Intrathoracic pulsion diverticulum in a horse

This is a report of a 12-year-old Swedish Warmblood gelding with a ruptured esophageal pulsion diverticulum associated with atypical clinical signs of colic and septic peritonitis on presentation. The location of this diverticulum at the hiatus was unique and was most likely responsible for the unusual presentation of this horse.     

Equine orbital disease: A review

The purpose of this review is to discuss orbital disease in horses and how it pertains to the unique anatomy as well as the clinical presentation, diagnostics and aetiologies of orbital disease in this species.     

Indium-111 labeled vitamin B12 imaging of a ciliary adenoma with concurrent grade 2 soft tissue sarcoma of the leg in a Labrador Retriever

An 11-year-old, male castrated, Labrador Retriever was evaluated for the presence of rapidly growing concurrent leg and intraocular masses. Metastasis was noted in the chest at time of initial presentation. Indium-111 labeled vitamin B12 imaging was performed, and there was significant uptake by both primary tumors and the lung metastases. Enucleation and amputation were performed for palliative relief. The leg mass was a grade 2 soft tissue sarcoma and the ocular mass a ciliary adenoma. The dog remained symptom-free for approximately 10 weeks before developing signs of respiratory distress. He was euthanized 12 weeks after initial presentation, and there was diffuse infiltration of the lungs with metastatic sarcoma. Indium-111 labeled vitamin B12 imaging identified a ciliary adenoma in this case and may provide a useful differentiation technique for evaluation of intraocular and retrobulbar masses if it can be demonstrated that there is differential uptake between inflammatory or infectious conditions and neoplasia.     

The relation between the birth process and the condition of the newborn piglet and calf

This presentation will focus on the assessment of the condition of the piglet and calf during and shortly after birth and will review some of the physiological and clinical factors that may have played a role during their delivery and influenced their viability at birth.     

热休克蛋白70(HSP70)研究进展

由热应激诱导产生的热休克蛋白（HSPs）通过其分子伴侣作用参与蛋白质折叠、转运、细胞保护、抗原呈递,及肿瘤免疫等许多重要体内过程,从而对生物体起着重要的作用,本文就HSP70国内外最新研究进展作一综述。     

A practitioner's guide to understanding infectious disease diagnostics in the United Kingdom. Part 2: Serological diagnostic testing methods and diagnostic test result interpretation

This article is the second in a review series about infectious disease diagnostics and summarises serological testing techniques, diagnostic test validation and result interpretation. It highlights the requirement for results to be interpreted with testing limitations in mind and in conjunction with the case's clinical presentation. With these foundations, the treating clinician should always be well placed to deal with equine infectious diseases.     

The intra-uterine position of canine foetuses and their sequence of expulsion at birth

In 14 bitches, laparotomy was performed between the 45th day and 54th day of gestation. In total, 89 foetuses were marked individually by means of transuterine injections of a radiopaque substance. After expulsion, each pup was provided with a colour code. By radiographs one day after birth, all pups of a litter could be identified by the radiopaque markings. In this way the order and presentation at birth of each pup could be compared with the uterine position and presentation at laparotomy. When after expulsion of a pup, one or more were left in each uterine horn, the next pup was produced by the contralateral horn in 43 cases (78·2%) and by the ipsilateral horn in 12 cases (21·8%). One horn was never observed to be completely empty before the other horn started expelling pups. In six of eight bitches in which each two uterine horns did not contain an equal number of foetuses, the first pup was born from the horn containing most pups. The presentation at birth has been observed in 73 pups. For five of these (6·9%), the presentation differed from the one observed at laparotomy; in all five cases the original posterior presentation had changed into an anterior one.     

Viral interference with MHC class I antigen presentation pathway: the battle continues

CD8+ cytotoxic T lymphocytes (CTLs) play a critical role in the defense against viral infections. In general, CD8+ CTLs recognize antigenic peptides in the context of the major histocompatibility complex (MHC) class I molecule. The MHC class I molecules are expressed on almost all the nucleated cells in the body. The trimolecular complex consisting of the class I heavy chain, beta2-microglobulin and the peptide are generated by the MHC class I antigen presentation pathway. This pathway is designed to sample the intracellular milieu and present the information to the CTLs trafficking the area. This rigorous sampling of intracellular environment enables the CTLs to quickly identify and eliminate the cells that synthesize non-self proteins as a result of a viral infection. Many viruses, including several viruses of veterinary importance, have evolved astounding strategies to interfere with the MHC class I antigen presentation pathway, as a means of evading the CTL response of the host. This review focuses on the diverse mechanisms of viral evasion of the MHC class I antigen presentation pathway with particular emphasis on viruses of veterinary importance.     

PERIPHERAL NEUROBLASTOMA IN A DOG

Primitive neuroectodermal tumors are composed of primitive neuroepithelial cells and include tumors of the central and peripheral nervous system. Neuroblastoma, medulloblastoma and retinoblastoma are examples of these rare malignant tumors that usually occur in young patients. This report describes aperipheral neuroblastoma in a 2 year old Boxer that presented with signs of renal disease and a palpable abdominal mass. The purpose of this paper is to describe the clinical presentation, imaging and immunohistological studies of this abdominal tumor in a young dog and to review the literature.     

Feline pyothorax - new insights into an old problem: part 2. Treatment recommendations and prophylaxis

Until recently, pyothorax in the cat has been generally considered to have a poor prognosis. However, it has become clear that most cats that survive the first 48 h following presentation can be successfully treated with aggressive medical management. In this second part of a two-part review, logical guidelines for the management of the disease are discussed, with particular emphasis on antimicrobial selection. Patient stabilisation and supportive care, techniques for pleural space drainage and lavage and indications for surgery are reviewed.     

Primary ocular sarcomas in the cat

Primary ocular sarcomas were diagnosed following enucleation (12) or necropsy (one) in 13 cats over an eight year period. Twelve of the 13 cats were males; ages of affected animals were seven to 15 years, with a mean of 12. Five of the cats had a history of previous trauma and six others had a history of chronic uveitis. Morphologically the neoplasm was comprised of undifferentiated spindle cells and appeared to arise in the anterior uvea. The cancer was quite aggressive, with extension into adjacent tissues and/or distant metastases commonly encountered. Seven of 12 cats experienced confirmed tumour related deaths within months following enucleation and one was humanely destroyed at the time of original presentation.     

Serial monitoring of clinical, haematological and immunological parameters in canine autoimmune haemolytic anaemia

Clinical, haematological and immunological data are presented from 14 dogs with autoimmune haemolytic anaemia (AIHA) serially monitored for up to 945 days after initial presentation. At the time of diagnosis, all dogs had severe anaemia (mean packed cell volume [PCV] 17.6±7.1 per cent) with leucocytosis in seven cases and thrombocytopenia in four dogs. The Coombs' test was positive in all cases. Immunoglobulin G (IgG) autoantibody alone was identified in eight cases, a combination of IgG and IgM autoantibodies was recognised in three cases, and in two dogs only IgM autoantibody was recorded (complement fixing in one of these dogs). All dogs were treated with immunosuppressive doses of corticosteroids and some animals also received cyclophosphamide (four cases), azathio-prine (two cases), blood transfusion (four cases) or underwent splenectomy (two cases). Two dogs died during the initial episode of AIHA. In 12 dogs, the anaemia was resolved by an average of 36.3 ±16.0 days after initial presentation, but autoantibody titre often persisted after clinical improvement and normalisation of PCV. Four dogs had a clinical relapse 67 to 170 days after initial presentation and one of these dogs subsequently died from thromboembolic disease. One dog developed lymphocytic thyroiditis and serum antinuclear antibody at day 691 after initial presentation, and two cases developed disease consistent with autoimmune thrombocytopenia (AITP) at 365 and 618 days post initial presentation. In one of these dogs, AITP was concurrent with multicentric lymphoma. No correlation was recorded between haematological and immunological parameters at presentation and subsequent response to therapy or long-term clinical behaviour.     

Clinical Characteristics of Dogs with Progressive Myelomalacia Following Acute Intervertebral Disc Extrusion

Background

Progressive myelomalacia (PMM) is a catastrophic disease associated with acute intervertebral disc extrusion (IVDE). Published data on the clinical characteristics of this disease are limited.

Objective

To describe the onset and progression of clinical signs of PMM in a large case cohort.

Animals

Fifty‐one dogs, 18 with histopathologically confirmed PMM, 33 presumptively diagnosed based on clinical signs and diagnostic imaging.

Methods

Retrospective study. Dogs with confirmed IVDE and either a histopathologic diagnosis of PMM or a high clinical suspicion were identified by medical record search. Data on nature and progression of signs were extracted.

Results

Twenty‐four of 51 dogs were Dachshunds. T12–T13 was the most common site of disc extrusion (12 of 56), and 18 of 55 of mid‐to‐caudal lumbar discs (between L3 and L6) were affected. Onset of PMM signs ranged from present at first evaluation (17/51) to 5 days after presentation, with 25 of 51 cases developing signs within 48 hours. Progression of signs from onset of PMM to euthanasia or death, excluding 7 cases euthanized at presentation, ranged from 1 to 13 days with 23 being euthanized within 3 days. Nonspecific systemic signs were documented in 30 of 51 dogs.

Conclusion and Clinical Importance

The majority of dogs developed PMM within 2 days of presentation and was euthanized within another 3 days. However, onset can be delayed up to 5 days after presentation with progression to euthanasia taking as long as 2 weeks. Mid‐to‐caudal lumbar discs might be associated with an increased risk of PMM.     

Basic concepts in statistics for veterinary ophthalmologists

Abstract This review article provides a comprehensive coverage of basic statistical procedures commonly used in biologic experiments and is intended to be a basic guide to the selection of appropriate tests and also to aid the reader in the evaluation of published studies. The focus is on the use, interpretation and presentation of the main statistical tests and their key concepts for the practicing veterinary ophthalmologist. Several examples derived from actual ophthalmic research are presented in the text. Lastly, the article discusses computer-based statistical analysis, provides a list of different software available and gives a practical example of a 'real life' statistical analysis.     

Clinical Update on Testing Modalities for Encephalitozoon cuniculi in Clinically Sick Rabbits

This article describes the clinical presentation of rabbit patients infected with Encephalitozoon cuniculi that present to veterinary hospitals. The difficulty in obtaining a definitive diagnosis with this disease, even in animals with severe clinical signs, is frustrating to veterinarians and owners alike. A detailed review of current diagnostic testing methodologies and recent advances should help with the interpretation of E. cuniculi test results to communicate and inform owners on treatment and prevention of this devastating disease.     

Herpesviruses and immunity: The art of evasion

Herpesviruses have evolved several effective strategies to counter the host immune response. Chief among these is inhibition of the host MHC class I antigen processing and presentation pathway, thereby reducing the presentation of virus-derived epitopes on the surface of the infected cell. This review summarizes the mechanisms used by herpesviruses to achieve this goal, including shut-down of MHC class I molecule synthesis, blockage of proteasome-mediated peptide generation and prevention of TAP-mediated peptide transport. Furthermore, herpesvirus proteins can retain MHC class I molecules in the endoplasmic reticulum, or direct their retrograde translocation from the endoplasmic reticulum or endocytosis from the plasma membrane, with subsequent degradation. The resulting down-regulation of cell surface MHC class I peptide complexes thwarts the ability of cytotoxic T lymphocytes to recognize and eliminate virus-infected cells. The subversion of the natural killer cell response by herpesvirus proteins and microRNAs is also discussed.     

Equine retrobulbar disease: Diagnoses and outcomes of 15 horses with exophthalmos (1988–2017)

Retrobulbar disease, while rare in horses, can pose a clinical challenge due to the advanced diagnostic procedures necessary to determine the underlying aetiology and extent of disease. The goal of this study was to explore definitive causes of exophthalmos within a hospital population and investigate prognoses for the various aetiologies. Retrospective medical record review was used to identify 15 horses diagnosed with a definitive cause of exophthalmos. Patient signalment, disease duration, eye affected, diagnostic procedures, therapies, and histopathological diagnosis were evaluated. Geldings (12/15, or 80%) were over-represented (P = 0.014). Mean age at presentation (14 ± 6.7 years) was not significantly different for horses with (14 ± 8.5 years) and without (15 ± 4.4 years) a diagnosis of neoplasia. Diagnosis of a neoplastic process was made in 8/15 horses (53.3%) with neuroendocrine tumour being most common. Eight of the 15 cases were classified as primary orbital disease, and seven represented extension from paranasal sinus disease. Two novel diagnoses were identified: cystic hamartoma arising from the lacrimal gland and orbital aspergillosis secondary to sinonasal disease. In total, eight of 12 horses for which follow-up was available were euthanised due to orbital disease, two immediately following computed tomography of the skull and six due to disease progression. One horse was euthanised following a peri-anaesthetic complication. Three horses were lost to follow-up. Of the 12 horses for which follow-up was available, only four (33.3%) were alive 21 months post-diagnosis. Considering only patients for whom a definitive diagnosis was obtained, retrobulbar disease was associated with a poor prognosis for life.     

Intra‐thoracic gossypiboma (textiloma) in a 6‐year‐old cocker spaniel

This report documents the first case of gossypiboma (textiloma) identified within the thorax of a dog. CT findings, surgical removal and histopathology are described. Intra‐thoracic gossypiboma has not previously been reported in dogs and is rarely reported in the human medical literature, where it is most commonly associated with previous cardiac or pulmonary surgery. This dog had previously had a thoracotomy for attempted surgical correction of a persistent right aortic arch and left ligamentum arteriosum 6 years prior to presentation. A brief review of the previous literature and recommendations for prevention of this condition are provided.     

Metastatic digital carcinoma in the cat: a retrospective study of 36 cats (1992-1998)

Thirty-six cats with bronchogenic carcinoma metastatic to the digit were identified. The mean age was 12.7 years, with no breed or sex predilection. Records from 19 cases were available for review. These cats presented with a primary complaint of lameness that involved primarily weight-bearing digits and the third phalanx. None had respiratory signs, despite the presence of pulmonary carcinoma. Course of disease was consistent in the 19 cases, with a mean survival time of 58 days from initial presentation. Amputation of affected digits was rarely palliative due to development of lesions in other digits and progressive nonrespiratory disease.