scholarly journals Morphological changes and parasite load of the adrenal from dogs with visceral leishmaniasis

2014 ◽  
Vol 23 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Claudia Momo ◽  
Nathália Alves de Souza Rocha ◽  
Pamela Rodrigues Reina Moreira ◽  
Danísio Prado Munari ◽  
Suely Regina Mogami Bomfim ◽  
...  

The objective of this study was to analyze morphological changes and parasite loads in the adrenal gland from 45 dogs with visceral leishmaniasis (VL). The animals were from the Zoonosis Control Center of Araçatuba, state of São Paulo, which is an endemic region for the disease. These animals were euthanized due to positive diagnoses of VL. The dogs were classified into asymptomatic, oligosymptomatic and symptomatic groups. The parasite load was determined by immunohistochemistry, using VL-positive dog hyperimmune serum. Nine dogs showed an inflammatory infiltrate composed, predominantly, of plasma cells and macrophages. However, only eight dogs showed macrophages with amastigote forms of the parasite, immunolabeled in the cytoplasm. The medullary and reticular layers were the most affected areas, possibly due to a favorable microenvironment created by hormones in these regions. The density of parasites in the glandular tissue was not associated with clinical signs of VL (P > 0.05). However, the presence of the parasite was always associated with the presence of a granulomatous inflammatory infiltrate. This gland may not be an ideal place for the parasite's multiplication, but the presence of injuries to the glandular tissue could influence the dog's immune system, thus favoring the parasite's survival in the host's different organs.

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Claudia Momo ◽  
Ana Paula Prudente Jacintho ◽  
Pamela Rodrigues Reina Moreira ◽  
Danísio Prado Munari ◽  
Gisele Fabrino Machado ◽  
...  

The aim of this study was to evaluate the most frequent lesions in the bone marrow of dogs naturally infected byLeishmania (Leishmania) chagasi.Thirty-three dogs sacrificed at the Zoonosis Control Center of Araçatuba, a municipality endemic for visceral leishmaniasis (VL), were used. The animals were classified as asymptomatic, oligosymptomatic, and symptomatic groups. At the necropsy, bone marrow samples were collected from the femur, fixed, processed, and stained with hematoxylin and eosin. The lesion intensity was classified as mild, moderate, or severe. The parasite load was determined using immunohistochemistry. The most important lesions consisted of multifocal to diffuse granulomas, megakaryocytic dysplasia, and medullary aplasia. There were no statistical differences between the three clinical groups regarding parasite load and lesion intensity. Asymptomatic dogs also presented high parasitism in the bone marrow as dogs with clinical signs of VL. It was concluded that, regardless of clinical group, the bone marrow is a site for multiplication ofLeishmania chagasi. Possibly, the bone marrow dysplasia may arise from the presence of many parasitized and activated macrophages in this organ. Consequently, it affects the profile of hematopoietic cells in the bone marrow and systemic circulation.


2013 ◽  
Vol 2 (2) ◽  
pp. 39-44 ◽  
Author(s):  
Y Agrawal ◽  
AK Sinha ◽  
P Upadhyaya ◽  
SU Kafle ◽  
S Rijal ◽  
...  

INTRODUCTION: Visceral Leishmaniasis is the most severe form of leishmaniasis and can be fatal in the absence of treatment. Nepal, India, Bangladesh, Brazil and Sudan constitute five countries of the world where more than 90% of visceral leishmaniasis occurs. The aim of this study is to evaluate haematological profile with available clinical data in visceral leishmaniasis patients and to detect LD bodies among them. MATERIALS AND METHODS: It is a hospital based cross sectional study conducted in the Department of Pathology, BPKIHS, Dharan, for the period of one year. LD bodies were calculated in bone marrow aspirate of forty clinically suspected cases by counting the number of parasites per 100 consecutive oil immersion fields. RESULTS: The age ranged from 2-60 years. Pyerxia was the most common sign (100%) followed by splenomegaly (82.5%), hepatomegaly (65%), and pallor (75%). Anemia was present in 90%, leucopenia in 67.5% and thrombocytopenia in 72.5% cases. Bicytopenia and pancytopenia were observed in 40% and 25% cases, respectively. On peripheral examination RBCs were predominantly normocytic normochromic. On bone marrow examination normocellular marrow and megaloblastic features were predominant findings followed by increased plasma cells. Low, moderate and high grade LD bodies were present in 7.5%, 37.5% and 55% of the cases respectively. Hepatomegaly, anemia, neutropenia and lymphocytosis were statistically significant to parasite load (p-value <0.05). CONCLUSIONS: Besides LD bodies in bone marrow aspirates, dyserythroblastic changes and increase plasma cells are common findings in leishmaniasis. Patient from endemic area with positive clinical history and findings should be examined for LD bodies in marrow if dyserythroblastic and increase plasma cell picture is found.  DOI: http://dx.doi.org/10.3126/ijim.v2i2.8320   Int J Infect Microbiol 2013;2(2):39-44


2020 ◽  
Vol 48 ◽  
Author(s):  
Erick Platini Ferreira de Souto ◽  
Édipo Moreira Campos ◽  
Samuel Matheus Medeiros Miranda ◽  
Kehrle Dantas Medeiros Pereira ◽  
Cinthia Dayanne Sena Lima ◽  
...  

Background: Amebiasis is a parasitic infection caused by obligate or facultative amoeboid protozoans, as well as free-living forms. The genus Entamoeba includes both pathogenic and commensal species that can affect humans and animals. Entamoeba histolytica is the most important species associated with intestinal and extraintestinal infections in humans, while Entamoeba invadens is considered the most common and serious pathogen to many reptile species, including lizards, snakes and crocodilians. The aim of this manuscript is to report a case of amebiasis in a backyard red-foot tortoise in northeastern Brazil.Case: A 10-month-old male red-foot tortoise (Chelonoidis carbonaria) was presented at the Animal Pathology Laboratory of the Veterinary Hospital of Federal University of Campina Grande for necropsy with a 1-week history of anorexia, apathy, and reluctance to move. According to the owner, the animal suffered from heat stress in the backyard, where it was housed with another male red-foot tortoise. At post-mortem examination, there were approximately 1 mL of yellowish viscous transudate in the coelomic cavity. The liver was large, with rounded edges and multifocal to coalescing yellowish areas in the subcapsular surface. When cut, the parenchyma was more friable and yellowish. At the opening of the small intestine, the mucosa was thickened, reddened, and contained many variably sized, dark red ulcers with depressed and hemorrhagic centers. Histopathology of the liver reveals diffuse macro and microvacuolar degeneration of the hepatocyte cytoplasm, often displacing the nucleus peripherally (fatty degeneration). There were extensive and multifocal areas of necrosis characterized by shrunken, hypereosinophilic and pyknotic hepatocytes. Amebic trophozoites were seen through the areas of necrosis and degeneration and the morphological features were suggestive of the genus Entamoeba. In the portal triads and slightly extending to the sinusoidal spaces, there is a moderate inflammatory infiltrate of macrophages, lymphocytes, plasma cells and rare heterophils. There were amebic trophozoites and thrombi in hepatic vessels, and mild intracanalicular cholestasis. The small intestine contained areas of transmural necrosis and ulceration associated with inflammatory infiltrate of macrophages, lymphocytes and plasma cells. The ulcers were covered by a thick fibrinonecrotic exudate mixed with a varying number of heterophils and macrophages. The submucosa contained hemorrhage and edema. Similar amebic trophozoites were found within the mucosa and submucosa, and also detected in the lumens of blood vessels at the submucosa. The amebic trophozoites, seen in the liver and intestine, were intensely Periodic acid–Schiff positive.Discussion: The diagnosis of amebiasis was based on the epidemiological, clinical and anatomopathological findings. Amebiasis is a well-recognized disease that usually is diagnosed post-mortem in numerous species of reptiles. Unfortunately, there are no scientific articles describing these cases in Brazil. In reptiles, the major pathogenic specie is Entamoeba invadens, while several other species are considered non-pathogenic, such as E. barreti, E. insolita, E. terrapinae, E. ctenosaurae, and E. knowlesi, among others. Although cultivation of E. invadens was not undertaken, the anatomopathological findings and the morphological appearance of the agent is highly suggestive of infection with this organism. In conclusion, amebiasis is a severe infectious disease that can affect young red-footed tortoises under adverse environmental conditions. Clinical signs are nonspecific and may be difficult to identify. The diagnosis is usually made post-mortem by anatomopathological findings and the morphological appearance of the agent.


CytoJournal ◽  
2018 ◽  
Vol 15 ◽  
pp. 19
Author(s):  
Vijay Kumar ◽  
Poojan Agarwal ◽  
Sadhna Marwah ◽  
A. S. Nigam ◽  
Awantika Tiwari

Background: Leishmaniasis is the prevalent in tropical and subtropical regions of the world. Demonstration of Leishman-Donovan (LD) bodies in the bone marrow aspirates (BMA) is vital to diagnosis of visceral leishmaniasis (VL). In the present study, we studied the clinicohematological parameters encountered in VL and correlated them with parasite load on BMA. Methods: Retrospective analysis over 3 years was done; clinical details, biochemical profile, complete hemogram with peripheral smear findings, and BMA smears were reviewed and average parasite density (APD) calculated in each case. Multivariate analysis and tests of significance were applied. Results: The study included 28 patients. Splenomegaly showed a positive trend with APD. rK39 antigen detection test was 100% positive in select cases. A strong negative correlation was observed between albumin to globulin ratio and grade of APD. BMA revealed hemophagocytosis (HPS) in 78.57% cases and it had a significant strong correlation with APD (P = 0.014). A significant correlation was also observed between APD and bone marrow plasma cell percentage (P = 0.01). LD bodies were noted in unusual locations such as within myelocytes (14.2%), plasma cells (7.1%), and megakaryocytes (10.7%). Conclusion: HPS and bone marrow plasmacytosis were two statistically significant findings, which showed positive correlation with parasite load. The presence of these two findings should prompt hematopathologists for more focused search of hemoparasites in BMA to arrive at a definitive diagnosis. This will avoid unnecessary workups and improve the prognosis. To the best of our knowledge, a statistical correlation between APD and clinicohematological parameters has never been previously studied.


2020 ◽  
Vol 26 ◽  
Author(s):  
Marta de Lana ◽  
Rodolfo Cordeiro Giunchetti

Background: Dogs are natural reservoir of Chagas disease (CD) and Leishmaniasis and have been used for studies of these infections as they develop different clinical forms of these diseases similar to humans. Objective: This revision describes publications in dog model relative to CD and Leishmaniasis chemotherapy. Methods: The search of articles was based in PubMed, Scopus and MESH using the keywords: dog, Trypanosoma cruzi, treatment (T. cruzi chemotherapy analysis) in addition to dog, Leishmania chagasi, Leishmania infantum, canine visceral leishmaniasis, treatment (Leishmania chemotherapy evaluation). Results: Benznidazole and nifurtimox were used as reference in the treatment of CD and associated with other compounds. Eleven out of the fifteen studies have authors from the same team, using similar protocols and post-treatment evaluations, which assured more reproducibility and credibility. Twenty Leishmaniasis studies, especially in visceral leishmaniasis, presenting at least one parasitological analysis tested in distinct monochemotherapy and polychemotherapy approaches were accessed. Data demonstrated that polychemotherapy was more effective in improving the clinical signs and parasitism control. Conclusion: The benefits of treatment in terms of reducing or eliminating lesions and/or cardiac dysfunctions were demonstrated at acute and/or chronic phases relative to parasite load and/or the T. cruzi strain resistance to treatment. BZ presented better therapeutic results than the two EBI compounds evaluated. Although treatment of the canine visceral leishmaniasis was not able to induce complete parasite clearance, it can improve clinical recovery. Thus, the dog is a good model for CD and Leishmaniasis studies of chemotherapy and may be indicated for pre-clinical trials of new treatments.


1982 ◽  
Vol 77 (4) ◽  
pp. 397-403
Author(s):  
G. Grimaldi Junior ◽  
A. C. Queiroz ◽  
P. L. Moriearty

C3H mice chronically infected with Leishmania m. mexicana, and in some groups treated with BCG or levamisole, presented atypical epidermal alterations, including pseudoepitheliomatous hyperplasia, hyperkeratosis and dysplasia. These alterations increased in frequency and intensity during the course of infection, but were not related to lesion size or tissue parasite load. Age matched normal, BCG and levamisole treated control mice, examined simultaneously, did not show epidermal modifications. In infected mice the dermis and hypodermis presented an inflammatory infiltrate of histiocytes, lymphocytes and plasma cells, accompanied at times by neutrophils and eosinophils, which did not vary with duration of infection.


2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Tainã Luís de Souza ◽  
Aurea Virginia Andrade da Silva ◽  
Luiza de Oliveira Ramos Pereira ◽  
Fabiano Borges Figueiredo ◽  
Artur Augusto Velho Mendes Junior ◽  
...  

Abstract In canine visceral leishmaniasis (CVL), splenic white pulp (SWP) disorganization has been associated with disease progression, reduced cytokine and chemokine expression and failure to control the parasite load. This profile is compatible with the cellular exhaustion previously shown in human visceral leishmaniasis. The present study aimed to evaluate the in situ expression of cellular exhaustion markers and their relation to clinical signs, SWP disorganization and parasite load. Forty dogs naturally infected by Leishmania infantum were grouped according to levels of SWP organization and parasite load. SWP disorganization was associated with reductions in the periarteriolar lymphatic sheath and lymphoid follicles/mm2 and worsening of the disease. Apoptotic cells expressing CTLA-4+ increased in dogs with disorganized SWP and a high parasite load. In the same group, PD-L1 and LAG-3 gene expression were reduced. A higher number of CD21+TIM-3+ B cells was detected in disorganized spleens than in organized spleens. Apoptosis is involved in periarteriolar lymphatic sheath reduction and lymphoid follicle atrophy and is associated with CTLA-4+ cell reductions in the splenic tissue of dogs with visceral leishmaniasis (VL). Failure to control the parasite load was observed, suggesting that cell exhaustion followed by T and B cell apoptosis plays a role in the immunosuppression observed in CVL.


2017 ◽  
Vol 45 (1) ◽  
pp. 8
Author(s):  
Paula Reis Pereira ◽  
Fernando Froner Argenta ◽  
Veronica Machado Rolim ◽  
Eduardo Conceição de Oliveira ◽  
Luciana Sonne ◽  
...  

Background: Aelurostrongylus abstrusus is a lungworm of cats with worldwide distribution. The adult forms of this parasite live in terminal bronchioles and alveoli, and can cause an asymptomatic disease or predominantly respiratory clinical signs, which can be occasionally cause of death. The aim of this study is to describe the epidemiological and pathological findings of infection by A. abstrusus through a necropsy retrospective study.Materials, Methods & Results: the necropsy records from the Department of Veterinary Pathology of the Universidade Federal do Rio Grande do Sul were recovered and cats diagnosed with lungworm by Aelurostrongylus abstrusus were selected since January 1998 until December 2015. General data, such as age, sex, breed, clinical signs, and macroscopic lesions, were analyzed and compiled. The histological slides were reviewed by optical microscopy and detailed the microscopic aspects. In this study, were identified 22 cats with varying degrees of lungworm by A. abstrusus, and in 45.5% of the cases, this was the cause of death. Most part of the cats were mixed breed (19/22), and there were no sex predisposition. The age of the cats ranged from four months to 11 years old, and the most frequent age group was three to six years, with nine cases reported. In 37.5% of the cases were reported respiratory clinical signs, such as dyspnea and nasal discharge, and in 62.5%, clinical signs were not specific. The gross findings of the lungs ranged from reddish, or yellowish or white areas, and presence of multiples small, firm, and whitish nodules, measuring more than two centimeters in diameter, with multifocal distribution in the lung surface. Histologically, there was varied amount of parasites in different stages in the alveolar spaces, associated with the inflammatory infiltrate composed of lymphocytes, plasma cells, macrophages, neutrophils and occasional multinucleated giant cells, and hypertrophy and hyperplasia of the pulmonary smooth muscle and the wall of the arteries.Discussion: Aelurostrongylus abstrusus is the principal parasite of lung of cats, with worldwide distribution. In this study, we observed that 40.9% of cases were reported as of 2012, and may be due to a larger propagation of definitive intermediate and paratenic hosts, climate changes and/or the increase of rearing cats, and the consequent increase of hospital routine. Agreeing with the others authors, there is no sex predilection, but differ in the age group, in to the present study, the most frequent age group was between “3 to 6 years” of age (52.9%). The gross findings observed were similar to those described by other authors. Histologically was observed varied amount of parasites, and the degree of inflammatory infiltrate were very similar, but with a slight difference in discrete infiltration (36.4%). Others researchers have identified predominantly severe inflammatory infiltrate (57.9%). Hypertrophy and hyperplasia of pulmonary smooth muscle and the wall of the arteries was moderate (50%), however, in previous studies were severe. The diagnosis of aelurostrongilosis through parasitological tests have proven the occurence this lung parasite in the study region, highlighting the importance of this study by adding epidemiological and pathological data on the disease.


2012 ◽  
Vol 45 (1) ◽  
pp. 24-29 ◽  
Author(s):  
José Cláudio Carneiro de Freitas ◽  
Diana Célia Sousa Nunes-Pinheiro ◽  
Belarmino Eugênio Lopes Neto ◽  
Glauco Jonas Lemos Santos ◽  
Cyntia Rafaelle Amaral de Abreu ◽  
...  

INTRODUCTION: Canine visceral leishmaniasis (CVL) is a zoonotic disease with different clinical manifestations. Parasitism often occurs in bone marrow, but changes have been observed in peripheral blood and serum biochemical parameters. The aim of this study was to evaluate the hematological and biochemical parameters in dogs naturally infected by Leishmania chagasi. METHODS: Eighty-five adult dogs of both sexes and various weights and ages from the Zoonosis Control Center of Fortaleza (CCZ) were used, selected by immunofluorescence assay (IFA) and considered positive with IFA titers greater than 1:40 and by visualizing amastigotes of Leishmania chagasi in smears obtained by bone marrow aspiration. The dogs (n = 85) were grouped according to clinical signs: negative (CN = 7), subclinical (CS = 10), and clinical (CC = 68). Blood samples were collected for determination of hematological and biochemical serum values. The experimental protocol was approved by the CEUA/UECE. RESULTS: The most frequent clinical signs were cachexia (77.9%), keratitis (61.8%), and lymphadenopathy (55.9%), and 86.8% of the animals showed more than one clinical sign characteristic of CVL. In CC were observed reductions in red blood cells (63%), hematocrit (72%), and hemoglobin (62%), as well as leukocytosis (33%), neutropenia (28%), thrombocytopenia (50%), uremia (45%), hyperproteinemia (53%, p<0.05), hypergammaglobulinemia (62%, p<0.01), and hypoalbuminemia (58%). CONCLUSIONS: Animals with the clinical form of the disease demonstrate hematological and biochemical changes consistent with anemia, uremia, hyperproteinemia, and hyperglobulinemia, which present themselves as strong clinical markers of visceral leishmaniasis associated with the signs previously reported.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
William de Oliveira Kost ◽  
Sandro Antonio Pereira ◽  
Fabiano Borges Figueiredo ◽  
Artur Augusto Velho Mendes Junior ◽  
Maria de Fátima Madeira ◽  
...  

Abstract Background Zoonotic visceral leishmaniasis is caused by the protozoan Leishmania infantum and is highly lethal in humans and dogs if left untreated. The frequency of this parasite and associated histological changes in the pancreas of dogs are poorly studied. Therefore, the objectives of this study were to evaluate the frequency of detection and load of amastigotes in the pancreas of L. infantum-seropositive dogs and to identify the clinical signs and histological changes associated with parasitism of this organ. Methods One hundred forty-three dogs from an endemic area in Brazil that tested seropositive for L. infantum were studied. The dogs were clinically examined, killed, and necropsied between 2013 and 2014. One fragment of the pancreas was randomly collected for histopathology and immunohistochemistry, and spleen and bone marrow were collected for culture. Results Leishmania amastigotes were detected in the pancreas of 22 dogs (15.4%) by immunohistochemistry, all exhibiting L. infantum parasitism in the spleen and/or bone marrow. Poor body condition and cachexia were only associated with infection of the pancreas with Leishmania spp. (p = 0.021) and were found in 40.9% of dogs with pancreatic infection. Anorexia, vomiting, and/or diarrhea were observed in 9.2% of dogs with pancreatitis. The median parasite load in the pancreas was 1.4 infected macrophages/mm2. Pancreatic histological changes and their frequencies were: granulomatous pancreatitis (28.0%), lymphoplasmacytic pancreatitis (23.8%), acinar cell degeneration (6.3%), fibrosis (5.6%), hemorrhage (2.1%), eosinophilic pancreatitis (0.7%), suppurative pancreatitis (0.7%), and necrosis (0.7%). Conclusions The present results demonstrate that L. infantum is one of the etiological agents of chronic pancreatitis in dogs; however, the frequency of detection and parasite load are low in this organ. The lack of an association of poor body condition and cachexia with pancreatitis and the low frequency of clinical signs commonly associated with pancreatitis suggest that a significant portion of the organ is not affected by this parasite. On the other hand, the association of poor body condition and cachexia with concomitant infection of the pancreas, spleen, and/or bone marrow with this parasite suggests that these manifestations are the result of a more advanced stage of canine visceral leishmaniasis. Graphic abstract


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