Cardiac disease in the Spix Macaw (Cyanopsitta spixii): two cases

Cardiovascular disease in avian species, other than poultry, is being increasingly reported. In psittacine birds, atherosclerosis and congestive heart failure are the leading cardiovascular diseases, often resulting in multiorgan dysfunction and demise. The Spix's macaw (Cyanopsitta spixii) is arguably the most endangered psittacine species worldwide. We aimed to describe the gross and microscopic findings in two adult Spix's macaws wherein severe cardiovascular pathology resulted in sudden death. Bird 1 had pathologic findings consistent with fibrinoheterophilic vegetative pulmonic valvular endocarditis with luminal obliterative thrombosis, myocarditis and epicarditis, myocardial fibrofatty infiltration and cardiomyocyte loss, as well as generalized septicaemia. Microbiological analysis yielded Pantoea septica from the intestines and Acinetobacter baylyi from the cerebrum. Bird 2 had changes suggestive of right brachiocephalic coarctation-like obliterative arteriopathy. The latter is a novel cardiovascular pathology in avian species, and its severity and extent likely led to acute decompensation of pre-existing cardiac disease. These results add to the body of knowledge on avian cardiovascular pathology and may aid in veterinary medical decisions on caged birds, including those part of ex situ conservation efforts.

Multicentric cutaneous keratoacanthomas in a free-living marmoset (Callithrix sp.)

Cutaneous neoplasia is common in non-human primates. We describe the gross and microscopic features of multicentric cutaneous keratoacanthomas in a free-living marmoset (Callithrix sp.). Immunohistochemistry for human papillomavirus and herpes simplex virus type I and simplex virus type II was negative. Keratoacanthomas should be included in the differential diagnosis for cutaneous masses in non-human primates.

Immunohistochemical detection of virus through its nuclear cytopathic effect in idiopathic interstitial pneumonia other than acute exacerbation

Idiopathic interstitial pneumonias include complex diseases that have a strong interaction between genetic makeup and environmental factors. However, in many cases, no infectious agent can be demonstrated, and these clinical diseases rapidly progress to death. Theoretically, idiopathic interstitial pneumonias could be caused by the Epstein-Barr virus, cytomegalovirus, adenovirus, hepatitis C virus, respiratory syncytial virus, and herpesvirus, which may be present in such small amounts or such configuration that routine histopathological analysis or viral culture techniques cannot detect them. To test the hypothesis that immunohistochemistry provides more accurate results than the mere histological demonstration of viral inclusions, this method was applied to 37 open lung biopsies obtained from patients with idiopathic interstitial pneumonias. As a result, immunohistochemistry detected measles virus and cytomegalovirus in diffuse alveolar damage-related histological patterns of acute exacerbation of idiopathic pulmonary fibrosis and nonspecific interstitial pneumonia in 38 and 10% of the cases, respectively. Alveolar epithelium infection by cytomegalovirus was observed in 25% of organizing pneumonia patterns. These findings were coincident with nuclear cytopathic effects but without demonstration of cytomegalovirus inclusions. These data indicate that diffuse alveolar damage-related cytomegalovirus or measles virus infections enhance lung injury, and a direct involvement of these viruses in diffuse alveolar damage-related histological patterns is likely. Immunohistochemistry was more sensitive than the histological demonstration of cytomegalovirus or measles virus inclusions. We concluded that all patients with diffuse alveolar damage-related histological patterns should be investigated for cytomegalovirus and measles virus using sensitive immunohistochemistry in conjunction with routine procedures.