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Journal of Entomology and Zoology Studies 2019; 7(2): 777-779
E-ISSN: 2320-7078
P-ISSN: 2349-6800
JEZS 2019; 7(2): 777-779
© 2019 JEZS
Received: 04-01-2019
Accepted: 08-02-2019
Ashna S
Department of Veterinary
Pathology, College of Veterinary
and Animal Sciences, Mannuthy,
Thrissur, Kerala, India
Devi SS
Department of Veterinary
Pathology, College of Veterinary
and Animal Sciences, Mannuthy,
Thrissur, Kerala, India
Sajitha IS
Department of Veterinary
Pathology, College of Veterinary
and Animal Sciences, Mannuthy,
Thrissur, Kerala, India
Reshma RS
Department of Veterinary
Microbiology and Immunology,
College of Veterinary and Animal
Sciences, Mannuthy, Thrissur,
Kerala, India
Mammen J Abraham
Department of Veterinary
Pathology, College of Veterinary
and Animal Sciences, Mannuthy,
Thrissur, Kerala, India
Correspondence
Ashna S
Department of Veterinary
Pathology, College of Veterinary
and Animal Sciences, Mannuthy,
Thrissur, Kerala, India
Acquired hepatic encephalopathy due to
leptospirosis in dog: A case report
Ashna S, Devi SS, Sajitha IS, Reshma RS and Mammen J Abraham
Abstract
A carcass of four year old male dachshund presented to the Department of Veterinary Pathology, College
of Veterinary and Animal Sciences, Mannuthy, formed the material for the study. The dog had a history
of nervous symptoms. In necropsy, jaundice, fatty liver, petechial hemorrhages on the kidney, splenic
necrosis, catarrhal enteritis, and severe congestion in the brain were observed. Impression smear from
hippocampus subjected to the direct fluorescent antibody technique to rule out the possibility of rabies.
On histopathological examination, liver revealed fatty change. In kidney, desquamation of tubular
epithelium with cast formation was observed. In intestines, infiltration of inflammatory cells in the
mucosal layer with a proliferation of goblet cells. In brain, cerebral edema, gliosis, satellitosis,
vacuolation were observed. Alzheimer’s type II cells could also be observed. Liver and kidney tissue
samples were subjected to molecular examination and found positive for leptospirosis. Hence the
condition was concluded as a case of acquired hepatic encephalopathy due to leptospirosis.
Keywords: hepatic encephalitis; leptospirosis; cerebral oedema; alzheimer’s type ii astrocytes
1. Introduction
Hepatic encephalopathy is a complex neurological abnormality that occurs along with liver
and kidney diseases. Hepatic encephalopathy can occur as a result of congenital portal vena
cava shunt or acquired liver or kidney disease in species including dogs, cats
[1]
. In dogs, it can
occur as a result of either congenital or acquired liver diseases. Liver dysfunction aggravate
the accumulation of toxic metabolite which leads to the altered neurotransmission and finally
manifested as hepatic encephalopathy
[2]
. Pathogenesis of hepatic encephalopathy is complex
and incompletely understood, however increased ammonia concentration in the blood
contributes to its pathogenesis
[3]
. In human, changes like Spongiosis or micro aviation,
neuronal necrosis, gliosis and Alzheimer type I1 astrocytes have been the pathogical features
of hepatic encephalitis in brain
[4]
.
2. Materials and Methods
A four year old male dachshund dog which was under treatment for sudden epilepsy,
convulsions and tremors was presented to the Department of Pathology, College of Veterinary
and Animal Sciences, Mannuthy following its death for postmortem examination. A detailed
necropsy was conducted. Gross lesions in all organs were recorded. For detailed
histopathological examinations, tissue samples were collected in 10% Neutral Buffered
Formalin. After fixation, tissue sections were processed through different gradients of alcohols
and xylene. Then paraffin blocks were made. Tissue sections of 5 micron thickness were cut
using microtome, finally stained by Hematoxylin and Eosin (H&E) standard protocol (Luna.
1968). Samples of kidney and liver were collected for molecular diagnosis. Tissue sections of
liver and kidney was subjected to DNA extraction using the commercial available kit followed
by genus specific Polymerase Chain Reaction for Leptospira species. A primer pair specific to
Lip 32 gene was employed for this study
[5]
. Impression smears from hippocampus were taken
for the direct fluorescent antibody test (FAT) to detect rabies.
On detailed postmortem examination yellowish discoloration was observed in the mucous
membrane of eye and mouth, friable fatty liver, pin point hemorrhages on the kidney surface,
necrosis on the spleen, severe catarrhal enteritis, cerebral congestion with oedema was
observed.