Cutaneous pythiosis in horses treated with triamcinolone acetonide. Part 1. Clinical characterization
Pythiosis cutánea en equinos tratados con acetonida de triamcinolona. Parte 1. Caracterización clínica
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ABSTRACT
Objective. The objective of the present study was to characterizer clinically of the healing process of cutaneous pythiosis in horses treated with triamcinolone acetonide. Materials and methods. We conducted a descriptive study, not probabilistic, of convenience. 24 horses were used with cutaneous pythiosis confirmed, a group of 12 animals was administered 50 mg of intramuscular injection of triamcinolone acetonide (TG) and the other group was not applied any treatment (CG). They are undergoing clinical and microscopic characterization of the lesion every 4 days until the complete recovery of granuloma in the GT. Being verified decreased fibrin bloody exudate, pruritus, presence of fistulae and output kunkers, likewise radiographic projections were performed to assess the degree of compromise bone and tissue fibrosis. Results. Macroscopically animals GT present progressive decrease in the clinical features of the disease at 16±1.4 days post treatment application. The wound contraction was 100% at 60±3.4 days after application of the treatment in all granulomas of GT, being highly significant (p<0.0001). Radiological monitoring of chronic skin lesions, met invasion to underlying tissues compromising bone structures, characterized by tissue fibrosis, moderate exostosis, bake as osteolysis and osteomyelitis. Neither of the animals in the CG showed improvement in clinical characteristics, and macroscopic of pythiosis and maintained equal to the first day throughout the study. Conclusions. The use of triamcinolone acetonide is a good therapeutic alternative for the treatment of granulomatous Pythiosis wounds in horses with 100% clinical recovery.
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- Fonseca A, Botton S, Nogueira C, Correa B, Silveira J, Azevedo M, Maroneze B, Santurio J, Pereira D. In Vitro Reproduction of the Life Cycle of Pythium insidiosum from Kunkers' Equine and Their Role in the Epidemiology of Pythiosis. Mycopathologia 2014; 177:123–127. https://doi.org/10.1007/s11046-013-9720-6
- Cardona J, Vargas M, González M. Evaluación clínica e histopatológica de la pythiosis cutánea en terneros del departamento de Córdoba, Colombia. Rev MVZ Córdoba 2013; 18(2):3551-3558.
- Cardona J, Vargas M, Perdomo S. Pythiosis cutánea equina: una revisión. Rev Ces Med Vet Zootec 2013b; 8(1):58-67.
- Cardona J, Vargas M, Perdomo S. Frecuencia de Pythiosis cutánea en caballos de producción en explotaciones ganaderas de Córdoba, Colombia. Rev Med Vet Zoot 2014; 61(1):31-43. https://doi.org/10.15446/rfmvz.v61n1.43882
- Santos C, Santurio J, Marques C. Pitiose em animais de produção no Pantanal Matogrossense. Pesq Vet Bras 2011a; 31(12):1083-1089. https://doi.org/10.1590/S0100-736X2011001200008
- White S. Equine Bacterial and Fungal Diseases: A Diagnostic and Therapeutic Update. Clin Tech Equine Pract 2005; 4:302-310.
- https://doi.org/10.1053/j.ctep.2005.10.004
- Luis-León J, Pérez R. Pythiosis: Una patología emergente en Venezuela. Salus online 2011; 15(1):79–94.
- Santurio J, Alves S, Pereira D, Argenta J. Pitiose: uma micose emergente. Act Sci Vet 2006; 34(1):1-14.
- Marcolongo-Pereira C, Estima-Silva P, Soares M, Sallis S, Grecco F, Raffi M, Fernandes C, Schild A. Doenças de equinos na região Sul do Rio Grande do Sul. Pesq Vet Bras 2014; 34(3):205-210.
- https://doi.org/10.1590/S0100-736X2014000300002
- Cardona J, Vargas M, Perdomo S. Pythiosis cutánea equina en el departamento de Sucre, Colombia. REDVET 2012; 13(11):1-7.
- Cardona J, Vargas M, Perdomo S. Evaluación clínica e histopatológica de la pitiosis cutánea en burros (Equus asinus). Rev Med Vet 2013c; 25:9-19. https://doi.org/10.19052/mv.2295
- Mrad A. Ética en la investigación con modelos animales experimentales. Alternativas y las 3 RS de Russel. Una responsabilidad y un compromiso ético que nos compete a todos. Rev Col Bioética 2006; 1(1):163-184.
- Pabón J, Eslava J, Gómez R. Generalidades de la distribución espacial y temporal de la temperatura del aire y de la precipitación en Colombia. Meteorol Colomb 2001; 4:47-59.
- Ayres M, Murcia C, Ayres D, Santos S. BioEstat 5.0: Aplicações estatísticas em ciências biológicas e medicina. Belém, Sociedade Civil Mamirauá, Brasilia DF; 2004.
- Statistical Analysis System. SAS OnlineDoc 9.1.3. Institute Inc, Cary, NC, USA. 2007.
- Márquez A, Salas Y, Canelón J, Perazzo Y, Colmenárez V. Descripción anatomopatológica de pitiosis cutánea en equinos. Rev Fac Cs Vets UCV 2010; 51(1):37-42.
- Santos C, Santurio J, Colodel E, Juliano R, Silva J, Marques L. Contribuição ao estudo da pitiose cutânea equina em equídeos do pantanal norte, Brasil. Ars Vet 2011b; 27(3):134-40.
- Dória R, Freitas S, Mendonça F, Arruda L, Boabaid F, Filho A, Colodel E, Valadão E. Utilização da técnica de imuno-histoquímica para confirmar casos de pitiose cutânea equina diagnosticados por meio de caracterização clínica e avaliação histopatológica. Arq Bras Med Vet Zootec 2014; 66(1):27-33. https://doi.org/10.1590/S0102-09352014000100005
- Galiza G, da Silva T, Caprioli R, Barros C, Irigoyen L, Fighera R, Lovato M, Kommers G. Ocorrência de micoses e pitiose em animais domésticos: 230 casos. Pesq Vet Bras 2014; 34(3):224-232.
- https://doi.org/10.1590/S0100-736X2014000300005
- Zaro D. 2013. Pythium Insidiosum: Revisão Literária y relato de caso em equino. Brasil. Universidade Federal Do Rio Grande Do Sul. [acceso febrero 12 de 2016] URL Disponible en: http://www.lume.ufrgs.br/bitstream/handle/10183/95099/000917573. pdf?sequence=1
- Pereira D, Santurio J, Alves S, Argenta J, Potter L, Spanamberg A, Ferreiro L. Caspofungin in vitro and in vivo activity against Brazilian Pythium insidiosum strains isolated from animals. J Antimicrob Chemother 2007; 60:1168–1171. https://doi.org/10.1093/jac/dkm332
- Cavalheiro A, Maboni G, Azevedo M, Argenta J, Pereira D, Spader T, Alves S, Santurio J. In Vitro Activity of Terbinafine Combined with Caspofungin and Azoles against Pythium insidiosum. Antimicrob Agents Chemother 2009; 53(5):2136-2138.
- https://doi.org/10.1128/AAC.01506-08
- Frey F, Velho J, Lins L, Nogueira C, Santurio J. Pitiose equina na região sul do Brasil. Rev Port Cienc Vet 2007; 102:107-111.
- Argenta J. Atividade in vitro, individual ou em combinação, de voriconazol, itraconazol e terbinafina contra isolados brasileiros de Pythium insidiosum. Acta Scientiae Veterinariae 2008; 36(3):327-328.
- Biava J, Ollhoff D, Gonçalves R, Biondo A. Zigomicose em equinos-revisão. Rev Acad Curitiba 2007; 5:225-230.
- Loreto E, Nunes-Mario D, Denardi L, Alves S, Santurio J. In Vitro Susceptibility of Pythium insidiosum to Macrolides and Tetracycline Antibiotics. Antimicrob. Agents Chemother. 2011; 55(7):3588–3590. https://doi.org/10.1128/AAC.01586-10
- Gaastra W, Lipman L, De Cock A, Exel T, Pegge R, Scheurwater J, Vilela R, Mendoza L. Pythium insidiosum: An overview. Vet Microbiol 2010; 146:1-16. https://doi.org/10.1016/j.vetmic.2010.07.019
- Clares B. Sistemas de transporte y liberación de farmacos de aplicación tópica: liposomas multilaminares portadores de Acetonido de Triancinolona. [Tesis Doctoral]. Espa-a: Universidad de Granada; 2003. [Fecha de acceso 12 de febrero de 2016] URL Disponible en: http://digibug.ugr.es/bitstream/10481/2113/1/17722238.pdf
- Morato L. Utilização da triancinolona como agente modulador da resposta inflamatória na cirurgia de músculo extra-ocular em coelhos. [Tese Ph.D.] Brasil. Universidade de São Paulo, Faculdade de Medicina; 2006. [acceso febrero de 2016] URL Disponible en: http://www.teses.usp.br/teses/disponiveis/5/5149/tde-25042007-093133/publico/Luisemrcarvalhotese.pdf
- Liberman A, Druker J, Perone M, Arzt E. Glucocorticoids in the regulation of transcription factors that control cytokine synthesis. Cytokine Growth Factor Rev 2007; 18:45-56. https://doi.org/10.1016/j.cytogfr.2007.01.005