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1.
Rev Peru Med Exp Salud Publica ; 40(3): 317-324, 2023.
Artículo en Español, Inglés | MEDLINE | ID: mdl-37991035

RESUMEN

OBJECTIVE.: To determine the in vitro antioxidant capacity of Corryocactus brevistylus and its effect on glycemia and the pancreas of alloxan-induced diabetic rats. MATERIALS AND METHODS.: The antioxidant capacity of the hydroethanolic extract of sanky (HEES) was evaluated by assessing its ability to reduce 2,2-diphenyl-1-picrylhydrazyl (DPPH) and ferric ion (FRAP). We used thirty adult rats, which were induced to diabetes with two doses of alloxan (80mg/kg). Rats were distributed into 5 groups (n=6), all groups received treatment by orogastric route for eight days. Group I received water, group II received metformin 14mg/kg and groups III, IV and V received sanky juice at 1.0; 4.0 and 16 mL/kg, respectively. Glycemia was evaluated by the rapid method (glucometer) (first and eighth day). After treatment, the animals were sacrificed and the pancreas was removed for histopathological study. RESULTS.: The antioxidant capacity of HEES by DPPH showed an IC50 of 0.77 mg/mL; the FRAP method showed a TEAC-FRAP of 22.31µg/mg. Glycemia decreased on the eighth day of treatment, with respect to the first day; a decrease in glycemia was also found in groups III-V, when compared to group I. Histologically, groups I-II presented severe atrophy and moderate necrosis of the islets of Langerhans; groups IV-V presented hypertrophy and mild multifocal necrosis at the islet level. CONCLUSIONS.: The extract of sanky showed antioxidant capacity in vitro and the juice exerts a hypoglycemic and protective effect on the pancreas.


OBJETIVO.: Determinar la capacidad antioxidante in vitro del Corryocactus brevistylus y su efecto sobre la glicemia y páncreas de ratas diabéticas inducidas con aloxano. MATERIALES Y MÉTODOS.: Se evaluó la capacidad antioxidante del extracto hidroetanólico de sanky (EHES) mediante la capacidad de reducir el 2,2-difenil-1-picrilhidracilo (DPPH) y la capacidad de reducir el ion férrico (FRAP). Se utilizaron 30 ratas adultas inducidas a diabetes con dos dosis de aloxano (80mg/kg), formándose cinco grupos (n=6), recibiendo los tratamientos vía orogástrica durante ocho días, el grupo I (agua), II (metformina 14mg/kg), grupos III-IV-V zumo de sanky a 1,0; 4,0 y 16 mL/kg, respectivamente. La glicemia fue evaluada por el método rápido (glucómetro) (primer y octavo día). Terminado el tratamiento los animales fueron sacrificados y se les extrajo el páncreas, para su estudio histopatológico. RESULTADOS.: La capacidad antioxidante del EHES mediante el DPPH, mostró un IC50 de 0,77 mg/mL, y por el método FRAP se observó el TEAC-FRAP de 22,31µg/mg. La glicemia disminuyó en el octavo día de tratamiento, respecto al primer día; también se observó disminución de la glicemia en los grupos III-V, respecto al grupo I. A nivel histológico los grupos I-II presentaron atrofia severa y necrosis moderada de los islotes de Langerhans; los grupos IV-V presentaron hipertrofia y necrosis leve multifocal a nivel del islote. CONCLUSIONES.: El extracto de sanky presenta capacidad antioxidante in vitro y el zumo ejerce un efecto hipoglicemiante y protector en páncreas.


Asunto(s)
Antioxidantes , Diabetes Mellitus Experimental , Ratas , Animales , Antioxidantes/farmacología , Aloxano/farmacología , Aloxano/uso terapéutico , Diabetes Mellitus Experimental/tratamiento farmacológico , Glucemia , Páncreas/patología , Hipoglucemiantes/farmacología , Hipoglucemiantes/uso terapéutico , Extractos Vegetales/farmacología , Extractos Vegetales/uso terapéutico , Necrosis/tratamiento farmacológico , Necrosis/patología
2.
Top Companion Anim Med ; 53-54: 100777, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37030618

RESUMEN

Functional pheochromocytomas secrete catecholamines and have been associated with cardiovascular lesions in dogs. This study aimed to describe the postmortem pathological findings in the cardiovascular system of dogs with pheochromocytoma and to evaluate the expression of cardiac troponin C in these dogs using immunohistochemical analysis. Twelve cases were identified, with a mean age of 10.6 years. The heart of all dogs was enlarged and with concentric hypertrophy of the left ventricular myocardium. Histological analysis showed cardiomyocyte necrosis and degeneration in the myocardium, with frequent bands of contraction, fibrosis, inflammation, and thickening of the medium-caliber arteries in the myocardium. There was a marked decrease or absence of immunolabeling in necrotic cardiomyocytes. We conclude that IHC for troponin C can be a useful tool for detecting myocardial necrosis in dogs with pheochromocytomas, including early cases of necrosis with only incipient cardiac changes where overt histologic abnormalities are not immediately apparent in the cardiomyocytes.


Asunto(s)
Neoplasias de las Glándulas Suprarrenales , Enfermedades de los Perros , Necrosis , Feocromocitoma , Perros , Animales , Feocromocitoma/veterinaria , Feocromocitoma/complicaciones , Feocromocitoma/metabolismo , Troponina C/metabolismo , Miocardio/metabolismo , Miocardio/patología , Neoplasias de las Glándulas Suprarrenales/veterinaria , Neoplasias de las Glándulas Suprarrenales/complicaciones , Neoplasias de las Glándulas Suprarrenales/metabolismo , Necrosis/complicaciones , Necrosis/metabolismo , Necrosis/patología , Necrosis/veterinaria , Enfermedades de los Perros/patología
3.
J Vet Dent ; 40(3): 227-235, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-36814404

RESUMEN

Microscopic alterations in the dental pulp of dogs have not been extensively studied. The aim of this study was to investigate microscopic alterations of the dental pulp in dogs' teeth. One hundred and ten surgically extracted teeth (20 incisors, 23 canines, 28 premolars, and 39 molars) from 74 dogs, of different ages, with a history of chronic periodontitis (66 dogs), periapical abscesses (2 dogs), pulpitis (2 dogs), oral cavity neoplasms (2 dogs), dens invaginatus (1 dog), and dental fractures (1 dog) were included. Eight-one maxillary and 29 mandibular teeth were included. Coronal, radicular, and coronal plus radicular calculus were present in 28.2%, 17.3%, and 54.5% of the teeth, respectively. In total 78 teeth (71%) had pulp alterations, including fibrosis (26%), calcification (14%), necrosis associated with the absence of odontoblasts (14%), presence of predentin and dentin inside the cavity (8%), odontoblastic hyperplasia (3%), pigmentation (3%), pulpitis (2%), and pulp stones (1%). Forty-nine (60.5%) of the maxillary teeth and all of the mandibular teeth had pulp alterations. The premolars were most affected, and the molars least affected, by pulp alterations. Pulp fibrosis, calcification, and necrosis were observed in teeth irrespective of the distribution of dental calculus.


Asunto(s)
Caries Dental , Enfermedades de los Perros , Pulpitis , Perros , Animales , Pulpa Dental , Pulpitis/patología , Pulpitis/veterinaria , Necrosis/patología , Necrosis/veterinaria , Caries Dental/patología , Caries Dental/veterinaria , Fibrosis , Enfermedades de los Perros/cirugía , Enfermedades de los Perros/patología
4.
Acta Cir Bras ; 37(11): e371103, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36629530

RESUMEN

PURPOSE: To evaluate macro/microscopic viability of the upper pole (UP) in rats after 80 days of subtotal splenectomy preserving the upper pole (SSPUP). METHODS: Twenty-five male Wistar rats were submitted to SSPUP. After 80 days, the rats were euthanized, and the remaining UP was evaluated macroscopically regarding appearance, color, consistency, length, width, thickness, and presence of fibrosis/necrosis; and microscopically regarding presence of red and white pulp, fibrosis/necrosis. RESULTS: Two rats died during surgery and were removed from the statistical analysis. There was statistically significant increase in length and width between the pre and postoperative in the experimental group, with no significant difference in thickness. In the manipulation group, the macroscopic appearance of the spleen was normal in pre and postoperative, with viability preserved. In the experimental group, two UP of the spleen were not found during the second surgery. Macroscopically, it was observed absence of fibrosis and necrosis in all cases. Microscopically, the white and red pulp were intact in both groups. Two spleens of rats in the manipulation group presented areas with fibrosis and necrosis focus, which were not enough to be considered inviable. CONCLUSIONS: The UP of the spleen remained viable in 91.3% of the cases.


Asunto(s)
Bazo , Esplenectomía , Ratas , Masculino , Animales , Ratas Wistar , Bazo/cirugía , Bazo/patología , Fibrosis , Necrosis/patología
5.
Clin Rheumatol ; 41(11): 3411-3417, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35821168

RESUMEN

INTRODUCTION/OBJECTIVES: This study aimed to analyze the presence, grade, and relevance of myofiber necrosis in the muscle tissues of patients with adult dermatomyositis. Second, these parameters were associated with the patients' demographic, clinical, and laboratory data. METHOD: This was a retrospective study, from 2001 to 2021, which included 89 muscle biopsies of patients with definite dermatomyositis performed at the time of diagnostic investigation. Immunohistochemical analysis was performed on serially frozen muscle sections. The presence and degree of endomysial/perifascicular myofiber necrosis were also analyzed. The degree of necrosis was semi-quantitatively coded as absent/mild, moderate, or severe. The presence or absence of perifascicular atrophy and also perivascular lymphomononuclear infiltration was also evaluated. RESULTS: Muscle biopsies from 89 patients, the majority of whom were Caucasian women, were evaluated. Both perifascicular atrophy and perivascular lymphomononuclear infiltrates were observed in 76 (85.4%) samples. Moderate or intense areas of myofiber necrosis in endomysial/perifascicular areas were found in 30/89 (33.7%) and 14/89 (15.7%) muscle biopsies, respectively, with a predominance of macrophagic infiltrate in relation to lymphomononuclear cells in these regions. The degree of muscle weakness in the limbs (upper and lower) was associated only with areas of intense myofiber necrosis. CONCLUSIONS: A high prevalence of myofiber necrosis was observed, which patients resembled the initial clinical feature of patients with immune-mediated necrotizing myopathies. Key Point • A high prevalence of myofiber necrosis was observed in muscle biopsies of patients with dermatomyositis.


Asunto(s)
Dermatomiositis , Miositis , Adulto , Atrofia/patología , Biopsia , Dermatomiositis/diagnóstico , Femenino , Humanos , Músculo Esquelético/patología , Miositis/diagnóstico , Necrosis/patología , Prevalencia , Estudios Retrospectivos
6.
Vet Res Commun ; 46(4): 1319-1324, 2022 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-35854050

RESUMEN

Generalized and fatal felid alphaherpesvirus-1 (FeHV-1) natural infection with liver involvement is rarely reported in cats, and the occurrence of herpesvirus viraemia with internal organ histologic lesions in adult cats is unknown. A 1.5-year-old cat, female, mixed breed, positive for feline leukaemia virus (FeLV) presented in a veterinary teaching hospital with sneezing, nasal discharge, anorexia, and diarrhoea after two weeks, evolving to inspiratory dyspnoea. Complete blood count and serum biochemistry analysis showed marked leukopenia and thrombocytopenia. After clinical worsening and lack of treatment response, the cat was euthanized. Pathological findings included hepatic necrosis, fibrinonecrotic tracheitis, and bronchointerstitial pneumonia. Marked amounts of coccobacillary bacteria were observed covering the necrotic tracheal and bronchial mucosa, at the cytoplasm of alveolar macrophages, and free in alveoli lumen, mimicking a primary bacterial tracheitis and pneumonia. Both lung and tracheal bacteria exhibited marked immunolabeling in anti-Escherichia coli immunohistochemistry. In addition, rare epithelial cells of bronchi contained round, eosinophilic, intranuclear viral inclusion bodies (4-7 µm) that marginate the chromatin, characteristic of FeHV-1 infection. Strong multifocal anti-FeHV-1 immunolabeling was observed in necrotic epithelial cells of the liver, trachea, and lungs. Generalized herpesvirus infection with the occurrence of acute hepatic necrosis and severe respiratory illness is a potential differential diagnosis in FeLV-positive cats with respiratory signs. The immunodepression in these cats probably favours a FeHV-1 viraemia in addition to the development of opportunistic bacterial infections, such as Escherichia coli, and it is associated with a poor outcome.


Asunto(s)
Enfermedades de los Gatos , Traqueítis , Gatos , Femenino , Animales , Virus de la Leucemia Felina , Traqueítis/patología , Traqueítis/veterinaria , Viremia/veterinaria , Viremia/patología , Hospitales Veterinarios , Hospitales de Enseñanza , Necrosis/patología , Necrosis/veterinaria , Hígado/patología
7.
Neuromuscul Disord ; 32(5): 441-444, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35487868

RESUMEN

Mitochondrial dysfunction is a plausible cause of muscle fibre damage in a number of myopathies including immune-mediated necrotising myopathy. However, histopathological evidence of mitochondrial dysfunction is not often described in immune-mediated necrotising myopathy and, when present, it is often attributed to patient age. The purpose of this study was to describe features of mitochondrial dysfunction on muscle biopsy in anti-3­hydroxy-3-methylglutaryl-CoA reductase immune-mediated necrotising myopathy and explore whether these features are age-related. In this observational case control study, a statistically significant increase in the number of muscle fibres with increased lipid content (p = 0.004) and cytochrome c oxidase-negative/succinate dehydrogenase-positive fibres (p = 0.037) in anti-3­hydroxy-3-methylglutaryl-coenzyme immune-mediated necrotising myopathy was found compared to age-matched controls. Therefore, histopathological features of mitochondrial dysfunction are more frequent in anti-3­hydroxy-3-methylglutaryl-coenzyme immune-mediated necrotising myopathy than aged-matched controls and therefore, may be contributing to the pathogenesis.


Asunto(s)
Enfermedades Autoinmunes , Inhibidores de Hidroximetilglutaril-CoA Reductasas , Enfermedades Musculares , Miositis , Autoanticuerpos , Enfermedades Autoinmunes/patología , Estudios de Casos y Controles , Coenzimas , Humanos , Hidroximetilglutaril-CoA Reductasas , Mitocondrias/patología , Músculo Esquelético/patología , Enfermedades Musculares/patología , Miositis/patología , Necrosis/patología
8.
J Zoo Wildl Med ; 52(2): 853-857, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-34130436

RESUMEN

Cardiac disease is of importance in captive chimpanzee (Pan troglodytes) health. Here we report an eosinophilic and necrotizing myocarditis in a 17-y-old chimpanzee with no previous history of cardiac disease that progressed to death within 48 h. Toxic and infectious causes were ruled out. The chimpanzee had eosinophilia at different occasions in previous years. The animal had a severe, diffuse, and acute monophasic necrotizing myocarditis, with a moderate lymphoplasmacytic infiltrate that was rich in eosinophils. Ante- and postmortem investigations are compatible with an unusual eosinophilic myocarditis with clinical evolution and morphology comparable with human eosinophilic myocarditis secondary to hypereosinophilic syndrome.


Asunto(s)
Enfermedades del Simio Antropoideo/patología , Eosinofilia/veterinaria , Miocarditis/veterinaria , Miocardio/patología , Pan troglodytes , Animales , Eosinofilia/patología , Resultado Fatal , Masculino , Miocarditis/patología , Necrosis/patología , Necrosis/veterinaria
9.
Sci Rep ; 11(1): 9828, 2021 05 10.
Artículo en Inglés | MEDLINE | ID: mdl-33972618

RESUMEN

The Southwestern Atlantic rocky reef ecosystems are undergoing significant changes due to sun-corals (Tubastraea tagusensis and T. coccinea) invasion. At Búzios Island, on the northern coast of São Paulo State, where the abundance of T. tagusensis is particularly high, some colonies are displaying tissue necrosis, a phenomenon never reported for this invasive nor any other azooxanthellate coral species. Using next-generation sequencing, we sought to understand the relationship between T. tagusensis tissue necrosis and its microbiota. Thus, through amplicon sequencing, we studied both healthy and diseased coral colonies. Results indicate a wide variety of bacteria associated with healthy colonies and an even higher diversity associated with those corals presenting tissue necrosis, which displayed nearly 25% more microorganisms. Also, as the microbial community associated with the seven healthy colonies did not alter composition significantly, it was possible to verify the microbial succession during different stages of tissue necrosis (i.e., initial, intermediate, and advanced). Comparing the microbiome from healthy corals to those in early tissue necrosis suggests 21 potential pathogens, which might act as the promoters of such disease.


Asunto(s)
Antozoos/microbiología , Especies Introducidas , Microbiota , Animales , Océano Atlántico , Brasil , Secuenciación de Nucleótidos de Alto Rendimiento , Necrosis/microbiología , Necrosis/patología , Necrosis/veterinaria
10.
Surv Ophthalmol ; 66(4): 594-611, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33422510

RESUMEN

The onset of scleral necrosis after ocular surgery may have catastrophic ocular and systemic consequences. The two most frequent surgeries causing surgically-induced scleral necrosis (SISN) are pterygium excision and cataract extraction. Several pathogenic mechanisms are involved in surgically induced scleral necrosis. All of them are poorly understood. Ocular trauma increasing lytic action of collagenases with subsequent collagen degradation, vascular disruption leading to local ischemia, and immune complex deposition activating the complement system represents some of the events that lead to scleral necrosis. The complex cascade of events involving different pathogenic mechanisms and the patient's abnormal immune response frequently leads to delayed wound healing that predisposes the development of scleral necrosis. The management of SISN ranges from short-term systemic anti-inflammatory drugs to aggressive immunosuppressive therapy and surgical repair. Therefore, before performing any ocular surgery involving the sclera, a thorough ophthalmic and systemic evaluation must be done to identify high-risk patients that may develop SISN.


Asunto(s)
Pterigion , Escleritis , Humanos , Necrosis/complicaciones , Necrosis/patología , Esclerótica/cirugía , Escleritis/tratamiento farmacológico , Escleritis/etiología , Escleritis/patología , Trasplante Autólogo/efectos adversos
12.
BMJ Case Rep ; 13(10)2020 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-33033004

RESUMEN

Subacute symmetrical proximal muscle weakness and persistent elevated creatine kinase levels are typical of immune-mediated necrotising myopathy (IMNM). These conditions are accompanied by copious myofibre necrosis, degeneration and regeneration with minimal to no inflammation on muscle biopsy. We report two cases (case 1 and case 2) of asymptomatic IMNM from different families with hyperCKaemia associated with positive anti-signal recognition particle (SRP) and anti-3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGCR) antibodies, respectively, and we also reviewed the literature. There are only a few previous descriptions of patients with asymptomatic IMNM.The disease onset could be insidious and lead to delayed diagnosis and treatment. We recommend testing for the anti-HMGCR and anti-SRP antibodies in patients with idiopathic hyperCKaemia because they could show no symptoms of this disorder.


Asunto(s)
Autoanticuerpos/sangre , Creatina Quinasa/sangre , Hidroximetilglutaril-CoA Reductasas/inmunología , Inmunoglobulinas Intravenosas/administración & dosificación , Miositis , Partícula de Reconocimiento de Señal/inmunología , Enfermedades Asintomáticas , Biopsia/métodos , Femenino , Humanos , Factores Inmunológicos/administración & dosificación , Masculino , Persona de Mediana Edad , Debilidad Muscular/diagnóstico , Debilidad Muscular/etiología , Músculo Esquelético/patología , Miositis/diagnóstico , Miositis/inmunología , Miositis/fisiopatología , Necrosis/patología , Resultado del Tratamiento
13.
Presse Med ; 49(3): 104039, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32650042

RESUMEN

Lung involvement is one of the most common clinical features in ANCA-associated vasculitides (AAV), including granulomatosis with polyangiitis (GPA), microscopic polyangiitis (MPA), and eosinophilic granulomatosis with polyangiitis (EGPA). In this review, we detail the five main presentations of pulmonary involvement in AAV: necrotizing granulomatous inflammation, tracheobronchial inflammation, pulmonary capillaritis, interstitial lung disease (ILD) and asthma with their clinical, radiological and therapeutic characteristics. The prevalence of these manifestations is variable according to the subtype of AAV, necrotizing granulomatous inflammation and tracheobronchial inflammation being defining features of GPA whereas ILD is primarily seen in patients with MPA, especially in association with ANCA directed against myeloperoxydase (MPO-ANCA), and asthma is characteristic of EGPA. Despite recent progresses in the diagnosis and management of these conditions, several questions remain and are discussed here, including local treatments for subglottic stenosis, the uncertain efficacy of plasma exchanges for alveolar hemorrhage, the potential role of antifibrotic agents in ILD associated with MPA, and the use of novel anti-IL-5 strategies in EGPA.


Asunto(s)
Vasculitis Asociada a Anticuerpos Citoplasmáticos Antineutrófilos/complicaciones , Enfermedades Pulmonares Intersticiales/etiología , Vasculitis Asociada a Anticuerpos Citoplasmáticos Antineutrófilos/patología , Vasculitis Asociada a Anticuerpos Citoplasmáticos Antineutrófilos/terapia , Asma/etiología , Asma/patología , Asma/terapia , Síndrome de Churg-Strauss/complicaciones , Síndrome de Churg-Strauss/patología , Síndrome de Churg-Strauss/terapia , Granuloma/etiología , Granuloma/patología , Granuloma/terapia , Granulomatosis con Poliangitis/complicaciones , Granulomatosis con Poliangitis/patología , Granulomatosis con Poliangitis/terapia , Humanos , Inflamación/etiología , Inflamación/patología , Inflamación/terapia , Enfermedades Pulmonares Intersticiales/patología , Enfermedades Pulmonares Intersticiales/terapia , Poliangitis Microscópica/complicaciones , Poliangitis Microscópica/patología , Poliangitis Microscópica/terapia , Necrosis/etiología , Necrosis/patología , Necrosis/terapia
14.
Acta Cir Bras ; 35(2): e202000205, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32428061

RESUMEN

Purpose To investigate the effects of induction of selective liver hypothermia in a rodent model. Methods Seven male Wistar rats were subjected to 90 minutes of partial 70% liver ischemia and topic liver 26°C hypothermia (H group). Other seven male Wistar rats were subjected to 90 minutes of partial 70% normothermic liver ischemia (N group). Five additional rats underwent a midline incision and section of liver ligaments under normothermic conditions and without any liver ischemia (sham group). All animals were sacrificed 24-h after reperfusion, and livers were sampled for analyses. Pathology sections were scored for sinusoidal congestion, ballooning, hepatocelllular necrosis and the presence of neutrophilic infiltrates. Results At the end of the experiment, liver tissue expressions of TNF-ɑ, IL-1ß, iNOS and TNF-ɑ/IL-10 ratio were significantly reduced in the H group compared to N group, whereas IL-10 and eNOS were significantly increased in H group. Histopathological injury scores revealed a significant decrease in ischemia/reperfusion (I/R) injuries in H group. Conclusion Selective liver hypothermia prevented I/R injury by inhibiting the release of inflammatory cytokines, preserves microcirculation, prevents hepatocellular necrosis and leukocyte infiltration, allowing maintenance of the liver architecture.


Asunto(s)
Lesión Pulmonar Aguda/prevención & control , Hipotermia Inducida/métodos , Hígado/irrigación sanguínea , Daño por Reperfusión/prevención & control , Lesión Pulmonar Aguda/patología , Animales , Temperatura Corporal , Citocinas/metabolismo , Modelos Animales de Enfermedad , Mediadores de Inflamación/metabolismo , Isquemia/patología , Hígado/patología , Masculino , Necrosis/patología , Óxido Nítrico/metabolismo , Óxido Nítrico Sintasa/metabolismo , Ratas , Ratas Wistar , Daño por Reperfusión/metabolismo , Daño por Reperfusión/patología , Factor de Necrosis Tumoral alfa
15.
Wilderness Environ Med ; 31(3): 317-323, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32456876

RESUMEN

Snakebites are a neglected and underestimated global health hazard. In the Brazilian Amazon, Bothrops snakebites are the most prevalent and may lead to severe complications. Here we describe a severe case of Bothrops atrox snakebite that, owing to delayed medical assistance, presented with renal and respiratory failure, compartment syndrome, and tissue necrosis. After several fasciotomy surgeries, the patient survived; however, he showed significant functional disability. Prompt management of snake envenomation would aid in the early diagnosis of local and systemic complications and, consequently, would result in a better functional outcome with improved quality of life.


Asunto(s)
Bothrops , Síndromes Compartimentales/fisiopatología , Necrosis/patología , Calidad de Vida , Mordeduras de Serpientes/complicaciones , Adulto , Animales , Brasil , Síndromes Compartimentales/etiología , Cuidados Críticos , Fasciotomía , Humanos , Masculino , Necrosis/etiología , Necrosis/cirugía , Trasplante de Tejidos
16.
An Acad Bras Cienc ; 92(1): e20181120, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32321020

RESUMEN

the focus ofthis study was to testthe hypothesisthatthere would be no difference betweenthe biocompatibility of silicon dioxide nanofilms used as antimicrobial agents. Sixty male Wistar rats were divided into 4 groups (n=15): Group C (Control,Polyethylene), Group AR (Acrylic Resin), Group NP (Acrylic Resin coated with NP-Liquid), Group BG (Acrylic Resin coated with Bacterlon).the animals were sacrificed with 7,15 and 30 days and tissues analyzed as regardsthe events of inflammatory infiltrate, edema, necrosis, granulation tissue, mutinucleated giant cells, fibroblasts and collagen. Kruskal-Wallis and Dunn tests was used (P<0.05). Intense inflammatory infiltrate was shown mainly in Groups BG and AR, with significant difference from Control Group inthe time interval of 7days (P=0.004). Necrosis demonstrated significant difference between Group BG and Control Group (P<0.05) inthe time intervals of 7 days. For collagen fibers,there was significant difference betweenthe Control Group and Groups AR and BG inthe time interval of 7 days (P=0.006), and between BG and Control Groups inthe time intervals of 15 days (P=0.010).the hypothesis was rejected. Bacterlon demonstratedthe lowest level, and NP-Liquid Glassthe highest level of tissue compatibility, and best cell repair.the coating with NP-Liquid Glass was demonstrated to be highly promising for clinical use.


Asunto(s)
Resinas Acrílicas/farmacología , Materiales Biocompatibles/farmacología , Edema/inducido químicamente , Necrosis/inducido químicamente , Dióxido de Silicio/farmacología , Tejido Subcutáneo/patología , Resinas Acrílicas/química , Animales , Materiales Biocompatibles/química , Edema/patología , Masculino , Ensayo de Materiales , Modelos Animales , Necrosis/patología , Ratas , Ratas Wistar , Dióxido de Silicio/química , Tejido Subcutáneo/efectos de los fármacos
17.
Parasitol Int ; 76: 102098, 2020 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32120051

RESUMEN

Sarcocistys -associated menigoencephalitis is virtually an unrecognized cause of neurological disease in chickens. An undescribed species of Sarcocystis cause fatal infection in two backyard chickens in the Midwest of Brazil. Infected chickens presented anorexia, weight loss, incoordination, ataxia and opisthotonos. Yellow necrotic foci in the gray and white matter of the telencephalon were the main gross lesion. Microscopically, necrotizing granulomatous and heterophilic meningoencephalitis with intralesional Sarcocystis -like schizonts and mezoites were observed in the central nervous system. Molecular analysis of frozen brain samples of the two chickens was identical and the protozoan was named Sarcocystis sp. Chicken-2016-DF-BR. Complete nested PCR- sequence of Sarcocystis sp. Chicken-2016-DF-BR was equally similar to Sarcocystis anasi (EU553477) and Sarcocystis albifronsi (EU502868). This is the first report of Sarcocistys -associated meningoencephalitis with molecular characterization in backyard chickens.


Asunto(s)
Pollos , Meningoencefalitis/veterinaria , Enfermedades de las Aves de Corral/diagnóstico , Sarcocystis/clasificación , Animales , Encéfalo/parasitología , Encéfalo/patología , Brasil , Femenino , Masculino , Meningoencefalitis/diagnóstico , Meningoencefalitis/parasitología , Meningoencefalitis/patología , Necrosis/diagnóstico , Necrosis/parasitología , Necrosis/patología , Necrosis/veterinaria , Reacción en Cadena de la Polimerasa/veterinaria , Enfermedades de las Aves de Corral/parasitología , Enfermedades de las Aves de Corral/patología , Sarcocystis/fisiología
18.
Acta cir. bras ; Acta cir. bras;35(2): e202000205, 2020. graf
Artículo en Inglés | LILACS | ID: biblio-1130618

RESUMEN

Purpose To investigate the effects of induction of selective liver hypothermia in a rodent model. Methods Seven male Wistar rats were subjected to 90 minutes of partial 70% liver ischemia and topic liver 26°C hypothermia (H group). Other seven male Wistar rats were subjected to 90 minutes of partial 70% normothermic liver ischemia (N group). Five additional rats underwent a midline incision and section of liver ligaments under normothermic conditions and without any liver ischemia (sham group). All animals were sacrificed 24-h after reperfusion, and livers were sampled for analyses. Pathology sections were scored for sinusoidal congestion, ballooning, hepatocelllular necrosis and the presence of neutrophilic infiltrates. Results At the end of the experiment, liver tissue expressions of TNF-ɑ, IL-1β, iNOS and TNF-ɑ/IL-10 ratio were significantly reduced in the H group compared to N group, whereas IL-10 and eNOS were significantly increased in H group. Histopathological injury scores revealed a significant decrease in ischemia/reperfusion (I/R) injuries in H group. Conclusion Selective liver hypothermia prevented I/R injury by inhibiting the release of inflammatory cytokines, preserves microcirculation, prevents hepatocellular necrosis and leukocyte infiltration, allowing maintenance of the liver architecture.


Asunto(s)
Animales , Masculino , Ratas , Daño por Reperfusión/prevención & control , Lesión Pulmonar Aguda/prevención & control , Hipotermia Inducida/métodos , Hígado/irrigación sanguínea , Temperatura Corporal , Daño por Reperfusión/metabolismo , Daño por Reperfusión/patología , Citocinas/metabolismo , Factor de Necrosis Tumoral alfa , Ratas Wistar , Mediadores de Inflamación/metabolismo , Óxido Nítrico Sintasa/metabolismo , Modelos Animales de Enfermedad , Lesión Pulmonar Aguda/patología , Isquemia/patología , Hígado/patología , Necrosis/patología , Óxido Nítrico/metabolismo
19.
BMJ Case Rep ; 12(6)2019 Jun 18.
Artículo en Inglés | MEDLINE | ID: mdl-31217212

RESUMEN

Uterine torsion is an uncommon entity that is defined as a rotation of greater than 45° around the longitudinal axis of the uterus. Although cases of uterine torsion among pregnant patients have been mentioned in the literature, torsion of a non-gravid uterus is a rare occurrence. A 73-year-old nulliparous woman with a known fibroid uterus underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy with frozen section of a 17-18 cm pelvic mass seen on CT imaging. The source of the pelvic mass was unclear on imaging, and benign and malignant possibilities were discussed. During the procedure, necrosis of the uterine fundus and bilateral adnexa were seen due to the fundus being torsed with the uterine fibroid being the pivot point. Uterine torsion, though rare, can be the cause of acute pelvic pain in a postmenopausal woman.


Asunto(s)
Dolor Abdominal/diagnóstico por imagen , Enfermedades de los Anexos/diagnóstico por imagen , Leiomioma/patología , Necrosis/diagnóstico por imagen , Anomalía Torsional/diagnóstico por imagen , Ultrasonografía , Enfermedades Uterinas/diagnóstico por imagen , Dolor Abdominal/cirugía , Enfermedades de los Anexos/patología , Enfermedades de los Anexos/cirugía , Anciano , Femenino , Secciones por Congelación , Humanos , Histerectomía , Necrosis/patología , Necrosis/cirugía , Posmenopausia , Salpingooforectomía , Anomalía Torsional/patología , Anomalía Torsional/cirugía , Resultado del Tratamiento , Enfermedades Uterinas/patología , Enfermedades Uterinas/cirugía
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