Síndrome do eutireoideo doente e alterações nos hormônios tireoidianos em cães com hemoparasitoses
Cardinot, Cinthya BrillanteLima, Caio Vaz BaquiSantos, Joaquim Gasparini dosPassos, Gabriela PorfírioEstevam, Letícia Gracielle Tôrres de MirandaHorta, Rodrigo dos SantosAmaral, Camila BarbosaSilveira, Júlia Angélica Gonçalves daAlcindo, Jefferson FilgueiraPaes, Paulo Ricardo de Oliveira
Background: Hemoparasitoses are extremely important in the clinical routine because they affect a large number of dogs. In spite ofthe abundance of studies on this topic, hormonal alterations caused by infection with these agents are still poorly known. Therefore,the goal of this work was to assess the serum levels of thyroid hormones of dogs infected with Ehrlichia canis (E. canis) alone, anddogs infected with E. canis and Babesia canis vogeli (B. vogeli) and/or Anaplasma platys (A. platys) before and after treatment withdoxycycline chlorohydrate. This study also aimed at checking for presence of euthyroid sick syndrome (ESS) in these animals.Materials, Methods & Results: The concentrations of the thyroid hormones total triiodothyronine (TT3), total tetraiodothyronine (TT4),free tetraiodothyronine (FT4), and canine thyroid-stimulating hormone (cTSH) were assessed by chemiluminescence in 12 dogs. Nestedpolymerase chain reaction (nPCR) was used to confirm diagnoses. The dogs were divided into 2 groups: G1, which comprised animalsinfected by E. canis alone, and G2, which included animals simultaneously infected by E. canis and B. vogeli and/or A. platys. Theserum concentrations of the thyroid hormones were measured at two time points: before (D1) and after (D2) the 28-day treatment withgeneric doxycycline chlorohydrate (DC) at a dose of 10 mg/kg SID. On D2, another nPCR was carried out to check the efficacy of thetreatment. On D2, in both groups, all dogs became negative for E. canis; however, 8 animals remained infected or were reinfected byother hemoparasites. On D1, 4 dogs in G1 exhibited low TT3 in conjunction with low TT4; one of the dogs had increased TT3 alone,and another dog had an increased TT3 accompanied by decreased TT4. In G2, on D1, one dog exhibited high TT3 accompanied by adecreased concentration of TT4; 2 dogs had decreased TT4; 2 dogs had increased TT3; and one dog had both TT3 and TT4 decreased...(AU)
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