Kamio Kyohei, Nakanishi Yutaka, Matsue Kenta, Sasaki Minoru
Drug Safety, Drug Safety and Pharmacokinetics Laboratories, Taisho Pharmaceutical Co., Ltd., 1-403 Yoshino-cho, Kita-ku, Saitama-shi, Saitama 331-9530, Japan.
J Toxicol Pathol. 2017 Jul;30(3):251-254. doi: 10.1293/tox.2017-0010. Epub 2017 Jun 4.
The present report describes a case of spontaneous purulent granulomatous pericarditis in a 16-month-old beagle. A gross necropsy revealed pericardial effusion and multiple nodules on the surface of the heart and around the aorta adjacent to the heart. The cut surface of these nodules was solid and white in color, containing partially yellowish white regions. Microscopically, granulomatous inflammation characterized by central necrotic cellular debris surrounded by neutrophils, macrophages, lymphocytes, plasma cells, fibroblasts and collagen fibers was observed in the epicardium. In addition, degeneration or necrosis of the arterial wall with inflammation was observed in the nodules. No gross and histological findings were observed in any organs other than the heart. Bacteria and fungi were not detected by Periodic acid-Schiff staining, Gram-Hucker staining and Ziehl-Neelsen staining. Based on these findings, the dog was diagnosed as having purulent granulomatous pericarditis. Purulent pericarditis is usually caused by pyogenic bacterial or fungus infections; however, no changes indicating a possible infection were observed in this case. In cases with spontaneous vascular changes, such as idiopathic canine polyarteritis or beagle pain syndrome, epicarditis could be secondarily caused by vascular lesions. Since this case showed different pathological features from those of spontaneous vascular changes, the pathogenesis may be different and remains unclear. To the best of our knowledge, this is the first report describing purulent pericarditis in beagles. Our case report is expected to be useful information that can be used as cardiac background findings for evaluating heart lesions in preclinical toxicology studies performed in beagles.
本报告描述了一例16个月大的比格犬自发性脓性肉芽肿性心包炎病例。大体解剖显示心包积液,心脏表面和心脏附近主动脉周围有多个结节。这些结节的切面坚实,呈白色,包含部分黄白色区域。显微镜下,在心外膜观察到以中央坏死细胞碎片为特征的肉芽肿性炎症,周围有中性粒细胞、巨噬细胞、淋巴细胞、浆细胞、成纤维细胞和胶原纤维。此外,在结节中观察到动脉壁伴有炎症的变性或坏死。除心脏外,在任何器官均未观察到大体和组织学异常。通过过碘酸希夫染色、革兰-赫克染色和齐尔-尼尔森染色未检测到细菌和真菌。基于这些发现,该犬被诊断为脓性肉芽肿性心包炎。脓性心包炎通常由化脓性细菌或真菌感染引起;然而,本病例未观察到提示可能感染的变化。在伴有自发性血管变化的病例中,如特发性犬多动脉炎或比格犬疼痛综合征,心外膜炎可能继发于血管病变。由于本病例表现出与自发性血管变化不同的病理特征,其发病机制可能不同且尚不清楚。据我们所知,这是第一例描述比格犬脓性心包炎的报告。我们的病例报告有望成为有用的信息,可作为在比格犬进行的临床前毒理学研究中评估心脏病变的心脏背景发现。