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Brief report
Equine rhinosporidiosis in Buenos Aires, Argentina
Rinosporidiosis en equinos de Buenos Aires, Argentina
Marco Antonio Tizzanoa, Romina Della Vedovaa,
Corresponding author
romidellavedova@gmail.com

Corresponding author.
, Ramón Andrés Lopezd, Verónica Amora, Candelaria Zubíad, Susana Beatriz Córdobaa,c, Francisco José Reynaldia,b
a Cátedra de Micología, Facultad de Ciencias Veterinarias (UNLP), Buenos Aires, Argentina
b CCT CONICET La Plata, Argentina
c Instituto Nacional de Enfermedades Infecciosas Agudas-ANLIS “Dr. C. G. Malbrán”, Ciudad Autónoma de Buenos Aires, Argentina
d Cátedra de Medicina Equina, Facultad de Ciencias Veterinarias (UNLP), Buenos Aires, Argentina
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Rhinosporidiosis is a disease caused by <span class="elsevierStyleItalic">Rhinosporidium seeberi</span>&#44; a parasitic organism classified in the family Rhinosporideacea&#44; class <span class="elsevierStyleItalic">Micomycetozoa</span><a class="elsevierStyleCrossRefs" href="#bib0090"><span class="elsevierStyleSup">3&#44;15</span></a>&#46; It is an endemic disease in India&#59; however&#44; some cases have been reported in Europe&#44; Africa&#44; North America&#44; and South America<a class="elsevierStyleCrossRefs" href="#bib0095"><span class="elsevierStyleSup">4&#44;9&#8211;11</span></a>&#46; Ni&#241;o et al&#46;<a class="elsevierStyleCrossRef" href="#bib0135"><span class="elsevierStyleSup">12</span></a> described an endemic area of rhinosporidiosis in the province of Chaco&#44; northern Argentina&#44; and reported 33 cases of equine rhinosporidiosis in 1964&#46; <span class="elsevierStyleItalic">Rhinosporidium seeberi</span> infects mammals including humans&#44; cats&#44; dogs&#44; horses&#44; and cattle<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#8211;4&#44;7&#44;8&#44;13</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The natural reservoir of <span class="elsevierStyleItalic">R&#46; seeberi</span> is lacustrine or stagnant water&#44; in tropical and subtropical regions&#46; In susceptible hosts&#44; the lesions are frequently observed in nasal mucosae&#44; partly because contaminated water is the source of infection<a class="elsevierStyleCrossRefs" href="#bib0110"><span class="elsevierStyleSup">7&#44;11&#44;14</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Infected animals present clinical signs characterized by nasal secretion&#44; sneezing&#44; epistaxis&#44; breathing noise<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">1</span></a>&#44; and occasionally&#44; obstruction of the nasal cavity&#46; Less frequently&#44; the ocular conjunctiva can be affected causing epiphora&#46; Taking into account that there is no drug treatment&#44; surgical removal of the polypoid structures is the treatment of choice<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">2</span></a>&#59; however&#44; recurrence can occur<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">4</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">The microorganism does not grow in culture media&#44; thus&#44; the diagnosis is based on histolopathological findings in tissues&#46; The method used to identify the agent is based on the amplification of the small subunit rRNA gene sequence from infected tissue<a class="elsevierStyleCrossRefs" href="#bib0100"><span class="elsevierStyleSup">5&#44;11</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">The aim of the present study is to describe three cases of rhinosporidiosis in wild horses in different cities of Buenos Aires province&#44; Argentina identified by histopathology and PCR-sequencing trials&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">For confirmation of the causal agent&#44; the pedunculated masses of three horses were removed by surgical excision &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>A&#41;&#46; The fractionated tissues were fixed in 10&#37; buffered formalin for the histopathological studies&#46; The remaining tissue was used in PCR trials&#46; The fixed tissues were stained with periodic acid-Schiff &#40;PAS&#41; and spherules &#40;sporangia&#41; of variable size &#40;100&#8211;300<span class="elsevierStyleHsp" style=""></span>&#956;m&#41; were observed&#46; Sporangia had thin and weakly stained walls &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>B&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0035" class="elsevierStylePara elsevierViewall">DNA was extracted from fresh biopsy samples &#40;25<span class="elsevierStyleHsp" style=""></span>mg&#41; by using a commercially available kit &#40;DNeasy Tissue Kit&#44; QIAGEN&#41; according to the manufacturer&#39;s protocol&#46; <span class="elsevierStyleItalic">R&#46; seeberi</span> specific primers Rhino 2F &#40;5&#8242;-TTTGTGTAGGGGTTCCTCGC-3&#8242;&#41; and Rhino 2R &#40;5&#8242;-GCAAAACCGTTGCTCCAACT-3&#8242;&#41; &#40;7&#41; were used in a PCR&#46; The <span class="elsevierStyleItalic">R&#46; seeberi</span> specific amplification product from the 3 samples were sequenced by Macrogen &#40;<a href="http://www.macrogen.com/">www&#46;macrogen&#46;com</a>&#41;&#46; The PCR amplified three specific fragments of 377<span class="elsevierStyleHsp" style=""></span>bp expected for <span class="elsevierStyleItalic">R&#46; seeberi</span> &#40;Suppl&#46; Fig&#46; 1&#41;&#46; The amplification products were sequenced&#44; showing 99&#37; homology with <span class="elsevierStyleItalic">Rhinosporidium</span> spp&#46; &#40;ex <span class="elsevierStyleItalic">Canis familiaris</span>&#41; &#40;accession number AY372365&#46;1&#41;&#46; The program used to generate the phylogenetic tree was Geneious Version 2020&#46;1 created by Biomatters &#40;<a href="http://www.geneious.com/">http&#58;&#47;&#47;www&#46;geneious&#46;com</a>&#41; &#40;Suppl&#46; Fig&#46; 2&#41;&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">The three reported rhinosporidiosis cases in wild horses were from the following cities&#58; Chascom&#250;s city located at geographical coordinates 35&#176;34&#8242;30&#8242;S58&#176;00&#8242;32&#8242;0&#44; Ensenada city at 34&#176;51&#8242;S 57&#176;54&#8242;0 and La Plata city at 34&#176;56&#8242;00&#8242;S57&#176;57&#8242;00&#8242;0 &#40;cities from Buenos Aires province&#44; Argentina&#41;&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Two horses exhibited clinical signs of mild cough and rhinitis and the third one had epistaxis and nasal discharge&#46; Therefore&#44; the clinical examination was followed by a nasopharyngeal and laryngeal endoscopy&#44; showing irregular pedunculated structures in shape and sizes &#40;approximately 2&#46;3<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>2&#46;0<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>1&#46;4<span class="elsevierStyleHsp" style=""></span>cm each&#41;&#46; These pendunculated structures revealed the following&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">-</span><p id="par0050" class="elsevierStylePara elsevierViewall">-Isolate 1 &#40;Chascom&#250;s&#41; pedunculated masses in the larynx of a 15-year old mare&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">-</span><p id="par0055" class="elsevierStylePara elsevierViewall">-Isolate 2 &#40;Ensenada&#41; pedunculated masses in the larynx of a 10-year-old male horse&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">-</span><p id="par0060" class="elsevierStylePara elsevierViewall">-Isolate 3 &#40;La Plata&#41; pedunculated masses in the nose of a 4-year-old mare&#46;</p></li></ul></p><p id="par0065" class="elsevierStylePara elsevierViewall">The polypoid structures were stained with PAS and microscopically observed&#46; They consisted of a core of mature fibrovascular tissue superficially lined by a hyperplastic epithelium&#46; Inside the granulated tissue and in the submucosa&#44; there were conspicuous spherules &#40;sporangia&#41; of variable size &#40;100&#8211;300<span class="elsevierStyleHsp" style=""></span>mm in diameter&#41; that showed a thin and weak wall&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">The morphological features of the agent observed in all the cases presented here were characteristic&#44; and could be presumptively identified as <span class="elsevierStyleItalic">R&#46; seeber</span> based on histopathological features&#46; Nevertheless&#44; a differential diagnosis with polypoid or granulomatous rhinitis caused by a fungal infection such as <span class="elsevierStyleItalic">Coccidioides immitis</span>&#44; <span class="elsevierStyleItalic">Chrysosporium parvum</span>&#44; <span class="elsevierStyleItalic">Cryptococcus neoformans</span>&#44; <span class="elsevierStyleItalic">Conidiobolus coronatus</span>&#44; and other causes&#44; such as equine nasal amyloidosis and neoplasia<a class="elsevierStyleCrossRefs" href="#bib0085"><span class="elsevierStyleSup">2&#44;6&#44;8</span></a> is needed&#46; For this reason&#44; the use of a specific PCR reaction and sequencing could allow us to reach a precise diagnosis in a shorter time&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">In our study&#44; the three analyzed samples amplified a specific fragment of 377<span class="elsevierStyleHsp" style=""></span>bp expected for <span class="elsevierStyleItalic">Rhinosporidium</span> spp&#46; Moreover&#44; the sequence analysis confirmed these findings&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">In Argentina&#44; the occurrence of rhinosporidiosis is uncommon&#44; and is rarely suspected by clinical veterinarians&#44; thus it is underestimated o misdiagnosed&#46; Furthermore&#44; if the pedunculated structures are located in anatomical sites other than in the nasal cavity or conjunctiva&#44; the disease can be even harder to diagnose by the practitioners&#46;</p><p id="par0085" class="elsevierStylePara elsevierViewall">It should be remarked that since there is no specific medical treatment for rhinosporidiosis&#44; it is very important to make a routine clinical diagnosis in wild horses&#44; taking into account that the infected animals not only share the stagnant water and lacustrine environment but also the feeders and drinkers with the healthy animals&#46; These clinical surveys could allow us to delimit the geographical areas with a high prevalence of rhinosporidiosis so that there could be a chance to relocate the breeder farms of polo horses or racehorses&#46; Considering that Argentina is an exporter of highly competitive horses&#44; the early diagnosis of this disease will contribute to its control&#44; preventing its spread to other places&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflict of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflicts of interest&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Rhinosporidiosis is caused by <span class="elsevierStyleItalic">Rhinosporidium seeberi</span>&#44; a parasitic organism of the family Rhinosporideacea family&#44; class <span class="elsevierStyleItalic">Micomycetozoa</span>&#46; The disease is endemic in India&#59; however&#44; some cases were reported in Europe&#44; Africa&#44; North America&#44; and South America&#46; The aim of the present study is to report three cases of rhinosporidiosis in wild horses in different cities of Buenos Aires province&#44; Argentina&#46; We confirm the presence of <span class="elsevierStyleItalic">R&#46; seeberi</span> in the analyzed samples using histopathological and PCR sequencing techniques&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">La rinosporidiosis es una enfermedad causada por <span class="elsevierStyleItalic">Rhinosporidium seeberi</span>&#44; un organismo parasitario clasificado en la familia Rhinosporideacea&#44; clase Micomycetozoa&#46; Es una enfermedad end&#233;mica de la India&#44; pero se notificaron algunos casos en Europa&#44; &#193;frica&#44; Am&#233;rica del Norte y Am&#233;rica del Sur&#46; El objetivo del presente estudio fue describir tres casos de rinosporidiosis en caballos de vida libre en diferentes ciudades de la provincia de Buenos Ares&#44; Argentina&#46; Confirmamos la presencia de <span class="elsevierStyleItalic">R&#46; seeberi</span> en las muestras analizadas utilizando t&#233;cnicas histopatol&#243;gicas&#44; PCR y secuenciaci&#243;n&#46;</p></span>"
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ISSN: 03257541
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