{"id":14167,"date":"2023-06-27T11:14:00","date_gmt":"2023-06-27T10:14:00","guid":{"rendered":"https:\/\/sesc.cat\/?p=14167"},"modified":"2023-06-27T11:14:00","modified_gmt":"2023-06-27T10:14:00","slug":"bovine-cysticercosis-lesions-in-the-heart-can-the-valves-be-involved","status":"publish","type":"post","link":"https:\/\/sesc.cat\/en\/bovine-cysticercosis-lesions-in-the-heart-can-the-valves-be-involved\/","title":{"rendered":"Bovine cysticercosis lesions in the heart, can the valves be involved?"},"content":{"rendered":"<p>One of the duties of official meat inspectors in ruminant slaughterhouses is \u00a0bovine cysticercosis survilleance, which is a zoonotic disease. <!--more--><em>Cysticercus bovis <\/em>is the intermediate form, and parasites striated muscle of bovines. Humans develop the adult parasite (<em>Taenia saginata<\/em>) in the gastrointestinal tract in case of ingesting meat with viable cysticercus. Surveillance of bovine cysticercosis in the slaughterhouse is thus a matter of public health.<\/p>\n<p>In the muscles, the cysticerci appear as a cyst with a wall of variable thickness. The immune reaction of the host eliminates the parasite between 1 and 9 months following the infestation. After this, a focal granuloma with mineralized debris can be observed.<\/p>\n<p>The cysticercus parasites the striated muscle of bovines and usually aims for the better oxygenated muscles (masticatory muscles, diaphragm, heart\u2026) and these are the sites that should be inspected for lesions. The heart is a critical location, as it can show other macroscopical alterations that could rise the suspicion of a cysticercosis. One example is the myocardial adenomatoid tumour, of which we have had some cases that raised the suspicion of <a href=\"https:\/\/sesc.cat\/en\/myocardial-adenomatoid-tumor-in-cattle\/\">cysticercosis<\/a>, but they are uncommon.<\/p>\n<p>The presence of <strong>serous valvular cysts<\/strong> in the cardiac valves is more frequent (in a <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/8826002\/\">study<\/a> with 30.000 bovines from slaughterhouse a prevalence of 11% was reported). These valvular cysts affect the conjunctive tissue of the valve, are incidental and it is believed they can derive from ecstatic lymph or blood vessels.<\/p>\n<p>In contrast, cysticercosis exclusively affects muscular tissue. Occasionally it may be located in the subendocardial muscular tissue, hence appearing in the papillary musculature near to the valvular cords, but not in the valves. At SESC we have received some samples of valvular cysts, as well as cysticercosis near the valves, and we made a compilation of these cases in this post. (AC)<\/p>\n<div id=\"attachment_14144\" style=\"width: 810px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-14144\" class=\"size-large wp-image-14144\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-600x600.jpg\" alt=\"Exemples de quists valvulars rebuts al SESC. Tots ells afecten la cara lliure de la v\u00e0lvula card\u00edaca. Poden afectar la v\u00e0lvula atrioventricular dreta i esquerra. \" width=\"800\" height=\"800\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-600x600.jpg 600w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-300x300.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-150x150.jpg 150w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-768x768.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-1536x1536.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-2048x2048.jpg 2048w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-375x375.jpg 375w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-290x290.jpg 290w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-400x400.jpg 400w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/Quists-valvulars-472x472.jpg 472w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p id=\"caption-attachment-14144\" class=\"wp-caption-text\">Examples of serous valvular cysts submitted to SESC. All of them affect the free leaflet of the cardiac valve. They can affect both the right and the left atrioventricular valves.<\/p><\/div>\n<div id=\"attachment_14141\" style=\"width: 810px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-14141\" class=\"size-large wp-image-14141\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/cisticercs-subendocardics-sesc-52-23-800x427.jpg\" alt=\"Exemples de cisticercs subendoc\u00e0rdics rebuts al SESC. Tot i localitzar-se a prop de les cordes tendinoses, sempre involucren el m\u00fascul card\u00edac en major o menor mesura, per tant no es poden trobar a la cara lliure de les v\u00e0lvules atrioventriculars. \" width=\"800\" height=\"427\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/cisticercs-subendocardics-sesc-52-23-800x427.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/cisticercs-subendocardics-sesc-52-23-300x160.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/cisticercs-subendocardics-sesc-52-23-768x410.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/cisticercs-subendocardics-sesc-52-23-1536x821.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/cisticercs-subendocardics-sesc-52-23-2048x1094.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p id=\"caption-attachment-14141\" class=\"wp-caption-text\">Examples of subendocardial cysticercosis submitted to SESC. Although they are located near the valvular cords, they always involve the cardiac muscle to some extent, hence they can\u2019t be located in the free leaflet of the atrioventricular valves.<\/p>\n<dd><\/p><\/div>\n<p><div id=\"attachment_14164\" style=\"width: 810px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-14164\" class=\"size-large wp-image-14164\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/sesc-52-23-MICROSCOPIA-1-800x505.jpg\" alt=\"Secci\u00f3 histol\u00f2gica del cisticerc observat anteriorment (a l'esquerra de l'anterior imatge). Es pot observar com es localitza subjacent al endocardi, per\u00f2 en contacte amb el teixit muscular. Es pot observar la membrana parasitaria, aix\u00ed com el protosc\u00f2lex invaginat.\" width=\"800\" height=\"505\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/sesc-52-23-MICROSCOPIA-1-800x505.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/sesc-52-23-MICROSCOPIA-1-300x189.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/sesc-52-23-MICROSCOPIA-1-768x485.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/sesc-52-23-MICROSCOPIA-1-1536x969.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2023\/06\/sesc-52-23-MICROSCOPIA-1.jpg 1913w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p id=\"caption-attachment-14164\" class=\"wp-caption-text\">Histological section of the cysticercus shown previously (on the left in the previous image). Notice its subendocardial location, but in contact with the muscular tissue. The parasitic membrane can be observed, as well as the invaginated protoscolex.<\/p><\/div><\/dd>\n","protected":false},"excerpt":{"rendered":"<p>One of the duties of official meat inspectors in ruminant slaughterhouses is \u00a0bovine cysticercosis survilleance, which is a zoonotic disease.<\/p>\n","protected":false},"author":3,"featured_media":14151,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[171,247],"tags":[394,402,409],"class_list":["post-14167","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bovine-2","category-heart-bovine-2","tag-heart-en","tag-parasites-en","tag-zoonoses-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/14167","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/comments?post=14167"}],"version-history":[{"count":0,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/14167\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media\/14151"}],"wp:attachment":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media?parent=14167"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/categories?post=14167"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/tags?post=14167"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}