Pitiose cutânea em bovinos na região Sul do Rio Grande do Sul

Descreve-se a ocorrência de pitiose cutânea em bovinos de corte na região sul do Rio Grande do Sul. Os animais foram introduzidos em área alagada e desenvolveram lesões cutâneas ulcerativas e úmidas, de tamanhos variados, localizadas na região distal dos membros e no chanfro nasal. Histologicamente, as lesões eram caracterizadas por múltiplos granulomas com hifas intralesionais, melhor observadas pela coloração de metenamina nitrato de prata de Gomori, e circundadas por abundante tecido conjuntivo fibroso. O diagnóstico foi realizado com base na epidemiologia, lesões macroscópicas e histológicas e pela reação imuno-histoquímica positiva com anticorpo policlonal anti-Pythium insidiosum. A morbidade foi de 23,8% e os animais adoeceram 15-90 dias após a introdução na área alagada. Em todos os casos as lesões evoluíram para a cura sem tratamento. Sugere-se que a doença possa ser mais frequente em bovinos do que se supõe, principalmente em áreas alagadas da região Sul do Rio Grande do Sul.

Pitiose em animais de produção no Pantanal Matogrossense

Realizou-se, em quatro propriedades rurais no Pantanal Matogrossense, em 2009 e 2010, um estudo clínico e epidemiológico da pitiose em bovinos e equinos. A enfermidade ocorreu predominantemente entre os meses de novembro e março, correspondendo ao período chuvoso na região. A incidência média anual foi de 0,22% e 12,5% em bovinos e equinos, respectivamente. Nos bovinos, a distribuição dos casos ocorreu no ápice das cheias e restringiu-se a novilhas de 6 a 18 meses de idade, nas quais as lesões cutâneas estiveram associadas com edemas perilesionais discretos e claudicações, mas curaram espontaneamente, em um período máximo de 90 dias. Nos equinos, a pitiose acometeu animais de ambos os sexos, de três a oito anos de idade e registrou-se um caso de reinfecção. A doença evoluiu com agravos no sítio lesional, com desenvolvimento de extenso tecido de granulação, kunkersem permeio à lesão, acentuada caquexia e mortes, as quais ocorreram entre três e sete meses após o início dos sinais. A mortalidade média foi 5,88% e a letalidade 45,45%. A confirmação do diagnóstico incluiu ELISA-teste, PCR, histopatologia (HE e Grocott) e isolamento de P. insidiosum. Na área endêmica estudada, a enfermidade não causou impacto econômico em bovinos, a despeito da evolução insatisfatória registrada na maioria dos equinos. Nesse estudo, a incidência de pitiose em equinos foi 57,23 vezes a observada em bovinos, com significância estatística. Apesar das mesmas condições ambientais, tal diferença foi provavelmente associada com susceptibilidade, comportamento e manejo das espécies nos campos alagados.

Epidemiologia da pitiose equina na Região Sul do Rio Grande do Sul

Foi realizado um levantamento dos casos de pitiose equina recebidos no Laboratório Regional de Diagnóstico da Faculdade de Veterinária da Universidade Federal de Pelotas, no período de janeiro de 1979 a julho de 2011, com o objetivo de determinar as condições epidemiológicas em que a doença ocorre na região sul do Rio Grande do Sul. Nesse período foram recebidos 1888 materiais de equinos, dos quais, 435 eram provenientes do sistema tegumentar e 63 (14,5%) corresponderam à pitiose. Os animais afetados eram de ambos os sexos com idades variando entre oito meses e 22 anos. A raça mais frequentemente afetada foi a Crioula. A maioria dos casos de pitiose foi encaminhada ao laboratório entre março e junho. A evolução das lesões de pitiose variou de duas semanas até um ano. Os municípios com maior número de casos de pitiose foram Pelotas (22/63) Santa Vitória do Palmar (15/63) e Rio Grande (8/63). Foi observado que na maioria dos casos, no mês provável de infecção a temperatura máxima foi superior ou próxima a 30°C em pelo menos um dia. A observação de casos em épocas mais frias do ano pode ser devido ao fato da temperatura de águas estagnadas ser mais elevada que a temperatura ambiental o que permite o desenvolvimento das estruturas infectantes de Pythium insidiosum.

Pythiosis in sheep from Paraná, southern Brazil

Abstract: This paper reports pythiosis in a sheep from southwestern Paraná, Brazil, confirmed by indirect ELISA (Enzime-Linked Immunosorbent Assay) and immunohistochemistry, as well as it describes the macro and microscopic injuries, in order to understand the pathogenicity. A 4-year-old ewe from a flock of 30 Santa Inês sheep, raised semi-extensively with access to a weir, showed cachexia, bilateral enlargement in nasal region, a serous and bloody secretion with a fetid odor from its nose and swollen submandibular and retropharyngeal lymph nodes. Blood collection was performed trough jugular vein puncture in order to make complete blood cell count (CBC) and to obtain serum for the subsequent serological examination. As the hematological counts were within the normal range for sheep, the animal was euthanized and submitted to necropsy. Indirect ELISA resulted positive for pythiosis. Necropsy revealed necrosis of the hard palate with a diameter of 3.5cm and extending up to the nasal cavity, forming a fistula. Submandibular and retropharyngeal lymph nodes were enlarged and edematous on section. Microscopic findings for submandibular and retropharyngeal lymph nodes consisted in moderate infiltration of eosinophils mainly in the subcapsular sinus, characterizing reactive eosinophilic lymphadenitis. The nasal cavity revealed rhinitis and oral cavity stomatitis with necro-eosinophilic and pronounced multifocal granulomatous infiltration and presence of hyphae. Hyphae found in palate and nasal cavity were positive for Pythium insidiosum by Grocott's method and immunohistochemistry, the last one considered to be confirmatory for the pathogen diagnostic. This report has an important epidemiological aspect, as it is the first case of pythiosis in sheep confirmed by serology in South Brazil and an alert of possible infection by the pathogen in floodplains.

Doenças da cavidade nasal em pequenos ruminantes no Distrito Federal e no Estado de Goiás

Resumo As enfermidades que acometem a cavidade nasal de pequenos ruminantes podem causar prejuízos aos rebanhos de ovinos e caprinos na região central do Brasil. Foi realizado estudo retrospectivo dos laudos de necropsia do Laboratório de Patologia Veterinária da Universidade de Brasília (LPV-UnB) nos anos de 2003 a 2014 para verificar a ocorrência das doenças que acometeram a cavidade nasal de pequenos ruminantes. Foram analisados 463 protocolos de ovinos e 75 de caprinos totalizando 538 casos. Seis ovinos (6/463 1,29%) foram necropsiados com rinite granulomatosa micótica ou oomicótica e 22 animais do estudo (22/538; 4,08%) tiveram o diagnóstico de oestrose, sendo 86,36% ovinos e 13,64% caprinos. As rinites piogranulomatosas em ovinos ocorreram em áreas alagadas, com abundante material vegetal em decomposição. Os ovinos com pitiose rinofacial apresentaram como principais alterações aumento de volume na região nasal devido a extensas lesões granulomatosas associadas a necrose tecidual, caracterizadas por inúmeros macrófagos e polimorfonucleares circundando centros necróticos contendo o agente envolto por reação de Splendore-Hoeppli. Os ovinos com conidiobolomicose exibiram extensas áreas de necrose e inflamação piogranulomatosa, associadas à presença de hifas fúngicas na nasofaringe e também na região peribulbar e exoftalmia. A maioria dos animais com oestrose não apresentou alterações clínico-patológicas significativas, apesar de serem encontradas larvas principalmente nos seios e conchas nasais, traqueia e seio paranasal. A importância dessas enfermidades ainda é pouco conhecida na região, sendo de grande relevância que as condições clínico-patológicas e epidemiológicas sejam elucidadas para o diagnóstico, o controle e a prevenção, para evitar a expansão e prejuízos para os rebanhos.

Pitiose cutânea equina de localização atípica tratada topicamente com solução de anfotericina B e DMSO

Background: Cutaneous lesions by Pythium insidiosum infection are commonly observed in horses, especially in those living at flooded environments. Equine pythiosis is characterized by the development of tumoral masses that are frequently located at distal limbs, ventral abdomen, thorax, breast and face. The lesions are usually granulomatous, serosanguineous and ulcerated, most often destroyed by self-mutilation due to the intense pruritus. The proposed treatment includes surgical excision followed by antifungal drugs administration, which can be done systemically or topically. Amphotericin B and dimethyl sulfoxide (DMSO) in association has been successfully used for cutaneous pythiosis topical treatment due to the DMSO property to carry any substance through plasmatic membranes.Case: The present report concerns a 12-year-old mixed breed gelding presenting with self-mutilation of a tumoral mass located at the left flank. The owners reported that the horse had initially presented a small wound that had evolved to a 20-cm in diameter mass in 4 weeks. Tissue samples were collected, processed and stained by the Gomori's methenamine silver (GMS) method. The histopathological analysis revealed Pythium insidiosum hyphae in a granulomatous tissue, especially located at peripheral region, where kunkers were present. Surgical excision of the mass followed by cauterization was indicated as initial treatment, and due to financial reasons, the owners elected only the topical antifungal therapy to control the fungus infection after surgery. Flunixin meglumine was also administrated for five days aiming the control of pain and inflammation. The wound was cleaned with povidone-iodine solution and rinsed with a solution containing, 50 mg, of amphotericin B in 10 mL of sterile water and 10 mL of DMSO. This procedure was carried Out twice a day. The wound healed fast due to an excellent centripetal epithelialization. and the horse was discharged after 64 days showing only 5% of the initial wound area. The owner reported by telephone the complete healing and hair growth 10 days after discharge.Discussion: Despite the atypical location of the tumoral lesion described at the present report, the history and clinical manifestations, especially the intense pruritus, showed similarity with other characteristic reports of equine cutaneous pythiosis. The diagnosis was confirmed by the histopathological examination showing hyphae structures, as described to be evidences of the presence of Pythium insidiosum in the tissue. The surgical procedure was the first step to provide remission of clinical signs, and one day after surgery the pruritus desapeared. After excision of the granulomatous tissue and cauterization, daily topical administration of amphotericin B associated with DMSO was effective in destroying the infectious agent, as observed by the excellent epithelization. A pink granulation tissue grew up providing an ideal surface for epithelial migration and the healing process progressed quickly. Centripetal epithelialization reduced the wound area until 3% of the initial area in 64 days of treatment, when the remaining wound was found almost completely healed and covered with hair. At the present report, the horse presenting pythiosis was only topically treated. The recommended therapy using amphotericin B and DMSO solution was effective, economically viable and low risk, considering that the systemic antifungal therapy usually suggested is expensive and extremely nephrotoxic. The atypical location of the lesion on the left flank shows that any anatomical region can be affected by the fungus, since the conditions for its development were present.

Cutaneous pythiosis in a dog from Brazil

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Pitiose em animais de produção no Pantanal Matogrossense

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Treatment of Pythiosis in Equine Limbs Using Intravenous Regional Perfusion of Amphotericin B

Objective To evaluate the effects of intravenous regional limb perfusion (IRLP) administration of amphotericin B in horses to treat pythiosis after surgical excision and thermocautery. Study Design Case series. Animals Horses (n = 12) with Pythium insidiosum infection of the distal aspect of the thoracic or pelvic limbs. Methods After surgical excision of granulation tissue and thermocautery, 50 mg amphotericin B was administered by IRLP through a catheter placed in a superficial vein of the affected limb next to the lesion after placing a tourniquet above the injection site. The lesions and locomotor system were evaluated before treatment and at 7, 14, 21, 28, 35, and 60 days. Results Ninety-two percent of horses treated with amphotericin B had complete lesion resolution 35 or 60 days after 1 or 2 IRLP treatments, respectively. IRLP induced limb edema and pain during regional palpation in 42%, and inflammation of the injection site in 33% of horses; however these signs resolved after 14 days. Conclusions IRLP administration of amphotericin B was effective for treating pythiosis in equine limbs, resolving infection with manageable side effects.

Human pythiosis, Brazil

Pythiosis, caused by Pythium insidiosum, occurs in humans and animals and is acquired from aquatic environments that harbor the emerging pathogen. Diagnosis is difficult because clinical and histopathologic features are not pathognomonic. We report the first human case of pythiosis from Brazil, diagnosed by using culture and rDNA sequencing.

Pitiose nasal em equino

Pythiosis is a subcutaneous infection caused by aquatic fungi (Pythium insidiosum) which occurs in some animal species, as human beings. This paper describes an Quarter Horse, breed in Pernambuco, Brazil, who had this infection. The horse presented nodular and ulcerated lesions only in nasal mucosa and the diagnosis was made by histopathologic analysis and clinical signals. Based in the histopathologic findings and anamneses information by the owner the authors believed this is an atypical presentation of this infection caused by the contact with water offered at stable.

Photodynamic therapy for pythiosis

Background -  Pythiosis is a life-threatening disease caused by Pythium insidiosum. Photodynamic therapy (PDT) is an alternative treatment to surgery that uses the interaction of a photosensitizer, light and molecular oxygen to cause cell death. Objectives -  To evaluate the effect of PDT on the in vitro growth of P. insidiosum and in an in vivo model of pythiosis. Methods -  For in vitro studies, two photosensitizers were evaluated: a haematoporphyrin derivative (Photogem®) and a chlorine (Photodithazine®). AmphotericinB was also evaluated, and the control group was treated with sterile saline solution. All experiments (PDT, porphyrin, chlorine and light alone, amphotericinB and saline solution) were performed as five replicates. For in vivo studies, six rabbits were inoculated with 20,000 zoospores of P. insidiosum, and an area of 1cm3 was treated using the same sensitizers. The PDT irradiation was performed using a laser emitting at 660nm and a fluence of 200J/cm2. Rabbits were clinically evaluated daily and histopathological analysis was performed 72h after PDT. Results -  For in vitro assays, inhibition rates for PDT ranged from 60 to 100% and showed better results in comparison to amphotericinB. For the in vivo assays, after PDT, histological analysis of lesions showed a lack of infection up to 1cm in depth. Conclusions and clinical importance -  In vitro and in vivo studies showed that PDT was effective in the inactivation of P. insidiosum and may represent a new approach to treating pythiosis. © 2013 The Authors. Veterinary Dermatology © 2013 ESVD and ACVD.

Epidemiological Survey of Equine Pythiosis in the Brazilian Pantanal and Nearby Areas: Results of 76 Cases

A clinical epidemiological study was conducted among 34 rural properties located within the Brazilian Pantanal region and nearby areas between 2007 and 2010. The diagnosis of equine pythiosis was based on antibody detection (by enzyme-linked immunosorbent assay), polymerase chain reaction, histopathological analysis, and cultures positive for Pythium insidiosum. The majority of the affected animals (85%) were in the Pantanal biome, which had a higher disease prevalence (0.9%-66.7%) than that of the Cerrado (2.7%-33.3%). The disease was more prevalent in the rainy season (January-March), with an abrupt fall in the number of cases during the drought period (April-September; correlation of R 2 = 0.77; P < .01). Generally, the average prevalence of equine pythiosis in both regions was 5%, with mortality and lethality rates of 1.3% and 23.1%, respectively, in the Pantanal and 2.3% and 45.5%, respectively, in the Cerrado. However, the treatment with immunotherapy may have underestimated these numbers, especially in the Pantanal. Animals older than 1 year were 8.09 times more affected by the disease than younger animals in the same environment (P < .05). A correlation between the anatomical area of the lesion and the type of skin color was also observed. Approximately 73% of the lesions were found in dark-pigmented areas, and animals with a dark coat color were affected more frequently. These findings highlight the importance of hematophagous insects in the epidemiology of pythiosis because these areas are preferred for blood feeding. © 2013 Elsevier Inc. All rights reserved.

A pitiose em equídeos e bovinos no pantanal matogrossense

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Geoprópolis de Melipona fasciculata SMITH: ações citotóxica, imunomoduladora, antibacteriana e antifúngica

Pós-graduação em Patologia - FMB