201 (96.01%) corresponded to type 1 ulcers, of which 12/193 (5.97%) corresponded to subtype 1a lesions, 101/193 (50.25%) to subtype 1b, 77/ 193 (38.31%) to subtype 1c, 03/193 (1.49%) to subtype 1d, while 08/201 (3.98%) were type 2 ulcers. The ulcers were characterized by a focal, focally extensive, multifocal or diffuse inflammatory process, mainly by mononuclear cells. Abomasitis associated with ulcerated mucosa was found in 160/201 (79.60%). In 26/201 (12.93%) the abomasitis had diffuse foci of multifocal lymphocytic proliferation by atypical lymphocytes. Digestive and reproductive comorbidities were seen more frequently in cattle with type 1 or type 2 ulcers. The Subtype 1b focal ulcers and subtype 1a and 1b multifocal ulcers were more prevalent. In addition to the presence of comorbidities, most cases occur in the dry period, associated with feeding with higher amounts of concentrates and silages.(AU)

Objetivou-se estudar os achados epidemiológico e anatomopatológico de úlceras do abomaso tipo 1 e 2 em bovinos com diferentes comorbidades primárias. Um total de 201 animais; 40/201 (20%) eram bovinos jovens com idade inferior a dois anos e 161/201 (80%) eram bovinos adultos com idade superior a dois anos, os quais foram internados para atendimento clínico 152/201 (75,62%), 19/201 (9,45%) obstétrico, 17/201 (8,46%) para atendimento clínico-cirúrgico e 13/201 (6,47%) para diagnóstico anatomopatológico, sendo eutanasiados ou tiveram morte natural. O diagnóstico das úlceras foi baseado no exame post-mortem (análise macroscópica e histopatológica). O exame histopatológico foi realizado em 201 fragmentos de úlceras e classificado como tipo 1 ou do tipo 2. Destes, 193/201 (96,01%) corresponderam a úlceras tipo 1, das quais, 12/193 (5,97%) corresponderam a lesões subtipo 1a, 101/193 (50,25%) a subtipo 1b, 77/193 (38,31%) a subtipo 1c, 03/193 (1,49%) ao subtipo 1d, enquanto 08/201 (3,98%) foram úlceras tipo 2. As úlceras foram caracterizadas por processo inflamatório focal, focalmente extenso, multifocais ou difusos, principalmente por células mononucleares. Abomasite associada à mucosa ulcerada foi encontrada em 160/201 (79,60%). Em 26/201 (12,93%) a abomasite apresentava focos difusos de proliferação linfocítica multifocal por linfócitos atípicos. As comorbidades digestivas e reprodutivas foram observadas com maior frequência em bovinos com úlceras tipo 1 ou tipo 2. As úlceras focais subtipo 1b e úlceras multifocais subtipo 1a e 1b foram mais prevalentes. Além da presença de comorbidades, a maioria dos casos ocorrerem no período seco, associados à alimentação com maiores aportes de concentrados e silagens.(AU)

Vagal indigestion in cattle: a retrospective study / Indigestão vagal em bovinos: estudo retrospectivo

This study aimed to carry out a retrospective study of vagal indigestion cases diagnosed in cattle admitted at the Garanhuns Bovine Clinic, Federal Rural University of Pernambuco campus. This syndrome, caused by dysfunctions of the vagus nerve and characterized by motility disorders of the pre-stomachs and abomasum, represented 5.5% (70/1279) of digestive cases diagnosed in a period of 10 years and had an unfavorable prognosis in 78.3% of cases. Type II vagal indigestion was the most prevalent, accounting for 40% of cases, followed by type I (24.3%) and types III and IV, which accounted for 18.6% and 10.0% of cases, respectively. Vagal indigestion in 67.1% (47/70) of cases occurred as a result of other illnesses, such as traumatic reticuloperitonitis (27.7%), lung diseases (12.8%), gastric impaction (10.6%), abomasal ulcer (10.6%), lymphosarcoma (6.4%), and liver abscesses (6.4%). Motor changes in the gastrointestinal tract, such as hypomotility, abdominal distension, and bloat, as well as their consequences, were the most frequent clinical signs. Laboratory, ultrasonographic, and anatomopathological alterations mainly originate from the primary illnesses present in each case. The approach of this disease is essential due to its clinical and economic importance for livestock to expand the knowledge of its etiopathogenesis, thus contributing to a more accurate diagnosis by veterinarians working in the field of internal medicine for cattle.

Objetivou-se realizar um estudo retrospectivo dos casos de indigestão vagal diagnosticados em bovinos atendidos na Clínica de Bovinos de Garanhuns, campus da Universidade Federal Rural de Pernambuco. Essa síndrome, causada por disfunções do nervo vago e caracterizada por transtornos de motilidade dos pré-estômagos e abomaso, representou 5,5% (70/1279) dos casos digestivos diagnosticados num período de 10 anos e apresentou prognóstico desfavorável em 78,3% dos casos. A indigestão vagal tipo II foi a mais prevalente, representando 40% dos casos, seguida do tipo I (24,3%) e dos tipos III e IV, que corresponderam a 18,6% e 10,0%, respectivamente. Em 67,1% (47/70) dos casos, a indigestão vagal ocorreu em consequência de outras enfermidades, tais como reticuloperitonite traumática (27,7%), doenças pulmonares (12,8%), compactação gástrica (10,6%), úlcera de abomaso (10,6%), linfossarcoma (6,4%) e abscessos hepáticos (6,4%). As alterações motoras do trato gastrointestinal, tais como hipomotilidade, distensão abdominal e timpania, assim como suas consequências foram os sinais clínicos mais frequentes. As alterações laboratoriais, de imagem e anatomopatológicas são oriundas principalmente das enfermidades primárias presentes em cada caso. Devido sua importância clínica e econômica para a bovinocultura, é primordial a abordagem dessa enfermidade, visando ampliar o conhecimento da sua etiopatogenia contribuindo dessa forma para um diagnóstico mais preciso pelos médicos veterinários atuantes na área de medicina interna de bovinos.

Hematological and biochemical changes in a cow with metastatic cholangiocarcinoma

We describe here hematological and biochemical findings in a cow with metastatic cholangiocarcinoma. On physical examination, apathy with congested mucous membranes, tachycardia and enlarged abdomen; hypoperistalsis in rumen, abomasum and intestines. In hematological examination, icteric plasma with leukocytosis by neutrophilia with regenerative left shift and inversion of the proportion between lymphocytes and segmented neutrophils, and hypofibrinemia. In serum biochemistry: hyperproteinemia, hypoalbuminemia, hyperglobulinemia, low albumin/globulin ratio and high levels of aspartate aminotransferase, gamma-glutamyltransferase. The cow died and in necropsy was observed a severe and diffuse increase in volume predominantly on the hepatic right lobe and moderate increase of volume in mesenteric lymph nodes. Which was diagnosed microscopically as a cholangiocarcinoma, characterized by arrangements in irregular and coalescent ducts. In conclusion, cholangiocarcinoma may cause important hematological and biochemical changes in cattle.(AU)

Larvoscopic study on Dictyocaulus sp. in the faeces of beef cattle in northeastern Brazil.

The lungworm Dictyocaulus viviparus has an important role in cattle health and productivity worldwide, since infections can lead to substantial economic losses. Despite its importance, few studies investigating the epidemiological aspects of infection by this parasite have been conducted. The aim of this study was to report the occurrence of lungworm infection in beef cattle herds reared in an area of livestock production in the northeastern region of Brazil. From September 2020 to August 2021, monthly fecal samples (n = 493) were collected from 46 beef cattle. Among all the animals assessed, lungworm larvae were detected in 8.7% (4/46). None of them presented any clinical sign suggestive of infection by lungworm parasites. Twenty larvae were retrieved, with the minimum number (n = 1) detected in October and December, and the maximum number (n = 13) in November. These presented a mean length of 363 µm (± 28.65 µm) and mean width of 19 µm (± 1.03 µm), and were morphologically similar to Dictyocaulus sp.. This study reports the occurrence of this parasite in this livestock production area. Lastly, local veterinarians need to be aware of inclusion of this parasite in the differential diagnosis of other respiratory infections in beef cattle.

Diversity of Eimeria (Apicomplexa: Eimeriidae) species and risk factors associated in natural infecting calves at the Southern Agreste Microregion in the State of Pernambuco, Brazil.

Eimeria species have importance to calves because of the economic losses. The aim of this study was to identify the species of Eimeria that affect calves and the risk factors associated with its natural infection. Fecal samples (387) were collected from dairy farms in the southern Agreste of Pernambuco. The feces were evaluated using the Gordon & Whitlock technique and were cultured in 2.5% potassium dichromate for sporulation of oocysts. Odds ratio (OR) were calculated to assess risk factors. Eimeria spp. were detected in 50.65% (196/387) of the samples. Eleven species were identified, being Eimeria bovis (26.64%; 548/2057), Eimeria zuernii (19.69%; 405/2057) and Eimeria ellipsoidalis (14.49%; 298/2057) those more frequent. Small herds (OR = 1.93), calves aged up to six months (OR = 2.12), absence of manure pit (OR = 7.52), fortnightly cleaning (OR = 4.71), collective calf pens (OR = 3.26), manual milking (OR = 2.16) and absence of veterinary care (OR = 2.28) were considered to be risk factors. The data revealed pathogenic species in more than 50% of the farms. Thus, the importance of adopting sanitary measures to reduce the spread of these protozoa in herds should be done, because of economic losses associated with its infection.

Diversity of Eimeria (Apicomplexa: Eimeriidae) species and risk factors associated in natural infecting calves at the Southern Agreste Microregion in the State of Pernambuco, Brazil / Diversidade de espécies de Eimeria (Apicomplexa: Eimeriidae) e fatores de risco associados à infecção natural em bezerros na microrregião sul do agreste no estado de Pernambuco, Brasil

Eimeria species have importance to calves because of the economic losses. The aim of this study was to identify the species of Eimeria that affect calves and the risk factors associated with its natural infection. Fecal samples (387) were collected from dairy farms in the southern Agreste of Pernambuco. The feces were evaluated using the Gordon & Whitlock technique and were cultured in 2.5% potassium dichromate for sporulation of oocysts. Odds ratio (OR) were calculated to assess risk factors. Eimeria spp. were detected in 50.65% (196/387) of the samples. Eleven species were identified, being Eimeria bovis (26.64%; 548/2057), Eimeria zuernii (19.69%; 405/2057) and Eimeria ellipsoidalis (14.49%; 298/2057) those more frequent. Small herds (OR = 1.93), calves aged up to six months (OR = 2.12), absence of manure pit (OR = 7.52), fortnightly cleaning (OR = 4.71), collective calf pens (OR = 3.26), manual milking (OR = 2.16) and absence of veterinary care (OR = 2.28) were considered to be risk factors. The data revealed pathogenic species in more than 50% of the farms. Thus, the importance of adopting sanitary measures to reduce the spread of these protozoa in herds should be done, because of economic losses associated with its infection.(AU)

Espécies do gênero Eimeria possuem grande importância para os bezerros devido às perdas econômicas. O objetivo deste estudo foi identificar as espécies de Eimeria que acometem bezerros e os fatores de risco associados à infecção. Amostras fecais (387) foram coletadas de animais de fazendas leiteiras do Agreste Meridional de Pernambuco. As fezes foram avaliadas pela técnica de Gordon & Whitlock e realizada cultura em dicromato de potássio 2,5% para esporulação dos oocistos. Odds ratio (OR) foi calculada para avaliar os fatores de risco. Eimeria spp. foram detectadas em 50,65% (196/387) das amostras analisadas. Foram identificadas onze espécies, sendo E. bovis (26,64%; 548/2057), E. zuernii (19,69%; 405/2057) e E. ellipsoidalis (14,49%; 298/2057) as mais frequentes. Pequenos rebanhos (OR = 1,93), bezerros com idade de até seis meses (OR = 2,12), ausência de esterqueira (OR = 7,52), limpeza quinzenal (OR = 4,71), bezerreiros coletivos (OR = 3,26), ordenha manual (OR = 2,16) e ausência de assistência veterinária (OR = 2,28) foram considerados fatores de risco. Os dados revelaram espécies patogênicas em mais de 50% das propriedades. Dessa forma, ressalta-se a importância da adoção de medidas sanitárias, visando à diminuição da propagação desses protozoários nos rebanhos, e perdas econômicas associadas à infecção.(AU)

Larvoscopic study on Dictyocaulus sp. in the faeces of beef cattle in northeastern Brazil / Estudo larvoscópico de Dictyocaulus sp. em fezes de bovinos de corte do nordeste do Brasil

Abstract The lungworm Dictyocaulus viviparus has an important role in cattle health and productivity worldwide, since infections can lead to substantial economic losses. Despite its importance, few studies investigating the epidemiological aspects of infection by this parasite have been conducted. The aim of this study was to report the occurrence of lungworm infection in beef cattle herds reared in an area of livestock production in the northeastern region of Brazil. From September 2020 to August 2021, monthly fecal samples (n = 493) were collected from 46 beef cattle. Among all the animals assessed, lungworm larvae were detected in 8.7% (4/46). None of them presented any clinical sign suggestive of infection by lungworm parasites. Twenty larvae were retrieved, with the minimum number (n = 1) detected in October and December, and the maximum number (n = 13) in November. These presented a mean length of 363 μm (± 28.65 μm) and mean width of 19 μm (± 1.03 μm), and were morphologically similar to Dictyocaulus sp.. This study reports the occurrence of this parasite in this livestock production area. Lastly, local veterinarians need to be aware of inclusion of this parasite in the differential diagnosis of other respiratory infections in beef cattle.

Resumo O parasito pulmonar Dictyocaulus viviparus tem um papel importante na saúde e produtividade bovina em todo o mundo, uma vez que infecções podem levar a perdas econômicas. Além de sua importância, poucos estudos que investigam aspectos epidemiológicos das infecções por esse parasito têm sido realizados. Objetivou-se, nesta pesquisa, relatar a ocorrência de infecção por nematódeos pulmonares em rebanhos bovinos de corte, criados em uma importante área de produção pecuária, na região Nordeste do Brasil. De setembro de 2020 a agosto de 2021, foram coletadas, mensalmente, amostras fecais (n = 493) de 46 bovinos de corte. De todos os animais avaliados, larvas de nematódeos pulmonares foram detectadas em 8,7% (4/46). Os animais não apresentaram nenhum sinal clínico sugestivo de infecção por parasitos pulmonares. Vinte larvas foram recuperadas, com o número mínimo (n = 1) detectado em outubro e dezembro, e o número máximo (n = 13) em novembro. Apresentavam comprimento médio de 363 μm (± 28,65 μm), largura média de 19 μm (±1,03 μm) e eram morfologicamente semelhantes a Dictyocaulus sp.. Este estudo relata a ocorrência desse parasito nesta área. Logo, os veterinários locais devem estar atentos à inclusão desse parasito no diagnóstico diferencial de outras infecções respiratórias em bovinos de corte.

Cecocolic intussusception and cecal torsion in cattle / Intussuscepção cecocólica e torção de ceco em bovinos

This work aims to describe the clinical, laboratory, and anatomopathological findings of two bovines, one affected by cecocolic intussusception, and the other by dilation with cecal torsion. The clinical examination demonstrated metallic resonance from the right flank, ruminal and intestinal hypomotility, and abdominal distension, in addition to alterations in feces characteristics. Was observed in the two animals leukocytosis by neutrophilia with regenerative shift to the left, and hyperfibrinogenemia. The analysis of ruminal fluid revealed impairment of the microbiota and an increase in chloride levels. The laparoscopic examination performed on one of the animals showed dilation of the colon, the cecum with hyperemia and serous edema, with a dividing halo between affected and unaffected portions, in addition to reddish peritoneal fluid. In the laparotomy, an enlarged cecum was found, with gaseous and liquid contents, swollen and turgid colon, and peritonitis. In addition to the findings observed during surgery, the anatomopathological examination demonstrated, in bovine 01, intestinal intussusception in the region of the cecocolic valve, and, in bovine 02, twisting of the loop at the ileocecocolic junction. Despite the low occurrence of digestive system disorders in cattle, cecal torsion and intussusception represent serious intestinal clinical conditions. These reports take the attention to the importance of a multidisciplinary approach to provide a correct diagnosis of intestinal diseases.

O objetivo deste trabalho foi descrever os achados clínicos, laboratoriais e anatomopatológicos de dois bovinos, um acometido por intussuscepção cecocólica e o outro por dilatação com torção de ceco. O diagnóstico de ambos os casos foi base-ado nos achados clínicos, laboratoriais, videolaparoscópicos, cirúrgicos e anatomopatológicos. No exame clínico evidenciou-se ressonância metálica no flanco direito, hipomotilidade ruminal e intestinal, distensão abdominal, além de alteração nas carac-terísticas das fezes. Observou-se nos dois animais leucocitose por neutrofilia com desvio para esquerda regenerativo e hiperfi-brinogenia. A análise do fluido ruminal revelou comprometimento da microbiota e elevação nos teores de cloretos. O exame videolaparoscópico, realizado no bovino dois (02), evidenciou dilatação do cólon, ceco com hiperemia e edema de serosa com halo divisório entre porção acometida e não acometida, além de líquido peritoneal de coloração avermelhada. Na laparotomia constatou-se ceco dilatado por conteúdo gasoso e líquido, cólon edemaciado e túrgido e, peritonite. No exame anatomopato-lógico, constatou-se, no bovino um (01), intussuscepção intestinal na região de válvula ceco-cólica e, no bovino (02) torção de alça na junção ileocecocólica. Apesar da baixa ocorrência, a torção de ceco e a intussuscepção acarretam condição intestinal grave e devem ser inseridas na lista de diagnósticos diferenciais das enfermidades digestivas de bovinos. Estes relatos chamam a atenção para a importância da abordagem multidisciplinar no diagnóstico das enfermidades intestinais.

Cecocolic intussusception and cecal torsion in cattle / Intussuscepção cecocólica e torção de ceco em bovinos

This work aims to describe the clinical, laboratory, and anatomopathological findings of two bovines, one affected by cecocolic intussusception, and the other by dilation with cecal torsion. The clinical examination demonstrated metallic resonance from the right flank, ruminal and intestinal hypomotility, and abdominal distension, in addition to alterations in feces characteristics. Was observed in the two animals leukocytosis by neutrophilia with regenerative shift to the left, and hyperfibrinogenemia. The analysis of ruminal fluid revealed impairment of the microbiota and an increase in chloride levels. The laparoscopic examination performed on one of the animals showed dilation of the colon, the cecum with hyperemia and serous edema, with a dividing halo between affected and unaffected portions, in addition to reddish peritoneal fluid. In the laparotomy, an enlarged cecum was found, with gaseous and liquid contents, swollen and turgid colon, and peritonitis. In addition to the findings observed during surgery, the anatomopathological examination demonstrated, in bovine 01, intestinal intussusception in the region of the cecocolic valve, and, in bovine 02, twisting of the loop at the ileocecocolic junction. Despite the low occurrence of digestive system disorders in cattle, cecal torsion and intussusception represent serious intestinal clinical conditions. These reports take the attention to the importance of a multidisciplinary approach to provide a correct diagnosis of intestinal diseases.(AU)

O objetivo deste trabalho foi descrever os achados clínicos, laboratoriais e anatomopatológicos de dois bovinos, um acometido por intussuscepção cecocólica e o outro por dilatação com torção de ceco. O diagnóstico de ambos os casos foi base-ado nos achados clínicos, laboratoriais, videolaparoscópicos, cirúrgicos e anatomopatológicos. No exame clínico evidenciou-se ressonância metálica no flanco direito, hipomotilidade ruminal e intestinal, distensão abdominal, além de alteração nas carac-terísticas das fezes. Observou-se nos dois animais leucocitose por neutrofilia com desvio para esquerda regenerativo e hiperfi-brinogenia. A análise do fluido ruminal revelou comprometimento da microbiota e elevação nos teores de cloretos. O exame videolaparoscópico, realizado no bovino dois (02), evidenciou dilatação do cólon, ceco com hiperemia e edema de serosa com halo divisório entre porção acometida e não acometida, além de líquido peritoneal de coloração avermelhada. Na laparotomia constatou-se ceco dilatado por conteúdo gasoso e líquido, cólon edemaciado e túrgido e, peritonite. No exame anatomopato-lógico, constatou-se, no bovino um (01), intussuscepção intestinal na região de válvula ceco-cólica e, no bovino (02) torção de alça na junção ileocecocólica. Apesar da baixa ocorrência, a torção de ceco e a intussuscepção acarretam condição intestinal grave e devem ser inseridas na lista de diagnósticos diferenciais das enfermidades digestivas de bovinos. Estes relatos chamam a atenção para a importância da abordagem multidisciplinar no diagnóstico das enfermidades intestinais.(AU)

Cecal dilatation and distension in a Holstein calf

Cecal dilatation and distention is an important disorder in early lactation dairy cows, however, reports describing the anatomical pathology findings of this condition are scarce in the literature. Etiopathogenesis of cecal dilatation and distention is often attributed to high concentrate feeds, but there is also evidence of myoelectrical dysfunction contributing to its occurrence. Diagnosis is often made based on physical exam findings, with the contribution of ancillary exams. This paper aims to describe a case of cecal dilatation with clinical, laboratorial and pathology findings of a 5-month-old Holstein calf that presented abdominal distension, positive succussion of the right flank and mild dehydration. Clinical pathology findings included neutrophilic leukocytosis with regenerative left shift and elevated ruminal chloride. Ultrasonographic examination of the right abdomen showed distended and hypomotile intestinal loops. Despite that, due to the patient’s age, which prevented rectal palpation, and lack of some characteristic clinical and clinical pathology findings, diagnosis was only possible post mortem. Macroscopical and microscopical findings demonstrated cecum dilatation with edema, hemorrhage and thrombi. Despite being well known by large animal clinics, anatomical pathologists must be aware of this condition.

Cecal dilatation and distension in a Holstein calf

Cecal dilatation and distention is an important disorder in early lactation dairy cows, however, reports describing the anatomical pathology findings of this condition are scarce in the literature. Etiopathogenesis of cecal dilatation and distention is often attributed to high concentrate feeds, but there is also evidence of myoelectrical dysfunction contributing to its occurrence. Diagnosis is often made based on physical exam findings, with the contribution of ancillary exams. This paper aims to describe a case of cecal dilatation with clinical, laboratorial and pathology findings of a 5-month-old Holstein calf that presented abdominal distension, positive succussion of the right flank and mild dehydration. Clinical pathology findings included neutrophilic leukocytosis with regenerative left shift and elevated ruminal chloride. Ultrasonographic examination of the right abdomen showed distended and hypomotile intestinal loops. Despite that, due to the patients age, which prevented rectal palpation, and lack of some characteristic clinical and clinical pathology findings, diagnosis was only possible post mortem. Macroscopical and microscopical findings demonstrated cecum dilatation with edema, hemorrhage and thrombi. Despite being well known by large animal clinics, anatomical pathologists must be aware of this condition.(AU)

Hematologic response and serum and peritoneal fluid proteinogram of cattle affected by intestinal diseases and traumatic reticuloperitonitis / Resposta hematológica e proteinograma sérico e do líquido peritoneal de bovinos acometidos com enfermidades intestinais e reticuloperitonite traumática

This study aimed to evaluate the hematologic response and the serum and peritoneal fluid (PF) proteinogram of cattle affected by digestive diseases. Twenty-seven animals were distributed in two groups: GI (intestinal diseases) and GII (traumatic reticuloperitonitis, TRP). The animals were previously submitted to a physical exam. Subsequently, blood samples were collected to perform the complete blood count, determine the plasma protein and fibrinogen, and obtain the serum for proteinogram in polyacrylamide gel (SDS-PAGE). Simultaneously, PF was collected to perform physical and chemical evaluation and the electrophoretic profile (SDS-PAGE). ANOVA at the 5% probability level was used to compare the groups. The animals showed signs of apathy, dehydration, and gastrointestinal hypomotility in both groups. However, GI animals showed more significant clinical changes. The blood count of both groups (P > 0.05) showed leukocytosis due to neutrophilia and a regenerative left shift with hyperfibrinogenemia. The proteinogram of both body fluids allowed the identification of proteins albumin (ALB), transferrin (TRF), ceruloplasmin, haptoglobin, α1-acid glycoprotein (α1-AGP), MW 23000 Da, α1-antitrypsin, IgA, and IgG. The [PT] PF/[PT] blood serum ratio of each of the identified proteins increased, showing statistical differences between groups (P < 0.05) regarding PT, ALB, TRF, α1-AGP, and IgG values, with GI animals showing the highest ratio. Intestinal diseases and TRP triggered a systemic and local response characterized by clinical, hematological, and serum and PF proteinogram alterations. The proteins α1-GPA, haptoglobin, and TRF measured in PF were good inflammation biomarkers and useful as an auxiliary tool for the diagnosis and prognosis of digestive diseases in cattle.(AU)

O objetivo deste estudo foi avaliar a resposta hematológica e o proteinograma sérico e do líquido peritoneal (LP) de bovinos acometidos com doenças digestivas. Foram avaliados 27 bovinos distribuídos em dois grupos, GI (enfermidades intestinais) e GII (reticuloperitonite traumática-RPT). Os animais foram previamente submetidos ao exame físico. Posteriormente foram colhidas amostras de sangue para realização do hemograma, determinação plasmática da proteína e do fibrinogênio e obtenção do soro para realização do proteinograma em gel de poliacrilamida (SDS-PAGE). Simultaneamente foi colhido o LP para avaliação física e química, assim como a realização do perfil eletroforético (SDS-PAGE). Empregou-se a análise de variância ao nível de 5% de probabilidade visando à comparação entre os grupos. Em ambos os grupos os animais demonstraram sinais de apatia, desidratação e hipomotilidade gastrointestinal, no entanto, os animais do GI apresentaram alterações clínicas mais expressivas. No hemograma observou-se em ambos os grupos (P > 0,05) leucocitose por neutrofilia e desvio à esquerda regenerativo com hiperfibrinogenia. O proteinograma de ambos os fluidos corpóreos permitiu a identificação das proteínas albumina (ALB), transferrina (TRF), ceruloplasmina, haptoglobina, α-1 glicoproteína ácida (α1-GPA), PM 23.000 Da, α-1 anti-tripsina, IgA e IgG. Os valores da relação [PT] LP / [PT] soro sanguíneo de cada uma das proteínas identificadas demonstrou elevação dos mesmos, bem como diferença estatística entre grupos (P < 0,05) nos valores da PT, ALB, TRF, α1-GPA e IgG, nos quais a relação foi mais elevada nos animais do GI. As enfermidades intestinais e a RPT desencadearam resposta sistêmica e local caracterizada pelas alterações clínicas, hematológicas, e do proteinograma sérico e do LP. A α1-GPA, a haptoglobina e a TRF, mensuradas no LP se mostraram bons biomarcadores de inflamação, sendo úteis como recurso auxiliar de diagnóstico e prognóstico das doenças digestivas dos bovinos.(AU)

Ultrasonographic diagnosis of ileal intussusception in calf

Background: Intussusception, characterized by invagination of an intestinal segment into the lumen of the adjacent segment, is one of the main causes of intestinal obstruction in cattle, and occurs more frequently in calves. The diagnosis of the disease is based on the history, clinical examination, and complementary exams, which are a challenge in this species, especially in calves, in which transrectal palpation is limited. As it is a non-invasive, effective, and low-cost test, ultrasonography could be an important tool in the diagnosis of intestinal obstructions, in which time is essential for the prognosis. Therefore, the objective was to report a case of intussusception in a calf diagnosed by ultrasound. Case: A 4-month-old calf, weaned at 3 months and raised intensively, was treated at the Clínica de Bovinos de Garanhuns, campus of the Universidade Federal Rural de Pernambuco (CBG/UFRPE), with a history of apathy, anorexia, and dyschezia for 3 days. On physical examination, fever, moderate dehydration, tachycardia, tachypnea with polypnea, bilaterally bulging abdomen, sound of fluid on ballottement, ruminal and intestinal hypomotility, and melena were observed. The hematological findings revealed leukocytosis due to neutrophilia (degenerate neutrophils), hypoproteinemia, and hyperfibrinogenemia. The analysis of the ruminal fluid showed compromised microbiota and increased chloride content. The transabdominal ultrasonography demonstrated, in the right ventral region, hypermotile and full small bowel loops and an increase in the volume of the peritoneal fluid. In addition, there was a segment of the small intestine which, in cross-section, showed multiple concentric rings ("onion rings", "target pattern", or "bull's eye") and adherence to adjacent loops, compatible with intestinal obstruction due to intussusception. Due to the seriousness of the clinical condition and the ultrasound findings, the animal was euthanized and the necropsy revealed focal fibrinous peritonitis and intestinal obstruction due to intussusception in ileum intestinal segments. Discussion: Intussusception has previously been reported in calves, however this is the first report of ultrasound diagnosis of the disease in Brazil. Although the etiology is rarely confirmed, the age group and recent changes in diet (weaning) were predisposing factors. The history, clinical signs, and laboratory tests were similar to those described in cattle with intussusception, however they may be present in other gastrointestinal illnesses. Other authors have also reported that the nonspecificity of the signs and the impossibility of performing transrectal palpation made it difficult to diagnose intestinal obstruction in calves without the use of other diagnostic tools. As it is a non-invasive and accurate technique, ultrasound has been used in ruminants for diagnostic purposes, including intestinal obstructions. In the present case, the main findings are described as the presence of a lesion with the appearance of multiple concentric rings, hypermotile, dilated, and full intestinal loops. The pathological findings were compatible with the ultrasound images and similar to those described by other authors, confirming the diagnosis. The use of ultrasonography as a diagnostic tool in cattle should be expanded, aiming at the early determination of diagnosis and prognosis, to reduce producer costs and animal discomfort. In cases of intussusception, late diagnosis makes treatment unfeasible.

Íleo paralítico em três bovinos: relato de caso / Paralytic ileus in three cattle: case report

O íleo paralítico é uma obstrução do tipo funcional, na qual o lúmen intestinal está patente, comprometendo a passagem da ingesta no intestino. Este relato objetiva descrever três casos em vacas com aptidão leiteira, atendidos na rotina hospitalar e diagnosticados com íleo paralítico. Em seus históricos, os proprietários queixavam-se que os animais apresentavam redução do apetite, timpania ruminal, diminuição da produção de leite e eliminação das fezes. Ao exame físico, alguns sinais clínicos apresentaram destaque, como apatia, desidratação, redução da motilidade ruminal e intestinal, fezes em pequena quantidade e com muco, distensão do abdômen e ao balotamento constatou-se a presença de líquido. Na análise do fluido ruminal todos os animais apresentaram o teor de cloreto elevado (>30 mEq/L), caracterizando, dessa forma, um processo obstrutivo. Diante dos achados, suspeitou-se inicialmente de um quadro de obstrução intestinal. Nos casos, a conduta adotada foi realizar uma laparotomia exploratória através do flanco direito, porém constatou-se, que não existia qualquer segmento com obstrução de natureza mecânica, que justificasse as alterações físicas e laboratoriais encontradas. Diante destes resultados, configurou-se um quadro clínico indicativo de íleo paralítico. As vacasforam submetidas a um protocolo terapêutico pós-cirúrgico composto por antibioticoterapia, anti-inflamatório, cálcio, procinético e tratamento de suporte. Os animais manifestaram uma resposta favorável a conduta terapêutica, com restabelecimento da função gastrointestinal e dos demais parâmetros fisiológicos, recebendo alta após uma evolução clínica variando entre dez a doze dias.

Paralytic ileus is an obstruction of the functional type, in which the intestinal lumen is patent, compromising the passage of the intake in the intestine. The objective of this study was to describe three cases in dairy cows treated in the hospital routine diagnosed with paralytic ileus. In their histories, the owners complained that the animals presented reduced appetite, ruminal tympany, decreased milk yield and elimination of faeces. At the physical examination, some clinical signs were prominent in both, such as apathy, dehydration, reduction of ruminal and intestinal motility, faeces were present in small quantity and with mucus present, abdominal enlargement and the succession produced sloshing sounds. In the analysis of the ruminal fluid, the chloride content in both was high (>30 mEq/L), characterizing an obstructive process. In the face of the findings, a diagnosis of intestinal obstruction was initially suspected. In animals, the adopted approach was to perform an exploratory laparotomy through the right flank, but it was verified that there was no segment with mechanical obstruction that justified the physical and laboratorial alterations found. In view of these results, a clinical diagnosis indicative of paralytic ileus was established. The three animals were submitted to a post-surgical therapeutic protocol consisting of antibiotic therapy, anti-inflammatory, calcium, pro-kinetic and supportive treatment. The animals showed a favourable response to therapeutic treatment, with restoration of gastrointestinal function and other physiological parameters, and was discharged after a clinical evolution ranging from ten to twelve days.

Íleo paralítico em três bovinos: Relato de caso / Paralytic ileus in three cattle: case report

O íleo paralítico é uma obstrução do tipo funcional, na qual o lúmen intestinal está patente, comprometendo a passagem da ingesta no intestino. Este relato objetiva descrever três casos em vacas com aptidão leiteira, atendidos na rotina hospitalar e diagnosticados com íleo paralítico. Em seus históricos, os proprietários queixavam-se que os animais apresentavam redução do apetite, timpania ruminal, diminuição da produção de leite e eliminação das fezes. Ao exame físico, alguns sinais clínicos apresentaram destaque, como apatia, desidratação, redução da motilidade ruminal e intestinal, fezes em pequena quantidade e com muco, distensão do abdômen e ao balotamento constatou-se a presença de líquido. Na análise do fluido ruminal todos os animais apresentaram o teor de cloreto elevado (>30 mEq/L), caracterizando, dessa forma, um processo obstrutivo. Diante dos achados, suspeitou-se inicialmente de um quadro de obstrução intestinal. Nos casos, a conduta adotada foi realizar uma laparotomia exploratória através do flanco direito, porém constatou-se, que não existia qualquer segmento com obstrução de natureza mecânica, que justificasse as alterações físicas e laboratoriais encontradas. Diante destes resultados, configurou-se um quadro clínico indicativo de íleo paralítico. As vacas foram submetidas a um protocolo terapêutico pós-cirúrgico composto por antibioticoterapia, anti-inflam

Paralytic ileus is an obstruction of the functional type, in which the intestinal lumen is patent, compromising the passage of the intake in the intestine. The objective of this study was to describe three cases in dairy cows treated in the hospital routine diagnosed with paralytic ileus. In their histories, the owners complained that the animals presented reduced appetite, ruminal tympany, decreased milk yield and elimination of faeces. At the physical examination, some clinical signs were prominent in both, such as apathy, dehydration, reduction of ruminal and intestinal motility, faeces were present in small quantity and with mucus present, abdominal enlargement and the succession produced sloshing sounds. In the analysis of the ruminal fluid, the chloride content in both was high (>30 mEq/L), characterizing an obstructive process. In the face of the findings, a diagnosis of intestinal obstruction was initially suspected. In animals, the adopted approach was to perform an exploratory laparotomy through the right flank, but it was verified that there was no segment with mechanical obstruction that justified the physical and laboratorial alterations found. In view of these results, a clinical diagnosis indicative of paralytic ileus was established. The three animals were submitted to a post-surgical therapeutic protocol consisting of antibiotic therapy, anti-inflammatory, calcium, pro-kinetic and supportive treatment. The animals showed a favourable response to therapeutic treatment, with restoration of gastrointestinal function and other physiological parameters, and was discharged after a clinical evolution ranging from ten to twelve days.

Biomarcadores sanguíneos e no líquido peritoneal de bovinos acometidos com enfermidades intestinais e reticulites traumáticas / Biomarkers blood and peritoneal fluid of bovines with intestinal diseases and traumatic reticulitis

O objetivo deste estudo foi avaliar simultaneamente biomarcadores no sangue e no líquido peritoneal (LP) de bovinos com enfermidades intestinais (GI n=14) e reticulites traumáticas (GII n=13). O exame clínico e a coleta de sangue e de LP foram realizadas e, posteriormente, análise física e citológica do LP, bem como as determinações bioquímicas no sangue e no LP. Empregou-se a análise de variância ao nível de 5% de probabilidade comparando os grupos e comparando o sangue e o LP. Em ambos os grupos foram evidenciados sinais de apatia, desidratação e hipomotilidade reticuloruminal, porém os animais do GI apresentaram alterações clínicas mais expressivas. À análise citológica do LP No sangue as concentrações de PT, globulina, colesterol e GGT foram superiores no GII (P<0,05), e a relação A/G foi maior no GI (P<0,05). No LP a albumina e a CK foram superiores no GI (P<0,05). Na comparação entre o sangue e LP, destacou-se o aumento significativo do lactato L no LP de ambos os grupos (P<0,05), caracterizando a gravidade das alterações presentes na cavidade abdominal. Recomendase a avaliação simultânea no sangue e no LP do lactato L como informação de auxílio diagnóstico e prognóstico das enfermidades digestivas dos bovinos.(AU)

The objective of this study was to simultaneously evaluate biomarkers in the blood and peritoneal fluid (PF) of cattle with intestinal diseases (GI n=14) and traumatic reticulitis (GII n=13). A clinical examination and blood collection and PF were performed and subsequently, physical and cytological analysis of PF, as well as biochemical determinations in blood and PF. The analysis of variance was used at a 5% probability level comparing the groups and comparing blood and PF. In both groups, signs of apathy, dehydration and reticuloruminal hypomotility were evidenced, but the GI animals presented more expressive clinical alterations. In the cytological analysis of PF, a predominance of polymorfhonuclear was observed in both groups. Blood TP, globulin, cholesterol and GGT concentrations were higher in GII (P<0.05), and the A/G ratio was higher in GI (P <0.05). In PF, albumin and CK were higher in GI (P<0.05). In the comparison between blood and PF, the significant increase of L-lactate in the PF of both groups (P<0.05) was observed, characterizing the severity of the alterations present in the abdominal cavity. It is recommended the simultaneous evaluation of L-lactate in the blood and PF, as a tool for diagnosis and prognosis of bovine digestive diseases.(AU)

Biomarcadores sanguíneos e no líquido peritoneal de bovinos acometidos com enfermidades intestinais e reticulites traumáticas / Biomarkers blood and peritoneal fluid of bovines with intestinal diseases and traumatic reticulitis

O objetivo deste estudo foi avaliar simultaneamente biomarcadores no sangue e no líquido peritoneal (LP) de bovinos com enfermidades intestinais (GI n=14) e reticulites traumáticas (GII n=13). O exame clínico e a coleta de sangue e de LP foram realizadas e, posteriormente, análise física e citológica do LP, bem como as determinações bioquímicas no sangue e no LP. Empregou-se a análise de variância ao nível de 5% de probabilidade comparando os grupos e comparando o sangue e o LP. Em ambos os grupos foram evidenciados sinais de apatia, desidratação e hipomotilidade reticuloruminal, porém os animais do GI apresentaram alterações clínicas mais expressivas. À análise citológica do LP No sangue as concentrações de PT, globulina, colesterol e GGT foram superiores no GII (P<0,05), e a relação A/G foi maior no GI (P<0,05). No LP a albumina e a CK foram superiores no GI (P<0,05). Na comparação entre o sangue e LP, destacou-se o aumento significativo do lactato L no LP de ambos os grupos (P<0,05), caracterizando a gravidade das alterações presentes na cavidade abdominal. Recomendase a avaliação simultânea no sangue e no LP do lactato L como informação de auxílio diagnóstico e prognóstico das enfermidades digestivas dos bovinos.

The objective of this study was to simultaneously evaluate biomarkers in the blood and peritoneal fluid (PF) of cattle with intestinal diseases (GI n=14) and traumatic reticulitis (GII n=13). A clinical examination and blood collection and PF were performed and subsequently, physical and cytological analysis of PF, as well as biochemical determinations in blood and PF. The analysis of variance was used at a 5% probability level comparing the groups and comparing blood and PF. In both groups, signs of apathy, dehydration and reticuloruminal hypomotility were evidenced, but the GI animals presented more expressive clinical alterations. In the cytological analysis of PF, a predominance of polymorfhonuclear was observed in both groups. Blood TP, globulin, cholesterol and GGT concentrations were higher in GII (P<0.05), and the A/G ratio was higher in GI (P <0.05). In PF, albumin and CK were higher in GI (P<0.05). In the comparison between blood and PF, the significant increase of L-lactate in the PF of both groups (P<0.05) was observed, characterizing the severity of the alterations present in the abdominal cavity. It is recommended the simultaneous evaluation of L-lactate in the blood and PF, as a tool for diagnosis and prognosis of bovine digestive diseases.

Cardiac, energy and hormonal blood markers, and lactatemia in cows with displaced abomasum

Background: Displaced abomasum (DA) is a common and economically important disorder that affects dairy cattle. Nutritional factors and adaptive responses that occur in the peripartum play a central role in the pathogenesis. The measurement of blood metabolites represents a useful tool for monitoring and prognostic determination in affected animals. Therefore, the objective was to evaluate cardiac, energy and hormonal blood markers, lactatemia, and insulin sensitivity in cows diagnosed with right displaced abomasum (RDA) and left displaced abomasum (LDA), comparing them with each other. Materials, Methods & Results: Nineteen cases of abomasum displacement in cows were studied, including 9 cases of RDA and 10 cases of LDA. The diagnosis was established by means of physical examination and measurement of the concentration of chlorides in the ruminal fluid (> 30 mEq/L). After diagnosis, clinical-surgical therapeutic management was instituted. At the time of diagnosis (M1) and at the resolution of the case (M2), blood samples were collected to assess the variables: non-esterified fatty acids (NEFA), beta hydroxybutyrate (βHB), L-lactate, creatine kinase (CK), creatine kinase MB (CK-MB), cardiac troponin I (cTnI), lactate dehydrogenase (LDH), glucose, insulin, and cortisol. In addition, insulin sensitivity was estimated using the Revised Quantitative Insulin Sensitivity Check Index (RQUICKI) and RQUICKI-βHB. The means of the variables were compared, separating the effects of groups (RDA and LDA) and moments (M1 and M2), at the level of 5% probability. The concentrations of NEFA, CK-MB, L-lactate, glucose, insulin, and cortisol were higher at M1 and the RQUICKI and RQUICKI-βHB indices were lower at this moment. L-lactate, CK, and CK-MB were higher in the RDA group, while cTnI, βHB, and LDH did not present a group or moment effect. Cardiac markers correlated with the energy profile metabolites, L-lactate, and cortisol. Discussion: The high...