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- A Nationwide Seroepidemiologic Study on Q Fever Antibodies in Sheep of PortugalPublication . Cruz, Rita; Esteves, Fernando; Nóbrega, Carmen; Santos, Carla; Ferreira, Ana S.; Mega, Cristina; Coelho, Ana C.; Vala, Helena; Mesquita, JoãoIntroduction: Q fever is an almost global zoonotic disease caused by Coxiella burnetii. Human infections can produce acute and chronic disease that can lead to abortions and stillbirths in pregnant women, usually infected by the inhalation of C. burnetii-contaminated aerosols or through consumption of contaminated products. Sheep are one of the primary animal reservoirs with disease being associated with vast shedding of bacteria in placentas, feces, milk, and birth fluids. Although almost neglected in the past, recent outbreaks of sheep origin have alerted the public and the scientific community. Materials and Methods: An epidemiologic survey to estimate the seroprevalence of Q fever antibodies was performed in a representative number of sheep of all regions of continental Portugal (n = 1068), using a commercial ELISA (ID Screen Q Fever Indirect Multi-species Kit; IDvet, Montpellier, France). Results and Discussion: An anti-C. burnetii seroprevalence of 11.4% (95% confidence interval 9.6–13.5) was found, with a clear distinction between the Center region with highest seroprevalence, and the rest of the territory. Sheep traditional farming is widely present in Portugal and is part of the cultural and gastronomical background of the country. This close proximity to small ruminants may contribute to the zoonotic transfer to humans.
- Crimean-Congo hemorrhagic fever virus circulating among sheep of Portugal: a nationwide serosurvey assessmentPublication . Mesquita, João; Cruz, Rita; Esteves, Fernando; Santos, Carla; Pousa, Humberto; Coelho, Catarina; Mega, Cristina; Nóbrega, Carmen; Vala, Helena; Peyrefitte, Christophe Nicolas; Nascimento, Maria São José; Barradas, Patrícia FerreiraCrimean-Congo hemorrhagic fever virus (CCHFV) is a widespread zoonotic pathogen that can cause mild to severe hemorrhagic disease in humans. CCHFV may be transmitted through direct contact with tissue or blood of viremic animals; however, the primary transmission route is through infected tick bites. CCHFV RNA has been detected in ticks feeding on domestic and wild animals in western Spain, suggesting an established circulation of CCHFV in Western Europe. Ruminants have been recognized as important CCHFV reservoirs and have been linked to human cases in endemic regions. Given the emergence of CCHF in neighboring Spain, and a report of two CCHFV seropositive humans in southern Portugal in 1985, we investigated the potential circulation of this virus in the country by performing a nationwide anti-CCHFV IgG serosurvey in sentinel sheep of Portugal. Sera (n = 459) randomly selected from widely distributed farms (n = 20) of Portugal were tested using a commercial double-antigen enzyme-linked immunosorbent assay, yielding an overall seroprevalence of 0.4% (95% confidence interval [CI] 0.04-1.56%). Positive sheep were from the southern region of Portugal (Alentejo region), which raise the seroprevalence of this region to 0.74% (95% CI 0.09-2.66%). This is the first study reporting the presence of CCHFV antibodies in sheep of Portugal, thus suggesting a geographical expansion of CCHFV to this country. It seems likely that CCHFV may exist focally in southern Portugal.
- A case of vascular tumour mimicking lymphangiomaPublication . Vala, Helena; Mega, Cristina; Santos, C.; Cruz, Rita; Santos, M.; Esteves, Fernando; Nóbrega, Carmen; Mesquita, JoãoIntroduction Sarcomas, particularly vascular tumours, can mimic other neoplastic conditions or even inflammatory diseases. Objectives The authors describe an unusual case of vascular tumour, histologically overlapping with benign lymphangioma and liposarcoma. Medical History A 8 year old Shar Pei male dog was presented with a subcutaneous nodule in the chest, measuring 3x2 cm. Material and Methods The sample was fixed in 10 % buffered formalin solution and processed for routine histopathological diagnosis with Haematoxylin and Eosin. A standard Streptavidin-Biotin Complex technique for immunohistochemical evaluation was also performed, using a Polyclonal Rabbit Anti-Human Von Willebrand Factor. Results Macroscopic examination revealed a well circumscribed nodule with homogeneous and brownish appearance and moderate consistency on a cut surface. Microscopic examination revealed clefts and variably-sized vascular spaces, lined by a single layer of spindle cells, with round-to-oval nuclei, small or indistinct nucleoli, small amount of eosinophilic cytoplasm, with endothelial appearance – areas like hemangiosarcoma, interspersed with areas, where these cells appeared to grow directly on thick bundles of dermal collagen, occasionally with erythrocytes – areas like lymphangioma. The stroma was also interspersed with vacuolar cells – areas like liposarcoma. No mitotic figures were seen, however, the presence of very rich cellular areas, with more prominent cells revealing pleomorphism and anisocariosis, were more favour to malignancy Conclusion The authors suggested the diagnosis of vascular neoplasia with unusual features, based on the histopathological diagnosis and immunohistochemistry results, and submit to the discussion, especially for assessment of histological grade and prognosis.
- Occupationally Acquired Q Fever in Shepherds and Sheep Milk CheesemakersPublication . Cruz, Rita; Santos, Carla; Esteves, Fernando; Ferreira, Ana Sofia; Nóbrega, Carmen; Mega, Cristina; Albuquerque, Carlos; Teixeira-de-Lemos, Edite; Coelho, Ana Cláudia; Vala, Helena; Mesquita, JoãoQ fever is a zoonosis caused byCoxiella burnetii, and transmission to humans is often associatedwith contact with ovine and caprine livestock. Those exposed to sheep are particularly at high risk of infection.Recent studies show that Q fever is increasing in sheep farms in Portugal raising alerts on spillover to humans.We detected anti-C. burnetiiIgG in shepherds and sheep milk cheesemakers (27 [28.1%] in a total of 96; 95%confidence interval [CI] 19.4–38.2%) and in controls (21 [8.1%] in a total of 260; 95% CI 5.1–12.1%), pointingto an increased risk ofC. burnetiiinfection (P= 0.0001), with an odds ratio foranti-C. burnetiiof 4.45 (95% CI2.4–8.4%;P= 0.0001), in individuals with occupational contact with sheep in Portugal.
- Bioética e experimentação animalPublication . Nóbrega, Carmen; Oliveira, P. A.; Mesquita, João; Santos, C.; Arantes, R.; Themudo, D.; Esteves, Fernando; Cruz, Rita; Mega, Cristina; Vala, Helena- Introdução: O contributo da experimentação animal para a ciência é inegável. Dificilmente os meios médicos e profiláticos teriam atingido o presente estado de evolução sem a sua contribuição. O objectivo deste trabalho é a apresentação do conceito de experimentação animal, como uma prática válida e eticamente correta, desde que devidamente planeada e executada. - Estado da Arte: O recurso a animais vivos em investigação, tem desempenhado um papel importante no avanço científico, particularmente na área da saúde. Este facto dá origem a um dilema ético: se por um lado a maior parte dos animais utilizados são seres sencientes, por outro lado, a investigação pode ser de vital importância para a prevenção, cura ou melhoria significativa de doenças em humanos. Não sendo um tema consensual, é geralmente alvo de intenso debate. Opositores a qualquer tipo de investigação com recurso a animais, afirmam que a experimentação animal é cruel e desnecessária porque os animais não existem para serem usados segundo o nosso critério. No entanto, a generalidade da sociedade aceita que os animais possam ser utilizados em experimentação mas não a qualquer preço. Nos últimos anos, têm ocorrido progressos na criação de alternativas à experimentação animal, nomeadamente as culturas celulares, de tecidos e órgãos, fazendo com que, em certas situações, os animais possam já ser substituídos por alternativas eticamente mais aceitáveis, não podem, contudo, ser inteiramente eliminados da investigação. - Novas perspetivas/diretrizes Uma investigação ética e cientificamente válida com aplicabilidade na saúde humana, exige a seleção de modelos adequados para a acção estudada e o cumprimento do princípio dos 3Rs: Replace; Reduce; Refine. A estes, deve juntar-se ainda o R da responsabilidade, que deve prevalecer desde o delineamento da experimentação e acompanhar o decurso dos trabalhos experimentais. - Implicações teóricas e práticas Pesando os prós e contras, os benefícios da experimentação animal pesam mais no que se refere ao impacto na melhoria da saúde humana. Se esta prática fosse abandonada, certamente existiriam severas consequências a nível da investigação e da saúde pública.
- Mammary neoplasms in dogs and cats. Contribution for promotion of well-beingPublication . Soares, Marta; Almeida, Rui Gomes; Esteves, Fernando; Cruz, Rita; Santos, Carla; Mega, Cristina; Nóbrega, Carmen; Mesquita, João; Vala, HelenaIntrodução: Nos últimos anos tem-se verificado um crescimento significativo da incidência de neoplasias humanas a nível mundial, sendo esta também uma das principais causas de morbilidade e mortalidade nos animais de companhia, destacando-se as neoplasias mamárias como processo neoplásico que mais acomete os nossos animais. Objetivos: Analisar o paradigma atual das neoplasias em animais de companhia; Intervir na sensibilização de tutores e profissionais da equipa de saúde animal para uma gestão mais assertiva, nomeadamente no que respeita à sua deteção e exérese precoce. Métodos: estudo retrospetivo contemplando uma amostragem de canídeos (n=20) e felídeos (n=12) com massas mamárias submetidas a excisão cirúrgica e diagnóstico histopatológico. Resultados: Na amostra analisada foi observada uma maior frequência de neoplasias mamárias em cadelas de raça Indeterminada e em gatas de raça Europeu Comum, sendo a idade média, para ambas as espécies, próxima dos 10 anos de idade. Foi ainda registada uma maior frequência de neoplasias mamárias malignas, 75% em cadelas e 66,7% nas gatas, em relação às benignas. Conclusões: Foi possível verificar que na região do país contemplada neste estudo foram diagnosticadas mais neoplasias mamárias malignas do que benignas, provavelmente motivado pela excisão cirúrgica tardia de massas mamárias grandes, por vezes ulceradas.
- Hormones and their Functions in the Dog. From the Cell to Hormone and from Hormone to ActionPublication . Vala, Helena; Mesquita, João; Esteves, Fernando; Cruz, Rita; Mega, Cristina; Nóbrega, CarmenAnimal bodies represent one of the more complex and perfect systems of nature but despite its complexity and functionality, the control of its basic functions is performed by only two systems: the nervous system and the endocrine system. Reproduction, gestation, muscle contraction, nutrient digestion and absorption, hydroelectrolytic balance, haematopoiesis and so many other bodily functions, are directly or indirectly controlled by these systems. In a simplistic way, we can say that the nervous system is responsible for rapid organic activities, while the endocrine system is responsible for a slower, more durable activity, the metabolic functions of the organism. The endocrine system is essential for growth and development, sexual function, reproductive processes and metabolism. In the present work the authors describe the main endocrine glands in the dog, namely anterior and posterior pituitary gland, thyroid, parathyroid, pancreas and adrenal glands, referring their location, macroscopic and histologic features, using original figures. Main endocrine hormones and hormonal functions will also be addressed in a simple, straightforward and original manner, using cutting-edge, innovative schemes that will contribute for an easy and direct understanding of the complex endocrine mechanisms. The endocrine system is often subjected to pathological changes. Improving knowledge in the field of endocrinology will allow for a better clinical approach to animal patients, enhancing, without doubt, the provision of better medical veterinary care and its advancement towards excellence.
- A One Health Perspective on Q Fever: Part 2Publication . Cruz, Rita; C, Vasconcelos-Nóbrega; Esteves, Fernando; Coelho, Catarina; Ferreira, Ana Sofia; Santos, Carla; Mega, Cristina; Coelho, Ana C.; Vala, Helena; Mesquita, JoãoQ fever, a widespread zoonotic disease caused by Coxiella burnetiid, produces a complex and polymorphic disease in humans. As a zoonotic disease, control in animals will influence the level of disease seen in humans, thus resulting in interesting one health perspectives for disease control. Here the authors describe the clinical manifestations in animals and humans, as well as the current diagnostic methods available and the strategies for disease control. A review on the published information regarding Q fever as a disease with impact for veterinary public health and public health is presented.
- Prevalence of Toxoplasma gondii Antibodies and Risk Factor Investigation in Portuguese Veterinarians: A Matched Case–Control StudyPublication . Almeida, Daniela; Santos-Silva, Sérgio; Pereira, Maria Aires; Santos, Carla; Mega, Cristina; Coelho, Catarina; Nóbrega, Carmen; Esteves, Fernando; Cruz, Rita; Vala, Helena; Mesquita, JoãoToxoplasma gondii is a widespread zoonotic agent that greatly impacts Public Health, being responsible for one of the most important parasitic zoonosis worldwide. T. gondii has a heteroxenous life cycle, with cats being the definitive hosts and all warm-blooded animals, including humans, being intermediate hosts. Veterinary practitioners (VP) may be at a higher risk than the general population for T. gondii infection, as they have direct and daily contact with many animal species. The aim of the present study was to ascertain if VP were more likely to be anti-T. gondii IgG seropositive than the general population, as well as to understand if age, accidents with blood-contaminated sharps (cross-blood contamination), gender, working years, and geographic regions play a role as risk factors for T. gondii infection. For this purpose, a case–control study using archived samples was performed. (2) Methods: A total of 350 veterinary practitioners were tested using a commercial semiquantitative enzyme immunoassay for anti-T. gondii IgG. From the general population, 175 anonymous volunteers (matched with cases by region, age, and gender) were studied for anti-T. gondii IgG. (3) Results: There was no statistical difference found between the presence of anti-T. gondii IgG in practitioners (26%; CI = 21.40–30.60%) and the general population (33.14%; CI = 26.17–40.12%) (p = 0.108). Univariate and multivariate analysis showed that only age (older groups) was found to be associated with a higher prevalence of anti-T. gondii IgG, with significant p values (p < 0.05) for both univariate and multivariate analysis. (4) Conclusions: To the best of our knowledge, this is the first case–control study fully focused on the prevalence of anti-T. gondii IgG in VP in Portugal, showing that there was no significant risk for T. gondii infection in veterinarians exposed daily and repeatedly to different species of animals.
- A case of giant cell tumourPublication . Vala, Helena; Andrade, Luís; Nóbrega, Carmen; Santos, Carla; Cruz, Rita; Mega, Cristina; Esteves, Fernando; Gomes, A.; Mesquita, JoãoMalignant fibrous histiocytoma refers to a group of soft tissue tumours that represents a diagnostic challenge which must be based in the predominant cellular type present. The authors describe an unusual case of tumour in which the presence of giant cells was the distinctive feature. A 7 year old Cocker Spaniel male dog was presented with a subcutaneous nodule in the labial commissure, measuring 1.5 cm in diameter. Sample was fixed in 10 % buffered formalin solution, embedded in paraffin wax and 3 μm thick sections were stained for routine histopathological diagnosis with Haematoxylin and Eosin. A standard Streptavidin-Biotin Complex technique for immunohistochemical evaluation was also performed. Macroscopic examination revealed dark brown, slightly lobed tissues, alternating with whitish tissues, both with moderate consistency on the cut surface. Microscopic examination revealed ulceration and necrosis of the epidermis, under which a high cellular population of undifferentiated cells was observed. These cells population exhibited oval, normo or eucromatic nucleus, with notorious nucleolus and moderate cytoplasm that, resembled fusiform fenotype, intermixed with blood vessels and multinucleated giant cells, as well as intense immunoreactivity for vimentin. The authors suggest the diagnosis of malignant fibrous histiocytoma of giant cell subtype, based on the multinucleated giant cells predominance and submit it to the discussion, particularly for histological grade assessment and prognosis, since there is still some discrepancy in the literature.