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Clinical Changes Caused by the Liver Fluke Metorchis conjunctus in

Clinical Changes Caused by the Liver Fluke Metorchis conjunctus in

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<strong>Metorchis</strong> <strong>in</strong> Cats 119<br />

Materials and Methods<br />

Male and female mixed-breed cats weigh<strong>in</strong>g 1.0 to 3.5 kg were treated with piperaz<strong>in</strong>e to<br />

expel Toxocara cati and <strong>the</strong>n housed <strong>in</strong> cages with a mesh bottom and a plate to rest on.<br />

Water was provided ad libitum and each cat had about 100 g of Pur<strong>in</strong>a cat chow (Centre<br />

Agricole St. Clet, St. Clet, County Soulanges, P.Q.) daily; feces were exam<strong>in</strong>ed for ova with<br />

<strong>the</strong> formal<strong>in</strong>-e<strong>the</strong>r technique [ 171.<br />

Viable metacercariae were digested from <strong>the</strong> muscles of <strong>the</strong> common sucker (Catastomus<br />

commersoni) <strong>in</strong> artificial gastric medium. They were placed on <strong>the</strong> back of <strong>the</strong> cat’s tongue<br />

and were swallowed or flushed down <strong>the</strong> throat; cats were observed carefully to rule out<br />

vomit<strong>in</strong>g of <strong>the</strong> <strong>in</strong>oculum.<br />

Blood collection was done between 0800 and 1000 hours. Cats were sedated with ketam<strong>in</strong>e<br />

hydrochloride (0.05 mg/kg body weight); 4 ml of whole blood was removed <strong>by</strong> cardiac<br />

puncture with an 18 gauge needle and 5 ml syr<strong>in</strong>ge. Hepar<strong>in</strong>ked, microhematocrit capillary<br />

tubes were filled with whole blood for leukocyte and eos<strong>in</strong>ophil counts <strong>in</strong> Unopette dilut<strong>in</strong>g<br />

chambers (Becton-Dick<strong>in</strong>son, Ru<strong>the</strong>rford, N.J.). The hematocrit packed cell volume was<br />

measured from <strong>the</strong> rema<strong>in</strong><strong>in</strong>g capillary. The rema<strong>in</strong><strong>in</strong>g blood was clotted at 22°C for 30 to 40<br />

m<strong>in</strong>utes. The serum was frozen at - 17°C <strong>in</strong> 2- or 4-dram vials. The follow<strong>in</strong>g tests were done:<br />

total serum prote<strong>in</strong>, album<strong>in</strong>, and globul<strong>in</strong> (Sigma, St. Louis, Mo.), with a Coleman Junior I1<br />

Model 6/20 spectrophotometer (Canadian Coleman Co. Ltd., Toronto, Ont.); serum prote<strong>in</strong><br />

electrophoresis was done with a Corn<strong>in</strong>g 740 densitometer; serum bilirub<strong>in</strong>, leuc<strong>in</strong>e am<strong>in</strong>o-<br />

peptidase and alan<strong>in</strong>e am<strong>in</strong>otransferase activity were determ<strong>in</strong>ed <strong>by</strong> Boehr<strong>in</strong>ger Ingelheim<br />

Mannheim GmbH Diagnostica (Waterford, Conn.); alkal<strong>in</strong>e phosphatase was quantified <strong>by</strong><br />

Sigma (St. Louis, Mo.) technical procedures.<br />

Three experimental <strong>in</strong>fections were given as follows: Experiment I: Five cats, coded 1 to 5,<br />

were given 200 metacercariae apiece while two controls were given placebo. Blood samples<br />

were taken two days prior to <strong>in</strong>fection, immediately prior to <strong>in</strong>fection and on days 2, 4, 6, 8,<br />

12,20 and 32 post-<strong>in</strong>fection, when <strong>the</strong> cats were killed. Experiment 2: Cats 6 and 7 each were<br />

given 300 metacercariae. Blood was sampled before <strong>in</strong>fection and at weekly <strong>in</strong>tervals after<br />

<strong>in</strong>fection until <strong>the</strong>y were killed at day 59 (cat 6) and day 78 (cat 7). Experiment 3: Cats 8 to 12,<br />

three female and two male littermates weigh<strong>in</strong>g 1.5 to 3.0 kg, were used. Two cats received 200<br />

metacercariae, two received 300 and one was given placebo. Blood was collected before<br />

<strong>in</strong>fection and on days 7, 14, 17, 21, 24, and 28 and <strong>the</strong>n weekly until day 77. On day 42 <strong>the</strong><br />

two cats given 200 metacercariae were given 300 more metacercariae apiece; <strong>the</strong>ir blood was<br />

collected until day 9 1.<br />

Each cat was anes<strong>the</strong>tized <strong>by</strong> ketam<strong>in</strong>e, a f<strong>in</strong>al blood sample was taken and <strong>the</strong> cat was<br />

killed with an <strong>in</strong>tracardiac overdose of Somnotol (M.T.C. Pharmaceuticals, Hamilton, Ont.).<br />

After midl<strong>in</strong>e <strong>in</strong>cision, <strong>the</strong> ductus choledochus was ligated at <strong>the</strong> duodenum and <strong>the</strong> duodenum<br />

was ligated above and below <strong>the</strong> ampulla of Vater. The gall bladder, cystic duct, common bile<br />

duct and ductus choledochus were separated, as were <strong>the</strong> lobes of <strong>the</strong> liver. Each lobe was<br />

sliced <strong>in</strong>to 2- to 3-mm wedges and all tissues were exam<strong>in</strong>ed for flukes. Representative tissues<br />

were fixed <strong>in</strong> 10% formaldehyde. The spleen, pancreas and viscera were exam<strong>in</strong>ed for worms,<br />

lesions or enlarged nodes.<br />

Results<br />

The cats did not show identical or <strong>in</strong> some cases even similar cl<strong>in</strong>ical courses. Each<br />

experiment will be discussed briefly, typical case histories presented and f<strong>in</strong>ally <strong>the</strong><br />

collected data will be given.<br />

Experiment 1. <strong>Cl<strong>in</strong>ical</strong> signs-rectal temperature, food <strong>in</strong>take, stool quality, color,<br />

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