title: Sporotrichosis: the main differential diagnosis with tegumentary leishmaniosis in dogs from Rio de Janeiro, Brazil.
abstract: Seventy-four dogs from the State of Rio de Janeiro with ulcerated cutaneous lesions were submitted to clinical, dermatological, parasitological, mycological, histopathological and cytopathological exams, a leishmanin skin test, an indirect immunofluorescence (IIF) test for leishmaniosis, and nonspecific laboratory tests such as blood count and serum biochemistry. Sporothrix schenckii was isolated from 41 dogs and Leishmania (Viannia) braziliensis was isolated from 33 animals. Most dogs with sporotrichosis were from the municipality of Rio de Janeiro (53.7%) and presented ulcerated cutaneous lesions on the head (68.3%). Laboratory alterations in these animals included anemia (58.5%), hypoalbuminemia (83%) and hyperglobulinemia (75.6%). Histopathology revealed the predominance of a chronic granulomatous inflammatory infiltrate (70.7%), and yeast-like structures were detected in 17% of the histopathological exams and in 32% of the cytological exams. Three of 41 dogs with sporotrichosis were seropositive by IIF for leishmaniosis and 2 of 20 animals tested within this group had a positive leishmanin skin test. Similarly, most of the 33 dogs with leishmaniosis were from the municipality of Rio de Janeiro (69.7%) and had ulcerated cutaneous lesions on the head (84.8%). Laboratory alterations in these animals included anemia (66.7%), hypoalbuminemia (100%) and hyperglobulinemia (91%). Histopathology showed the predominance of a chronic granulomatous inflammatory infiltrate (63.6%) and amastigote forms were detected in 30.3% of the histopathological exams and in 31.8% of the 22 cytological exams performed. About 72.7% of the dogs were seropositive by IIF and five of seven animals had a positive skin test. Due to the clinical similarities, histopathological and nonspecific laboratory results similarities, the serological and skin tests for leishmaniosis positive in dogs with sporotrichosis, and the overlapping endemic areas in Rio de Janeiro, the differential diagnosis between the two diseases requires the demonstration of their respective etiological agents.
authors.affiliation: Serviço de Zoonoses, Instituto de Pesquisa Clínica Evandro Chagas, Fundação Oswaldo Cruz, Av Brasil 4365, 21045-900 Rio de Janeiro, Brazil. isabele@ipec.fiocruz.br
authors.forename: Isabele Barbieri
authors.initials: IB
authors.lastname: dos Santos
authors.forename: Tânia M P
authors.initials: TM
authors.lastname: Schubach
authors.forename: Luiz R P
authors.initials: LR
authors.lastname: Leme
authors.forename: Thais
authors.initials: T
authors.lastname: Okamoto
authors.forename: Fabiano B
authors.initials: FB
authors.lastname: Figueiredo
authors.forename: Sandro A
authors.initials: SA
authors.lastname: Pereira
authors.forename: Leonardo P
authors.initials: LP
authors.lastname: Quintella
authors.forename: Maria
authors.initials: M
authors.lastname: de F Madeira
authors.forename: Flávia
authors.initials: F
authors.lastname: dos S Coelho
authors.forename: Rosani
authors.initials: R
authors.lastname: Reis
authors.forename: Armando
authors.initials: A
authors.lastname: de O Schubach
mesh_terms: D000740:Anemia / Q000175:diagnosis / Q000453:epidemiology / Q000662:veterinary; D000818:Animals; D001774:Blood Chemical Analysis / Q000662:veterinary; D001938:Brazil / Q000453:epidemiology; D003937:Diagnosis, Differential; D004283:Dog Diseases / Q000175:diagnosis* / Q000453:epidemiology; D004285:Dogs; D005260:Female; D006651:Histocytochemistry; D006942:Hypergammaglobulinemia / Q000175:diagnosis / Q000453:epidemiology / Q000662:veterinary; D034141:Hypoalbuminemia / Q000175:diagnosis / Q000453:epidemiology / Q000662:veterinary; D007892:Leishmania braziliensis / Q000276:immunology / Q000302:isolation & purification; D016773:Leishmaniasis, Cutaneous / Q000175:diagnosis / Q000453:epidemiology / Q000662:veterinary*; D008297:Male; D016036:Seroepidemiologic Studies; D012867:Skin / Q000382:microbiology / Q000469:parasitology / Q000473:pathology; D012883:Skin Ulcer / Q000382:microbiology / Q000469:parasitology / Q000473:pathology / Q000662:veterinary; D013175:Sporothrix / Q000276:immunology / Q000302:isolation & purification*; D013174:Sporotrichosis / Q000175:diagnosis / Q000453:epidemiology / Q000662:veterinary*