Leslie Bosseler

Development of a new laparoscopic Foramen Epiploicum Mesh Closure (FEMC) technique in 6 horses

REASONS FOR PERFORMING STUDY Epiploic foramen entrapment (EFE) is, based on the number of reports in the literature, a relatively important life-threatening cause of colic in horses that could be prevented by closing the epiploic foramen (EF) in horses at risk of developing EFE. OBJECTIVES To describe the laparoscopic foramen epiploicum mesh closure (FEMC) technique and its outcome. STUDY DESIGN Descriptive experimental study. METHODS The EF of 6 horses was closed with the FEMC technique. A diabolo-shaped constructed mesh was introduced into the omental vestibule through the EF under laparoscopic visualisation in the standing sedated horse. Clinical and laboratory parameters were recorded during the post operative period. Four weeks after the intervention, repeat laparoscopy was performed in all horses. Three horses were subjected to euthanasia one, 2 and 3 months after the intervention, and were examined on necropsy and histopathology. The remaining 3 horses were followed clinically for 6 months. RESULTS The 6 FEMC procedures were performed successfully in a median surgery time of 22 min (range 18-27 min). One horse was treated for large colon impaction in the immediate post operative period. On repeat laparoscopy at 4 weeks all 6 EFs were closed and no undesired adhesions were identified. This was confirmed on gross and histopathological examination of the 3 horses that were subjected to euthanasia. The 3 remaining horses were clinically normal in the 6-month post operative observation period. CONCLUSIONS This FEMC technique provides a fast, simple, reliable and safe procedure to obliterate the EF and may be useful in horses at risk for EFE.

Equine multisystemic eosinophilic epitheliotropic disease: A case report and review of literature

CASE HISTORY: A 2-year-old Standardbred gelding presented with a history of fever over 1 week, anorexia and skin lesions on all four legs. The lesions were associated with severe pruritus and oedema, and there was no response to therapy. CLINICAL FINDINGS: The horse was in poor body condition, was lethargic and severely pruritic. Skin lesions consisted of diffuse alopecia and crusting of the distal extremities. Initially it was slightly febrile, but subsequently its temperature increased up to 40°C. Ten days after admission it developed profuse watery diarrhoea and the skin lesions progressed. Skin biopsies revealed superficial and deep perivascular dermatitis with lymphoplasmacytic and eosinophilic predominance. Based on the poor prognosis the horse was subject to euthanasia. PATHOLOGICAL FINDINGS: The most notable lesions included ulcerative gastritis, typhlitis and colitis with prominent oedema of the intestines, marked subcutaneous oedema and severe thickening of the large bile ducts. Histopathology showed marked eosinophilic and lymphoplasmacytic infiltration of various tissues including the skin, gastrointestinal tract, mesenteric lymph nodes, large bile ducts, pancreatic duct and kidney. Immunohistochemistry revealed a clear predominance of CD3-positive cells in the lymphocytic infiltrations. DIAGNOSIS: Based on the clinical findings and histopathology a diagnosis of multisystemic eosinophilic epitheliotropic disease (MEED) was made. CLINICAL RELEVANCE: Multisystemic eosinophilic epitheliotropic disease is rare in horses, and usually chronic. In the current case the horse showed an apparently acute onset with high fever and rapid clinical deterioration. A diagnosis of MEED should be considered in horses presenting with weight loss and skin lesions with or without fever. A final diagnosis is based on histological results of biopsy specimens from affected organs.

The novel homozygous KCNJ10 c.986T>C (p.(Leu329Pro)) variant is pathogenic for the SeSAME|[sol]|EAST homologue in Malinois dogs

SeSAME/EAST syndrome is a multisystemic disorder in humans, characterised by seizures, sensorineural deafness, ataxia, developmental delay and electrolyte imbalance. It is exclusively caused by homozygous or compound heterozygous variations in the KCNJ10 gene. Here we describe a similar syndrome in two families belonging to the Malinois dog breed, based on clinical, neurological, electrodiagnostic and histopathological examination. Genetic analysis detected a novel pathogenic KCNJ10 c.986T>C (p.(Leu329Pro)) variant that is inherited in an autosomal recessive way. This variant has an allele frequency of 2.9% in the Belgian Malinois population, but is not found in closely related dog breeds or in dog breeds where similar symptoms have been already described. The canine phenotype is remarkably similar to humans, including ataxia and seizures. In addition, in half of the dogs clinical and electrophysiological signs of neuromyotonia were observed. Because there is currently no cure and treatment is nonspecific and unsatisfactory, this canine translational model could be used for further elucidating the genotype/phenotype correlation of this monogenic multisystem disorder and as an excellent intermediate step for drug safety testing and efficacy evaluations before initiating human studies.

Salmonella Enteritidis flagellar mutants have a colonization benefit in the chicken oviduct

Egg borne Salmonella Enteritidis is still a major cause of human food poisoning. Eggs can become internally contaminated following colonization of the hens oviduct. In this paper we aimed to analyze the role of flagella of Salmonella Enteritidis in colonization of the hens oviduct. Using a transposon library screen we showed that mutants lacking functional flagella are significantly more efficient in colonizing the hens oviduct in vivo. A micro-array analysis proved that transcription of a number of flagellar genes is down-regulated inside chicken oviduct cells. Flagella contain flagellin, a pathogen associated molecular pattern known to bind to Toll-like receptor 5, activating a pro-inflammatory cascade. In vitro tests using primary oviduct cells showed that flagellin is not involved in invasion. Using a ligated loop model, a diminished inflammatory reaction was seen in the oviduct resulting from injection of an aflagellated mutant compared to the wild-type. It is hypothesized that Salmonella Enteritidis downregulates flagellar gene expression in the oviduct and consequently prevents a flagellin-induced inflammatory response, thereby increasing its oviduct colonization efficiency.

Persistent Goose Hemorrhagic Polyomavirus Infection on a Belgian Goose Farm

SUMMARY Goose hemorrhagic polyomavirus (GHPV) is the causative agent of hemorrhagic nephritis enteritis of geese (HNEG), one of the major diseases of domestic geese in Europe. This case report describes a persistent outbreak of a GHPV infection on a Belgian goose farm. Clinical symptoms, necropsy lesions, and histopathologic lesions observed were compatible with previous reports of HNEG outbreaks. PCR analysis confirmed the diagnosis of GHPV. To our knowledge, this is the first report of an outbreak of a GHPV infection on a Belgian goose farm. This is evidence that GHPV is not only present in countries known for extensive waterfowl production, but disease outbreaks also occur in countries with less extensive goose production.

Congenital Ascites due to Hepatoblastoma with Extensive Peritoneal Implantation Metastases in a Premature Equine Fetus

A premature dead equine fetus with excessive fluctuating distension of the abdomen was delivered by extraction. Post-mortem examination revealed ascites and a solitary, irregular, bulging, multinodular, firm, yellow mass of 25 cm in diameter in the right liver lobe. Extensive peritoneal implantation metastases were present. The masses were composed of polygonal embryonal cells arranged in sheets and nests. Based on the immunohistochemical expression of Ki67, low molecular weight cytokeratin and alpha-1 fetoprotein, a diagnosis of hepatoblastoma with peritoneal implantation metastases was made.

Diagnosis of Caroli syndrome in a crossbreed dog

This case report describes Caroli syndrome in a young dog, which presented with fever, icterus, acute vomiting, weight loss, hyporexia and lethargy. Two days after hospital admission, the development of severe ascites prompted the use of abdominal CT, which revealed the presence of a thickened gall bladder wall with dilation of the intrahepatic and common bile ducts, intrahepatic bile duct sacculation, and acquired extrahepatic portosystemic shunts. Exploratory coeliotomy revealed a gall bladder mucocoele with tortuous bile ducts. The owners opted not to follow further treatment and elected for euthanasia. This case highlights an unusual cause of hepatic and posthepatic icterus, which should be included in the differential diagnosis list of a young dog presenting with icterus.

25-OH-vitamin D, parathyroid hormone, and calcium serum levels in captive common marmosets (Callithrix jacchus): Reference values and effect of age, sex, season, and closure of long bone epiphyses

To date, reference values for 25‐OH‐vitamin D, parathyroid hormone (PTH), and calcium in serum of common marmosets (Callithrix jacchus) based on a large sample size are not available.

Suspected phenobarbitone hypersensitivity with acute liver failure in a dog

Phenobarbitone (phenobarbital) is an aromatic antiepileptic drug of the barbiturate family that is known to occasionally cause adverse reactions in several animal species at both toxic and therapeu...

Basal cell carcinoma in two Hermann’s tortoises (Testudo hermanni)

Neoplastic disorders are frequently encountered in the practice of reptile medicine. Herein we report the clinical behavior, antemortem diagnosis, and histopathologic characteristics of a recurrent intraoral keratinizing basal cell carcinoma (BCC) and a metastatic BCC of the carapace in 2 Hermann’s tortoises (Testudo hermanni). Although squamous cell carcinomas (SCCs) in tortoises show similar predilection sites and gross pathologic features, the BCCs described in our report were characterized by a remarkably fast and highly infiltrative growth in comparison to SCCs. Accordingly, early diagnosis including reliable discrimination from SCC is essential toward the management of this neoplastic entity in tortoises.