B-mode and M-mode echocardiography of endurance horses raised in São Paulo State, Brazil

This study aimed to evaluate cardiac dimensions and indexes of cardiac function in endurance horses using bidimensional- (B-) mode and guided unidimensional- (M-) mode echocardiography. Thirty-five Arabian and crossbred Arabian male and female horses, aged 5 to 18 years old, with an average weight of 415.51 ± 36.76 kg and at least 1 year of endurance training and competition experience, were used. The following values were obtained for B-mode echocardiography in the right parasternal window (see “Materials and Methods” for expanded terms): RVIDd 2.54 ± 0.56 cm; RVIDs 2.08 ± 0.68 cm; IVSd 2.60 ± 0.31 cm; IVSs 3.90 ± 0.44 cm; LVIDd 10.07 ± 0.85 cm; LVIDs 6.65 ± 0.92 cm; LVFWd 2.50 ± 0.30 cm; LVFWs 3.74 ± 0.35 cm; Aod 7.86 ± 0.72 cm; LAs 10.84 ± 0.93 cm; Vd 578.40 ± 108 cm³; Vs 232.68 ± 70.61 cm³; FS% 34.99% ± 8.02%; EF% 60.13% ± 8.29%; E-point 2.25 ± 0.49 cm; and LAs:Aod 1.38 ± 0.16 cm. Using guided M-mode, the following values were obtained: RVIDd 2.04 ± 0.55 cm; RVIDs 1.61 ± 0.71 cm; IVSd 2.68 ± 0.29 cm; IVSs 4.17 ± 0.42 cm; LVIDd 9.72 ± 0.72 cm; LVIDs 5.94 ± 0.96 cm; LVFWd 2.69 ± 0.32 cm; LVFWs 4.23 ± 0.69 cm; Aod 7.21 ± 0.75 cm; Vd 534.24 ± 87.53 cm³; Vs 181.75 ± 67.69 cm³; FS% 39.06% ± 7.66%; EF% 66.38% ± 9.41%; and E-point 1.96 ± 0.58 cm.

Introduction

In equine sports medicine, it is important to evaluate the cardiovascular condition of the athlete. More recently, echocardiography has been used for this purpose.Echocardiography is an invaluable diagnostic aid, since it is non-invasive and easy to perform,[1, 2 and 3] while offering a dynamic and functional evaluation of the heart. [2, 3, 4 and 5].Initially, studies on the M-mode were made, including measurements of normal cardiac dimensions in horses[6 and 7] and foals and for the diagnosis of several cardiac diseases. [1] With the introduction of the B-mode technique in the mid-1980s and its validation, a more detailed anatomic evaluation was possible, [2, 8 and 9] thus allowing the observation of cardiac abnormalities. [10]Though echocardiographic examination could be used to predict the athletic condition of individuals,[11] this is possible only if normal echocardiographic reference values are established. As different breeds have different biotypes and develop different aptitudes, it is necessary to provide enough information for each type of work or breed. Research includes data for the Thoroughbred racehorse [3, 12 and 13] and Standardbred trotter, [14 and 15] which perform essentially anaerobic work.The endurance race is a modality that is growing significantly in Brazil, both in number of participants and in quality and training of the animals. The endurance horse demands a physical conditioning that differs from that required for racehorses, especially owing to the development of aerobic work. In addition, the animals are mainly Arabian or Arabian crossbred, which have a particular biotype. Because of these facts, and the lack of data about the echocardiographic behavior of endurance horses, this study aimed to determine the dimensions and indexes of cardiac function for horses with endurance training using B-mode and guided M-mode echocardiography.

Materials and methods

Thirty-five clinically normal endurance Arabian and Arabian crossbred male and female horses between 5 and 18 years old, with an average weight of 415.51 ± 36.76 kg, were included in the study. All animals had at least 1 year of training and experience in competitions and were kept under similar hygienic, sanitary, and nutritional management. Training consisted of trail rides, alternating walking, trotting, and galloping, from 20 to 40 km per day, 3 to 4 times per week.The echocardiographic examination was performed with a Sonosite model 180 Plus v. 1.9 echocardiograph, using a 2-4–MHz electronic microconvex transducer with a maximal depth of 24 cm.The animals were prepared as previously reported,[4, 16 and 17] the hair being coated with large amounts of acoustic coupling gel. During the examination, the animals were at rest, calm, and physically restrained only by the halter, in a quiet and dark room.The following echocardiographic measurements, in B-mode as well as guided M-mode, were performed: the left atrium internal diameter in systole (LAs), only in B-mode, in the long axis view, dorsal to the annulus[15]; the right ventricle internal diameter, in diastole (RVIDd) and in systole (RVIDs); the interventricular septum thickness, in diastole (IVSd) and in systole (IVSs); the left ventricle internal diameter, in diastole (LVIDd) and in systole (LVIDs); and the left ventricle free wall thickness, in diastole (LVFWd) and in systole (LVFWs), from the left ventricle short axis view at the chordal level; and the aortic root internal diameter (Aod), from the aortic valve short axis view. The B-mode measurements were taken according to Patteson et al, [12] and the M-mode measurements were based on Long et al. [18]Images were obtained from the right hemithorax. The position used for the transducer to obtain the standardized images for B-mode and guided M-mode were determined and used as described in Reef.[4 and 17]The echocardiographic examination began using the B-mode echocardiography, with the establishment of the tomographic planes, evaluating morphology of the cardiac structures and their movement in a global manner.The first image obtained was the right parasternal long axis view, with the observation of the ventricle inlets, atrioventricular valves, and both atria. With the transducer positioned to optimize visualization of the left atrium, usually with a minimal dorsal angulation, the LAs measurement was made, immediately before the opening of the mitral valve (Fig 1).     

Genetic aspects of productive and reproductive traits in a Murrah buffalo herd in São Paulo,Brazil

This study investigated genetic trends of some productive and reproductive traits in a herd of Murrah buffalo raised in São Paulo, Brazil. Variance components for milk production (MP), length of lactation (LL), calving interval (CI) and age of first calving (AFC) were estimated by the restricted maximum likelihood method, using an animal model. Estimated heritability values were 0.38; 0.01; 0.10 and 0.20 for MP, LL, CI and AFC, respectively. Estimated repeatability values were 0.50, 0.13 and 0.20 for MP, LL and CI, respectively. Means of predicted breeding values for cows, dams and sires according to calving year and the genetic correlations were presented.     

P‐39 Canine and feline vitiligo in São Paulo (Brazil): clinical and epidemiological features

Melanodermas and leukodermas are conditions involving skin pigment changes. Vitiligo, an acquired leukoderma, is an uncommon canine and feline skin disorder, with a likely autoimmune pathogenesis. It is seen more frequently in young adult purebred animals and has no apparent sex predisposition. In Brazil the first report of vitiligo was in 1986. In a 16‐year period, 12 cases of vitiligo, including 11 dogs (six Rottweilers, two Doberman pinschers, one great dane, one boxer, and one mongrel dog) and one cat (Siamese), were diagnosed at our hospital. Diagnosis was based on history, physical examination, Wood´s lamp examination, and histopathologic evaluation (H&E and Masson‐Fontana stains). Among the dogs, seven were male with a mean age of 34.5 months. The clinical evolution was known in five patients. Skin lesions included leukotrichia (100%) and leukoderma of the nose (100%), buccal mucosa (66.5%), lips (85.7%), and footpads (8.5%). Leukonychia was rarely seen. The only lesion in the cat was depigmented footpads. Funding: Self‐funded.     

The Epidemiological Importance of Bats in the Transmission of Rabies to Dogs and Cats in the State of São Paulo,Brazil, Between 2005 and 2014

In Brazil, rabies control in dogs and cats was pioneered by the state of São Paulo with the adoption of the Pan American Health Organization recommendations for prophylaxis and control, which led to a reduction in rabies cases from 1994 onwards. As a result of these measures, the rabies virus (RABV) genetic lineage associated with dogs has not been found in the state since 1998, and all the cases in domestic animals reported since then have been caused by bat‐associated lineages of RABV. In the light of this, this study sought to investigate rabies cases in dogs and cats in the state of São Paulo between 2005 and 2014 and identify the associated transmission cycles by characterizing the RABV lineages responsible for these cases. Nine samples from dogs (n = 5) and from cats (n = 4) were collected between 2005 and 2014. The tenth animal, a rabid cat, was analysed by a different laboratory. The N gene nucleotide sequences obtained were analysed with the neighbor‐joining algorithm and Kimura 2‐parameter model using the MEGA 6 program. Phylogenetic analysis revealed that the genetic lineages identified in all the samples were those circulating in Brazilian bats. The findings of this study demonstrate that bats play an important role in the transmission of rabies to domestic animals in São Paulo state and that emphasis should be placed on the implementation of public policies to support surveillance of chiropterans for rabies.     

Seroprevalence of and risk factors for Toxoplasma gondii in sheep raised in the Jaboticabal microregion, São Paulo State, Brazil

Seroprevalence of and risk factors for toxoplasmosis in sheep from different properties in the Jaboticabal microregion, São Paulo State, Brazil were determined. Antibodies to Toxoplasma gondii were found in sera of 52.0% of 488 sheep tested by indirect fluorescent antibody test (IFAT ? 64). T. gondii seropositivity in sheep was significantly associated with gender of the sheep, pasturing system, contact with cats, and the use of mineral supplements and the type of feed.     

Epidemiological Aspects in the Leptospira spp. and Toxoplasma gondii Infection in Horses from Botucatu,São Paulo,Brazil

Leptospirosis and toxoplasmosis are zoonoses with high importance because of the economic and public health impact. This study was aimed to determine the seroprevalence of leptospirosis and toxoplamosis in 714 serum samples of horses from different farms from Botucatu, São Paulo, Brazil. The samples were researched for Toxoplasma gondii antibodies by indirect immunofluorescence antibody test (IFAT) and for Leptospira spp. antibodies by microscopic agglutination test. Of 714 serum samples, 128 (17.9%; 95% CI: 15.3%-20.9%) were positive for one or more serovars of Leptospira spp., with icterohaemorrhagiae, canicola, and castellonis as the most prevalent serovars, whereas 42 (5.9%; 95% CI: 4.4%-7.9%) were positive for T gondii, of which 33 samples (78.57%; 95% CI: 64.0%-88.2%) presented a titer of 16, 7 (16.7%; 95% CI: 8.4%-30.7%) a titer of 64, and 1 (2.38%; 95% CI: 0.6%-12.3%) a titer of 256. No significant difference was found among the results obtained and the associated variables such as age and sex.     

An increased incidence of mastitis caused by Prototheca species and Nocardia species on a farm in São Paulo,Brazil

Mastitis caused by Prototheca spp or Nocardia spp is considered to be difficult to treat. Both microorganisms are contaminants commonly found in soil. The occurrence of mastitis caused by these agents was studied in a particular dairy farm. In this herd, the animals were kept at pasture overnight and during daytime were brought to a pen where they were fed. This pen accumulated mud and faeces, particularly in the rainy season. During milking, pre-dipping of the teats was performed with an iodide solution, but they were not washed, so a layer of soil and faeces remained which may have contaminated the milking equipment. The herd comprised 91 lactating animals and 47 dry cows. For microbiological examination, 107 milk samples were collected from lactating cows and 186 samples of mammary secretions from the dry cows. Prototheca spp were isolated from 14.55% of the milk samples and Nocardia spp from 4.55%. Prototheca spp were isolated from 8.06% of the secretion samples from dry cows and Nocardia spp were isolated from 2.15% samples. The high occurrence of mastitis due to these environmental agents reflects the problem of keeping animals in muddy pastures and pens, and the defective pre-milking hygiene for the teats.     

Associations between Japanese spotted fever (JSF) cases and wildlife distribution on the Boso Peninsula,Central Japan (2006–2017)

Populations of large mammals have been dramatically increasing in Japan, resulting in damage to agriculture, forestry, and ecosystems. However, their effects on tick-borne diseases have been poorly studied. Here, we focused on the relationship between Japanese spotted fever (JSF), a tick-borne disease caused by Rickettsia japonica, and populations of large mammals. To explore factors that affected the area in which JSF cases occur, we used generalized linear mixed models (GLMMs). We demonstrated that the expansion of the area of JSF occurrence can be predicted by deer density and geographical factors, which is likely due to differences in landscape structure. However, the associated models have limitations because of the lack of information about the distribution of vectors and reservoirs. To reduce the risk of humans contracting JSF, potential reservoirs should be confirmed.     

Causes, diagnostic signs, and the utility of investigations of fever in dogs: 50 cases

This study aimed to determine the distribution of diseases causing fever in dogs in France. Dogs with fever were reviewed and 50 dogs were retrospectively assigned to disease groups. Fever profile and intensity, the time taken to reach a diagnosis, and inflammatory status were compared among groups. Almost half the dogs (48%) were diagnosed with non-infectious inflammatory diseases. No final diagnosis was reached in 14 dogs, 13 of which belonged to owners who did not wish to pursue the investigations. No association was found between disease group and the intensity of fever, fever profile, or serum C-reactive protein concentration. Cytological examinations were most frequently found to be the most important determinant for diagnosis (55.7%). This study confirms the predominance of non-infectious inflammatory diseases as causes of fever. Neither clinical nor biological factors were found to be predictive of disease group.     

Species diversity and seasonality of free-living ticks (Acari: Ixodidae) in the natural habitat of wild Marsh deer (Blastocerus dichotomus) in Southeastern Brazil

This study evaluated the presence and seasonal activity of free-living ticks in remaining marsh areas by the Paraná river, in Brazil. Eight field trips (once per season) for collection of ticks were performed during 2 years. Using CO2 traps, dragging, and visual inspection of vegetation, five free-living tick species were collected, in the following order of abundance: Amblyomma cajennense, Amblyomma dubitatum, Amblyomma triste, Amblyomma coelebs, and Amblyomma nodosum. The seasonal pattern of A. cajennense was characterized by the highest peaks for adult ticks in the summer/spring months, for nymphs in the winter and for larvae in the autumn and winter. A. dubitatum and A. triste presented similar seasonal patterns characterized by peaks of adult ticks in the autumn. Nymphs of A. dubitatum peaked in the winter of the first year and in the winter/spring of the second year. A. triste was the only species to be collected in significantly higher numbers in the marsh than in surrounding drier areas such as forest patches. Among domestic animals living close the marsh areas, horses were infested by Anocentor nitens, A. cajennense, and Boophilus microplus, bovines were infested solely by B. microplus, and dogs were infested by Rhipicephalus sanguineus. Adults of A. triste showed to be well adapted to the marsh environment. This result, at least partially, explains local previous observations on the association of A. triste with marsh deer, as this vertebrate host inhabits mainly the marsh area.     

Faecal shedding and serological cross‐sectional study of Lawsonia intracellularis in horses in the state of Minas Gerais,Brazil

Reason for performing the study: Proliferative enteropathy, caused by the intracellular bacterium Lawsonia intracellularis, has been described in horses in Australia, the USA, Canada and European countries but has not been reported in Latin America. The prevalence of the disease in horses worldwide is unknown. Objective: To evaluate the presence of subclinical L. intracellularis infection in horses in the state of Minas Gerais, Brazil. Methods: A longitudinal study using serology and PCR for detecting antibodies (IgG) and shedding of L. intracellularis in faecal samples, respectively, was conducted using a total of 223 horses from 14 different horse farms in Minas Gerais, and from the Veterinary School of UFMG equine herds in Minas Gerais. The immunoperoxidase technique in glass slides was used as the serological test. Results: Twenty‐one horse sera had immunoglobulin G titres of 1:60 and were considered positive. The PCR technique in faeces for L. intracellularis DNA identified 7 horses as faecal shedders. Horses shedding the organism appeared healthy, indicating that subclinical infection of L. intracellularis occurred in the horses. Conclusion: Seropositivity and detection of faecal shedding of L. intracellularis indicates the presence of the agent in the equine population in Minas Gerais. Potential relevance: Results of this study should alert clinicians in countries where proliferative enteropthy in horses has not been reported to consider this disease as a possible cause of enteric disease.     

Preliminary insights into the occurrence of similar clones of extended‐spectrum beta‐lactamase‐producing bacteria in humans,animals and the environment in Tanzania: A systematic review and meta‐analysis between 2005 and 2016

The emergence and spread of extended‐spectrum beta‐lactamase producing Enterobacteriaceae (ESBL‐PE) are complex and of the public health concern across the globe. This review aimed at assessing the ESBL‐PE clones circulating in humans, animals and the environment to provide evidence‐based insights for combating ESBL‐PE using One Health approach. Systematic search from Medline/PubMed, Google Scholar and African Journals Online was carried out and retrieved nine eligible articles (of 131) based on phenotypic and genotypic detection of ESBL‐PE between 2005 and 2016 in Tanzania. Analysis was performed using STATA 11.0 software to delineate the prevalence of ESBL‐PE, phenotypic resistance profiles and clones circulating in the three interfaces. The overall prevalence of ESBL‐PE in the three interfaces was 22.6% (95% CI: 21.1–24.2) with the predominance of Escherichia coli (E. coli) strains (51.6%). The majority of ESBL‐PE were resistant to the commonly used antimicrobials such as trimethoprim–sulfamethoxazole and tetracycline/doxycycline, 38%–55% were resistant to ciprofloxacin and all were sensitive to meropenem/imipenem. ESBL‐PE infections were more associated with deaths compared to non‐ESBL‐PE infections. Strikingly, E. coli ST38, ST131 and ST2852 were found to intersect variably across the three interfaces. The predominant allele, bla_{CTX‐M‐15,} was found mostly in the conjugative IncF plasmids connoting transmission potential. The high prevalence of ESBL‐PE and shared clones across the three interfaces, including the global E. coli ST131 clone, indicates wide and inter‐compartmental spread that calls for One Health genomic‐driven studies to track the resistome flow.     

Ouch! A cross‐sectional study investigating self‐reported human exposure to dog bites in rural and urban households in southern Ontario,Canada

This study investigated self‐reported dog bites in humans in rural and urban households in southern Ontario, Canada. Our objectives were to determine, and compare, the incidence of dog bites in rural and urban households, and to describe the profile of bite victims, biting dogs, and the proportion of biting dogs that respondents self‐reported as being not up to date on rabies vaccination. We conducted a cross‐sectional observational study using an online questionnaire. The 2,006 respondents, each representing one household, included 1,002 rural and 1,004 urban residences. The incidence risk of at least one person in the household being bitten over the previous year in rural households (6.09% per year) was less than in urban households (10.76% per year). In 53.20% of households from which at least one person had been bitten within the past year, only a single person had been bitten. Mostly, victims were 25 to 34 years old (21.67%), male (54.19%), and playing with or interacting with the biting dog at the time of the incident (59.11%). Most biting dogs were 3 to 5 years old (32.02%), males (53.69%), and unleashed (76.85%). Based on self‐reporting by respondents, 83.33% of respondent‐owned biting dogs were vaccinated against rabies at the time of the biting incident. Irrespective of dog ownership, the odds of an individual in a rural household being bitten by a dog were 0.53 (95% CI: 0.38–0.73) the odds for an individual in an urban household. Dog bites constitute a serious, yet preventable, public health concern that requires targeted, community‐specific efforts. Public health organizations could consider findings in developing messaging, particularly as we highlight biting dogs reported by their owners as not up to date on rabies vaccination.     

Barriers to innovation in human rabies prophylaxis and treatment: A causal analysis of insights from key opinion leaders and literature

Rabies is an essentially 100% fatal, zoonotic disease, caused by Lyssaviruses. Currently, the disease is vaccine‐preventable with pre‐ and post‐exposure prophylaxis (PrEP and PEP). Still, rabies virus is estimated to cause up to 60,000 human deaths annually, of which the vast majority occurs in rural Asia and Africa, due to the inaccessibility of prophylaxis and non‐existence of treatment. Despite these unmet clinical needs, rabies control mainly focuses on the sylvatic reservoir and drug innovation receives relatively little attention compared to other neglected tropical diseases (NTDs). As such, the lag of innovation in human rabies prophylaxis and treatment cannot be explained by limited return on investment alone. Strategies countering rabies‐specific innovation barriers are important for the acceleration of innovation in human rabies prophylaxis and treatment. Barriers throughout society, science, business development and market domains were identified through literature review and 23 semi‐structured interviews with key opinion leaders worldwide. A subsequent root cause analysis revealed causal relations between innovation barriers and a limited set of root causes. Finally, prioritization by experts indicated their relative importance. Root causes, which are fundamental to barriers, were aggregated into four types: market and commercial, stakeholder collaboration, public health and awareness, and disease trajectory. These were found in all domains of the innovation process and thus are relevant for all stakeholders. This study identifies barriers that were not previously described in this specific context, for example the competition for funding between medical and veterinary approaches. The results stress the existence of barriers beyond the limited return on investment and thereby explain why innovation in human rabies medication is lagging behind NTDs with a lower burden of disease. A re‐orientation on the full spectrum of barriers that hinder innovation in rabies prophylaxis and treatment is necessary to meet unmet societal and medical needs.