{"id":15220,"date":"2024-01-09T17:32:53","date_gmt":"2024-01-09T16:32:53","guid":{"rendered":"https:\/\/sesc.cat\/?p=15220"},"modified":"2024-01-09T17:32:53","modified_gmt":"2024-01-09T16:32:53","slug":"septicemia-due-to-staphylococcus-spp-in-a-lamb-carcass","status":"publish","type":"post","link":"https:\/\/sesc.cat\/en\/septicemia-due-to-staphylococcus-spp-in-a-lamb-carcass\/","title":{"rendered":"Septicemia due to Staphylococcus spp. in a lamb carcass"},"content":{"rendered":"<p>Samples were submitted of a 5-month-old ovine carcass from a batch of 28 animals, which presented disseminated lesions throughout the carcass, including liver, lung, spleen, subcutaneous tissue of one limb and lymph nodes. <!--more-->The lesions were small in size, and although it was a lamb, official meat inspectors suspected it could be tuberculosis, hence samples of the different affected organs were submitted to SESC.<\/p>\n<p>Macroscopically all studied viscera presented a <strong>generalized multifocal <\/strong>distribution of the lesions, which were of a small size (millimetric, occasionally coalescent), as well as a hard consistency and white color. When sectioned, they revealed a necrotic core which slightly crepitated.<\/p>\n<p>Histologically the lesions corresponded to multifocal areas of lytic necrosis with abundant degenerated neutrophils in their center. The were delimited by a rim of foamy macrophages and a thin band of mature fibrous tissue (early capsule) and variable mononuclear inflammation. Moreover, the necrotic core was frequently mineralized and presented abundant <strong>bacterial colonies <\/strong>(cocci) occasionally grouped in tetrads and surrounded by eosinophilic and slightly refringent material (Splendore-Hoeppli material). The morphologic diagnosis was of multifocal to coalescent, severe and chronic <strong>pyogranulomatous, necrotizing <\/strong><strong>hepatitis, splenitis, pneumonia and fasciitis<\/strong>, with intralesional bacteria.<\/p>\n<p>These findings were enough to conclude that the lesions were caused by a bacterial septicemia and to rule out tuberculosis. To further define the ethiology of the lesions, a gram stain revealed that the cocci were gram positive. In addition, a microbiological culture of the lesions enabled the isolation of abundant colonies of <strong>coagulase positive<\/strong> <strong><em>Staphylococcus <\/em>\u00a0<\/strong>in the different samples analysed (liver, hepatic and mediastinic lymph nodes).<\/p>\n<p>The distribution of the lesions (multifocal and generalized) is indicative of a <strong>bacterial systemic dissemination<\/strong>. However, the focal localization in the subcutaneous tissue in the posterior left limb suggests that the portal of entry of said bacteria was a cutaneous injury in this region, enabling further dissemination to the viscera. We remind the importance of analysing carcasses in case of gross lesions resembling tuberculosis, in this case the macroscopic appearance of the lesions was not clarifying due to their small size.(AC)<\/p>\n<div id=\"attachment_15196\" style=\"width: 686px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15196\" class=\"size-large wp-image-15196\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-1-676x600.jpg\" alt=\"Melsa de xai que presenta lesions multifocals nodulars mil\u00b7lim\u00e8triques blanquinoses, sobretot evidents un cop seccionat l\u2019\u00f2rgan. \" width=\"676\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-1-676x600.jpg 676w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-1-300x266.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-1-768x682.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-1-1536x1364.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-1-2048x1818.jpg 2048w\" sizes=\"auto, (max-width: 676px) 100vw, 676px\" \/><p id=\"caption-attachment-15196\" class=\"wp-caption-text\">Lamb spleen that presented white, multifocal nodular millimetric lesions, mainly apparent when the viscera was sectioned.<\/p><\/div>\n<div id=\"attachment_15199\" style=\"width: 810px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15199\" class=\"size-large wp-image-15199\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-2-800x600.jpg\" alt=\"Fetge de xai que presenta aquestes lesions amb distribuci\u00f3 multifocal generalitzada, prominents a la superf\u00edcie hep\u00e0tica. \" width=\"800\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-2-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-2-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-2-768x576.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-2-1536x1152.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-2-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p id=\"caption-attachment-15199\" class=\"wp-caption-text\">Lamb liver presenting the same lesions with a multifocal miliary generalized distribution, prominent through the hepatic capsule.<\/p><\/div>\n<div id=\"attachment_15202\" style=\"width: 810px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15202\" class=\"size-large wp-image-15202\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-3-800x600.jpg\" alt=\"Detall del mateix fetge, en el que es pot observar l\u2019aspecte de les lesions. Presenten una mida molt petita, tot i que en ocasions s\u2019agrupen formant lesions de mida m\u00e9s gran. Tamb\u00e9 es pot observar que aprofundeixen a la secci\u00f3 i que presenten contingut necr\u00f2tic\/purulent l\u2019interior. \" width=\"800\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-3-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-3-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-3-768x576.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-3-1536x1152.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-3-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><p id=\"caption-attachment-15202\" class=\"wp-caption-text\">Detail of the same liver, revealing the appearance of the lesions. They present a very small size, although they often coalesce and create larger lesions. Also, the cut section reveals lesions within the parenchyma and the necrotic\/purulent content within the lesions.<\/p><\/div>\n<div id=\"attachment_15205\" style=\"width: 608px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15205\" class=\"size-large wp-image-15205\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-598x600.jpg\" alt=\"Pulm\u00f3 de xai amb presencia de lesions similars, amb distribuci\u00f3 multifocal generalitzada (patr\u00f3 de pneum\u00f2nia embolico-metast\u00e0tica o de disseminaci\u00f3 sist\u00e8mica bacteriana). \" width=\"598\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-598x600.jpg 598w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-300x300.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-150x150.jpg 150w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-768x770.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-1531x1536.jpg 1531w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-2042x2048.jpg 2042w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-375x375.jpg 375w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-290x290.jpg 290w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-4-400x400.jpg 400w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><p id=\"caption-attachment-15205\" class=\"wp-caption-text\">Lamb lung which presents similar lesions, with a multifocal generalized distribution (pattern of embolic pneumonia or bacterial systemic dissemination).<\/p><\/div>\n<div id=\"attachment_15208\" style=\"width: 460px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15208\" class=\"size-large wp-image-15208\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-5-450x600.jpg\" alt=\"Lesions a l\u2019extremitat posterior esquerra, entre el teixit subcutani i la f\u00e0scia muscular. Histol\u00f2gicament, la naturalesa d\u2019aquestes lesions era la mateixa que les anteriorment descrites. La presencia en aquesta \u00fanica localitzaci\u00f3 en el teixit subcutani suggereix que una lesi\u00f3 cut\u00e0nia en aquesta zona va ser la via d\u2019entrada. \" width=\"450\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-5-450x600.jpg 450w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-5-225x300.jpg 225w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-5-768x1024.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-5-1152x1536.jpg 1152w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-5-1536x2048.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-5-scaled.jpg 1920w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><p id=\"caption-attachment-15208\" class=\"wp-caption-text\">Lesions in the left posterior limb, between the subcutaneous tissue and the muscular fascia. Histologically they are identical to the rest of the lesions. Their presence in this only localization within the subcutaneous tissue suggests that a cutaneous lesion in this region was the portal of entry.<\/p><\/div>\n<div id=\"attachment_15211\" style=\"width: 567px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15211\" class=\"size-large wp-image-15211\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-6-557x600.jpg\" alt=\"Detall histol\u00f2gic d\u2019algunes de les lesions, on es pot observar com s\u2019agrupen en unir-se els centres necr\u00f2tics creant lesions de mida m\u00e9s gran. \" width=\"557\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-6-557x600.jpg 557w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-6-278x300.jpg 278w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-6.jpg 618w\" sizes=\"auto, (max-width: 557px) 100vw, 557px\" \/><p id=\"caption-attachment-15211\" class=\"wp-caption-text\">Histology of some of the lesions, which shows coalescence of the lesions upon contact of the necrotic cores.<\/p><\/div>\n<div id=\"attachment_15214\" style=\"width: 681px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15214\" class=\"size-large wp-image-15214\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-7-671x600.jpg\" alt=\"Una de les lesions individuals, on es pot observar el centre necr\u00f2tic mineralitzat entre les restes necr\u00f2tiques i de neutr\u00f2fils degenerats. Es troba demarcat per macr\u00f2fags espumosos, teixit fibr\u00f3s i infiltrat mononuclear. A m\u00e9s augments (inset) es poden observar abundants cocs rodejats de material eosin\u00f2fil intens (Splendore-Hoeppli). \" width=\"671\" height=\"600\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-7-671x600.jpg 671w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-7-300x268.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-7-768x686.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-7-1536x1373.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-7-2048x1831.jpg 2048w\" sizes=\"auto, (max-width: 671px) 100vw, 671px\" \/><p id=\"caption-attachment-15214\" class=\"wp-caption-text\">One of the lesions, in which the mineralized core can be seen within the necrotic debris and degenerated neutrophils. It is demarcated by foamy macrophages, fibrous tissue, and mononuclear infiltrate. At higher magnification (inset) abundant cocci are observed, surrounded by intense eosinophil material (Splendore-Hoeppli).<\/p><\/div>\n<div id=\"attachment_15217\" style=\"width: 626px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-15217\" class=\"size-full wp-image-15217\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-8.jpg\" alt=\"La tinci\u00f3 de gram revela que els cocs observats s\u00f3n gram positius, consistent amb la identificaci\u00f3 de Staphylococccus spp. \" width=\"616\" height=\"520\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-8.jpg 616w, https:\/\/sesc.cat\/wp-content\/uploads\/2024\/01\/SESC-122-23-8-300x253.jpg 300w\" sizes=\"auto, (max-width: 616px) 100vw, 616px\" \/><p id=\"caption-attachment-15217\" class=\"wp-caption-text\">Gram stain reveals that the cocci are Gram positive, consistent with the identification of <em>Staphylococccus <\/em>spp.<\/p><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Samples were submitted of a 5-month-old ovine carcass from a batch of 28 animals, which presented disseminated lesions throughout the carcass, including liver, lung, spleen, subcutaneous tissue of one limb and lymph nodes.<\/p>\n","protected":false},"author":3,"featured_media":15194,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[177],"tags":[474,471,473,456,472,400,408],"class_list":["post-15220","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ovine-2","tag-cavidad-abdominal","tag-cavitat-toracica-en","tag-higado-en","tag-infecciosas","tag-pulmons-en","tag-spleen-en","tag-subcutaneous-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/15220","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=15220"}],"version-history":[{"count":0,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/15220\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media\/15194"}],"wp:attachment":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media?parent=15220"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/categories?post=15220"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/tags?post=15220"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}