Abstract. Five Holstein heifers (approximately 8 months of age and weighing 225-275 kg) were inoculated subcutaneously with 1,000 TCID,,, of rinderpest virus, virulent Kabete 0 strain. They become clinically ill 2 to 5 days post-inoculation. with fever (40 C to 4 1.5 C), conjunctivitis, and diarrhea. All were euthanatized when moribund at 6 days postinoculation. The following tissues were collected in formalin, embedded in paraffin, and subsequently subjected to histopathologic and immunohistochernical examination: tongue, buccal rnucosa, soft palatc, esophagus, rumen. abomasum. duodenum. jejunum with and without Peyer's patch, ileum, cecum, proximal colonic lymphoid patch. spiral colon, eyelid. gall bladder, spleen, tonsil, trachea, lungs, and numerous lymph nodes. Inimunohistochemical examination was accomplished using a primary rabbit anti-rinderpest antibody, and either a peroxidasediaminobcnzidine or alkaline phosphatase-Vector Red detection substrate system. In the lymph nodes. spleen. and tonsil. depletion of lymphocytes from all areas was extensive, with antigen most prominent in persisting reticular cells throughout the tissues. In the intestine, necrotizing and ulcerative changes in the mucosa were extensive and widespread. Damage was most severe in areas overlying lymphoid patches. In both small and large intestine. antigen was distributed predominantly in epithelial cells, histiocytic cells in the lamina propria, and in remaining reticular cells o f lymphoid patches. In oral rnucosa, there were multiple ulcerations and numerous multinucleate syncytial cells, both containing and without antigen. Lungs and trachea had subtle yet consistent necrosis of epithelial cells, with antigen often distributed in a circumferential manner in epithelium of bronchioles.
Objetivo: Analizar la incidencia hospitalaria del síndrome Down y describir las anomalías congénitas asociadas. Material y Métodos: Estudio retrospectivo casos-control de nacimientos registrados en la base de datos del Estudio Colaborativo Latinoamericano de Malformaciones Congénitas (ECLAMC), en el período: Noviembre-2012 a octubre-2013. Resultados: Se registraron 8571 nacidos vivos, en 44 de ellos, se confirmó el diagnóstico de Síndrome Down. La incidencia fue de 5,1 por 1000n.v. El 52.3% fue de sexo femenino. La trisomía 21 libre fue la forma de presentación en el 100% de los casos. La edad materna promedio fue de 36, 9 años, la paridad media fue de3 y el peso promedio del recién nacido fue de 2951,9grs, todas las variables mostraron diferencias estadísticamente significativas al compararlo con el grupo control (p<0,05). La edad materna mayor de 35 años fue un factor de riesgo importante (OR=8, IC 95%; 2,8-23,2). Las cardiopatías congénitas estuvieron presentes en el 75% (33/44), siendo las más frecuentes: defectos del tabique interauricular, persistencia del conducto arterioso y defectos del tabique interventricular. Las malformaciones gastrointestinales estuvieron presentes en el 8,9%, las anomalías esqueléticas en el 6,8% y las anomalías genitourinarias en el 4,5%. Conclusiones: El Síndrome Down es una patología frecuente en nuestro hospital, siendo el factor de riesgo más importante, la edad materna avanzada. La asociación con otras malformaciones congénitas hace necesaria una evaluación integral y un manejo multidisciplinario.
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