-
Iranian Journal of Veterinary Research 2022Difficult calving (dystocia) in buffalo cows is a major obstetrical problem which further leads to metritis complex, encompassing the retention of fetal membranes (RFM),...
BACKGROUND
Difficult calving (dystocia) in buffalo cows is a major obstetrical problem which further leads to metritis complex, encompassing the retention of fetal membranes (RFM), puerperal metritis, endometritis and pyometra with impaired future fertility.
AIMS
The current study aimed to evaluate the effect of the administration of intrauterine proteolytic enzymes on the expulsion of fetal membranes and postpartum fertility in dystociac buffaloes.
METHODS
Proteolytic enzymes consisting of Trypsin (16 mg), Chymotrypsin (16 mg), and Papain (8 mg) were dissolved in 500 ml normal saline were administered after 1 h of assisted delivery in dystociac buffaloes along with the conventional therapy.
RESULTS
The treated animals (n=15) expelled fetal membranes within a shorter period of time (P=0.043) compared to the control group (n=15) with none in the treatment group retaining it for more than 24 hours. Fewer (26.67 73.33%; P=0.027) postpartum uterine infections developed in the treated animals compared to the control group. The interval between first postpartum estrus (P=0.067), service period (P=0.554), and open days (P=0.557) was shorter in the treatment group compared to the control group where postpartum anestrus developed less frequently (26.67 66.67%; P=0.066) in the animals treated with enzymatic therapy. Systemic illness (neutrophillia) was reduced in the treatment group compared to the control on day 20 (64.55 ± 1.14% 70.23 ± 0.99%; P=0.001) and 45 (55.05 ± 1.63% 64.92 ± 1.45%; P<0.001) postpartum.
CONCLUSION
It is concluded that proteolytic enzymes therapy after assisted delivery in dystociac buffalo cows could help in the early expulsion of fetal membranes and reduce uterine infections with decreased neutrophils count.
PubMed: 36118611
DOI: 10.22099/IJVR.2022.41684.6066 -
The Journal of Reproduction and... Dec 2020Cotton rats (Sigmodon hispidus, CRs) are commonly used as animal models in biomedical research. However, the reproductive characteristics and ovarian development in the...
Cotton rats (Sigmodon hispidus, CRs) are commonly used as animal models in biomedical research. However, the reproductive characteristics and ovarian development in the CRs has not been widely investigated. We have previously shown that female CRs, in particular, show several unique phenotypes associated with the urogenital system, such as chronic kidney disease and pyometra. Our investigation revealed unique morphologies in CR ovaries, particularly in oocytes. Cotton rat ovaries at 6-8 weeks of age were obtained from the Hokkaido Institute of Public Health, and their sections analyzed by light microscopy and transmission electron microscopy. Although the general histology and folliculogenesis of CR ovaries were similar to those of other experimental rodents, multi-oocyte follicles (MOFs) and double nucleated oocytes (DNOs) were also observed. Although MOFs were found at all stages of follicular development, a greater frequency of MOFs was observed in the primary and secondary stages. However, DNOs tended to be frequently observed in primordial follicles. Almost all MOF oocytes and a few DNOs possessed a clear zona pellucida, expressed DEAD (Asp-Glu-Ala-Asp) box polypeptide 4 and Forkhead box protein 2, a representative marker of oocytes and follicular epithelial cells. Thus, our investigations revealed the unique phenotypes of the CR ovary. As MOFs and DNOs are occasionally observed in human patients with infertility, the CR would be a useful animal model to study for gaining a better understanding of folliculogenesis and oocytogenesis, as well as their abnormalities in humans and other animals.
Topics: Animals; Epithelial Cells; Female; Mice; Mice, Inbred C57BL; Mice, Inbred ICR; Oocytes; Ovarian Follicle; Ovary; Phenotype; Rats; Reproduction; Sigmodontinae; Zona Pellucida
PubMed: 32879182
DOI: 10.1262/jrd.2020-061 -
Frontiers in Veterinary Science 2020Decreased serum apolipoprotein A1 (Apo-A1) concentration is associated with mortality in human sepsis. The diagnostic and prognostic role of serum Apo-A1 concentrations...
Decreased serum apolipoprotein A1 (Apo-A1) concentration is associated with mortality in human sepsis. The diagnostic and prognostic role of serum Apo-A1 concentrations in canine sepsis was evaluated. Serum samples from septic dogs ( = 91) and healthy controls ( = 15) were retrospectively analyzed. According to the sepsis origin, four categories were identified: parvoviral enteritis ( = 26), pyometra ( = 20), septic peritonitis ( = 19), and miscellanea ( = 26). The canine acute patient physiologic and laboratory evaluation fast score (APPLE), serum C-reactive protein (CRP) and albumin concentrations were reviewed in all enrolled dogs. Increased CRP (252.6 ± 119.2 mg/L; Reference Interval: 0-8.5 mg/L) and significant lower serum albumin and Apo-A1 concentrations were documented in dogs with sepsis (22.8 ± 5.3 g/L and 1.17 ± 0.27 g/L, respectively) compared to healthy ones (33.1 ± 2.5 g/L and 1.32 ± 0.05 g/L, respectively) ( < 0.0001). According to the origin of sepsis, only the subgroup of dogs with septic peritonitis had significantly lower Apo-A1 (1.03 ± 0.26 g/L) concentrations compared to healthy dogs ( < 0.001). No significant differences were found in serum albumin and CRP concentrations, and in APPLE score values among the different subgroups of sepsis. Diagnosis of septic peritonitis was associated with a higher frequency of death ( = 0.006). In septic dogs, significant lower Apo-A1 concentrations were detected in non-survivors (1.02 ± 0.28 g/L; = 27) compared to survivors (1.23 ± 0.24 g/L; = 64; = 0.0007). Moreover, significant higher values of the APPLE score were calculated in non-survivors (26 ± 4; = 19) compared to survivors (23 ± 4; = 51) ( = 0.0114). According to the area under the ROC curve analysis, Apo-A1 <96 mg/dl had a fair accuracy (AUC = 0.72) to correctly predict mortality ( = 0.0004). Apo-A1 might support a diagnosis of canine septic peritonitis with a potential prognostic significance. Further prospective studies are warranted.
PubMed: 32478112
DOI: 10.3389/fvets.2020.00263 -
Journal of the American Veterinary... May 2022To determine the rate of survival to hospital discharge and identify indicators associated with poor outcomes among female dogs (bitches) with pyometra treated with...
OBJECTIVE
To determine the rate of survival to hospital discharge and identify indicators associated with poor outcomes among female dogs (bitches) with pyometra treated with ovariohysterectomy (OHE) in a nonspecialized setting.
ANIMALS
405 bitches diagnosed with pyometra at the American Society for the Prevention of Cruelty to Animals Animal Hospital from January 1, 2017, to February 8, 2019.
PROCEDURES
For this retrospective study, medical records were searched and data collected including patient history, clinical signs, serum biochemical analyses results, and outcome (survival to hospital discharge, length of hospital stay, and uterine rupture). Logistic regression models were used to assess multivariable associations and identify potential predictive variables.
RESULTS
The rate of survival to hospital discharge for bitches with pyometra treated with OHE was 97% (394/405); 44% (174/394) stayed in the hospital ≥ 2 nights, and 3% (11/390) had a ruptured uterus. Bitches with a high BUN concentration or heart murmur had greater odds of death after OHE; however, the model had low predictive power. Those with uterine rupture, inappetence, high concentrations of BUN or serum creatinine, low PCV, or dehydration had greater odds of hospitalization ≥ 2 nights. There were no significant predictors of uterine rupture.
CLINICAL RELEVANCE
The rate of survival to hospital discharge was high for bitches with pyometra treated with OHE in a nonspecialized setting; therefore, general practitioners could expect similar outcomes. With this important procedure widely available in general practices, more pets can receive treatment for this life-threatening disease.
Topics: Animals; Dog Diseases; Dogs; Female; Prognosis; Pyometra; Retrospective Studies; Uterine Rupture
PubMed: 35290206
DOI: 10.2460/javma.20.12.0713 -
Journal of Dairy Science Nov 2020The objective was to determine the lactational incidence risks of reproductive disorders (RD) including dystocia (DYS), retained fetal membranes (RFM), puerperal...
The objective was to determine the lactational incidence risks of reproductive disorders (RD) including dystocia (DYS), retained fetal membranes (RFM), puerperal metritis (PM), clinical endometritis (CE), pyometra (PYO), late pregnancy loss (LPL), and culling due to reproductive reasons (CRR) in large organic certified dairies with predominant use of Holstein genetics. In addition, potential risk factors for RD, including parity category, milk yield in the previous lactation, season of dry-off, access to grazing at dry-off, length of the dry period (DPL), length of the close-up period (CUPL), calculated gestation length (CGL), season of calving, access to grazing at calving, concurrent health conditions, and total number of artificial inseminations were analyzed. A retrospective study was performed using information from 8 organic certified herds located in northern Colorado and west Texas, ranging from 900 to 6,000 milking cows. Cow information consisted of finalized lactations starting with calvings occurring between January 1, 2016, and December 31, 2018. Data were analyzed using time-to-event analyses and multivariable logistic regression. Clinical endometritis had the greatest lactational incidence risk (incidence risk = 10.1%; 95% CI = 9.8-10.3%), followed by DYS (8.8%; 8.5-9.1%), PM (4.9%; 4.7-5.1%), PYO (4.0%; 3.8-4.1%), LPL (3.6%; 3.4-3.7%), and RFM (2.0%; 1.8-2.1%). The incidence risk of CRR was 7.5% (7.3-8.7%), representing 29.1% (28.4-30.0%) of all culling reasons. Median time from calving to diagnosis of PM, CE, PYO, and LPL were 6, 23, 111, and 228 d, respectively. Median time for CRR was 391 d. The main risk factors for RD were DPL, CGL, and CUPL. Season of dry-off was a risk factor for RFM, PM, CE, LPL, and PYO. Short DPL (<30 d) was associated with increased odds (95% CI) of RFM [2.1 (1.6-2.7)], PM [1.4 (1.2-1.7)], and LPL [2.5 (1.5-4.2)]. Shortened CGL (<270 d) increased the odds of DYS [1.5 (1.3-1.8)], RFM [3.2 (2.4-4.1)], and PM [2.4 (1.7-3.3)], whereas extended CGL (>285 d) increased the odds of DYS [1.5 (1.4-1.7)], PM [1.5 (1.2-2.0)], CE [1.5 (1.1-2.0)], and CRR [1.2 (1.10-1.4)]. Shortened CUPL was associated with increased odds of all the RD. Cows spending less than 7 d in the close-up groups had greater odds of DYS [1.4 (1.1-1.8)], RFM [2.1 (1.8-2.4)], PM [1.9 (1.6-2.1)], PYO [1.5 (1.2-1.8)], LPL [2 (1.7-2.3)], and CRR [1.4 (1.04-1.8)] compared with cows spending more than 14 d in the close-up group. Season of calving was associated with the odds of PM [summer = 1.13 (1.01-1.2)], PYO [summer = 1.7 (1.1-2.5)], and LPL ([fall = 0.8 (0.6-0.96)] compared with winter calving. Other risk factors affecting RD were parity number, total number of artificial inseminations, and concurrent health conditions. Overall, lactational incidence risks of reproductive diseases were comparable with those reported in conventional herds. The identified risk factors for RD open opportunities for interventions, especially focused in precalving management, estimation of due dates, and closer monitoring of pregnancies from natural services in large organic certified dairy herds.
Topics: Animal Husbandry; Animals; Cattle; Cattle Diseases; Colorado; Dystocia; Endometritis; Female; Incidence; Insemination, Artificial; Lactation; Organic Agriculture; Placenta, Retained; Pregnancy; Reproduction; Retrospective Studies; Risk Factors; Seasons; Texas
PubMed: 32896412
DOI: 10.3168/jds.2020-18592 -
European Heart Journal. Case Reports May 2021Triangular ST-segment elevation or 'shark-fin' sign has been described as a specific indicator of acute coronary occlusion and large myocardial ischaemia, translating...
BACKGROUND
Triangular ST-segment elevation or 'shark-fin' sign has been described as a specific indicator of acute coronary occlusion and large myocardial ischaemia, translating into poorer prognosis. However, this electrocardiographic presentation has been reported in rare cases of Tako-Tsubo syndrome and associated with more severe physical stressors and neurological involvement.
CASE SUMMARY
We present a rare case of a 51-year-old woman presenting with incoming epileptic attacks and concomitant pyometra. Despite controlling epilepsy with phenytoin and the surgical treatment of the infection, she developed sepsis requiring vasopressors, and thereafter sustained ventricular tachycardia and diffuse ST-segment elevation with the 'shark-fin' sign. TTC was confirmed by the documentation of normal coronary arteries and the complete recovery of wall motion abnormalities at discharge.
DISCUSSION
Heterogeneous presentation and triggering conditions often challenge the diagnosis of Tako-Tsubo syndrome. The acknowledgement of different electrocardiographic and clinical manifestations can ease the diagnosis and the successful management of these patients, whose prognosis can be extremely severe in the acute phase, if unidentified.
PubMed: 34124561
DOI: 10.1093/ehjcr/ytab132 -
Irish Veterinary Journal Sep 2023To the best of our knowledge, this is the first report of female genital system infiltration of T-cell lymphoma in veterinary literature.
BACKGROUND
To the best of our knowledge, this is the first report of female genital system infiltration of T-cell lymphoma in veterinary literature.
CASE PRESENTATION
A 1.5-year-old, intact female Golden Retriever was referred due to melena and hyporexia that lasted for three weeks. Fever (40.5℃), tachycardia, tachypnoea, pale mucous membranes, and purulent vaginal discharge were identified on physical examination. Blood analyses revealed leucocytosis, anaemia, hypoalbuminemia, and increased lactate and C-reactive protein levels. On abdominal radiography, the small intestine was moderately deviated because of an oval-shaped mass (13 cm × 8.7 cm) located in the mid-abdomen. An enlarged tubular-shaped structure that had the opacity of soft tissue located in dorsal to the bladder to the middle of the abdomen, and an oval-shaped mass (5.28 cm × 3.26 cm), which was suspected to be a medial iliac lymph node located at the sixth to seventh lumbar level. Abdominal ultrasonography revealed gas and fluid in the lumen of the uterine horn with a severely thickened wall, round enlarged lymph nodes around the genitourinary system, and free fluid in the abdominal cavity. Based on these results, pyometra was suspected, and an exploratory laparotomy was performed for ovariohysterectomy. The resected ovary and uterus were macroscopically hypertrophied. Histopathological examination of the ovary and uterus revealed neoplastic proliferation of large round cells with strong immunoreactivity for CD3, indicating T-cell lymphoma. Therefore, the young dog was diagnosed with genital lymphoma.
CONCLUSIONS
The present report describes T-cell lymphoma infiltrating the uterus and ovaries in a young dog, which is rarely diagnosed and could aid in the differential diagnosis of genital diseases in young dogs.
PubMed: 37700381
DOI: 10.1186/s13620-023-00252-x -
Journal of Infection and Public Health May 2024Pyometra is a disease characterized by the collection of pus in the uterus. The clinical characteristics and etiology of pyometra have not been sufficiently described....
BACKGROUND
Pyometra is a disease characterized by the collection of pus in the uterus. The clinical characteristics and etiology of pyometra have not been sufficiently described. In this study, we investigated the clinical characteristics, epidemiology, outcomes, and risk factors of septic shock in patients with pyometra.
METHODS
Patients with pyometra admitted to one of four university-affiliated hospitals between January 2010 to August 2022 were enrolled. Pyometra cases associated with peripartum infection and surgical site infection were excluded. Clinical characteristics and outcomes of pyometra were described, and pyometra patients with or without septic shock were compared.
RESULTS
A total of 192 patients was included. Twenty-eight-day all-cause mortality was 5.0%, and the 1-year recurrence rate was 6.3%. Median patient age was 77.5 years. The two most common symptoms were abdominal pain (49.0%) and vaginal discharge (47.9%). Escherichia coli (40.1%), Klebsiella pneumoniae (16.7%), and Streptococcus spp.(16.0%) were the pathogens most frequently isolated by conventional culture; those isolated from polymerase chain reaction were Mycoplasma hominis (48.0%), and Ureaplasma spp. (32.0%). In multivariable analysis, fever, uterine perforation, and dementia were associated with increased incidence of septic shock, while vaginal discharge was associated with a lower incidence of septic shock.
CONCLUSIONS
Our findings suggest that pyometra is a unique gynecological infectious syndrome in post-menopausal individuals. The most common associated pathogens are similar to those involved in urinary tract infections rather than those of sexually transmitted diseases. Decreased cognitive function could delay early diagnosis of pyometra and lead to septic shock and higher mortality.
Topics: Aged; Female; Humans; Cohort Studies; Escherichia coli; Pyometra; Risk Factors; Shock, Septic; Vaginal Discharge; Retrospective Studies
PubMed: 38554592
DOI: 10.1016/j.jiph.2024.03.019 -
World Journal of Clinical Cases Aug 2022Cervical squamous cell carcinoma (SCC) is the most common type of cervical carcinoma and is generally derived from a precancerous stage called cervical high-grade...
BACKGROUND
Cervical squamous cell carcinoma (SCC) is the most common type of cervical carcinoma and is generally derived from a precancerous stage called cervical high-grade squamous intraepithelial lesion (HSIL). Usually, the cancer metastasizes through lymphatic or hematogenous dissemination, but rarely spreads upward into the uterus. Here, we report a case of cervical HSIL extending into the endometrium and finally progressing to SCC in the uterine cavity.
CASE SUMMARY
A 57-year-old postmenopausal woman visited our department and requested a routine cervical check-up. Four years ago, she had undergone a cervical loop electrosurgical excision procedure because of HSIL found during the gynecological examination, and she had not been checked again since. This time, a relapse of the cervical HSIL was diagnosed along with uterine pyometra and endometrial polyps. After 2 wk of antibiotic treatment, a laparoscopic hysterectomy was performed, and the final pathological examination revealed that the cervical HSIL had spread directly upward into the uterine cavity, gradually developing into cervical SCC in the endometrium.
CONCLUSION
Cervical HSIL/SCC can directly spread upward into the uterus with the most common symptoms of pyometra and cervical stenosis. More attention should be given to the early detection and prevention of this disease.
PubMed: 36157822
DOI: 10.12998/wjcc.v10.i24.8782 -
Veterinary Medicine and Science Jan 2023To describe a complication associated with the long-term use of tamoxifen for the treatment of sclerosing encapsulating peritonitis in a dog.
OBJECTIVE
To describe a complication associated with the long-term use of tamoxifen for the treatment of sclerosing encapsulating peritonitis in a dog.
CASE SUMMARY
A 2-year-old female spayed poodle cross was evaluated for a stump pyometra. The dog was diagnosed with sclerosing encapsulating peritonitis a year prior and was treated with tamoxifen, an oestrogen receptor antagonist, for treatment of the disease. The dog developed a swollen vulva with vulvar discharge and a stump pyometra was diagnosed on ultrasound. Hormonal testing was submitted to evaluate for an ovarian remnant and the dog underwent an exploratory laparotomy, where the uterine stump was removed. No ovarian remnant tissue was identified intra-operatively, and hormonal testing (anti-Müllerian hormone, progesterone, oestradiol) and histopathology were consistent with the absence of ovarian tissue. The tamoxifen was discontinued. The dog recovered uneventfully after surgery.
NEW OR UNIQUE INFORMATION PROVIDED
This report describes a complication of treatment of a rarely described clinical disease. While most cases of stump pyometra involve ovarian remnant syndrome, this case report describes a stump pyometra in a dog without remnant tissue that was undergoing treatment with tamoxifen. Tamoxifen has been reported to cause pyometra in intact female dogs. To the authors' knowledge, this is the first case report to describe a stump pyometra in a spayed female dog, secondary to the use of tamoxifen.
Topics: Dogs; Female; Animals; Pyometra; Tamoxifen; Uterus; Hysterectomy; Peritonitis; Dog Diseases
PubMed: 36571806
DOI: 10.1002/vms3.1041