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The skin is the largest organ of the body that has many functions. Canine dermatology remain a challenging field that requires a variety of knowledge as dermatological problems are reported to be the most common health problem in small animal practice. Blood, skin and biopsy samples were collected from 50 dogs of different breeds and sexes. The present study is designed for identification of the different etiological agents causing skin diseases in dogs, evaluation of some hematological and biochemical parameters in diseased dogs and histopathological examination of selected cases using skin biopsy. These dogs were grouped into two groups, the first one was the control group (n=10) apparently healthy dogs and the second group (n=40) diseased dogs presented with different skin ailments where 12 out of 40 dogs were suffered from demodicosis, dermatophytosis (6 cases), pyoderma (8 cases) , mixed infection (10 cases) and canine atopic dermatitis (4 cases). Evaluation of the hematological parameters revealed presence of anemia and leukocytosis with apparent neutrophilia in dogs with pyoderma and eosinophilia in the other groups. Biochemical parameters lied within the reference range in all diseased groups. Staphylococcus spp. was the most common bacterial isolate in canine pyoderma. With respect to histopathological picture, results indicated presence of large focal area of epidermal liquefactive necrosis associated with dense neutrophils infiltration. Severe dermatitis, folliculitis, perifollicular and perivascular inflammatory cells infiltration, all these changes associated with cases of pyoderma. Demodicosis cases demonstrated as heavy mite infestation in different developmental stages in the stratum conium of the epidermis and in the follicles. Laminar orthokeratotic hyperkeratosis, vacuolated epidermal prickle cells, acanthosis and vaculation of keratinocytes of the infundibula. Dermatitis characterized by moderate to marked inflammatory infiltration. Necrosis of adnexa, folliculitis and perifollicultis were also recorded in demodecosis infected dogs. Fungal dermatosis showed pronounced laminar orthokeratotic hyperkeratosis and acanthosis. Vacuolar degeneration of keratinocytes and fungal Hyphae were seen in dermatophytosis infected dog. Ulcerative dermatitis in form of focal extensive area of epidermal necrosis and ulceration associated with inflammatory cells infiltration, acanthosis and spongiosis of prickle cell layer were noticed in mixed infection infected dogs. The most common infectious skin problems during our study were pyoderma, red mange and dermatophytosis. The predominant pathogen in pyoderma affected dogs was Staphylococcus spp. Histopathological examination was very useful in our study as they provide accurate diagnosis in a short period of time and help in clear visualization of the clinical picture.

Corynebacterium (C.) diphtheriae is one of the two etiological pathogens for human diphtheria with significant morbidity and mortality. Recently, members of its biovar Belfanti have been described as two novel species, C. belfantii and C. rouxii. The most important virulence factor and also the premise to cause diphtheria is the isolate’s capacity to encode and express the diphtheria toxin (DT). In contrast to C. ulcerans, which represents a potentially zoonotic pathogen, C. diphtheriae (incl. the novel deduced species) has almost exclusively been found to comprise a human pathogen. We here report three rare cases of C. rouxii isolation from dogs suffering from disseminated poly-bacterial exsudative to purulent dermatitis and a traumatic labial defect, respectively. The isolates were identified as C. diphtheriae based on commercial biochemistry and matrix-assisted laser desorption/ionisation–time of flight mass spectrometry (MALDI-TOF MS) analysis. However, recently described specific spectral peaks were highly similar to spectra of C. rouxii, which was confirmed by whole genome sequencing. Further investigations of the dog isolates for the presence of DT by tox gene qPCR revealed negative results. The findings from this study point out that skin infections in companion animals can be colonized by uncommon and so believed human specific pathogens, thereby resembling the clinical signs of cutaneous diphtheria.

Rotational outbred adult rats, phenotypically selected to prefer drinking alcohol ("P" rats) frequently present with selfinflicted wounds and ulcerative dermatitis, similar to that seen in C57BL/6 mice. Historically, veterinary interventions used to address this clinical condition have included triple antibiotic ointment (TABO), Columbia wound powder (CPW), nail trims, or plastic tubes that allow affected animals to hide. More recent studies have suggested that nail trims are the most successful intervention in mice, but this has not been evaluated previously in rats. In this study, we evaluated nail trims in rats and also tested whether placing a pumice stone in the cage would reduce the need for nail trims to reduce self-inflicted wounds. Our hypothesis was that interacting with the pumice stone would dull/trim the rats' nails without causing stress or illness and allow the wounds time to heal. We used 66 P rats that were assigned to 1 of 6 treatment groups (pumice stone, TABO, CWP, huts, nail trims, and an untreated control group) of 11 rats each. Rats were transferred to this study from a colony of experimentally naïve animals that had evidence of dermatitis. The wounds were photographed and measured for 12 wk at 2 wk intervals. At the end of the study, representative skin samples from the site of the wound were collected for histopathologic evaluation of inflammation. Our data showed no significant differences in the inflammation scores. The rats treated with nail trims healed significantly more often than did all of the other treatment groups. This suggests that nail trims are the most effective intervention for treating self-inflicted wounds in P rats.

Diagnostic Exercise from The Latin Comparative Pathology Group. Clinical History: A young adult, spayed female dog was presented for necropsy by animal control, with concerns for abuse in the form of chemical burns. Necropsy and Microscopic Findings: There was marked alopecia and coalescing ulceration affecting approximately 60% of the integument, roughly evenly distributed over the body. Affected areas included the mucocutaneous junctions, the palmar and plantar surfaces of the limbs, the paw pads, and the nasal planum. Ulcers measured up to 1 cm in diameter, frequently coalesced, and varied in stage of development; some were prominent, dark red, and shiny with roughened borders and others contained pink granulation tissue. In areas of alopecia without ulceration, the skin was smooth and glistening. The nails were variably sloughed; some digits possessed a bare quick and some had nails up to 3 cm long, but which were separating from the underlying quick. The dog was in adequate body condition.

Background Squamous cell carcinoma is a commonly reported neoplasm in avian species. Often locally invasive, it rarely distantly metastasizes. Superficial chronic ulcerative dermatitis (SCUD) is a commonly observed dermatologic condition in companion psittacine birds. Case description This report describes a case of metastatic squamous cell carcinoma in an African gray parrot (Psittacus erithacus) caused by malignant transformation of an initial SCUD lesion that developed over a 2.5-year period. The right humerus was previously amputated to treat a squamous cell carcinoma, but it recurred in the skin 4 months prior to presentation. The bird presented on referral with pelvic limb paresis, and computed tomography showed a large, more right sided, paraspinal mass involving the right caudal coelom and effacing the lungs, ribs, and vertebral canal, resulting in the presenting neurologic signs. The patient was euthanized, and limited necropsy diagnosed the coelomic mass as a squamous cell carcinoma effacing the liver. Conclusions Though uncommonly reported, squamous cell carcinoma may distantly metastasize to other parts of the body even with partial or seemingly complete excision. SCUD is still a poorly understood condition and should be further researched to determine etiology and find more effective therapies. Case relevance This is the first report of a metastatic squamous cell carcinoma invading the vertebral canal and spinal cord resulting in upper motor neuron signs in the pelvic limbs. Chronic inflammation may lead to malignant transformation, and once squamous cell carcinoma has developed, the goal of therapy should be complete surgical excision where possible.

A 12-y-old spayed female Schipperke dog with a previous diagnosis of inflammatory bowel disease was presented with a 2-mo history of severe colitis. The patient’s condition progressed to hepatopathy, pneumonia, and dermatitis following management with prednisolone and dexamethasone sodium phosphate. Colonic biopsies identified severe necrosuppurative colitis with free and intracellular parasitic zoites. Postmortem examination confirmed extensive chronic-active ulcerative colitis, severe acute necrotizing hepatitis and splenitis, interstitial pneumonia, ulcerative dermatitis, myelitis (bone marrow), and mild meningoencephalitis with variable numbers of intracellular and extracellular protozoal zoites. PCR on samples of fresh colon was positive for Neospora caninum. Immunohistochemistry identified N. caninum tachyzoites in sections of colon, and a single tissue cyst in sections of brain. Administration of immunosuppressive drugs may have allowed systemic dissemination of Neospora from the intestinal tract.

Chrysosporium-related fungi, the cause of superficial and deep mycoses, are an emerging infectious disease affecting not only reptiles but also immunocompromized humans. However, the information on Nannizziopsis arthrosporioides is extremely scarce. We herein characterized N. arthrosporioides isolated from a Cuban rock iguana (Cyclura nubila). Three skin ulcers were found in a Cuban rock iguana after captivity for 8 years. Microscopic examination revealed hyperplastic, hyperkeratotic, and ulcerative dermatitis coupled with numerous branched, septate fungal hyphae. The fungal culture yielded growth of zonate, felted cottony-powdery colonies with lobate margins on medium. Maximum-likelihood phylogeny tree based on the combined partial actin and partial β-tubulin genes demonstrated that current isolates were mostly close to N. arthrosporioides. Furthermore, antifungal susceptibility test demonstrated that N. arthrosporioides had lowest minimal inhibitory concentration (MIC) values to isavuconazole, efinaconazole, and luliconazole, which may be the potential treatment of choice for N. arthrosporioides infection. The current study describes the first confirmed case of dermatomycosis caused by N. arthrosporioides of a captive reptile in Asia with detailed descriptions of the clinical, histopathological, and mycological features. The current findings provide new information on global distribution and host range of N. arthrosporioides and can raise the concern on the transboundary or emerging disease of N. arthrosporioides in Asian region.

Ulcerative dermatitis in laboratory mice remains an ongoing clinical problem and animal welfare issue. Many products have been used to treat dermatitis in mice, with varying success. Recently, the topical administration of healing clays, such as bentonite and green clays, has been explored as a viable, natural treatment. We found high concentrations of arsenic and lead in experimental samples of therapeutic clay. Given the known toxic effects of these environmental heavy metals, we sought to determine whether the topical administration of a clay product containing bioavailable arsenic and lead exerted a biologic effect in mice that potentially could introduce unwanted research variability. Two cohorts of 20 singly housed, shaved, dermatitis free, adult male CD1 mice were dosed daily for 2 wk by topical application of saline or green clay paste. Samples of liver, kidney and whole blood were collected and analyzed for total arsenic and lead concentrations. Hepatic and renal concentrations of arsenic were not different between treated and control mice in either cohort; however, hepatic and renal concentrations of lead were elevated in clay treated mice compared to controls in both cohorts. In addition, in both cohorts, the activity of δ-aminolevulinate acid dehydratase, an enzyme involved with heme biosynthesis and a marker of lead toxicity, did not differ significantly between the clay-treated mice and controls. We have demonstrated that these clay products contain high concentrations of arsenic and lead and that topical application can result in the accumulation of lead in the liver and kidneys; however, these concentrations did not result in measurable biologic effects. These products should be used with caution, especially in studies of lead toxicity, heme biosynthesis, and renal α2 microglobulin function.

Introduction Leishmaniasis is a zoonotic disease which is caused by protozoan parasites of the genus Leishmania. Canids are the most important reservoir of the parasites; however, limited data are available on the species of Leishmania prevalent in these animals and their impact on human health. The objective of this study was to estimate the seroprevalence of leishmaniasis in dogs from an inter-Andean region of Colombia during July 2016–July 2017, and to describe the clinical and histopathological features of the disease. Material and Methods A total of 155 dogs were subjected to clinical examination and a serological test for detection of antibodies against Leishmania. Necropsy was carried out on positive animals and tissue samples were processed by routine histopathology. Results Altogether 19 dogs were positive in the serological test, establishing a 12% seroprevalence of Leishmania. Clinical examination and necropsy revealed exfoliative and ulcerative dermatitis with haemorrhagic borders on the ears, head, nose, and legs. Histopathology revealed severe multifocal dermatitis with abundant Leishmania amastigotes within the cytoplasm of phagocytic cells, depletion of lymphocytes in lymphoid tissues, interstitial pneumonia, and interstitial nephritis. Tissue samples were positive for Leishmania by PCR. Conclusion The macro- and microscopic changes correlated with the presence of Leishmania as established by serological test and PCR.

Head start programmes are ex-situ conservation procedures consisting of the captive rearing of sea turtle hatchlings for several months in order to avoid high mortality rates in the first year of life. Studies of the diseases of hatchling and post-hatchling turtles belonging to these programmes are scarce. We describe the gross and histological lesions found in 78 post-hatchling loggerhead sea turtles (Caretta caretta) that died during captive rearing in the conservation programme of the Cape Verde-Canary Islands, initiated with 113 hatchlings. The main organ systems affected were respiratory (57.69%), integumentary (41.02%) and digestive (41.02%), affecting 94.87% of the animals. Other less frequently affected organ systems were cardiovascular (3.85%), excretory (3.85%), muscular (2.56%) and reproductive (1.28%). The most common lesions were different types of dermatitis (41.02%), mainly ulcerative and/or heterophilic ulcerative dermatitis; these lesions were compatible with a traumatic origin caused by biting and subsequent infection with gram-positive cocci. Purulent and/or fibrinonecrotizing rhinitis associated with mixed populations of bacteria were commonly detected respiratory lesions (21.79%). Acute interstitial pneumonia was the most common form of pneumonia diagnosed (20.51%). Fibrinonecrotizing stomatitis associated with sparse gram-negative rods was the most common digestive tract lesion (29.49%). A possible explanation for the high mortality rate (88.50%) observed in this study could be the occurrence of a decrease in water temperature during the growth phase of the turtles. Despite the limitations caused by an absence of microbiological studies, the survey provides useful information on the lesions found in post-hatchling loggerhead turtles from this head start programme. In addition to maintaining water temperature above 20°C, attention must be paid to lesions that can easily be detected, such as dermatitis, rhinitis and stomatitis.

Stephanofilariasis is an ulcerative dermatitis caused by nematodes that affect cattle in several countries in the world. However, it has not been described in beef cattle in Brazil. The objective of this study is to describe three cases of stephanofilariasis, which occurred in beef cows in the municipality of Ipê, RS, Brazil. The disease was characterized by pruritic, ulcerated and crusty seasonal lesions present in the cranial region of the udder. The diagnosis was confirmed by analyses of secretions stained smears and by direct optical microscopic examination of the sediment and the treatment was effectively carried out with topical trichlorphon. This report indicates that stephanofilariasis should be included as a differential diagnosis for dermatopathies in beef cattle in Brazil.

Ulcerative dermatitis of the nasal planum or haired skin of the face, associated with intranuclear inclusion bodies compatible with herpesvirus, was identified in nine cats. Clinically, lesions were ulcerative and crusted, and often persistent. A tenth cat had focal proliferative ulcerative stomatitis, also associated with intranuclear inclusion bodies. Microscopically, there was necrosis and ulceration associated with prominent eosinophilic inflammation. Intranuclear inclusion bodies were noted in all cases, within the surface or adnexal epithelium. Ultrastructural examination of skin from two cats revealed virions morphologically compatible with a herpesvirus. Polymerase chain reaction (PCR) specific for feline herpesvirus 1 on DNA extracted from fresh-frozen or formalin-fixed paraffin-embedded biopsy samples and/or consensus primer PCR with DNA sequencing performed on DNA extracted from formalin-fixed paraffin-embedded biopsy samples from seven cats revealed that the virus was indistinguishable from feline herpesvirus 1. PCR was negative in one of eight cats tested.

Anatrichosoma spp. is a group of trichuroid nematodes that mainly infect non-human primates and domestic cats. The lifecycle of these nematodes remains unclear. In non-human primates, Anatrichosoma spp. were found in the nasal cavity. However, ulcerative dermatitis has been reported in infected cats. An adult, intact, female domestic short-haired cat was presented with ulcerative pododermatitis of all limbs. Punch biopsy was performed at the edge of the ulcerative wound for histopathological investigation and showed necrosis and infiltration of inflammatory cells around the nematode-like lesion. Eggs with Capillaria-like characteristics were present. Tissue sections were subjected to DNA extraction and PCR targeting 18S rRNA, using primers designed from Anatrichosoma 18S rRNA. The phylogenetic tree revealed that DNA obtained from the lesion of the domestic cat was grouped with Anatrichosoma spp. from the olive glass mouse (Abothirx olivacea), Capillaria plica and Eucoleus aerophilus, both from the red fox (Vulpes Vulpes). The study is the first report of feline anatrichosomiasis in Thailand, and we present both pathological findings and molecular evidence. The cat was successfully treated with emodepsine/praziquantel. The skin lesion recovered within 3 days after anthelmintic treatment. Because Anatrichosoma spp. have been reported in humans, the zoonotic potential of this parasite should be considered.

The Milwaukee County Zoo has housed common vampire bats (Desmodus rotundus) since 1973. The bats are fed defibrinated cow's blood supplemented with a liquid pediatric multivitamin. From July 2013 to May 2014, multiple deaths occurred in colony bats, including five juveniles with multiple bone fractures and failure of endochondral ossification, three adults with cerebellar necrosis, and one adult with subcutaneous hemorrhage. In November 2013, an adult bat developed a nonhealing left wing hematoma and eventually succumbed 9 mo later. A postmortem examination revealed multifocal extensive necrohemorrhagic and suppurative ulcerative dermatitis with no underlying cause determined. From July to December 2014, five of nine adult bats in the colony developed similar hematomas along with gingival bleeding. One euthanized bat had a serum ascorbic acid level of 0.08 mg/dl and marked generalized subcutaneous hemorrhage. A therapeutic trial was initiated in which two bats received defibrinated cow's blood supplemented only with oral vitamin C, 100 mg/kg PO q24h for 3 d, and then 50 mg/kg PO q24h. Two other bats received nonsupplemented defibrinated cow's blood and were given vitamin K 3.3 mg/kg SC q12h for 3 d, and then 3.3 mg/kg SC q24h for 7 d. The bats supplemented with vitamin C improved, supporting a diagnosis of vitamin C deficiency. All bats were subsequently supplemented with vitamin C leading to resolution of all lesions within 10 d to 2 mo. Vitamin C is necessary for collagen synthesis, which is required for proper wound healing, capillary and cartilage strength, osteoid production, and pial membrane formation of the cerebellum. Several bat species cannot synthesize vitamin C and require a dietary source. This is the first report of vitamin C deficiency in a colony of vampire bats leading to severe chronic subcutaneous hemorrhage, bone fragility, microfractures, cerebellar necrosis, and death.

Altres ajuts: acords transformatius de la UAB Background: Canine leishmaniosis (CanL) is a common infectious disease. Age, sex and breed might influence the type of clinical and pathological manifestations that dogs develop. The main objective of this retrospective cross-sectional study was to determine if an association between age, sex, breed and size and the clinical findings of CanL exists. Material and methods: Dogs with a diagnosis of leishmaniosis were enrolled (n = 123). Clinical information, including signalment, clinical signs and laboratory abnormalities, was retrieved from medical records from different veterinary facilities from Catalonia. Results: Young dogs developed less frequently systemic signs (p = 0.0046), renal (p = 0.0019) and haematologic (p = 0.0275) abnormalities, while dermatologic signs were more common in young and adult dogs compared with old ones (p = 0.0451). Young dogs showed proteinuria less often than adult and old dogs (p = 0.0029). Young dogs did not present renal azotemia, while old dogs showed occasionally renal azotemia (p = 0.0478). Young dogs were mainly classified as mild-moderate LeishVet clinical stages of the disease, and very rarely as severe-very severe LeishVet clinical stages, compared with adult and old dogs (p = 0.0457). Purebred dogs significantly developed ulcerative dermatitis more frequently than crossbred dogs (p = 0.0460). Conclusion: This study describes that age is associated with differences in clinicopathological findings of CanL.

Streptococcus iniae is a pathogenic bacterium which causes septicaemia, while Shewanella algae is an opportunistic pathogen found in marine environments. In this study, we investigated an uncommon coinfection of these 2 bacterial species which resulted in systemic disease and cutaneous ulcers in a barramundi Lates calcarifer farm in the Persian Gulf, Iran. Culture, molecular and histopathological specimens were taken from different organs. In histopathology, results indicated deep bacterial ulceration of skin and subcutaneous muscles. Haemorrhage and hyperaemia were the most common signs observed in visceral organs. In culture, Gram-positive cocci were grown from visceral organs while Gram-negative bacilli were isolated from ulcers. In molecular examination, Streptococcus iniae and Shewanella algae were identified from visceral and ulcer samples, respectively, by PCR of the 16S rRNA gene. The disk diffusion method was used to determine antimicrobial susceptibility of isolated bacteria, with Shewanella algae being resistant to most routinely used antibiotics. In this study, a mixed infection of 2 bacterial species was found; we conclude that systemic streptococcosis could act as a predisposing factor for Shewanella penetration into skin and subsequent ulcer formation. Coinfections are very common in mammals; however, this subject has received little attention in other species, such as fish, and particularly in aquaculture. This study highlights the potential significance of coinfections in barramundi, the effect on the severity of the disease and the potential for new opportunistic pathogens arising.

We report several cases of fungal infections in snakes associated with a new species within the genus Paranannizziopsis. Three juvenile Wagler's vipers (Tropidolaemus wagleri) presented with skin abnormalities or ulcerative dermatitis, and two snakes died. Histologic examination of skin from the living viper revealed hyperplastic, hyperkeratotic, and crusting epidermitis with intralesional fungal elements. The terrestrial Wagler's vipers were housed in a room with fully aquatic tentacled snakes (Erpeton tentaculatum), among which there had been a history of intermittent skin lesions. Approximately 2 months after the biopsy of the viper, a skin sample was collected from one tentacled snake (TS1) with skin abnormalities and revealed a fungal infection with a similar histologic appearance. Fungal isolates were obtained via culture from the Wagler's viper and TS1 and revealed a novel species, Paranannizziopsis tardicrescens, based on phenotypic characterization and molecular analysis. P. tardicrescens was cultured and identified by DNA sequence analysis 8 months later from a dead tentacled snake in an exhibit in an adjacent hallway and 13 months later from a living rhinoceros snake (Rhynchophis boulengeri) with two focal skin lesions. Antifungal susceptibility testing on three of four cultured isolates demonstrated potent in vitro activity for terbinafine and voriconazole.

Ear tip ulcerative dermatitis (ETUD) is an uncommon clinical reaction pattern in canine dermatology. The lesions are suggestive of vascular damage which may be caused by inflammatory or noninflammatory diseases, and often are idiopathic. Therapeutic options for ETUD include topical glucocorticoids or tacrolimus, pentoxifylline, vitamin E, doxycycline, tetracycline and niacinamide, sulfonamides, glucocorticoids, ciclosporin and surgical correction.The aims of this retrospective case series were to describe the clinical features and report response to treatment with oclacitinib in dogs with idiopathic, chronic ETUD.Twenty-five privately owned dogs with unilateral or bilateral ETUD.Cases of ETUD which were poorly responsive to conventional therapy and subsequently treated with oclacitinib, are summarised. All cases were tested for leishmaniosis by serological examination [indirect fluorescent antibody test (IFAT) or enzyme-linked immunosorbent assay (ELISA)]. Histopathological examination was performed in two cases.Serological results were negative for leishmaniosis in all dogs. Histopathological changes consistent with proliferative thrombovascular necrosis of the pinnae were documented in two cases. Oclacitinib, used at the standard dose range recommended for the treatment of canine atopic dermatitis, effectively resolved ETUD in 22 of 25 dogs within one to three months. Several of the dogs required prolonged use of twice daily dosing.Oclacitinib should be included among the therapeutic options for ETUD, once infectious diseases have been ruled out.L'ETUD (Ear Tip Ulcerative Dermatitis) est un patron réactionnel clinique rare en dermatologie canine. Les lésions sont suggestives d'un dommage vasculaire qui peut être causé par des maladies inflammatoires ou non inflammatoires, souvent idiopathiques. Les options thérapeutiques pour ETUD comprennent les corticoïdes topiques, le tacrolimus, la pentoxifylline, la vitamine E, la doxycycline, la tétracycline et niacinamide, les sulfonamides, les corticoïdes, la ciclosporine et la chirurgie. HYPOTHÈSES/OBJECTIFS: Les buts de cette série rétrospective de cas étaient de décrire les données cliniques et rapporter les réponses aux traitements avec l’oclacitinib chez les chiens avec ETUD chronique idiopathique.Vingt-cinq chiens de propriétaire avec ETUD unilatérale ou bilatérale. MATÉRIELS ET MÉTHODES: Les cas d’ETUD qui répondaient mal au traitement conventionnel et ainsi traités avec de l’oclacitinib, ont été résumés. Tous les cas ont été testés pour leishmaniose par examen sérologique [indirect fluorescent antibody test (IFAT) ou enzyme-linked immunosorbent assay (ELISA)]. L’examen histopathologique a été réalisé pour deux cas. RÉSULTATS: Les résultats sérologiques étaient négatifs pour la leishmaniose pour tous les chiens. Les changements histopathologiques consistaient en une nécrose thrombovasculaire proliférative des pavillons, documentés dans deux cas. L’oclacitinib, utilisé à la dose standard recommandée pour le traitement de la dermatite atopique canine, a été efficace pour 22 des 25 chiens en un à trois mois. Plusieurs des chiens ont nécessité un traitement prolongé d’une dose deux fois par jour.L’oclacitinib devrait être incluse dans les options thérapeutiques de l’ETUD, lorsque les infections ont été éliminées.INTRODUCCIÓN: la dermatitis ulcerativa de la punta del oído (ETUD) es un patrón de reacción clínica poco común en la dermatología canina. Las lesiones sugieren daño vascular que puede ser causado por enfermedades inflamatorias o no inflamatorias y, a menudo, son idiopáticas. Las opciones terapéuticas para ETUD incluyen glucocorticoides tópicos o tacrolimus, pentoxifilina, vitamina E, doxiciclina, tetraciclina y niacinamida, sulfonamidas, glucocorticoides, ciclosporina y corrección quirúrgica. HIPÓTESIS/OBJETIVOS: los objetivos de esta serie de casos retrospectivos fueron describir las características clínicas e informar de la respuesta al tratamiento con oclacitinib en perros con ETUD crónica idiopática. ANIMALES: veinticinco perros de propietarios particulares con ETUD unilateral o bilateral. MÉTODOS Y MATERIALES: se resumen los casos de ETUD que respondieron mal a la terapia convencional y posteriormente se trataron con oclacitinib. Todos los casos se analizaron para detectar leishmaniosis mediante examen serológico [prueba de anticuerpos fluorescentes indirecta (IFAT) o ensayo inmunoabsorbente ligado a enzimas (ELISA)]. Se realizó examen histopatológico en dos casos. RESULTADOS: los resultados serológicos fueron negativos para leishmaniosis en todos los perros. En dos casos se documentaron cambios histopatológicos compatibles con necrosis trombovascular proliferativa del pabellón auricular. Oclacitinib, utilizado en el rango de dosis estándar recomendado para el tratamiento de la dermatitis atópica canina, resolvió eficazmente la ETUD en 22 de 25 perros en uno a tres meses. Varios de los perros requirieron el uso prolongado de dosis dos veces al día. CONCLUSIÓN Y RELEVANCIA CLÍNICA: El oclacitinib debe incluirse entre las opciones terapéuticas para la ETUD, una vez descartadas enfermedades infecciosas.Bei der ulzerativen Ohrranddermatitis (ETUD) handelt es sich um ein seltenes klinisches Reaktionsmuster in der Dermatologie des Hundes. Die Läsionen weisen auf Blutgefäßschädigungen hin, die durch entzündliche oder nicht entzündliche Erkrankungen verursacht werden können, oft aber auch idiopathisch auftreten.Die Ziele dieser retrospektiven Fallserie waren die Beschreibung der klinischen Merkmale und ein Bericht über das Ansprechen auf eine Behandlung mit Oclacitinib bei Hunden mit idiopathischer, chronischer ETUD.Fünfundzwanzig Hunde in Privatbesitz mit uni- oder bilateraler ETUD.Fälle von ETUD, die auf eine konventionelle Therapie nur schlecht ansprachen und in der Folge mit Oclacitinib behandelt wurden, sind zusammengefasst. Alle Fälle wurden mittels serologischer Untersuchung [Indirekter Immuno Fluoreszenz Antikörpertest (IFAT) oder Enzym-Linked Immunosorbent Assay (ELISA)] auf Leishmaniose getestet. In zwei Fällen wurde eine histopathologische Untersuchung durchgeführt.Die serologischen Ergebnisse waren bei allen Hunden negativ für Leishmaniose. In zwei Fällen wurden histopathologische Veränderungen passend zu einer proliferativen thrombovaskulären Nekrose der Pinnae dokumentiert. Bei 22 von 25 Hunden konnte mittels Oclacitinib, welches in der empfohlenen Standarddosis zur Behandlung einer atopischen Dermatitis des Hundes eingesetzt wurde, innerhalb von einem bis drei Monaten die ETUD erfolgreich behandelt werden. Einige der Hunde benötigten langfristig eine zweimal tägliche Dosierung.Wenn infektiöse Erkrankungen ausgeschlossen wurden, sollte Oclacitinib in die therapeutischen Optionen für ETUD inkludiert werden.背景: 耳介先端部潰瘍性皮膚炎（ETUD）は、犬の皮膚科では珍しい臨床反応パターンである。炎症性疾患や非炎症性疾患による血管障害を示唆する病変であり、特発性のものも多い。ETUDの治療法としては、グルココルチコイドやタクロリムスの外用、ペントキシフィリン、ビタミンE、ドキシサイクリン、テトラサイクリン、ナイアシンアミド、スルホンアミド、グルココルチコイド、シクロスポリン、外科的矯正などがある。 仮説／目的: この回顧的な症例シリーズの目的は、特発性の慢性ETUDを持つ犬の臨床的特徴を説明し、オクラシチニブによる治療に対する反応を報告することであった。 被験動物: 片側または両側のETUDを有する25頭のオーナー所有犬。 材料と方法: 従来の治療に反応が悪く、その後オクラシチニブで治療したETUDの症例をまとめている。全例、血清学的検査［間接蛍光抗体法（IFAT）または酵素結合免疫吸着法（ELISA）］によりリーシュマニア症の検査を行った。また，2例では病理組織学的検査を行った。 結果: 血清検査の結果、すべての犬でリーシュマニア症は陰性であった。耳介の増殖性血栓性血管性壊死と一致する病理組織学的変化が2例で記録された。オクラシチニブは、犬アトピー性皮膚炎治療に推奨される標準的な用量範囲で使用され、25頭中22頭のETUDを1～3か月以内に効果的に解決した。数頭の犬は、1日2回の投与を長期に渡って行う必要があった。 結論と臨床的妥当性: オクラシチニブは、感染症が除外された後、ETUDの治療オプションに含まれるべきである。.背景: 耳尖溃疡性皮炎(ETUD)是犬皮肤病学中不常见的临床反应模式。病变提示血管损伤，可能由炎性或非炎性疾病引起，通常为特发性。ETUD的治疗选择包括外用糖皮质激素或他克莫司、己酮可可碱、维生素E、多西环素、四环素和烟酰胺、磺胺类药物、糖皮质激素、环孢素和手术矫正。 假设/目的: 本回顾性病例系列的目的是描述特发性、慢性ETUD犬的临床特征，并报告对奥拉替尼治疗的反应。 动物: 25只患有单侧或双侧ETUD的私家犬。 方法和材料: 总结了对常规治疗反应不佳且随后接受奥拉替尼治疗的ETUD病例。所有病例均经血清学检查[间接荧光抗体试验(IFAT)或酶联免疫吸附试验(ELISA)]检测利什曼病。2例进行了组织病理学检查。 结果: 所有犬的利什曼病血清学结果均为阴性。2例组织病理学变化记录为耳廓增生性血栓血管坏死。奥拉替尼使用按照治疗犬特应性皮炎的标准推荐剂量范围，在1-3个月内，22/25只ETUD患犬得到有效缓解。一些犬需要长期使用，且每日两次给药。 结论和临床相关性: 一旦排除感染性疾病，应将奥拉替尼纳入ETUD的治疗备选方案。.A dermatite ulcerativa da borda da orelha (DUBO) é um padrão reacional incomum na dermatologia canina. As lesões são sugestivas de dano vascular, que pode ser causado por doenças inflamatórias ou não inflamatórias, e frequentemente são idiopáticas. As opções terapêuticas para a DUBO incluem glicocorticoides tópicos ou tacrolimus, pentoxifilina, vitamina E, doxiciclina, tetraciclina e niacinamida, sulfonamidas, glicocorticoides e correção cirúrgica. HIPÓTESE/OBJETIVOS: O objetivo dessa série de casos retrospectivos foi descrever as características clínicas e relatar a resposta de cães com DUBO crônica idiopática ao tratamento com oclacitinib.Vinte e cinco cães de propriedade privada com DUBO unilateral ou bilateral. MÉTODOS E MATERIAIS: Os casos de DUBO que apresentaram resposta insatisfatória à terapia convencional e foram subsequentemente tratados com oclacitinib foram descritos neste trabalho. Todos os casos foram testados para leishmaniose por exame sorológico [método de indirect fluorescent antibody test (IFAT) ou de enzyme-linked immunosorbent assay (ELISA)]. Dois casos foram enviados para exame histopatológico.Os testes sorológicos foram negativos para leishmaniose em todos os cães. Achados histopatológicos compatíveis com necrose trombovascular proliferativa do pavilhão auricular foram observados em dois casos. O oclacitinib, utilizado na dose recomendada para o tratamento de dermatite atópica canina, resolveu efetivamente a DUBO em 22 dos 25 casos em um período de um a três meses. Muitos cães necessitaram de tratamento prolongado com a dose de duas vezes ao dia. CONCLUSÃO E RELEVÂNCIA CLÍNICA: O oclacitinib deve ser incluso nas opções terapêuticas para DUBO quando as causas infecciosas forem excluídas.

Perfluoroheptanoic acid (PFHpA) is a seven-carbon per- polyfluoro alkyl substance (PFAS) that has been used in aqueous film-forming foam formulations and has been detected in groundwater at contaminated sites. Very few toxicity studies for PFHpA were located in the literature search; for those identified, toxicity information was available for mammals, birds, and amphibians. The only mammalian study that determined adverse effects of PFHpA revealed that death was associated with severe ulcerative dermatitis when dermally exposed to 1,000 mg/kg/d for two weeks, and renal tubular necrosis, hepatocellular necrosis, and germ cell degeneration in rats at 250 mg/kg/d. The amphibian LC50 was determined to be 942.4 µM in the African clawed frog Xenopus, and PFHpA was identified as a potential teratogen and developmental toxicant, although the doses at which these effects were observed were not reported. No adverse effects were observed in adult or juvenile Northern Bobwhite from hens exposed to PFHpA in drinking water over a 90-day exposure period at doses as high as 20 ng/mL.

At a commercial farrow-to-feeder pig system with 2,100 sows in Serbia, lesions resembling porcine ear necrosis syndrome were observed in 80% of the weaned pigs at 45–50 days of age. Pathomorphological examinations were carried out on 10 pigs that had been found dead. The gross lesions ranged from mild, superficial dermatitis to severe, deep inflammation with exudation, ulceration and necrosis. Histopathological examination revealed erosive and ulcerative dermatitis of the pinna with neutrophilic and lymphocytic infiltration and bacterial colonies in the crusts. Staphylococcus aureus (MRSA strain), Staphylococcus hyicus and Streptococcus group C were cultivated from eight, S. hyicus from two ear tissue scraping samples. All 10 samples were positive for treponemes and phylogenetic analysis of two polymerase chain reaction products confirmed the relationship to Treponema (T.) medium/vincentii and Treponema pedis. Treponemes were also detected in seven oral swabs that were analysed to obtain evidence of the transmission of this bacterium by ear biting. The contribution of non-infectious factors to this misbehaviour could not be ruled out as the crude protein concentration of the feed was inappropriate and the climate of the pig house was suboptimal. The concentrations of selected mycotoxins in the feed were not elevated. However, the contribution of both infectious and non-infectious factors to the onset of disease was most probable.

Made available in DSpace on 2022-04-28T19:49:37Z (GMT). No. of bitstreams: 0 Previous issue date: 2021-01-01 Background: Canine eosinophilic folliculitis is a dermatological disease of acute onset with development of erosive to ulcerative papular lesions, especially on the nasal bridge, that may cause severe skin abnormalities leading to discomfort and pain to the patient. The aim of this report was to characterize a case of a canine eosinophilic folliculitis with papular, ulcerative and crusting dermatitis on the nasal bridge, papules on eyelid and pinna, with confirmed diagnosis based on aspiration cytology, history and response to immunosuppressive therapy with glucocorticoid. Case: An 1-year-old intact Daschund was attended showing an acute onset (over 4 h) of generalized urticarial reaction and nonpruriginous lesion at the muzzle with mild serosanguineous exudate, which persisted for 96 h when the dog was evaluated. It was observed a papular and ulcerative dermatitis with serosanguineous exudate and hematic crusts at nasal bridge, papules measuring 2 mm in diameter in the medial and lateral canthus of the left eyelid, ulcerative papule with hematic crust in the border of left ear pinna, multifocal papules on the skin, dyskeratosis and generalized hair loss. The patient was anesthetized for blood sampling (CBC and serum biochemistry), lesions fine-needle aspiration, scraping and imprint for cytological examination, bacterial culture and nasal turbinates radiography. Fragments for histopathological evaluation were also collected. Erythrogram and platelet evaluation were unremarkable. Leukogram revealed leukocytosis (neutrophilia, lymphocytosis, monocytosis and eosinophilia). Serum biochemistry revealed hyperalbuminemia and discrete hyperproteinemia; values of alanine aminotransferase, creatinine and globulins were within normal range. In cytological examination, intense cellularity was observed with predominance of eosinophils (60%), neutrophils (35%), macrophages performing cytophagocytosis (5%) and degenerated cells. There was no bacterial growth within 48 h after incubation of nasal bridge lesion swab. There were no abnormalities identified at radiographic evaluation of nasal turbinates. As the patient was already with antibiotic therapy and steroidal anti-inflammatory, it was opted to maintain it, since interruption between the day of examination and laboratory results could cause more prejudice than benefit, corticosteroid dose, however, was readjusted (prednisone 2 mg/kg/per os/every 24h). After 1 week of treatment the owner reported significant improvement of clinical signs without any further complaint. Discussion: Typically, type I hypersensitivity reactions such as insect bites do not exceed clinical signs of erythema, local edema and pruritus, with spontaneous remission of clinical signs within few hours after exposure to the antigen. Eosinophilic folliculitis, however, may cause more severe clinical alterations, such as pain, apathy and hyporexia. Nasal bridge is the predominant site described to be affected in cases of eosinophilic folliculitis, being auricular pinna, thorax and limbs considered atypical presentations which can delay proper diagnosis, since in endemic regions for diseases such as visceral leishmaniasis, infectious etiology may be listed first. Differential diagnosis also includes superficial pyoderma, juvenile cellulitis, pemphigus foliaceus and pharmacodermia. The case described in this report emphasize the importance of an accurate diagnosis as well as an early and adequate treatment in order to promote satisfactory response. Also, highlights inadequate use of antimicrobials as a direct consequence of lack of laboratorial investigation. Hospital Veterinário Dom Bosco Universidade Católica Dom Bosco (UCDB), MS Faculdade de Medicina Veterinária e Zootecnia (FAMEZ) Universidade Federal de Mato Grosso do Sul (UFMS) Departamento de Clínica Veterinária Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), SP Departamento de Clínica Veterinária Universidade Estadual Paulista “Júlio de Mesquita Filho” (UNESP), SP

A distinct ulcerative dermatitis known as “freshwater skin disease” is an emerging clinical and pathological presentation in coastal cetaceans worldwide. In Australia, two remarkably similar mortality events enabled the creation of a case definition based on pathology and environmental factors. The first affected a community of endemic Tursiops australis in the Gippsland Lakes, Victoria, while the second occurred among T. aduncus resident in the Swan-Canning River system, Western Australia. The common features of both events were (1) an abrupt and marked decrease in salinity (from > 30ppt to

Pythiosis is characterized most commonly by ulcerative dermatitis, mainly in the limbs of sheep and occasionally of goats. In sheep, Pythium insidiosum is also responsible for necrotizing rhinitis characterized by marked enlargement and deformity of the nasal region, severe respiratory difficulty, and bloody nasal discharge. A third form of pythiosis in sheep affects the digestive tract, involving ulceration of the esophagus, forestomachs, and abomasum. Pythiosis in sheep and goats has been reported only in Brazil where it occurs mainly in the semiarid region of the country, when animals congregate and stay for longer periods of time within or around water reservoirs. However, it has been reported as well in areas of humid environments, such as the Pantanal of Mato Grosso and in the Brazilian Cerrado. The diagnosis of the different presentations of pythiosis is based on gross and microscopic findings, coupled with detection of the agent by immunohistochemical, molecular, and/or culture-based methods.

The main clinical, anatomopathological, and molecular aspects of the infection by Leishmania infantum are described in two cats with multicentric cutaneous, nodular, and ulcerated lesions. The animals were submitted to a clinical examination, followed by serological, molecular and parasitological exams, with culture and isolation of the parasite, and subsequent isoenzymatic characterization. The animals were euthanized and necropsied. Case 1 was an adult, female, mixed-bred stray cat. Case 2 was an adult, male, mixed-bred and domiciled cat. Both were positive for the presence of anti-L. infantum antibodies. In the cytology of the cutaneous nodules and lymph nodes, amastigote forms of Leishmania spp. could be visualized, free and in the interior of the macrophages. In the histopathology, the lesions were characterized by nodular granulomatous and/or ulcerative dermatitis, associated to amastigote forms of Leishmania spp. By means of the polymerase chain reaction, the sequence of the L. infantum kDNA minicircle was amplified. It is concluded that the infection by L. infantum occurs in cats in the State of Paraíba, Northeast region of Brazil and the need to understand the immunological profile of the visceral leishmaniasis in the feline population is highlighted with aimed at the control measures in public health.

This case report describes the clinical and histopathological findings of an infection caused by equine herpesvirus-1 (EHV-1) in a horse showing respiratory signs and a papular, crusted and ulcerative dermatitis involving mucosae. This diagnosis was supported by real-time PCR positive for EHV-1 on nasal swabs and tissues.Cet article décrit les données cliniques et histopathologiques d’une infection due à EHV-1 (equine herpesvirus - 1) chez un cheval présentant des signes respiratoires et une dermatite papuleuse, croûteuse et ulcérative s’étendant aux muqueuses. Le diagnostic a été supporté par une PCR en temps réel positive pour EHV-1 sur tissus et écouvillon nasal. Dieser Fallbericht beschreibt die klinischen und histopathologischen Befunde einer Infektion durch das equine Herpesvirus-1 (EHV-1) bei einem Pferd, welches respiratorische Zeichen zeigte und eine papulöse, krustige und ulzerative Dermatitis, von der auch die Schleimhäute betroffen waren. Die Diagnose wurde durch eine Real-time PCR Untersuchung, die an Tupfern aus der Nase und aus Gewebe positiv auf EHV-1 verlief, unterstützt.Este informe de caso describe los hallazgos clínicos e histopatológicos de una infección causada por herpesvirus equino tipo-1 (EHV-1) en un caballo que mostraba signos respiratorios y una dermatitis papular, con costras y ulceras afectando las mucosas. Este diagnóstico fue corroborado por una PCR en tiempo real positiva para EHV-1 en hisopos nasales y tejidos.Dieser Fallbericht beschreibt die klinischen und histopathologischen Befunde einer Infektion durch das equine Herpesvirus-1 (EHV-1) bei einem Pferd, welches respiratorische Zeichen zeigte und eine papulöse, krustige und ulzerative Dermatitis, von der auch die Schleimhäute betroffen waren. Die Diagnose wurde durch eine Real-time PCR Untersuchung, die an Tupfern aus der Nase und aus Gewebe positiv auf EHV-1 verlief, unterstützt.本症例報告は、馬によって引き起こされる感染症の臨床的および組織病理学的所見について説明する。ヘルペスウイルス1（EHV-1）は、呼吸器の兆候と、粘膜を含む丘疹性の皮疹および潰瘍性皮膚炎を示している。 本診断は、鼻腔スワブと組織のEHV-1陽性のリアルタイムPCRによってサポートされた。.本病例报告描述了通过症状和组织病理学结果, 发现1匹马感染了马疱疹病毒-1 (EHV-1), 既有呼吸道症状, 有丘疹、结痂和溃疡性皮炎, 波及到了黏膜。鼻拭子和组织中的EHV-1实时PCR阳性支持了该诊断结论。.Este relato de caso descreve os achados clínicos e histopatológicos de uma infecção causada por herpesvírus equino tipo-1 (EHV-1) em um cavalo que apresentou sinais respiratórios e dermatite papular, crostosa e ulcerativa envolvendo mucosas. Este diagnóstico foi confirmado por PCR em tempo real positivo para EHV-1 em swabs nasais e tecidos.

Highlights • An outbreak of an infectious dermatological disorder of unknown aetiology in a flock of yearling lambs was investigated. • Lesions occurred on the distal limb between the coronary band and carpel joint as a circular ulcerative dermatitis. • Treponema spp., Dichelobacter nodosus, Staphylococcus aureus, Dermatophilus congolensis and poxvirus screens were negative. • Fusobacterium necrophorum and Streptococcus dysgalactiae were detected in the majority of lesions examined. • An aetiology involving bacterial infection with F. necrophorum and S. dysgalactiae was implicated., Here we report an outbreak of an atypical, ulcerative dermatitis in North Country mule lambs, located in South Gloucestershire, UK. The lesions, which appeared to be contagious, occured between the coronary band and the carpal joint as a focal, well demarcated, circular, ulcerative dermatitis. Histopathological examination of the lesion biopsies revealed areas of ulceration, epidermal hyperplasia, suppurative dermatitis and granulation tissue. Clumped keratohyalin granules and intracellular keratinocyte oedema (ballooning degeneration) were evident within lesion biopsies, consistent with an underlying viral aetiology. A PCR-based microbiological investigation failed to detect bovine digital dermatitis-associated treponeme phylogroups, Dichelobacter nodosus, Staphylococcus aureus, Dermatophilus congolensis or Chordopoxvirinae virus DNA. However, 3 of the 10 (30 %) and 6 of 10 (60 %) lesion samples were positive for Fusobacterium necrophorum and Streptococcus dysgalactiae DNA, respectively. Contralateral limb swabs were negative by all standard PCR assays. To better define the involvement of F. necrophorum in the aetiology of these lesions, a qPCR targeting the rpoB gene was employed and confirmed the presence of F. necrophorum DNA in both the control and lesions swab samples, although the mean F. necrophorum genome copy number detected in the lesion swab samples was ∼19-fold higher than detected in the contralateral control swab samples (245 versus 4752 genome copies/μl, respectively; P < 0.001). Although we have not been able to conclusively define an aetiological agent, the presence of both F. necrophorum and S. dysgalactiae in the majority of lesions assayed supports their role in the aetiopathogenesis of these lesions.

The last chapter of this feline dermatology text reviews a range of cutaneous diseases not addressed in preceding chapters. It includes some well-recognised entities, such as feline chin acne, solar dermatitis and burns. It also includes a number of unique feline presentations of unknown aetiology including idiopathic ulcerative dermatitis and mural folliculitis that are increasingly recognised as reaction patterns, with multiple potential causes, rather than distinct diseases. Hypereosinophilic syndrome is another idiopathic uniquely feline presentation that is reviewed, along with sebaceous adenitis and sterile panniculitis that occur only rarely in cats.

A red-bellied piranha (Pygocentrus nattereri), kept as a pet by a private owner, was presented for multifocal ulcerative lesions. Lesion biopsies were collected under general anesthesia and submitted for histopathologic and microbiologic examination. Histological examination revealed a bacterial necrotizing ulcerative dermatitis. From cultural analysis of the biopsy, Aeromonas hydrophila and Edwardsiella ictaluri were isolated. Multidrug resistance was observed in both isolates, except for neomycin and ceftazidime. Intramuscular injections of ceftazidime 22 mg/kg were administered until complete healing of the wound, except for small dermal scars that remained following treatment. Given that the piranha was maintained alone since it was purchased, except for occasional feedings with fresh nonfrozen goldfish, horizontal transmission of the infection from the prey species was considered the source of infection.

There is a trend toward the increased incidence and prevalence of Edwardsiella piscicida septicemia in US catfish aquaculture, particularly in channel ♀, Ictalurus punctatus, × blue ♂, I. furcatus, hybrid catfish. From 2013 to 2017, a total of 3242 disease case submissions were made to the Aquatic Research and Diagnostic Laboratory (ARDL) at the Thad Cochran National Warmwater Aquaculture Center in Stoneville, MS. Of these, 1400 (43.2%) were hybrids. E. piscicida was suspected in 138 (4.3%) of cases, the majority of which (89.1%) were from hybrid catfish. A molecular survey of these isolates confirmed the majority (92.0%) to be E. piscicida. Furthermore, cases of E. piscicida from hybrids submitted to the ARDL and the Aquatic Diagnostic Laboratory of the Mississippi State University College of Veterinary Medicine in Starkville, MS, were documented for gross lesions and histological analysis. Grossly, E. piscicida presents with small dermal ulcerations, a raised fluid‐filled cranial midline lesion that is frequently ulcerated, hemorrhage in the gills, exophthalmia, and abdominal distension. Internally, lesions include splenomegaly, straw‐colored ascites, renomegaly, and occasionally hemorrhagic intestines. Histopathological examination is in agreement with gross observations, and infected fish repeatedly demonstrate a mononuclear meningoencephalitis, hemorrhagic branchitis, splenitis, ulcerative dermatitis, granulomatous interstitial nephritis, and hepatitis coupled with a hemorrhagic enteritis.