Alexandre Gonçalves Teixeira Daniel

Skin fragility syndrome in a cat with cholangiohepatitis and hepatic lipidosis

A case of acquired skin fragility syndrome associated with hepatic disease in a 9-year-old, spayed female, domestic shorthair cat is described. The cat was admitted to the veterinary hospital of the University of São Paulo (Brazil) with a 6-week history of vomiting, inappetence and weight loss. Remarkable signs were weakness, lethargy and profound jaundice that had been present for 10 days according to the owner. On completion of the physical examination, when the cat was gently manipulated for blood collection the thoracic limb and interscapular skin tore. Liver enzymes and bilirubin levels were all above the normal range. On histological examination of skin and liver, Massons trichrome stain showed collagen fibre alteration and major hepatocyte abnormalities. Findings were consistent with feline skin fragility syndrome associated with cholangiohepatitis and hepatic lipidosis.

Cutaneous mycoflora and CD4:CD8 ratio of cats infected with feline immunodeficiency virus

This study was designed to compare cutaneous mycoflora isolation and CD4+:CD8+ ratio in feline immunodeficiency virus (FIV)-infected cats with that in FIV-uninfected cats. Sixty cats were examined. Twenty-five were FIV-infected cats and 35 were FIV-uninfected cats. All 60 cats were FeLV-negative. Fungi were speciated and immunophenotyping of peripheral CD4+ and CD8+ T lymphocytes was performed. At least one fungal colony was isolated from 22/25 (88%) FIV-infected cats. Among the FIV-uninfected cats fungal colonies were recovered from 13/35 (37%) specimens. Dermatophytes were recovered from 2/25 (8%) FIV-infected cats (one Microsporum gypseum, one Microsporum canis) and 3/35 (8.5%) FIV-uninfected cats (M gypseum). Malassezia species was the most commonly isolated organism from both groups of cats (51.6%). Malassezia species was more commonly isolated from FIV-infected cats than FIV-uninfected cats (84% vs 28.6%). The CD4+ to CD8+ lymphocyte ratio for FIV-infected cats was significantly lower than the CD4+ to CD8+ ratio in the FIV-uninfected cats. The CD4+ to CD8+ lymphocyte ratio for FIV-infected cats with cutaneous overall fungal isolation was significantly lower than the CD4:CD8 lymphocyte ratio in the FIV-infected cats but without cutaneous fungal isolation. We can conclude that immunologic depletion due to retroviral infection might represent a risk factor to cutaneous fungal colonization in cats.

Hypervitaminosis A-induced hepatic fibrosis in a cat

Rationale: The excessive intake of vitamin A in the form of vitamin concentrate, supplement or vitamin-rich liver can result in hypervitaminosis A in man and animals. Although osteopathologies resulting from chronic vitamin A intoxication in cats are well characterized, no information is available concerning feline hypervitaminosis A-induced liver disease. Clinical summary: We report the first case of hepatic stellate cell lipidosis and hepatic fibrosis in a domestic cat that had been fed a diet based on raw beef liver. Radiographic examination revealed exostoses and ankylosis between vertebrae C1 and T7, compatible with deforming cervical spondylosis. Necropsy showed a slightly enlarged and light yellow to bronze liver. Microscopic and ultrastructural analyses of liver tissues revealed diffuse and severe liver fibrosis associated with hepatic stellate cell hyperplasia and hypertrophy. These cells showed immunopositive staining for α-smooth muscle actin and desmin markers. The necropsy findings of chronic liver disease coupled with osteopathology supported the diagnosis of hypervitaminosis A. Practical relevance: As in human hepatology, if there is dietary evidence to support increased intake of vitamin A, then hypervitaminosis A should be considered in the differential diagnosis of chronic liver disease in cats.

Indices ecodopplercardiográficos de função diastólica de gatos saudáveis não sedados

The purpose of this study was to determine values as E and A waves velocities, E/A ratio, E wave deceleration time, and IVRT in healthy non-sedated cats, as well as correlate these indices to the heart rate. Forty healthy, adult cats housed in the cattery of the School of Veterinary Medicine of Sao Paulo University were studied. Mean, standard deviation, median, interquartilic interval and range were calculated. Doppler examination was performed with the cats restrained in left lateral recumbency. Good correlation between heart rate and E wave velocity, E/A ratio and IVRT was observed, whereas E wave deceleration time and A wave velocity were not affected by the heart rate. The estabilishment of these values will allow to define the pattern of the diastolic abnormality, usually related to cardiomyopathies in cats.

Isolation of Dermatophytes from the Hair Coat of Healthy Persian Cats without Skin Lesions from Commercial Catteries Located in São Paulo Metropolitan Area, Brazil

Background: The study of the epidemiological chain of dermatophytosis, particularly those related to zoophilic fungi, is extremely important because of its frequent occurrence, the high infectivity of the agent, and its anthropozoonotic character. In all latitudes, asymptomatic cats are considered the main reservoirs and sources of dermatophyte infection. The study aimed to characterize the frequency of dermatophyte infection and the potential risk of microsporic infection to the owners and to possible buyers of apparently healthy Persian cats from commercial catteries of Sao Paulo, Brazil. Materials, Methods & Results: Fur samples were obtained from 61 clinically healthy Persian cats, which were devoid of typical cutaneous lesions and had negative results in Wood’s lamp examination. The average age of the cats was 37.7 months; 18 (29.5%) of them were males and 43 (70.5%) were females. The cats were from commercial catteries located in the metropolitan region of Sao Paulo state capital. Samples were obtained using the technique of Mariat & Adam using a square (25 cm2) of sterile carpet rubbed across the surface of the hair-coat and skin. People who had close contact with the animals were asked whether they had had typical ringworm lesions in the recent past or at the time of sample collection. The material collected was pressed onto Petri dishes containing agar supplemented with chloramphenicol and cycloheximide. The Petri dishes were handled under sterile conditions and incubated at 25°C for up to 21 days. There was evident fungal growth in 83.6% of the samples, and the only dermatophyte isolated was Microsporum canis. The results were analyzed using the chi-square test in order to verify possible associations between variables (sex and age range) and the frequency of dermatophyte infection in dermatologically healthy animals. However, there was no statistical difference regarding sexual predisposition (P value = 0.139) and age (P value = 0.224) regarding the asymptomatic dermatophyte carriers. Of the 18 people who had close contact with infected cats, eight (44.4%) claimed to have presented with typical tinea corporis lesions in the past and three (16.7%) said that they had such skin lesions at the time of harvest of the cat fur. There were no people who claimed to have been in contact with other species. Discussion: In Brazil, fungal infections represent up to 8.7% of skin diseases in children, and tinea capitis caused by Microsporum canis is the most common superficial mycosis in this age group. Its interspecies transmission has been reported for decades. Approximately 50% of individuals exposed to symptomatic or asymptomatic cats acquire the disease. In up to 70% of families with infected cats, at least one family member may develop the disease. Among domestic cats, the Persian breed is most often cited as prone to spreading dermatophytes. In the study, there was fungal growth in 83.6% of the samples, and only M. canis was isolated. Among the people who had contact with the cats, 44.4% and 16.7% had typical tinea corporis lesions in the past and at the time of the interview, respectively. However, it is speculated that the rate of infection may have been higher in the humans in contact with these cats, since there may have been some hesitation and fear by the people interviewed in reporting the occurrence of characteristic skin lesions, either as a way of preserving the cattery reputation, or to spare the embarrassment in declaring oneself as infected, which is sometimes viewed negatively. The results demonstrate the potential infectivity, pathogenicity, and risk of microsporic infection in buyers of apparently healthy cats from commercial catteries located in the metropolitan region of Sao Paulo.

Sensibilidade e especificidade do exame eletrocardiográfico na detecção de sobrecargas atriais e/ou ventriculares em gatos da raça Persa com cardiomiopatia hipertrófica

Hypertrophic cardiomyopathy (HCM) is the most common feline heart disease and is characterized by increased cardiac mass with a hypertrophied and not dilated left ventricle. The echocardiography is the best noninvasive diagnostic tool for the differentiation of cardiomyopathies and is considered the gold standard for detection of ventricular hypertrophy present in HCM. Electrocardiographic changes are also common in animals with HCM and the electrocardiogram (ECG) is quick, easy and highly available screening test for the detection of ventricular hypertrophy in humans. In cats, few studies have been conducted regarding the sensitivity and specificity of ECG in detecting ventricular hypertrophy. With the intention of evaluating the use of ECG as a screening tool for diagnosis of HCM in cats, Persian cats (n=82) were evaluated by echocardiographic and electrocardiographic examinations. Animals with blocks and/or conduction disturbances were excluded from statistical analysis (n=22). Subsequently the animals included were classified as normal (n=38), suspicious (n=6) and affected by HCM (n=16). Statistical differences were observed in the P-wave amplitude in DII and R-wave amplitude in DII, CV6LL and CV6LU, with higher values in animals with HCM. Velocities and pressure gradient of aortic flow, left atrial diameter (LA) and LA/Ao ratio were higher in cats with HCM. Among the animals with ECG changes suggestive of left atrial enlargement (n=7), only two actually had LA enlargement on echocardiography, and among animals with left atrial enlargement on echocardiogram (n=7), only two had ECG changes suggestive of overload AE (40,4% of sensibility and 90,9% of specificity). Among the animals with ECG changes suggestive of left ventricular hypertrophy (n=6), five actually had ventricular hypertrophy on echocardiography, and among animals with HCM by echocardiography (n=16), only five showed electrocardiographic abnormalities suggestive of LV hypertrophy (31,25% of sensibility and 97,72% of specificity). We observed a positive correlation between diastolic thickness of the interventricular septum and/or left ventricular free wall and R-wave amplitude in DII and CV6LU. The electrocardiogram is quick and easy to perform, has good specificity in detecting ventricular hypertrophy in cats, however, has low sensitivity, with large numbers of false negative animals. Thus, the ECG assists in the diagnosis, but does not replace echocardiography in confirming ventricular hypertrophy.

Congenital hepatic fibrosis and polycystic kidney disease not linked to C >A mutation in exon 29 of PKD1 in a Persian cat

Case summary We describe the case of a 1-year-old male Persian cat diagnosed with congenital hepatic fibrosis (CHF) associated with renal polycystic disease and, for the first time, we have shown that there was no C >A mutation in exon 29 of PKD1 (polycystic kidney disease 1). The cat presented with a history of chronic weight loss, anorexia, vomiting, depression and lethargy, with profuse salivation and ascites on clinical examination. A mild elevation in liver-associated plasma enzymes suggested a hepatic disease. Owing to the cat’s deteriorating condition, it was euthanized. During necropsy, the liver was found to be enlarged, firm and reddish, and the kidney had multiple small cortical cysts. Immunohistochemistry revealed that bile duct cells and epithelial cells of renal cysts showed positive immunoreactivity to keratin 19. Collagen fibers surrounding bile ducts within portal areas demonstrated reactivity to type IV collagen antibody, confirming the congenital nature of the process. A diagnosis of ductal plate malformation consistent with CHF associated with polycystic kidney in a young Persian cat was made. Interestingly, genetic testing revealed a wild-type sequence at position 3284 in exon 29 of PKD1. Relevance and novel information The absence of the classic genetic mutation associated with the particular clinical presentation supports the hypothesis of a distinct etiopathogenesis among fibropolycystic diseases in domestic cats. Moreover, congenital hepatic fibrosis is a rare but important differential diagnosis for young Persian cats and their crosses with clinical signs of chronic end-stage liver disease.