{"id":5523,"date":"2020-06-08T17:45:21","date_gmt":"2020-06-08T16:45:21","guid":{"rendered":"https:\/\/sesc.cat\/chronic-liver-disease-in-a-calf\/"},"modified":"2022-04-02T14:05:45","modified_gmt":"2022-04-02T13:05:45","slug":"chronic-liver-disease-in-a-calf","status":"publish","type":"post","link":"https:\/\/sesc.cat\/en\/chronic-liver-disease-in-a-calf\/","title":{"rendered":"Chronic liver disease in a calf"},"content":{"rendered":"<p>In a ten-month-old Friesian calf carcass hepatomegaly was observed along with a hardened consistency and irregular liver surface. Upon section, multiple nodulations were observed. There were no thickened bile ducts or distended gallbladder. The sample was sent as a suspicion of cirrhosis, cholangiohepatitis or necrotizing hepatitis.<!--more--><\/p>\n<p>Histopathology showed marked interstitial fibrosis in the portal spaces and in the interlobular septa, causing intense disruption of the liver parenchyma, reducing the remaining tissue to multiple regeneration nodules. Among the fibrotic tissue, hyperplasia of the bile ducts was observed, and the presence of individualized hepatocytes that appeared degenerate and atrophic, or swollen with a large nucleus (cariomegaly). Focally, inflammatory aggregates composed of mononuclear cells (lymphocytes, macrophages, and plasma cells) were observed within the fibrotic tissue. It was classified as chronic\u00a0<strong>hepatic fibrosis<\/strong> with regeneration, a lesion that precedes <a href=\"https:\/\/sesc.cat\/hepatic-cirrhosis-in-a-calf\/?lang=en\"><strong>liver cirrhosis.<\/strong><\/a><\/p>\n<p>Hepatic cirrhosis is the end result of continuous and prolonged damage to hepatocytes and\/or biliary epithelium and, therefore, it is a nonspecific finding that is observed in chronic phases of different diseases. In ruminants, including cattle, goats and sheep, there are several causes of liver cirrhosis, but the most frequent is chronic liver poisoning. The most common liver toxins are <strong>aflatoxin B1<\/strong> (derived from the fungus <em>Aspergillus<\/em> spp.) and <strong>pyrrolizidine alkaloids<\/strong> (present in plants such as <em>Senecio, Crotalaria<\/em> and <em>Heliotropium<\/em>) among others. In all these cases, hepatocytes metabolize said toxins, giving rise to toxic metabolites.<\/p>\n<p>Chronic liver parasite infections (especially <em>Fasciola hepatica<\/em>) can also cause cirrhosis by affecting the biliary epithelium. In these cases, the lesion results from cholangiohepatitis with fibrosis focused around the bile ducts where the parasites remain.<\/p>\n<p>Jaundice, photosensitization and generalized edema are common consequences in cases of liver cirrhosis and, in some cases, necrosis of other organs such as myocardium. (CL)<\/p>\n<div id=\"attachment_4397\" style=\"width: 630px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4397\" class=\"size-large wp-image-8391\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-1-scaled-800x600.jpg\" alt=\"\" width=\"620\" height=\"465\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-1-scaled-800x600.jpg 800w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-1-scaled-300x225.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-1-scaled-768x576.jpg 768w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-1-scaled-1536x1152.jpg 1536w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-1-scaled-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4397\" class=\"wp-caption-text\">Calf liver. Multiple intraparenchymal\u00a0 prominent nodules of\u00a0 variable diameters. Note the absence of distended bile ducts.<\/p><\/div>\n<div id=\"attachment_4398\" style=\"width: 630px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4398\" class=\"size-large wp-image-8393\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-2-750x600.jpg\" alt=\"\" width=\"620\" height=\"496\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-2-750x600.jpg 750w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-2-300x240.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-2-768x614.jpg 768w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4398\" class=\"wp-caption-text\">Liver. Hematoxylin and eosin (H&amp;E). Generalized disruption of the hepatic parenchyma, with absence of lobular pattern. Hepatocytes appear aggregated in regeneration nodules (asterisk) separated from each other by a very intense chronic fibrous reaction in portal spaces (arrow) and in interlobular septa.<\/p><\/div>\n<div id=\"attachment_4399\" style=\"width: 630px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4399\" class=\"size-large wp-image-8395\" src=\"https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-3-750x600.jpg\" alt=\"\" width=\"620\" height=\"496\" srcset=\"https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-3-750x600.jpg 750w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-3-300x240.jpg 300w, https:\/\/sesc.cat\/wp-content\/uploads\/2020\/06\/SESC-059-20-3-768x614.jpg 768w\" sizes=\"auto, (max-width: 620px) 100vw, 620px\" \/><p id=\"caption-attachment-4399\" class=\"wp-caption-text\">Liver at a higher magnification. H&amp;E. Note the presence of individualized hepatocytes (arrowhead) between the interstitial fibrotic tissue as well as mononuclear inflammatory infiltrate. Inset: bile duct hyperplasia between fibrotic tissue (arrow).<\/p><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In a ten-month-old Friesian calf carcass hepatomegaly was observed along with a hardened consistency and irregular liver surface. Upon section, multiple nodulations were observed. There were no thickened bile ducts or distended gallbladder. The sample was sent as a suspicion of cirrhosis, cholangiohepatitis or necrotizing hepatitis.<\/p>\n","protected":false},"author":6,"featured_media":8397,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[171,251],"tags":[366],"class_list":["post-5523","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bovine-2","category-liver-bovine-2","tag-liver"],"acf":[],"_links":{"self":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/5523","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\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/comments?post=5523"}],"version-history":[{"count":0,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/posts\/5523\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media\/8397"}],"wp:attachment":[{"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/media?parent=5523"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/categories?post=5523"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sesc.cat\/en\/wp-json\/wp\/v2\/tags?post=5523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}