Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPq / Babesiosis is a hemolytic tick-borne disease caused by intraerythrocytic protozoal parasites of the genus Babesia. This is a disease of high incidence in the South region of Brazil and responsible for considerable economic losses. Clinical-pathological diagnosis can be made by demonstrating the parasite by examining blood smears or fresh tissues. However, frequently, only formalin-fixed organs are sent to pathology laboratories, which makes it impossible to perform the smears. The main objective of this study was to find alternative histochemical techniques capable to improve the identification of intraerythrocytic B. bovis in histological sections. For this study, tissue samples from 50 bovine necropsy cases were retrospectively analyzed, which had been fixed in formalin and routinely processed for histopathology. The cases were divided into a control group, consisting of 12 cases of cerebral babesiosis with characteristic pink-cherry gray matter (group A), and 38 cases suggestive of cattle tick fever (group B), according to necropsy protocols. Histochemical techniques of Alcian Blue, Methylene Blue, Toluidine Blue, Giemsa, Gram (McCallum-Goodpasture method), Grocott, Periodic Acid of Schiff and Ziehl-Neelsen were tested. Among these, it was observed that the techniques of Methylene Blue and Toluidine Blue allowed to observe morphological and dye characteristics in a clearer way, aiding in the identification of B. bovis. In addition, several clinical-epidemiological and anatomopathological parameters of babesiosis caused by B. bovis were established. / A babesiose é uma doença hemolítica transmitida por carrapatos e causada por protozoários intraeritrocitários do gênero Babesia. Esta é uma doença de incidência elevada na Região Sul do Brasil e responsável por perdas econômicas consideráveis. O diagnóstico clínico-patológico pode ser feito através da demonstração do parasita pelo exame de esfregaços sanguíneos ou de tecidos frescos. Entretanto, com frequência, somente órgãos fixados em formol são remetidos para laboratórios de patologia, o que impossibilita a realização do esfregaço. O principal objetivo deste estudo foi encontrar técnicas histoquímicas alternativas e capazes de aprimorar a evidenciação de B. bovis intraeritrocitária. Para este estudo, foram analisadas, retrospectivamente, amostras de tecidos de 50 casos de necropsias de bovinos, as quais haviam sido fixadas em formol e processadas rotineiramente para histopatologia. Os casos foram divididos em um grupo controle, constituído por 12 casos de babesiose cerebral com substância cinzenta encefálica róseo-cereja característica (grupo A), e 38 casos sugestivos de tristeza parasitária bovina (grupo B), conforme os protocolos de necropsias. Foram testadas as técnicas histoquímicas de Azul Alciano, Azul de Metileno, Azul de Toluidina, Giemsa, Gram (método de McCallum-Goodpasture), Grocott, Ácido Periódico de Schiff e Ziehl-Neelsen. Dentre estas, observou-se que as técnicas de Azul de Metileno e Azul de Toluidina permitiram observar características morfológicas e tintoriais de maneira mais nítida, auxiliando na identificação de B. bovis. Adicionalmente, foram estabelecidos vários parâmetros clínico-epidemiológicos e anatomopatológicos da babesiose por B. bovis.

Externe Fixateure werden häufig für die Stabilisierung und Behandlung schwerer Frakturen genutzt. Schraubenkanalinfektionen können dabei zu Komplikationen, wie Osteomyelitis und Stabilitätsverlusten führen. Es ist unklar, ob Schraubenkanalinfektionen zu Schraubenlockerungen führen, oder aber ob der Stabilitätsverlust von Schrauben in Schraubenkanalinfektionen resultiert. Das Ziel dieser Studie ist es, einen Zusammenhang zwischen der mechanischen Stabilität, dem Auftreten von Infektionen und der osseären Verankerung darzustellen. An 27 Schafen wurde eine standardisierte Osteotomie (3mm weiter Frakturspalt) der rechten Tibia durchgeführt und mit einem monolateralem Fixateur externe stabilisiert. Während der täglichen Pinpflege wurde die Haut um die Schraubeneintrittsstellen begutachtet. Radiologische Verlaufskontrollen erfolgten in wöchentlichen Abständen. Nach 3, 6 und 9 Wochen wurden die Tiere getötet, die Ausdrehmomente der Schrauben gemessen und mikrobiologische Abstriche genommen. Knochenschnitte durch die Schraubenkanäle wurden für histologische, histochemische und histomorphometrische Analysen genommen. In dieser Studie scheint es zu einer Zunahme der Stabilisierung der osseären Verankerung während des Heilungsverlaufes zu kommen. Da die kortikale Knochendichte über die Zeit abnimmt, kann die zunehmend stabilere Verankerung der Schrauben einzig über eine gleichzeitige periostale Kallusdichtezunahme erklärt werden. Die größten Ausdrehmomente des neugebildeten periostalen Kallus wurden zum Sechswochenzeitpunkt gemessen. Danach nimmt die periostale Kallusfläche ab, wohingegen die Kallusdichte zunimmt. Die mikrobiologische Besiedelungsrate (15%) war dreifach höher als die klinisch bestätigten Infektionen. Hingegen war die Osteolyserate (28%) doppelt so hoch wie die mikrobiologisch bestätigte Infektionsrate. Eine Korrelation zwischen Infektion, Osteolyse und Pinlockerung konnte nicht gefunden werden. / External fixators are frequently used for the stabilization and the treatment of problematic fractures. Pin track infections have been shown to cause complications such as osteomyelitis and loss of stability of osteosynthesis. It remains unclear, whether pin track infection provokes pin loosening, or loss of the pin stability results in pin track infections. The aim of this study was to investigate the correlation between the mechanical stability of pins, the incidence of pin track infections and the osseus anchorage of pins. 27 sheep underwent a standardized osteotomy (3 mm gap) of the right tibia. The tibiae were stabilized by a monolateral external fixator. Within the daily pin care routine, the skin around the pin entries was scored. Radiographs were taken at weekly intervals. After 3, 6 and 9 weeks, the animals were sacrificed, the extraction torque of all pins was determined and microbiological analyses were taken. Bone sections through the pintracks were taken for histological, histochemical and histomorphometrical analysis. This study reveals an increasing stability of osseous pinanchorage over the course of healing. As the cortical bone density decreased over time, the increased anchorage-stability of the pins can only be explained by the simultaneous increase of the periosteal callus bone density. The magnitude of the extraction force is determined by the newbuilt periosteal callus, which is at its biggest value at six weeks. Afterwards, the periosteal callus area abates, while the callus bone density accumulates. The microbiologically affirmed infection rate (15%) was three times higher than the one clinical ascertained. In contrast the evidence of osteolysis (28%) was twice as high as the microbiologically diagnosed infection-rate. Despite the low infection rate, evidence of cortical lysis coud not be prevented. No correlation could be found between infection, osteolysis and pin loosening.