Biomedical subjects

U Braun

Publications and source records attributed to U Braun.

At least 181 records · Page 10Linked to original sources

PubMed1997

[Serologic studies on the occurrence of bovine ehrlichiosis in the cantons Zürich, Schaffhausen, Thurgau, St. Gallen and Obwalden].

The purpose of this study was to investigate the geographical distribution of bovine ehrlichiosis in the Cantons Zürich, Schaffhausen, Thurgau, St. Gallen and Obwalden. To this end, an indirect immunofluorescence assay was established. The diagnostic sensitivity and specificity was estimated to be close to 100% based on the results obtained with several reference sera from the US National Veterinary Services Laboratories and the seroconversion panels of 20 heifers and cows. Blood samples from 2557 healthy cattle were tested for antibody response against Ehrlichia phagocytophila. Ninety-three animals (3.6%) were seropositive with titers ranging from 1:20 to 1:320. Most of the positive animals were found in the area north of lake Zürich spanning to the german border, in the area between Walensee and Bad Ragaz, the Rhine valley and Klein Melchtal. All seropositive animals had grazed on pastures or alps with a favourable biotope for the tick Ixodes ricinus.

Animals↗

PubMed1997

[A case of acute disseminated Mucor encephalitis in a heifer].

The case of a 2 1/2 year old Swiss Braunvieh heifer suffering from an acute disseminated mycotic encephalitis caused by a Mucorales spp. infection is presented. Clinical signs and analysis of cerebrospinal fluid (increased protein concentration and pleocytosis) were typical for an acute encephalitis, probably due to a listeriosis. The histological examination of the brain revealed an acute disseminated thrombo-embolic encephalomyelitis due to a fungi infection, morphologically consistent with Mucorales spp. The occurrence of bovine cerebral mucormycosis is rare and therefore the veterinarian should become aware of a case which was clinically not distinguishable from a listeriosis.

Animals↗

PubMed1997

[The occurrence of spiral-shaped bacteria in the abomasum of cattle].

The goal of this study was to determine whether Helicobacter pylori or similar bacteria are present in the abomasum of cows. The abomasa of 112 clinically healthy cows were examined at slaughter. Prior to macroscopic examination, samples for bacteriological and histological examination were obtained from the fundus and from the pylorus. Bacteriological examination of the abomasal mucosa included the urease test, the microscopic examination of a Gram's stained smear, and culture on various solid media. Samples from the pylorus (63) were more often positive in the urease test than those from the fundus (35). Examination of Gram's stained smears revealed two groups of suspicious microorganisms; spiral-shaped and rod-shaped bacteria, whereby the latter could not be differentiated morphologically from Helicobacter pylori. Spiral-shaped bacteria were more often isolated from the pylorus (101 samples) than from the fundus (30 samples). The bacteria that resembled Helicobacter pylori were found in seven samples from the pylorus and in seven samples from the fundus. Helicobacter pylori was not cultured in any of the abomasal samples. Tissue samples from the fundus and pylorus were stained with hemalum and eosin and with silver according to Warthin-Starry. All but one abomasum had diffuse infiltration of lymphocytes and plasma cells. Lymphocytic follicles were observed in 109 abomasa. Neutrophils were seen in four abomasa, eosinophils in 37 and parasitic lesions in 20. As in the Gram's stained smears, spiral-shaped and rod-shaped bacteria were seen in silver-stained smears. Spiral-shaped bacteria were found in the pylorus of 96 abomasa and in the fundus and pylorus of one abomasum. The rod-shaped bacteria could not be differentiated from Helicobacter pylori by light microscopy. They were seen in glandular lumina of the superficial region of the mucosa in 97 abomasa. They were limited to the pylorus and fundus in 16 and 59 cases, respectively, and occurred in both these areas in 23 cases. The results of this study indicate that spiral-shaped bacteria may be found frequently in the bovine abomasum. Further investigations are required to determine whether these bacteria are associated with the inflammatory lesions that were observed and whether they play a role in the pathogenesis of abomasal ulcers.

Abomasum↗

PubMed1996

Prophylaxis of intravenous catheter-related thrombophlebitis in cattle.

Two methods of preventing intravenous catheter-related thrombophlebitis of the jugular vein, using clinical and ultrasonographic criteria, were compared. The first method consisted of minimising bacteriological contamination by the preparation of the skin as if for surgery. The second method involved the daily subcutaneous administration of low doses of heparin to decrease procoagulant activity. The results showed that the preparation of the skin before the placement of an indwelling catheter in the jugular vein and adequate daily maintenance of the catheter were of great importance in the prevention of thrombophlebitis induced by bacteriological contamination. The use of heparin should be limited to cases that require long-term catheterisation or are predisposed to thrombosis or other clotting abnormalities.

Animals↗

PubMed1996

Radiation doses of yttrium-90 citrate and yttrium-90 EDTMP as determined via analogous yttrium-86 complexes and positron emission tomography.

Yttrium-90 is used for palliative therapy for the treatment of skeletal metastases, but because it is a pure beta- emitter, data on the pharmacokinetics and radiation doses to metastases and unaffected organs are lacking. To obtain such data, the present study employed yttrium-86 as a substitute for 90Y, with detection by positron emission tomography (PET). The study compared the properties of two different 86Y complexes - 86Y-citrate and 86Y-ethylene diamine tetramethylene phosphonate (EDTMP) - in ten patients with prostatic cancer who had developed multiple bone metastases (the ten patients being divided into two groups of five). Early dynamics were measured up to 1 h post injection (p.i.) over the liver region, followed by subsequent whole-body PET scans up to 3 days p.i. Absolute uptake data were determined for normal bone, bone metastases, liver and kidney. Radiation doses were calculated according to the MIRD recommendations. Based on the pharmacokinetic measurements of the distribution of the 86Y complexes, it was possible to calculate radiation doses for the bone metastases and the red bone marrow delivered by complexes containing 90Y. In 1 cm3 of bone metastasis, doses of 26+/-11 mGy/MBq and 18+/-2 mGy/MBq were determined per MBq of injected 90Y-citrate and 90Y-EDTMP, respectively. The doses to the bone marrow were 2.5+/-0.4 mGy/MBq for 90Y-citrate and 1.8+/-0.6 mGy/MBq for 90Y-EDTMP. 86Y and PET provide quantitative information applicable to the clinical use of 90Y. This method may also be useful for the design of other 90Y radiopharmaceuticals and for planning radiotherapy dosages.

Aged↗

PubMed1996

Ketamine for analgosedative therapy in intensive care treatment of head-injured patients.

Ketamine was supposed to be contra-indicated in head injured patients although it possesses numerous advantages over other commonly used analgosedative drugs. Referring to these potential advantages and the lack of definitive data about its effect upon ICP, CPP or neurological development, we conducted a prospective study in which moderate or severely head injured patients (n = 35) were prospectively allocated to receive treatment either with a combination of ketamine or midazolam or fentanyl and midazolam. The initial dose was 6.5 mg/kg/day midazolam, 65 mg/kg/day ketamine or 65 micrograms/kg/day fentanyl and was later adjusted due to clinical requirements for a period of 3 to 14 days. Comparably high dosages of ketamine [corrected] have been found necessary (104 mg/kg/day). Four patients from the ketamine group (n = 17) and 5 from the control group (n = 18) were withdrawn during treatment due to persistent ICP above 25 mm Hg, countermeasured by barbiturate coma. Two more patients were withdrawn due to development of cardiovascular arrest (ketamine group) and multi organ failure. A comparison of the remaining patients revealed a lower requirement of catecholamines (significant on first day, p<0.05), an on average 8 mm Hg higher cerebral perfusion pressure and a 2 mm Hg higher intracranial pressure in the study [corrected] group. Enteral food intake was better in the study group. The outcome was comparable in both groups with or without inclusion of withdrawn patients.

Adolescent↗

PubMed1996

[Anesthesiologic aspects of pregnancy and delivery in a patient following a modified Fontan procedure ].

The number of patients with congenital cyanotic heart disease who reach child-bearing age is increasing. This is partly a consequence of the high long-term survival and the haemodynamic benefits resulting from the Fontan procedure, which is used for the definitive palliation of such cyanotic heart disease as tricuspid atresia and single ventricle. However, so far little experience has been recorded with pregnant patients who have undergone right ventricular exclusion procedures. The particular physiology of a univentricular heart and a passive, non-pulsatile blood flow through the lungs has significant implications for the anaesthetic obstetric management of these patients. We report a case of successful pregnancy and caesarean delivery after a modified Fontan procedure. CASE REPORT. The patient was a 30-year-old pregnant woman with a singleton pregnancy. At the age of 20, after four palliative shunt operations, she had undergone a modified Fontan operation due to tricuspid atresia with a single ventricle, d-transposition of the great arteries, pulmonary atresia and a single atrium. Following the Fontan repair, she initially suffered from intermittent Wolff-Parkinson-White syndrome and isorhythmic AV dissociation. The pregnancy was uneventful, and caesarean section was scheduled for 32 weeks' gestation. Because of the increased risk of thrombosis, the patient was treated with s.c. heparin preoperatively; for this reason, epidural anaesthesia was excluded, though it may otherwise be preferred for such patients. Amoxicilline was used to prevent endocarditis. At the date of caesarean delivery her body weight was 54 kg and boy height, 155 cm. Before induction of anaesthesia, a central venous and a radial artery catheter were placed for invasive pressure monitoring. An exaggerated left lateral tilt position was used to avoid aortocaval compression. After careful preoxygenation, anaesthesia was induced with 24 mg etomidate, 1.5 mg norcuronium, and 75 mg succinylcholine. Halothane 0.5-0.7% in oxygen was used during the first few minutes of surgery. Central venous pressure under mechanical ventilation was 20 mmHg, while the heart rate varied between 70 and 90 bpm. Delivery was accomplished 8 min after the induction of anaesthesia. The Apgar scores after 1 and 5 min were 9 and 10, respectively. Anaesthesia was continued with fentanyl, midazolam and nitrous oxide 50%. The remainder of surgery was unevenful. The child is now 5 years old and healthy. The mother has a near-normal activity level and does not need any help to care for her child. DISCUSSION. After a modified Fontan repair, i.e. atriopulmonary or total cavopulmonary anastomosis, the pulsatile pulmonary blood flow is converted to a passive, non-pulsatile blood flow that depends critically both on the pressure gradient between right (RAP) and left atrial pressure (LAP) and on pulmonary vascular resistance (PVR). Thus, the maintenance of an adequate transpulmonary pressure gradient and avoidance of an increase in PVR are of major importance for the obstetric anaesthetic management in patients who have undergone right ventricular exclusion procedures. Impairment of venous return caused by slight caval compression or high airway pressure may reduce cardiac output more critically than in patients with a normal circulation. CONCLUSION. This case demonstrates that the haemodynamic consequences of pregnancy and of caesarean delivery under general anaesthesia can be tolerated in post-Fontan patients despite the absence of a contractile pulmonary ventricle.

Adult↗

PubMed1996

[Infrared temperature measurement in the ear canal with the DIATEK 9000 Instatemp and the DIATEK 9000 Thermoguide. Comparison with methods of temperature measurement in other body parts].

UNLABELLED: Temperature of the tympanic membrane is recommended as a "gold standard" of core-temperature recording. However, use of temperature probes in the auditory canal may lead to damage of tympanic membrane. Temperature measurement in the auditory canal with infrared thermometry does not pose this risk. Furthermore it is easy to perform and not very time-consuming. For this reason infrared thermometry of the auditory canal is becoming increasingly popular in clinical practice. We evaluated two infrared thermometers-the Diatek 9000 Thermoguide and the Diatek 9000 Instatemp-regarding factors influencing agreement with conventional tympanic temperature measurement and other core-temperature recording sites. In addition, we systematically evaluated user dependent factors that influence the agreement with the tympanic temperature. MATERIALS AND METHODS: In 20 volunteers we evaluated the influence of three factors: duration of the devices in the auditory canal before taking temperature (0 or 5 s), interval between two following recordings (30, 60, 90, 120, 180 s) and positioning of the grip relative to the auditory-canal axis (0, 60, 180 and 270 degrees). Agreement with tympanic contact probes (Mon-a-therm tympanic) in the contralateral ear was investigated in 100 postoperative patients. Comparative readings with rectal (YSI series 400) and esophageal (Mon-a-therm esophageal stethoscope with temperature sensor) probes were done in 100 patients in the ICU. The method of Bland and Altman was taken for comparison. RESULTS: Shortening of the interval between two consecutive readings led to increasing differences between the two measurements with the second reading decreasing. A similar effect was seen when positioning the infrared thermometers in the auditory canal before taking temperatures: after 5 s the recorded temperatures were significantly lower than temperature recordings taken immediately. Rotation of the devices out of the telephone handle position led to increasing lack of agreement between infrared thermometry and contact probes. Mean differences between infrared thermometry (Instatemp and Thermoguide, CAL-Mode) and tympanic probes were -0.41 +/- 0.67 degree C (2 SD) and -0.43 +/- 0.70 degree C, respectively. Mean differences between the Thermoquide (Rectal-Mode) and rectal probe were -0.19 +/- 0.72 degree C, and between the Thermoguide (Core Mode) and esophageal probe -0.13 +/- 0.74 degree C. DISCUSSION: Although easy to use, infrared thermometry requires careful handling. To obtain optimal recordings, the time between two consecutive readings should not be less than two min. Recordings should be taken immediately after positioning the devices in the auditory canal. Best results are obtained in the 60 degrees position with the grip of the devices following the ramus mandibulae (telephone handle position). The lower readings of infrared thermometry compared with tympanic contact probes indicate that the readings obtained represent the temperature of the auditory canal rather than of the tympanic membrane itself. To compensate for underestimation of core temperature by infrared thermometry, the results obtained are corrected and transferred into core-equivalent temperatures. This data correction reduces mean differences between infrared recordings and traditional core-temperature monitoring, but leaves limits of agreement between the two methods uninfluenced.

Body Temperature↗

PubMed1996

[The comparative effectiveness of different infusion and blood warming methods].

UNLABELLED: Heat loses during surgery occur mainly to the environment and due to infusions and irrigations. Infusions given at room temperature account for a great deal of the total heat deficit during major operations, e.g., the infusion of 53 ml/kg 20 degrees C fluid leads to a loss of 1 degree C in mean body temperature. Hence, heating i.v. fluids will add to the effect of other measures aimed at reducing heat loss to the environment. We investigated the efficacy of different warming methods for i.v. fluids in an experimental model by measuring the temperature at the end of the delivery line. METHODS: The following in-line warmers were studied: Hotline HL-90 and System H-250/heat exchanger D-50 (Level 1 Technologies, Marshfield, USA), Astotherm IFT 260 (Stihler Elektronic GmbH, Stuttgart, Germany), RSLB 30 H Gamida (Productions Hospitalieres Francaises, Eaubonne, France), Bair Hugger 241/Modell 500 Prototype (Augustine Medical, Eden Prairie, USA). They were compared with pre-warming infusions (39 degrees C) only using the Clinitherm S (Labor Technik Barkey GmbH, Bielefeld, Germany) and pre-warming with "active insulation" of the delivery line using the Autotherm/Autoline system (Labor Technik Barkey GmbH, Bielefeld, Germany). We investigated the influence of four variables on the efficacy of warming: (1) flow rate (50-15,000 ml/h); (2) ambient temperature (20 degrees C and 25 degrees C); (3) infusion bag temperature (6 degrees C, 20 degrees C, and 39 degrees C); and (4) length of infusion system downstream from the heat exchanger. Fluid temperatures were measured using thermistors of 1 mm diameter (Modell YSI 520, Yellow Springs Instruments Co., Yellow Springs, USA) incorporated into 3-way stopcocks. Temperatures were recorded using Hellige temperature monitors (Hellige GmbH, Freiburg im Breisgau, Germany) and the signals were collected at 10 Hz through an AD converter and averaged over 1 min. Flows were calculated by timed collection into calibrated cylinders; 10 to 12 different flow rates were taken to define one temperature/ flow plot. Effective warming was defined as a temperature > 33 degrees C at the end of the infusion line. RESULTS: At high flow rates (> 2,500 ml/h) using 20 degrees C fluids at 20 degrees C ambient temperature, the H-250/D-50 system gave the highest temperatures throughout the range and showed effective warming from 1,300 ml/h on over the entire range tested (35 degrees C at 17,000 ml/h) compared to the RSLB 30 H Gamida system (3,000-18,000 ml/h) (Fig. 2). This difference in performance was almost abolished with fluids at 6 degrees C (Fig. 4). Similar efficacy could be reached by using prewarmed infusions that gave effective warming at > 2,000 ml/h and reached 39 degrees C at 13,000 ml/h. Prewarmed infusions could be used effectively down to > 80 ml/h applying "active insulation" (Autotherm/Autoline) to the whole infusion system. The Hotline HL-90 (50-4, 700 ml/h) appeared to be the most effective in-line warmer in the low (< 250 ml/h) and middle (250-2,500 ml/h) flow range, followed by the Astotherm IFT 260 (400-4,000 ml/h), but only if used with a length of 40 cm down-stream from the heat exchanger (Fig. 1). Increasing this distance to 145 cm markedly reduced its efficacy below the range of 2,000 ml/min (1,200- 3,000 ml/h) (Fig. 5). The Bair Hugger 241 Prototype showed a narrow effective range (700-1,300 ml/h) that could be extended beyond 1,300 ml/h by the use of prewarmed infusions (Figs. 1 and 3). The performance for 6 degrees C solutions and ambient temperatures of 25 degrees C are given in Fig. 4 and Table 1. CONCLUSIONS: The importance of infusion warming increases with the amount of fluid given.(ABSTRACT TRUNCATED)

Blood Physiological Phenomena↗

PubMed1996

Body composition in 5-18-y-old obese children and adolescents before and after weight reduction as assessed by deuterium dilution and bioelectrical impedance analysis.

The aim of the present study was to develop an equation for the prediction of total body water (TBW) from bioelectrical impedance analysis (BIA) in obese children and adolescents before and after weight reduction. In 146 obese subjects with a mean age of 12.7 +/- 3.0 y (5.5-17.8 y), TBW was measured by using deuterium dilution as well as the resistance index (RI; ht2/resistance) using BIA before and after weight loss. Initially, the RI correlated well with measured TBW (r2 = 0.92, P < 0.001). A multiple-regression analysis using forward stepwise selection of the variables RI, sex, age, weight, height, and waist-hip ratio revealed that the equation TBW = 0.35 x RI + 0.27 x age + 0.14 x weight - 0.12 predicts most accurately individual values of TBW before weight loss (adjusted r2 = 0.96, SEE = 1.9 L) with a mean error of predicted TBW of 1.40 +/- 1.38 L. This equation was validated in 1000 random samples (bootstrap-sampling method), giving a mean r2 of 0.95. During the weight-reduction program, which included an energy-restricted diet and an extensive exercise program, the patients lost 7.7 +/- 3.2 kg, leading to a small decrease in TBW of 0.4 +/- 1.5 L. When the developed prediction equation was applied to the data after weight loss, an r2 value of 0.94 between measured and calculated TBW and a mean error of 2.18 +/- 1.89 L was obtained. Validation of the equation in 1000 random samples after weight loss again gave a mean r2 value of 0.95. Individual changes in predicted TBW correlated only weakly with those of measured TBW (r = 0.21, P < 0.05). Thus, individual TBW values before and after weight loss can be predicted by BIA with acceptable accuracy by using the developed equation. However, prediction of small individual changes in TBW during weight loss is not possible by BIA.

Adolescent↗

PubMed1996

[A case of acute disseminated pneumomycosis in a cow].

The case of a five year old Swiss Braunvieh cow suffering from an acute disseminated mycotic pneumonia caused by an Aspergillus fumigatus infection is presented. The animal had calved one month previously and was admitted to the clinic because of recurrent fever. Clinical findings included a reduced general condition, a rectal temperature of 40.6 degrees C, an increased respiratory rate, coughing and serous nasal discharge. On auscultation increased bronchovesicular sounds and moist rales could be heard. Radiographs of the thorax showed a diffuse interstitial nodular pattern throughout the lung. The cow had to be slaughtered in spite of intensive therapy. Necropsy showed multiple nodules measuring up to 4 mm in diameter covering the entire surface of the lungs. Histology revealed an acute disseminated necrotising bronchopneumonia containing numerous branched, septate fungal hyphae identified as Aspergillus fumigatus. A primary aerogenous infection caused by inhalation of spores originating from mouldy hay or soil was suspected.

Acute Disease↗

PubMed1996

Ultrasonography of the lungs, pleura, and mediastinum in healthy cows.

OBJECTIVE: To describe the ultrasonographic appearance of the lungs, pleura, and mediastinum of cattle. DESIGN: Transcutaneous ultrasonography of the lungs and pleura was performed on the right and left sides of the thorax. The mediastinum was examined transesophageally. ANIMALS: 50 healthy cows. PROCEDURE: The thoracic wall, pleura, and pulmonary surface were visualized on both sides of the thorax via transcutaneous ultrasonography. The cranial mediastinal lymph node, right azygos vein, aorta, and caudal vena cava were visualized via transesophageal ultrasonography. RESULTS: The layers of the thoracic wall appeared as narrow bends that varied in echogenicity. They were followed medially by an echogenic line that represented the costal and pulmonary pleurae. Reverberation artifacts were seen medial to the pleura. The pulmonary parenchyma could not be visualized ultrasonographically because of its air content. The cranial mediastinal lymph node appeared circular to oval. The right azygos vein was situated immediately adjacent to the cranial mediastinal lymph node. The aorta appeared circular to oval on cross-sectional view with an echogenic wall and an anechoic lumen. The caudal vena cava appeared as a tubular structure with an anechoic content and an echogenic wall. CONCLUSION: Ultrasonography of the lungs, pleura, and mediastinum in healthy cows provides information that can be used as a reference when examining cattle with suspected disease of the thorax.

Animals↗

PubMed1996

[Bovine virus diarrhea/mucosal disease in cattle--clinical findings in 103 calves and cattle].

One hundred and three calves and heifers persistently infected with BVD virus were examined. The most important clinical findings in order of frequency were weight loss, erosions of the oral mucosa, diarrhea, anorexia and fever. In addition, nasal discharge, lymph node enlargement, erosions of the nose, muzzle and interdigital cleft and bronchopneumonia occurred in less than half of the patients. Furthermore, crustaceous dermatitis was observed in three patients and petechial hemorrhage of the oral mucosa occurred in two other cases with severe thrombocytopenia. Haemoconcentration, leukocytosis, hyperfibrinogenemia and azotemia were the most important haematological findings. To confirm the clinical diagnosis, the serum antibody titre of 69 patients was compared with that of a clinically healthy control animal from the same herd. There was no positive antibody titre in 65 of the 69 patients, whereas 67 of the control animals had positive titres. In 34 patients, EDTA blood samples were collected for virus detection. In 20 of these, skin biopsy samples were also obtained for virus demonstration. Virus has been demonstrated in the blood of 32 of the 34 cases and in all 20 skin biopsy specimens.

Animals↗

PubMed1996

[The effect of the laryngeal mask airway on the postoperative incidence of vomiting and sore throat in children].

UNLABELLED: 100 ASA I and II children, aged 4 to 14 years, and scheduled for strabismus surgery, were randomly assigned to one of the following groups: group 1 (n = 50): endotracheal tube, group 2 (n = 50): laryngeal mask airway. Apart from airway management, the anaesthesiological procedures were identical in both groups: induction with 2-3 mg/kg propofol, 0.02 mg/kg alfentanil, 0.05 mg/kg vecuronium, and 0.01 mg/kg atropine. After endotracheal intubation or insertion of the laryngeal mask, anaesthesia was continued with 6-15 mg/kg.h propofol and 10-30 micrograms/kg.h alfentanil. All patients were ventilated with N2O/O2 (2:1). No antiemetics were given, gastric contents were not aspirated. Postoperative nausea and vomiting (PONV) were recorded by 24 h, the incidence of sore throats was recorded 8, 12, and 24 h post-operatively. RESULTS: The incidence of PONV was higher in group 1 (vomiting 48% vs 32%), nausea 28% vs 16% n.s.). Group 1 children had a higher incidence of sore throats (20% vs. 12%, n.s.), of a "lump in the throat" (10% vs 4%, n.s.), hoarseness (24% vs 0%, p < 0.001) and dysarthria (10% vs 4%, n.s.). CONCLUSIONS: In children undergoing strabismus surgery, the laryngeal mask airway was superior to the endotracheal tube in terms of PONV and was associated with fewer local complications such as sore throat.

Adolescent↗

PubMed1996

[Isolation of Corynebacterium diphtheriae subsp. belfanti from a cow with chronic active dermatitis].

Diphtheria is an acute communicable disease of man caused by C. diphtheriae. Pharyngeal and cutaneous forms are described, where from both toxigenic and nontoxigenic strains can be isolated. The occurrence of C. diphtheriae in dairy cattle has already been reported in the past. The pathogens were isolated from ulcerated teats and from the milk of cows with mastitis as well. These animals were considered to play a role in the transmission of the disease to man. This paper describes the isolation and characterization of C. diphtheriae in a 4 years old cow with generalized, partly ulcerative and purulent skin lesions. Bacteriological examination revealed the presence of very numerous corynebacterium-like organisms, which were characterized as C. diphtheriae subsp. belfanti, a nontoxigenic subspecies of C. diphtheriae. The significance of C. diphtheriae in veterinary medicine and the possible role of cattle as a reservoir of these organisms are discussed.

Animals↗

PubMed1995

Ultrasonographic findings in cows with cholestasis.

Four cows with cholestasis, whose general condition was moderately to severely disturbed, were examined. Two of them had signs of colic, and one had severe pruritus. All of them had jaundice and three had dermatitis solaris. Bilirubinuria occurred in three of the cows and they all had increased concentrations of serum bilirubin and serum bile acids and increased activities of hepatic enzymes. An ultrasonographic examination of the liver and gallbladder revealed that in one cow only the extrahepatic bile ducts were dilated, in another only the intrahepatic bile ducts were dilated and in the other two both the intrahepatic and extrahepatic bile ducts were dilated. In three of the cows the gallbladder was severely dilated and the wall was thickened. Ultrasonographically, the bile appeared either anechoic or echogenic. Surgical or post mortem examinations revealed that the cholestasis in one cow was attributable to obstruction of the common hepatic duct in the area of the hepatic hilus, in two it was caused by obstruction of the common bile duct near the duodenal papilla, and in the fourth cow, the common bile duct was compressed by adhesions, resulting from peritonitis, which involved the liver, gallbladder and abdominal wall.

Animals↗

PubMed1995

Ultrasonographic evaluation of the jugular vein of cows with catheter-related thrombophlebitis.

Thirty cows with an indwelling jugular catheter developed thrombophlebitis 72 hours after the insertion of the catheter. The animals with palpable changes of the jugular vein, were examined ultrasonographically to reveal the severity and extent of the thrombosis. Sixteen cows had mild to moderate thrombotic changes at the site of insertion or at the tip of the catheter, and in the other 14 cows the jugular vein was completely thrombosed, from 7 to 20 cm. Catheter-related damage to the intima, chemical damage by irritating medications and reduced host resistance attributable to the underlying illness were thought to be possible causes of the thrombophlebitis.

Animals↗

PubMed1995

Ultrasonographic findings in 11 cows with a hepatic abscess.

The livers of 11 cows with a hepatic abscess were examined ultrasonographically. An abscess was observed in only one intercostal space in three cows, in two spaces in five, in three spaces in two, and in four adjacent intercostal spaces in one cow. In three cows the abscess was imaged in the caudodorsal aspect of the liver in the 11th and 12th intercostal space, in five cows the abscess was visible in the central part of the liver in the ninth and 10th intercostal space and in the three other cows the abscess was observed in the cranioventral region of the liver in the sixth, seventh and eighth intercostal spaces. The abscess had a distinct and well developed capsule in nine cows. The content of the abscess was echogenic in six cows, anechoic in two, and echogenic with hyperechoic foci in three. In four cows, the content of the abscess was partitioned by echogenic septa. In one cow, the echogenic content of the abscess was surrounded by a narrow anechoic rim of fluid. The diameter of the abscess was 5 to 10 cm in four cows, 11 to 15 cm in four, and more than 15 cm in three. In every case the diagnosis was confirmed by centesis and aspiration of the abscess which yielded pus. Ten of the cows were slaughtered after being examined and the ultrasonographic findings were confirmed. In addition, 10 of the cows had other lesions which included traumatic reticuloperitonitis, abscessation of the reticulum, thrombosis of the caudal vena cava, bronchopneumonia with abscessation, reticulo-omasal stenosis, ascites and suppurative omental bursitis.

Animals↗