Shraim Mubarak Al, Eid Refaat, Radad Khaled, Saeed Noora
Department of Pathology, College of Medicine, King Khalid University, Abbha, Saudi Arabia.
Department of Pathology, Jawaharlal Nehru Medical College and Hospital, Aligarh, Uttar Pradesh, India.
BMJ Case Rep. 2016 Aug 2;2016:bcr2016216054. doi: 10.1136/bcr-2016-216054.
Rift Valley fever (RVF) is a zoonotic disease that primarily affects ruminant animals and can also cause fatal disease in humans. In the current report, we present the ultrastructural changes in the liver of a man aged 60 years who died from RVF in the Aseer Central Hospital, Abha, Saudi Arabia. The main hepatic changes by transmission electron microscopy included the presence of 95-115 nm electron-dense particles consistent with RVF virions, nuclear condensation, vacuolar degeneration, lipid droplet accumulation and mitochondrial damage and dilation. There were also viral inclusion bodies with electron-dense aggregates, dilation of intercellular spaces, damage of sinusoidal microvilli with widening of space of Disse, dilation of bile canaliculi and increasing number of phagolysosomes.
裂谷热(RVF)是一种人畜共患病,主要影响反刍动物,也可导致人类致命疾病。在本报告中,我们展示了一名60岁男性在沙特阿拉伯阿卜哈市阿西尔中心医院死于裂谷热后肝脏的超微结构变化。透射电子显微镜观察到的主要肝脏变化包括存在与裂谷热病毒粒子一致的95 - 115纳米电子致密颗粒、核固缩、空泡变性、脂滴积累以及线粒体损伤和扩张。还存在带有电子致密聚集体的病毒包涵体、细胞间隙扩张、肝血窦微绒毛损伤伴狄氏间隙增宽、胆小管扩张以及吞噬溶酶体数量增加。