Proposed criteria for classification of acute myeloid leukemia in dogs and cats

Blood and bone marrow smears from 49 dogs and cats, believed to have myeloproliferative disorders (MPD), were examined by a panel of 10 clinical pathologists to develop proposals for classification of acute myeloid leukemia (AML) in these species. French-American-British (FAB) group and National Cancer Institute (NCI) workshop definitions and criteria developed for classification of AML in humans were adapted. Major modifications entailed revision of definitions of blast cells as applied to the dog and cat, broadening the scope of leukemia classification, and making provisions for differentiating erythremic myelosis and undifferentiated MPD. A consensus cytomorphologic diagnosis was reached in 39 (79.6%) cases comprising 26 of AML, 10 of myelodysplastic syndrome (MDS), and 3 of acute lymphoblastic leukemia (ALL). Diagnostic concordance for these diseases varied from 60 to 81% (mean 73.3 +/- 7.1%) and interobserver agreement ranged from 51.3 to 84.6% (mean 73.1 +/- 9.3%). Various subtypes of AML identified included Ml, M2, M4, M5a, M5b, and M6. Acute undifferentiated leukemia (AUL) was recognized as a specific entity. M3 was not encountered, but this subclass was retained as a diagnostic possibility. The designations M6Er and MDS-Er were introduced where the suffix "Er" indicated preponderance of erythroid component. Chief hematologic abnormalities included circulating blast cells in 98% of the cases, with 36.7% cases having >30% blast cells, and thrombocytopenia and anemia in approximately 86 to 88% of the cases. Bone marrow examination revealed panmyeloid dysplastic changes, particularly variable numbers of megaloblastoid rubriblasts and rubricytes in all AML subtypes and increased numbers of eosinophils in MDS. Cytochemical patterns of neutrophilic markers were evident in most cases of Ml and M2, while monocytic markers were primarily seen in M5a and M5b cases. It is proposed that well-prepared, Romanowsky-stained blood and bone marrow smears should be examined to determine blast cell types and percentages for cytomorphologic diagnosis of AML. Carefully selected areas of stained films presenting adequate cellular details should be used to count a minimum of 200 cells. In cases with borderline diagnosis, at least 500 cells should be counted. The identity of blast cells should be ascertained using appropriate cytochemical markers of neutrophilic, monocytic, and megakaryocytic differentiation. A blast cell count of > 30% in blood and/or bone marrow indicates AML or AUL, while a count of < 30% blasts in bone marrow suggests MDS, chronic myeloid leukemias, or even a leukemoid reaction. Myeloblasts, monoblasts, and megakaryoblasts comprise the blast cell count. The FAB approach with additional criteria should be used to distinguish AUL and various subtypes of AML (Ml to M7 and M6Er) and to differentiate MDS, MDS-ER, chronic myeloid leukemias, and leukemoid reaction. Bone marrow core biopsy and electron microscopy may be required to confirm the specific diagnosis. Immunophenotyping with lineage specific antibodies is in its infancy in veterinary medicine. Development of this technique is encouraged to establish an undisputed identity of blast cells. Validity of the proposed criteria needs to be substantiated in large prospective and retrospective studies. Similarly, clinical relevance of cytomorphologic, cytochemical, and immunophenotypic characterizations of AML in dogs and cats remains to be determined.     

牦牛大肠埃希氏菌病灭活疫苗的制备

用本实验室分离鉴定的致病性牦牛大肠埃希氏菌，按常规方法制备了4批氢氧化铝胶灭活疫苗。对牦牛大肠埃希氏菌的菌液培养、纯粹检验、活菌计数、灭活等进行了探索，并对用该菌研制成的疫苗进行了常规检验。结果4批灭活疫苗经无菌检验为阴性；经物理性状检验为：静置后上层是淡黄色的澄明液体，下层为灰白色沉淀，振荡后呈均匀混浊液；经牦牛安全检验结果为安全；经牦牛效力试验有效。牦牛大肠埃希氏菌病灭活疫苗为免疫预防该病打下了良好的基础。     

Influence of Bos indicus crossbreeding and cattle age on apparent utilization of a high-grain diet

Ten Bos indicus x MARC III (initial BW = 303 +/- 25 kg) and 10 MARC III (initial BW = 322 +/- 16 kg) steers were used in a 2 x 2 factorial design to determine whether cattle age or Bos indicus crossbreeding influence site of digestion of a high-grain diet. Initially, five Bos indicus x MARC III and five MARC III steers were fitted with duodenal cannulas and adapted to a 95% concentrate diet that was offered for ad libitum consumption for a 237-d feeding period (calves). During the feeding period, duodenal and fecal samples were collected during 4-d periods beginning on d 14, 67, 137, and 228. The remaining 10 steers were fed a forage-based diet for a targeted daily gain of .6 to .7 kg for 210 d (yearlings). Following this period, yearling steers were duodenally cannulated and adapted to the 95% concentrate diet. Yearling steers had ad libitum access to feed for 165 d, and samples were collected during 4-d periods beginning on d 13, 42, 102, and 159. Dry matter intake was 9.8 and 7.6 kg/d and daily gain was 1.35 and 1.16 kg in yearlings and calves, respectively. Apparent OM digestion in the stomach was greater (P < .01) in yearlings than in calves. In contrast, postruminal disappearance as a percentage of OM intake was greater (P = .05) in calves than in yearlings. Duodenal flows of total N, microbial N, nonmicrobial N, and total amino acids and total tract N digestibility were not affected (P > .05) by age or Bos indicus crossbreeding. Fecal N excretion was greater (P < .01) in yearlings than in calves. Results of this experiment suggest little effect of Bos indicus influence on utilization of a high-grain diet. However, more feed is digested in the rumen of yearlings than of calves consuming a high-grain diet.     

Whole soybean supplementation and cow age class: effects on intake, digestion, performance, and reproduction of beef cows

Two experiments were conducted to determine the effects of whole soybean supplementation on intake, digestion, and performance of beef cows of varying age. Treatments were arranged in a 2 x 3 factorial with 2 supplements and 3 age classes of cows (2-yr-old, 3-yr-old, and mature cows). Supplements (DM basis) included 1) 1.36 kg/d of whole raw soybeans, and 2) 1.56 kg/d of a soybean meal/hulls supplement. Supplements were formulated to provide similar amounts of protein and energy, but a greater fat content with the whole soybeans. Supplements were individually fed on Monday, Tuesday, Thursday, and Saturday mornings. During the treatment period, cows had free choice access to bermudagrass hay [Cynodon dactylon (L.) Pers.; 8.4% CP; 72% NDF; DM basis]. In Exp. 1, 166 spring-calving Angus and Angus x Hereford crossbred beef cows were individually fed supplements for an average of 80 d during mid to late gestation. During the first 50 d of supplementation, cows fed soybean meal/hulls gained more BW (10 kg; P < 0.001) and body condition (0.18 BCS units; P = 0.004) than cows fed whole soybeans. However, BW change (P = 0.87) and BCS change (P = 0.25) during the 296-d experiment were not different between supplements. Although calves from cows fed soybean meal/hulls were 2 kg heavier at birth, there was no difference in calf BW at weaning between supplements. Additionally, first service conception rate (68%; P = 0.24) and pregnancy rate (73%; P = 0.21) were not different between supplements. In Exp. 2, 24 cows from Exp. 1 were used to determine the effect of supplement composition on forage intake and digestion; cows remained on the same supplements, hay, and feeding schedule as Exp. 1. Crude fat digestibility was the only intake or digestibility measurement influenced by supplement composition; fat digestibility was higher for cows fed whole soybeans compared with cows fed the soybean meal/hulls supplement (58.1 vs. 48.8%). Hay intake and DMI averaged 1.63 and 1.92% of BW daily, respectively. Dry matter, NDF, and CP digestibility averaged 54.1, 55.1, and 63.2%, respectively. Compared with supplementation with soybean meal/ hulls, whole soybean supplementation during mid to late gestation resulted in reduced BW weight gain during supplementation, inconsistent effects on reproduction, no effect on calf weaning weight, and no effect on forage intake or digestion.     

Computed tomographic assessment of vascular invasion and resectability of mediastinal masses in dogs and a cat

AIMS: To assess the sensitivity of non-angiographic contrast-enhanced computed tomography (CT) to determine the presence of vascular invasion of cranial mediastinal masses in dogs and a cat, and to evaluate the association between vascular invasion and peri-operative mortality.

METHODS: A retrospective study was conducted on 25 dogs and one cat. CT scans were completed with slices ranging from 2 to 10 mm. CT images were evaluated by a board-certifi ed radiologist blinded to previous diagnoses and surgical fi ndings. Each CT study was evaluated for vascular invasion, defi ned as disruption of the vessel wall and extension of the mass into the vessel lumen. Data retrieved from the surgery reports included surgical approach, whether vascular invasion was present, the surgeon's decision on operability, and post-operative complications.

RESULTS: Computed tomographic evaluation revealed 25/26 masses had no evidence of vascular invasion. During surgical exploration, 10/26 masses were found to invade major regional vasculature; the cranial vena cava (CVC) was the vessel most commonly invaded (7/10 animals), and 4/7 (57%) patients with invasion of the CVC were euthanised or died in the perioperative period, from surgical or disease-related problems, which was signifi cantly higher than patients without vascular invasion (p=0.045).

CONCLUSIONS: Non-angiographic contrast-enhanced CT was signifi cantly less sensitive for detecting vascular invasion of cranial mediastinal masses when compared with surgical evaluation. If the CVC was invaded by a tumour there was a signifi cant risk of death peri-operatively when compared with non-invasive cases.

CLINICAL RELEVANCE: Due to the signifi cantly higher mortality risk associated with invasion of the CVC, a more sensitive method than CT should be investigated to determine vascular invasion of mediastinal masses pre-operatively.     

Nasopharyngeal cryptococcosis

Naturally occurring cryptococcosis in five cats, a dog and a koala is described. Involvement of the nasopharynx was documented in all patients, and nasopharyngeal mass lesions accounted for the major presenting complaints in four. Signs referable to nasopharyngeal disease included snoring, stertor, inspiratory dyspnoea and aerophagia. Diagnoses were made by caudal rhinoscopy using a retroverted flexible endoscope, vigorous orthograde flushing with saline, or at necropsy. Concurrent cryptococcal rhinitis was present in all cases, although involvement appeared limited to the caudal nasal cavity in most cases. Typical signs of nasal cavity disease, such as sneezing and nasal discharge, were often absent. Treatment of nasopharyngeal cryptococcosis should include physical dislodgement or debulking of lesion(s) to provide immediate alleviation of upper airway obstruction, followed by systemic antifungal therapy to eliminate residual infection from the nasal cavity. Infections caused by Cryptococcus neoformans var gattii accounted for a disproportionately large number of these cases.     

Mechanical comparison of materials used for extra-capsular stabilisation of the stifle joint in dogs

Objective The mechanical properties of three materials (No. 2 polypropylene, No. 5 polybutilate-coated multifilament polyester and 18, 27 and 36 kg test monofilament nylon leader material) commonly used for extra-capsular stabilisation of the stifle in dogs with cranial cruciate ligament insufficiency were determined. The ability of No. 5 polybutilate-coated multifilament polyester and 36 kg test monofilament nylon leader material, when placed as extra-capsular sutures, to mitigate cranial drawer was evaluated in hindlimbs of cadavers. Design An in vitro mechanical study. Animals Seven pairs of hindlimbs harvested from adult greyhound dogs recently euthanased for other reasons. Procedure Samples of each material, including samples of 27 kg test leader material that had been sterilised by one of three methods (ethylene oxide, one or five cycles in an autoclave), were loaded to determine tensile and stress relaxation properties. The effect of cyclic loading on a No. 5 polybutilate-coated multifilament polyester and 36 kg test leader material was also determined. Using the harvested hindlimbs, cranial drawer was measured before and after transection of the cranial cruciate ligament and on the first and twelfth cycle following extra-capsular stabilisation with either No. 5 polybu-tilate-coated multifilament suture or 36 kg test leader material. Results Leader material was found to have the most suitable mechanical characteristics for use as extracapsular stabilisation of the cranial cruciate ligament deficient stifle. Of the sterilisation methods, ethylene oxide was found to have the least detrimental effects on the handling and material characteristics of the leader material. Stifles stabilised with 36 kg test leader material had significantly less drawer than those stabilised with No. 5 polybutilate-coated multifilament polyester suture. Clinical implications Monofilament nylon leader material would appear to have suitable mechanical properties for extra-capsular stabilisation of the cranial cruciate ligament deficient stifle. If possible the material should be sterilised using ethylene oxide.     

Effects of supplemental protein type on intake, nitrogen balance, and site, and extent of digestion in whiteface wethers consuming low-quality grass hay

Two experiments were conducted to determine the effects of supplementing ruminally degradable intake protein (DIP) or ruminally undegradable intake protein (UIP) on N balance (Exp. 1; n = 6 wethers; initial BW = 48.7 +/- 4.6 kg) and site and extent of digestion (Exp. 2; n = 5 wethers; initial BW = 36.9 +/- 3.1 kg) in whiteface wethers consuming (as-fed basis) 69% blue grama and 31% love grass hay (mixture = 7.5% CP, 73.0% NDF, 36.0% ADF [DM basis]). Treatments were 1) no supplement (Control), 2) a supplement (219 g/d, as-fed basis) low in UIP (70 g/d of CP; 24.8 g/d of UIP), and 3) a supplement (219 g/d, as-fed basis) high in UIP (70 g/d of CP; 37.1 g/d of UIP). Both experiments were replicated 3 x 3 Latin square designs, with identical feeding and supplementation. Wethers had ad libitum access to the forage mixture and fresh water, and received supplement once daily. In Exp.1, forage intake (percentage of BW) was greatest (P = 0.04) for control, but total DMI (g/d) was greatest (P = 0.05) for lambs consuming supplement. Apparent total-tract OM digestibility was numerically greater (P = 0.11) for supplemented wethers than for controls, whereas total-tract ADF digestibility tended (P = 0.08) to be greater for control wethers. Lambs fed supplements consumed and retained more (P < or = 0.01) N (% of N intake) compared with controls, but no difference (P = 0.22) was observed between low and high UIP treatments. Similar to Exp. 1, forage intake (percentage of BW) tended (P = 0.06) to be greater for control than for supplemented wethers in Exp. 2. Ruminal NDF digestibility was 16.3% greater (P = 0.02) for supplemented wethers than for controls. Postruminal NDF and N digestibilities were greatest (P < or = 0.03) for controls, but apparent OM digestibility did not differ among treatments at all sites. Duodenal N flow was greatest (P = 0.05) for high UIP and least for control wethers. Nonmicrobial N flow was greater (P = 0.02) for high UIP compared with low UIP or controls. Control wethers had greater (P = 0.05) microbial efficiency. Ruminal ammonia concentration tended (P = 0.08) to be greatest for wethers fed low UIP and least for controls, with high-UIP wethers having intermediate ammonia concentrations. Results from these experiments suggest that in lambs fed low-quality forage there was no difference in apparent total-tract digestion or N balance (percentage of N intake) between lambs fed supplements that had the same CP but differed in the proportion of UIP and DIP; however, supplementing protein (regardless of UIP:DIP ratio) to wethers consuming low-quality forage increased N balance.