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Avian Pathology Bacterial diseases: histo slides ECVP-ESVP Summer School 2012 Frédérique NGUYEN

Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

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Page 1: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

Avian Pathology

Bacterial diseases: histo slides

ECVP-ESVP Summer School 2012

Frédérique NGUYEN

Page 2: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

Bacterial diseases: histo slides

B1. Turkey.

Organs? Morphologic diagnosis? Special procedure?

B2. Hen.

Organ? Morphologic diagnosis? Etiologic diagnosis?

B3. Chicken.

Organ? Morphologic diagnosis? Etiology?

B4. Pigeon.

Organs? Morphologic diagnosis? Special procedure?

Page 3: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey (2 organs)

Organs? Keywords?

Morphologic diagnosis?

Special procedure needed to confirm your etiologic diagnosis?

011381A

Page 4: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Liver.

Diffuse lesion.

011381A

Page 5: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Sinusoids: hyperemia.

Kupffer cells: hypertrophy.

011381A

Page 6: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Sinusoids: hyaline thrombosis (fibrin)

Disseminated intravascular clotting

Lymphocytes

011381A

Page 7: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Sinusoids: extracellular, intravascular basophilic 1-micrometer anucleated microorganisms (bacteria) + intracytoplasmic in Kupffer cells.

Hypercellularity (leukostasis)

011381A

Page 8: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Gram stain

Colonies of Gram-positive cocci (1 or 2 micrometers in diameter) within the sinusoids and the cytoplasm of Kupffer cells.

011381A

Page 9: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Liver, acute diffuse moderate hepatitis with sinusoid hyperemia, thrombosis and leukostasis, and intravascular presence of bacterial colonies: septicemia

011381A

Page 10: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Spleen.

Multifocal lesion.

011381A

Page 11: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Acute vasculitis: thrombosis, medial necrosis.

011381A

Page 12: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Fibrinoid necrosis of both the white and red pulp.

Micro-hemorrhages (extravasated red blood cells).

Lymphocytic pyknosis, karyorrhexis.

011381A

Page 13: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Sinusoids: extracellular, intravascular basophilic 1-micrometer anucleated

microorganisms (bacteria) + intracytoplasmic in macrophages.

Red pulp: macrophage hypertrophy (activation, phagocytosis).

011381A

Page 14: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Gram stain

Intravascular, extracellular colonies of Gram-positive cocci

011381A

Page 15: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B1. Turkey

Spleen, multifocal acute marked necrotizing splenitis with intralesional

extracellular intravascular bacteria and septic vasculitis, septicemia.

011381A

Page 16: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

Bacterial diseases: histo slides

B1. Turkey.

Organs? Morphologic diagnosis? Special procedure?

B2. Hen.

Organ? Morphologic diagnosis? Etiologic diagnosis?

B3. Chicken.

Organ? Morphologic diagnosis? Etiology?

B4. Pigeon.

Organs? Morphologic diagnosis? Special procedure?

Page 17: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

Organ? Keywords?

Morphologic diagnosis?

Etiologic diagnosis?

890989

Page 18: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

Liver

The architecture of the liver is markedly distorted by random, multifocal to

coalescing, up to 1-mm diameter, variably encapsulated, granulomas.

890989

Page 19: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

The larger granulomas contain, from the centre to the periphery: a central mass

of amorphous hypereosinophilic material with karyorrhectic and pyknotic

nuclear debris (caseous necrosis); cholesterol clefts;

890989

Page 20: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

… surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus (epithelioid macrophages); giant multinucleate cells with abundant eosinophilic cytoplasm and either peripheral nuclei (Langhans-type giant cells) or haphazardly-placed nuclei (foreign-body-type giant cells);

890989

Page 21: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

… moderate amount of lymphocytes, few plasma cells and heterophils; a thin rim of fibrosis. Within granulomas, some macrophages are round, large, and filled with an empty cytoplasmic vacuole (lipid-laden macrophages).

890989

Page 22: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

Smaller granulomas contain epithelioid macrophages, Langhans giant

cells, foreign body giant cells, and do not possess a necrotic centre.

890989

Page 23: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

Fite-Farraco stain

Acid-fast bacilli within the necrotic centres of the granulomas, low amount

890989

Page 24: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

Within the remnant hepatic parenchyma, there are multiple foci of

extramedullary heterophilic granulopoiesis (especially periportal)

and lymphopoiesis ± amyloid deposition.

890989

Page 25: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B2. Hen

Multifocal to coalescing marked granulomatous hepatitis and

perihepatitis with caseous necrosis.

Mycobacterial hepatitis and perihepatitis.

890989

Page 26: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

Bacterial diseases: histo slides

B1. Turkey.

Organs? Morphologic diagnosis? Special procedure?

B2. Hen.

Organ? Morphologic diagnosis? Etiologic diagnosis?

B3. Chicken.

Organ? Morphologic diagnosis? Etiology?

B4. Pigeon.

Organs? Morphologic diagnosis? Special procedure?

Page 27: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B3. Chicken

Organ? Keywords?

Morphologic diagnosis?

Etiology?

021308

Page 28: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B3. Chicken

Brainstem (and cerebrum) (and cerebellum)

021308

Page 29: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B3. Chicken

In the brainstem (and cerebrum, not in all slides) is (are) one (two) well-

demarcated, unencapsulated, 1-3 mm of diameter, necrotic focus

(foci), in which …

021308

Page 30: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B3. Chicken

the neuropil is distended by coalescing empty spaces (edema),

neurons and glial cells are shrunken, hyperchromatic with pyknotic nucleus

(necrosis)

021308

Page 31: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B3. Chicken

capillary blood vessels are occluded by an amorphous eosinophilic

material (fibrin) and red blood cells (hyaline thrombosis)

few red blood cells are extravasated (mild hemorrhage).

021308

Page 32: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B3. Chicken

neurones are devoid of Nissl bodies (chromatolysis),

there are microglial cells and lymphocytes within Virchow-Robin spaces of cerebral blood vessels (perivascular cuffing),

there is rarefaction of myelin sheaths (demyelination) and multifocal axonal dilatation (spheroids).

021308

Page 33: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B3. Chicken

Focal (bifocal) acute cerebral necrosis with edema,

demyelination and capillary hyaline thrombi.

Enterococcus hirae, or Enterococcus durans

021308

Page 34: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

Bacterial diseases: histo slides

B1. Turkey.

Organs? Morphologic diagnosis? Special procedure?

B2. Hen.

Organ? Morphologic diagnosis? Etiologic diagnosis?

B3. Chicken.

Organ? Morphologic diagnosis? Etiology?

B4. Pigeon.

Organs? Morphologic diagnosis? Special procedure?

Page 35: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Organs? Keywords?

Morphologic diagnosis?

Special procedure?

021660

Page 36: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Duodenum, pancreas, mesentery.

Enlargement of the mesentery, replacement of the adipose tissue.

021660

Page 37: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Subtotal replacement of the pancreas by the inflammatory infiltrate.

021660

Page 38: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Thickening of the duodenal mucosa by the same inflammatory infiltrate as

in the mesentery and pancreas.

021660

Page 39: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Epithelioid macrophages.

Multinucleate giant cells, Langhans type.

Small amount of lymphocytes. GRANULOMATOUS INFILTRATE.

021660

Page 40: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Fite-Farraco stain.

Massive amount of acid-fast bacilli within the cytoplasm of macrophages

and giant cells.

021660

Page 41: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Liver.

Multifocal random granulomas, 100 micrometers to 1 mm in diameter.

021660

Page 42: Avian Pathology Bacterial diseases: histo slides · B2. Hen 890989 … surrounded by a thick rim of large, pale acidophilic cells with indistinct borders and round hypochromatic nucleus

B4. Pigeon

Diffuse severe chronic granulomatous enteritis, pancreatitis and

peritonitis with Langhans-type giant cells.

Multifocal marked chronic granulomatous hepatitis.

Note: Mycobacterium avium subsp. silvaticum in pigeons.

021660