RESUMO
Burkholderia pseudomallei is the cause of melioidosis in humans and other animals. Disease occurs predominately in Asia and Australia. It is rare in North America, and affected people and animals typically have a history of travel to (in human cases) or importation from (in animal cases) endemic areas. We describe the gross and histopathologic features and the microbiologic, molecular, and immunohistochemical diagnoses of a case of acute meningoencephalomyelitis and focal pneumonia caused by B. pseudomallei infection in a pigtail macaque that was imported from Indonesia to the United States for research purposes. This bacterium has been classified as a Tier 1 overlap select agent and toxin; therefore, recognition of pathologic features, along with accurate and timely confirmatory diagnostic testing, in naturally infected research animals is imperative to protect animals and personnel in the laboratory animal setting.
Assuntos
Burkholderia pseudomallei/isolamento & purificação , Encefalomielite/veterinária , Macaca nemestrina , Melioidose/veterinária , Meningoencefalite/veterinária , Doenças dos Macacos/diagnóstico , Animais , Encéfalo/microbiologia , Encéfalo/patologia , Burkholderia pseudomallei/genética , Encefalomielite/microbiologia , Encefalomielite/patologia , Feminino , Imuno-Histoquímica/veterinária , Indonésia , Melioidose/diagnóstico , Melioidose/patologia , Meningoencefalite/microbiologia , Meningoencefalite/patologia , Doenças dos Macacos/microbiologia , Doenças dos Macacos/patologia , Reação em Cadeia da Polimerase/veterinária , Medula Espinal/microbiologia , Medula Espinal/patologia , Estados UnidosRESUMO
Cutaneous lymphoma is a common skin neoplasm of pet rabbits in Europe but is rarely reported in pet rabbits in North America. These neoplasms have not been previously characterized, nor has the cause for the apparent predilection for cutaneous lymphoma in European pet rabbits compared with North American pet rabbits been investigated. In this retrospective study, the authors morphologically and immunohistochemically characterized 25 cutaneous lymphomas in European pet rabbits according to the World Health Organization classification. Tumors were classified as diffuse large B cell lymphomas, with 14 lymphomas exhibiting a centroblastic/centrocytic subtype and 11 tumors exhibiting a T cell-rich B cell subtype. To investigate a potential viral etiology of these lymphomas, 3 diffuse large B cell and 3 T cell-rich B cell lymphomas were evaluated by polymerase chain reaction for retroviral and herpesviral genes. Neither virus was detected. In contrast to other domestic animals, cutaneous lymphomas in European pet rabbits were highly pleomorphic and frequently contained multinucleated giant cells. Unexpectedly, the second most common subtype was T cell-rich B cell lymphoma, a subtype that is rare in species other than horses. Based on a limited number of samples, there was no support for a viral etiology that would explain the higher incidence of lymphoma in European pet rabbits compared with American pet rabbits. Further investigation into genetic and extrinsic factors associated with the development of these tumors is warranted.
Assuntos
Linfoma de Células B/veterinária , Linfoma Difuso de Grandes Células B/veterinária , Linfoma Cutâneo de Células T/veterinária , Coelhos , Neoplasias Cutâneas/veterinária , Animais , Antígenos CD79/metabolismo , Europa (Continente) , Feminino , Imuno-Histoquímica/veterinária , Imunofenotipagem/veterinária , Linfoma de Células B/classificação , Linfoma de Células B/patologia , Linfoma Difuso de Grandes Células B/classificação , Linfoma Difuso de Grandes Células B/patologia , Linfoma Cutâneo de Células T/classificação , Linfoma Cutâneo de Células T/patologia , Masculino , Estudos Retrospectivos , Neoplasias Cutâneas/classificação , Neoplasias Cutâneas/patologiaAssuntos
Antagonistas de Receptores de Angiotensina/uso terapêutico , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Anti-Hipertensivos/uso terapêutico , Hipertensão/tratamento farmacológico , Anormalidades Induzidas por Medicamentos/etiologia , Injúria Renal Aguda/induzido quimicamente , Angioedema/induzido quimicamente , Antagonistas de Receptores de Angiotensina/farmacologia , Inibidores da Enzima Conversora de Angiotensina/farmacologia , Anti-Hipertensivos/farmacologia , Análise Custo-Benefício , Humanos , Hiperpotassemia/induzido quimicamente , Anamnese , Resultado do Tratamento , Urticária/induzido quimicamenteAssuntos
Ácidos Cafeicos/administração & dosagem , Rotulagem de Medicamentos/ética , Ácido Oleanólico/análogos & derivados , Pesquisa Biomédica , Antagonistas do Receptor de Endotelina A , Antebraço/irrigação sanguínea , Humanos , Consentimento Livre e Esclarecido , Ácido Oleanólico/administração & dosagem , Educação de Pacientes como AssuntoAssuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos , Carcinógenos , Humanos , Hipoglicemiantes/efeitos adversos , Insulina/efeitos adversos , Insulina/análogos & derivados , Metanálise como Assunto , Infarto do Miocárdio/induzido quimicamente , Medição de RiscoRESUMO
This article describes a newly recognized highly malignant neoplastic entity in young bearded dragons (Pogona vitticeps), gastric neuroendocrine carcinomas, which readily metastasize. Ten bearded dragons with histories of anorexia (8), vomiting (3), hyperglycemia (2), and anemia (3) were included in this study. All animals had neoplastic masses in their stomach, with metastasis to the liver. Microscopically, 6 of these neuroendocrine carcinomas were well-differentiated and 4 were poorly differentiated. For further characterization, immunohistochemistry for protein gene product 9.5, neuron-specific enolase, endorphin, chromogranins A and B, synaptophysin, somatostatin, insulin, glucagon, gastrin, pancreatic polypeptide, and vasoactive intestinal peptide was performed on 5 animals. Because only immunolabeling for somatostatin was consistently observed in all neoplasms, a diagnosis of somatostatinoma was made for these 5 bearded dragons. Some neoplasms also exhibited multihormonal expression. Electron microscopy performed on 1 tumor confirmed the presence of neuroendocrine granules within neoplastic cells. Gastric neuroendocrine carcinomas, and specifically somatostatinomas, have not been previously reported in bearded dragons, or other reptiles, and may be underdiagnosed due to inconsistent, ambiguous clinical signs. In humans, pancreatic somatostatinomas are associated with a syndrome of hypersomatostatinemia, which includes hyperglycemia, weight loss, and anemia, as observed in some of these bearded dragons. Somatostatinomas in humans are commonly associated with neurofibromatosis type 1 (Von Recklinghausen's disease), caused by a mutation in the tumor suppressor gene NF1, which results in decreased expression of neurofibromin. In all 5 animals examined, neoplasms exhibited decreased neurofibromin expression compared with control tissues, suggesting that decreased functional neurofibromin may play a role in the pathogenesis of somatostatinomas in bearded dragons.