草鱼呼肠孤病毒逆转录环介导等温扩增检测方法的建立

为更加快速、灵敏地检测草鱼呼肠孤病毒(Grass Carp Reovirus,GCRV),建立环介导等温扩增(RT-LAMP)检测方法。根据GenBank中GCRV HZ08等毒株VP6蛋白基因序列设计引物,以GCRV弱毒疫苗株(GCHV-892)总RNA为模板建立RT-LAMP反应,对扩增产物用限制性内切酶PvuⅡ进行酶切鉴定,所得酶切产物大小符合预期值。随后对LAMP反应体系包括Mg2+、dNTPs、甜菜碱(betaine)和内外引物浓度比进行了优化,并以含VP6蛋白基因的重组质粒(pEASY-VP6)为模板考量了该方法的敏感性,结果显示最低检测限为10copies.μL-1,比RT-PCR检测方法敏感10倍。特异性试验表明与白斑综合征病毒(WSSV)、嗜水气单胞菌(Aeromonas hydrophila)、病毒性神经坏死病毒(VNNV)无交叉反应。应用RT-LAMP方法检测16份疑似出血病草鱼,6份病料获得了阳性扩增,与RT-PCR检测结果一致。     

黄立中教授运用伏龙肝治疗恶性肿瘤并发难治性出血验案赏析

出血证临床常见,常规中西医治疗都能取得较好疗效,但难治性出血则较为棘手。介绍恶性肿瘤并发咳血、尿血两则案例,均是迁延不愈且出血量较大,西医各种抗纤溶类、纤维蛋白酶、垂体后叶素等止血药物和血管栓塞止血无效,黄立中教授使用大剂量伏龙肝治疗而血止,疗效显著。伏龙肝具有温阳止血,止呕,止泻的功效。黄教授止咳血取其降气降火止血,止尿血取其温阳固摄止血。取意不同,反效同归,诚乃可师可法。     

双侧脑室引流、冲洗结合腰穿救治高血压脑出血破入全脑室患者的临床观察

目的 观察双侧脑室冲洗、引流结合腰穿治疗高血压脑出血破入全脑室的有效性和安全性.方法 将高血压脑出血破入全脑室的83例分成双管组(n=57)和单管组(n=26),双管组采用双侧脑室引流、冲洗结合腰穿的方法治疗(57例);单管组用单管引流治疗(26例),将两组治疗结果进行统计学分析和比较.结果 双管组:良好和中残35例(61.4%)、重残11例(19.3%)、植物生存2例(3.5%)、死亡9例(15.8%),单管组分别为6例(23.1%)、6例(23.1%)、1例(3.8%)、13例(50.0%),以双管组的疗效为优(P＜0.01);且双管组的病死率明显低于单管组(P＜0.01).双管组的脑脊液廓清时间为3～6(4.2±1.3)d,明显短于单管组的6～15(8.6±2.1)d(P＜0.01).结论 双管引流比单管引流更容易保持引流通畅,脑脊液廓清迅速,并发症减少,能降低病死率,提高生存质量,是一种安全、有效治疗全脑室出血的方法.     

草鱼出血病的病原研究

草鱼出血病的病原研究,始于50年代。1978—84年,分离到一种病原病毒,定名为草鱼呼肠孤病毒或鱼呼肠孤病毒。本文报道从出血病病鱼组织的电镜研究中发现两种病毒颗料,一种即是呼肠孤病毒,另一种是20-30nm大小的病毒。经病毒的核酸分析,前者是双股RNA病毒;后者为单股RNA病毒。用分离到的这两种病毒分别注入1足龄健康草鱼,可发生两类不同症状的出血病;呼肠孤病毒主要导致“肠出血型”症状;另一种病毒(经初步鉴别属于小RNA病毒科病毒)主要导致“肌肉出血型”出血病。由此,可以证实两种病毒都是草鱼出血病的病原病毒,同时也初步解释出现两种不同症状出血病的原因。     

SUSCEPTIBILITY ARTIFACTS ON T2*‐WEIGHTED MAGNETIC RESONANCE IMAGING OF THE CANINE AND FELINE SPINE

The T2*‐weighted gradient recalled echo sequence is a sensitive means to detect blood degradation products. While not a routine sequence in magnetic resonance imaging of the spine in small animals, it can provide additional valuable information in select cases. The goal of this retrospective, cross‐sectional study was to describe findings when acquiring this sequence during magnetic resonance imaging examination of the spine in small animals. The University of Tennessee's veterinary radiology database was searched for dogs and cats that underwent magnetic resonance imaging for suspect spinal disease in which a T2*‐weighted gradient recalled echo sequence was acquired and susceptibility artifact was identified. The following information was recorded: signalment, clinical signs, location and appearance of susceptibility artifact, and final diagnosis. Thirty‐nine cases were included in the study. Extradural susceptibility artifacts were observed in cases of intervertebral disc herniation with or without associated hemorrhage (n = 28), extradural hemorrhage associated with spinal trauma (n = 2), hemophilia (n = 1), and in a cystic extradural mass (n = 1). Remaining lesions displaying susceptibility artifact were intramedullary and included presumptive acute noncompressive nucleus pulposus extrusion (n = 2), hematoma (n = 1), hemangiosarcoma metastasis (n = 1), intramedullary disc extrusion (n = 1), presumptive meningomyelitis (n = 1), and a mass of undetermined etiology (n = 1). Inclusion of a T2*‐weighted gradient recalled echo sequence may be helpful in spinal magnetic resonance imaging when standard imaging sequences are ambiguous or intramedullary lesions are observed.     

Gamna‐Gandy bodies: a case of mistaken identity in the spleen of a cat

A 4‐year‐old, female spayed Domestic Shorthair cat was presented for a 2‐day history of lethargy, anorexia, and vomiting. Diagnostic assessments revealed a severe, regenerative anemia and the presence of a solitary, 3 × 4 cm splenic mass. Cytologic examination of fine‐needle aspirates of the splenic mass showed sheets of pleomorphic histiocytic cells with numerous intracellular and extracellular, negatively staining to deeply basophilic, branching structures. These structures were typically of thin uniform thickness with random angled branching that formed geometrical shapes and fragments, occasionally with sharpened ends and a crystalline appearance. Septal‐like divisions were irregularly spaced along some of the linear branches. The cytology was interpreted as a probable histiocytic inflammatory response to the unidentified foreign material with histiocytic sarcoma as a differential diagnosis. Histopathologic evaluation of the splenic mass resulted in a diagnosis of histiocytic sarcoma. The branching material stained positively for both iron and calcium, indicating that the material was compatible with Gamna‐Gandy bodies present secondary to tumor‐associated hemorrhage and the formation of calcium–iron complexes.     

IMAGING DIAGNOSIS ‐ SPONTANEOUS SUBPERIOSTEAL VERTEBRAL HEMORRHAGE IN A GREYHOUND

A 4‐year‐old, spayed female greyhound dog was presented with an acute onset of paraplegia. There was no known history of trauma or coagulopathy. Spinal cord compression was identified on MRI. Intra‐operative evaluation revealed the presence of a large subperiosteal hematoma and a smaller epidural hematoma. To the authors’ knowledge, this is the first report of a spinal subperiosteal hematoma diagnosed antemortem through MRI, with surgical exploration and successful treatment in a dog.     

Evaluation of adverse reactions in dogs following intravenous mesenchymal stem cell transplantation

Background

Recent studies have assessed the therapeutic potential and drawbacks of mesenchymal stem cells (MSCs). The adverse reactions of intravenous transplantation of bone marrow (BM)-derived MSCs were examined at varying doses and frequencies of administration.Nine healthy beagle dogs were purchased from a commercial laboratory. The dogs were distributed equally (n = 3 per group) and randomly into three groups. All dogs received allogeneic BM-derived MSCs: 2 × 10⁶ once (group A), 2 × 10⁷ once (group B), and 2 × 10⁶ for three consecutive days (group C). Various laboratory examinations, multi-detector computed tomography features and histopathology were evaluated to clarify the clinical and diagnostic features of adverse reactions of MSCs administration, prior to receiving MSCs (pre procedure) and on days 1, 3, and 7 post transplantation.

Results

Only one dog had clinical signs during and after MSCs transplantation. Dogs receiving 2 × 10⁶ MSCs showed increased numbers of lymphocytes but the total white blood cell counts were not elevated (P < 0.01). Multi-detector computed tomography (MDCT) revealed pulmonary parenchymal changes in one dog and histopathologic examination revealed pulmonary parenchymal edema and hemorrhage in four dogs. The presence of pulmonary thromboembolism was not detected in either examination.

Conclusions

We considered the presence of pulmonary edema and hemorrhage as possible adverse reactions after intravenous MSCs transplantation; however these results should be cautiously interpreted.     

Primary intraocular primitive neuroectodermal tumor (retinoblastoma) causing unilateral blindness in a gelding

A 14-year-old gray gelding was presented for investigation of a visible, pale-colored ocular mass in the right eye. An intraocular mass was identified clinically and ultrasonographically as originating from the superior nasal quadrant of the ciliary body and retina. The mass occupied the majority of the vitreous chamber and some of the superior anterior chamber of the eye. The affected eye was blind. Following exenteration, a primary intraocular primitive neuroectodermal tumor (i.e. a retinoblastoma/medulloepithelioma), a rarely described intraocular mass in adult horses, was identified by pathologic examination. The gelding returned to normal use following a short recovery period.