Anatomic Pathology Research Articles

Correlation between the expected risk of malignancy according to FNA and the actual percentage of malignancy found on pathological anatomy in thyroidectomies and hemithyroidectomies

Correlation between the expected risk of malignancy according to FNA and the actual percentage of malignancy found on pathological anatomy in thyroidectomies and hemithyroidectomies

On Victory Day and the 80th Anniversary of the Lifting of the Siege of Leningrad. Review of the Archives of the Pathological Anatomy Laboratory of the Oncology Institute

On Victory Day and the 80th Anniversary of the Lifting of the Siege of Leningrad. Review of the Archives of the Pathological Anatomy Laboratory of the Oncology Institute

The use of telecytology for the evaluation of thyroid nodules fine-needle aspiration biopsy specimens: a systematic review.

Fine needle aspiration biopsy (FNAB) is currently the gold standard for diagnosis and treatment of thyroid nodules, but the growing need for anatomic pathology services in small communities is becoming a challenge. Telecytology (TC) is defined as the electronic transmission of cytological digital images, and allows for the collection of samples, primary diagnosis, and other applications without the physical presence of a pathologist. Our aim is to systematically report, summarize, and critically analyze the most up to date applications of TC to thyroid nodules FNAB evaluation. We performed a systematic literature review by searching PubMed, Embase, and Cochrane Library databases. Only studies published in peer-reviewed scientific journals were included. Data were extracted using the PICO framework and critically analyzed. PRISMA guidelines were applied, and the risk of bias in the included studies was assessed using the ROBINS-I tools. The methodological quality was assessed following GRADE criteria. We included 13 observational studies, resulting in a total of 3856 evaluated FNAB specimens. The majority of studies (63.6%) showed an excellent concordance rate of diagnosis via TC and conventional cytology. TC can be used to perform preliminary assessment of samples with a concordance rate ranging from 74 and 100%, showing a significant reduction of the non-diagnostic rate. Image quality was referred to as perfect or nearly perfect in most cases, regardless of telecytology technique. Telecytology could be a valuable implementation for thyroid FNAB evaluation both for primary diagnosis and preliminary assessment of samples.

Vulva lesions seen at a tertiary health centre in southwest Nigeria

Background: Some researchers have emphasised the need for more studies on vulvar cancers. The aim of our study is to describe the vulvar lesions identified in biopsies seen in our department over a five-year period to serve as baseline data for future studies. Methods: We conducted a five-year cross-sectional study on all vulva specimens received by the department of Morbid Anatomy and Forensic medicine at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Nigeria. From the departmental records, we retrieved data on the patients' biodata, medical history, and vulva lesion diagnosis. Results: We recorded 15 vulva biopsies during the study period, with an age range of 13 to 80 years. Two cases were benign tumours, and two cases were inflammatory in nature. A case of a pre-malignant lesion was seen. Nine cases were malignant tumours, all of which are epithelial in origin. We saw two non-neoplastic lesions. These are acute on chronic inflammation and lichen sclerosus et atrophicus. Of the malignant tumours seen, five were well-differentiated squamous cell carcinoma (SCC), two were moderately differentiated SCC, and two were cases of verrucous carcinoma. One case of verrucous carcinoma and a well-differentiated SCC had a background HIV. Conclusion: Vulva lesions are rarely seen at our centre. The absence of preinvasive lesions in our study may be due to the late presentation of cases in clinics or the reluctance of gynaecologists to take biopsies of non-tumoral lesions of the vulva. HIV may be associated with an increased risk of HPV-related cancers.

Landscape of HER2-low breast cancer: Insights from a six-year study on prevalence and clinicopathological characteristics

Human epidermal growth factor receptor 2 (HER2)-low breast cancer has emerged as a subtype of breast cancer, defined by HER2 1+/2+ in immunohistochemistry (IHC) and absence of ERBB2 gene amplification on fluorescence in situ hybridization (FISH). Recent trials showed marked response of HER2-low breast cancer to novel anti-HER2 antibody-drug-conjugates. Data on characteristics of HER2-low breast cancer subtype is limited. Real-world data from the Anatomic Pathology Department of Hotel-Dieu de France, spanning 2017–2023, was retrospectively collected. HER2-positive patients were excluded to compare HER2-low to HER2-zero breast cancer subtypes. Clinicopathological characteristics between the groups were compared using a Chi-Squared test. Out of 1195 patients, we observed 341 (28.5 %) HER2-low breast cancers cases. HER2-positive breast cancer cases (n = 178; 14.9 %) were excluded. There was no significant difference in age and sex between HER2-low and HER2-zero group (p = 0.33 and 0.79, respectively). HER2-low breast cancer was associated with positive estrogen receptor status and positive progesterone receptor status (p < 0.001 and p = 0.01, respectively). Ductal adenocarcinomas were more commonly observed in HER2-low group (p < 0.001). When stratified by hormone (HR) status, 87.4 % of patients had HR-positive status and 12.6 % were HR-negative. Among the HR-negative group, HER2-low tumors tended to show lower proliferation index compared to HER2-zero tumors (25%vs.10 %, p = 0.04). This study showed that HER2-low is distinct from HER2-zero and is common among patients with breast cancer. Clinicopathological features such as histological type differ between HER2-zero and HER2-low breast cancer. Within HR-negative breast cancer, those with low HER2 expression exhibit a less aggressive profile compared to HER2-zero tumors.

Improving Patient Understanding of Femoroacetabular Impingement Syndrome With Three-Dimensional Models.

Three-dimensional (3D) printed models may help patients understand complex anatomic pathologies such as femoroacetabular impingement syndrome (FAIS). We aimed to assess patient understanding and satisfaction when using 3D printed models compared with standard imaging modalities for discussion of FAIS diagnosis and surgical plan. A consecutive series of 76 new patients with FAIS (37 patients in the 3D model cohort and 39 in the control cohort) from a single surgeon's clinic were educated using imaging and representative 3D printed models of FAI or imaging without models (control). Patients received a voluntary post-visit questionnaire that evaluated their understanding of the diagnosis, surgical plan, and visit satisfaction. Patients in the 3D model cohort reported a significantly higher mean understanding of FAIS (90.0 ± 11.5 versus 79.8 ± 14.9 out of 100; P = 0.001) and surgery (89.5 ± 11.6 versus 81.0 ± 14.5; P = 0.01) compared with the control cohort. Both groups reported high levels of satisfaction with the visit. In this study, the use of 3D printed models in clinic visits with patients with FAIS improved patients' perceived understanding of diagnosis and surgical treatment.

Direct effect of ultra diluted ethanolic extract of Apis mellifica on Escherichia coli and Staphylococcus aureus in Gallus gallus domesticus embryo model

Urinary tract infection and other infections caused by multi-drug resistance strains have increased significantly, creating a need to investigate alternative medicine for therapeutic purposes. Our aim is to determine whether Apis mellifica 6C (an alternative ultra-diluted medicine) can counteract the detrimental impact of Escherichia coli ATCC 25922, Escherichia coli MDR and Staphylococcus aureus ATCC 25923 in Gallus gallus domesticus embryos with regard to their morbid anatomical changes and cytokine alterations. Anti-microbial activity of Apis mellifica 6C against the ATCC and MDR strains was examined by Agar Disc Diffusion method. The bacterial strains were inoculated on 15th day embryonated chick egg model and the alteration in cytokine gene expressions (IL-10 and IFN-γ) was examined by RT PCR method. In disc diffusion method, Apis mellifica induced zone of inhibition which was prominent in case of all mentioned bacteria. In case of embryo model, the most notable finding is that after being challenged with Apis mellifica 6C, the IFN-γ and IL-10 gene expression of E. coli ATCC, MDR E. coli and S. aureus ATCC were all remarkably decreased than the control set. Similar interesting outcomes were also found in the morbid anatomy of the chick embryo. In cases of urinary tract infection and other infections, Apis mellifica 6C appears to be efficient and beneficial.

Frequency and Demographic Analysis of Odontogenic Tumors in Three Tertiary Institutions: An 11-Year Retrospective Study.

The study aims to evaluate the frequency, demographic features, treatment, and outcomes of OTs across three tertiary medical centers. OT cases were identified in King Abdulaziz Medical City (KAMC), King Fahad Medical City (KFMC), and Prince Sultan Military Medical City (PSMMC) from January 2010 to December 2021. Ninety-two OT cases were identified from the anatomical pathology laboratories of three tertiary hospitals. KFMC contributed the highest number of cases (43.5%), followed by KAMC (30.4%) and PSMMC (26.1%). The median age of OT patients was 29 years (range: 5-83), with males representing more than half of the patients (56.5%). The mandible was the most frequent site of OT occurrence (72.5%), with ameloblastoma being the predominant OT (63.0%), followed by odontoma (19.5%). Among the treatment modalities, bone resection was employed the most (51.0%), followed by enucleation (25.6%). Notably, 11.5% of OT cases with available follow-up data exhibited recurrence, with ameloblastoma accounting for eight recurrent cases. Although OTs are relatively common in the jaws, they are rare in anatomical pathology laboratories and the general population. This study contributes valuable insights into the epidemiology characteristics, treatment trends, and recurrence rates of OTs in Saudi Arabia.

Democratizing Artificial Intelligence in Anatomic Pathology.

Artificial intelligence is a transforming technology for anatomic pathology. Involvement within the workforce will foster support for algorithm development and implementation. To develop a supportive ecosystem that enables pathologists with variable expertise in artificial intelligence to create algorithms in a development environment with seamless transition to a production environment. The development team considered internal development and vended solutions. Because of the extended timeline and resource requirements for internal development, a decision was made to use a vended solution. Vendor proposals were solicited and reviewed by pathologists, IT, and security groups. A vendor was selected and pipelines for development and production were established. Proposals for development were solicited from the pathology department. Eighty-four investigators were selected for the initial cohort, receiving training and access to dedicated subject matter experts. A total of 30 of 31 projects progressed through the model development process of annotating, training, and validation. Based on these projects, 15 abstracts were submitted to national meetings. Democratizing artificial intelligence by creating an ecosystem to support pathologists with varying levels of expertise can break down entry barriers, reduce overall cost of algorithm development, improve algorithm quality, and enhance the speed of adoption.

Midterm durability of valve-sparing root replacement in bicuspid and tricuspid aortic valves

Background Among patients with bicuspid aortic valves (BAV) who are potential candidates for valve-sparing root replacement (VSRR), the long-term durability of this technique is not well understood. This study aimed to compare the clinical and echocardiographic outcomes of VSRR in those with BAV and tricuspid aortic valve (TAV) morphology. Methods This was a retrospective analysis of patients who underwent VSRR between 2007 and 2021 at a single center. Kaplan-Meier and log-rank analysis were used to estimate and compare freedom from mortality, progression to >2+ aortic insufficiency (AI), and reoperation between groups (BAV vs TAV). Preoperative and postoperative echocardiographic data were collected and assessed for temporal changes in mixed-effect models. Results A total of 185 patients (BAV, n = 52, 28.1%; TAV, n = 133, 71.9%) underwent VSRR. At baseline, BAV patients were younger (42.4 ± 11.6 vs 52.3 ± 12.6 years; P < 0.01) and had more severe AI (47.9% vs 27.0%; P = 0.02). Average cardiopulmonary bypass and cross-clamp times were similar. There were no differences in rates of postoperative complications, intensive care unit or hospital days, or 30-day readmission. TAV patients’ 1-, 5-, and 8-year survival rates were 99.2% [95% CI 97.8–100], 96.7% [93.5–99.9%], and 92.2% [85.6–99.3%], respectively. Overall, there were no differences between groups regarding freedom from mortality (P = 0.18), reoperation (P = 0.51), or recurrent >2+ AI (P = 0.97). Conclusions VSRR can be safely performed on patients with BAV and TAV morphology, yielding similar midterm freedom from mortality, recurrent >2+ AI, and reoperation. This technique should be considered in carefully selected patients with aortic root pathology and BAV anatomy when performed at experienced centers.

From intestinal failure to transplantation: Review on the current need for transplant indications under multidisciplinary transplant programs worldwide.

Intestinal failure, defined as the loss of gastrointestinal function to the point where nutrition cannot be maintained by enteral intake alone, presents numerous challenges in children, not least the timing of consideration of intestine transplantation. To describe the evolution of care of infants and children with intestinal failure including parenteral nutrition, intestine transplantation, and contemporary intestinal failure care. The review is based on the authors' experience supported by an in-depth review of the published literature. The history of parenteral nutrition, including out-patient (home) administration, and intestine transplantation are reviewed along with the complications of intestinal failure that may become indications for consideration of intestine transplantation. Current management strategies for children with intestinal failure are discussed along with changes in need for intestine transplantation, recognizing the difficulty in generalizing recommendations due to the high level of heterogeneity of intestinal pathology and residual bowel anatomy and function. Advances in the medical and surgical care of children with intestinal failure have resulted in improved transplant-free survival and a significant fall in demand for transplantation. Despite these improvements a number of children continue to fail rehabilitative care and require intestine transplantation as life-saving therapy or when the burden on ongoing parenteral nutrition becomes too great to bear.

Surgical Approach to Pulmonary Cystic Adenomatoid Malformations: About an Observation

Congenital cystic adenomatoid malformation (MAKC) is a congenital anomaly of lung development, and is defined as an adenomatoid proliferation of terminal respiratory structures, bronchial and distal pulmonary cystic dilatation, communicating with the bronchial tree and lacking cartilaginous rings, representing approximately 25% of congenital lung lesions, and in 80 to 85% of cases, the diagnosis is made before the age of 2 and is rarely discovered in adulthood. We report 01 case of MAKC diagnosed at the age of 06 months. The diagnosis was based on clinical elements (episode of bronchiolitis with serious signs at the age of 5 months) and radiological (TLT and CT). The lesion was located in the lower lobe of the right lung. The patient underwent a surgical resection such as a lower right lobectomy removing the lesion in one piece. The discovery of a MAKC must be recognized by clinicians. The clinical diagnosis, strongly oriented by the radiological approach, is confirmed by the anatomical pathology, the therapeutic sanction is surgical in the majority of cases. Most authors indicate surgery, especially in early childhood in order to avoid complications, mainly recurrent infections and pneumothorax, and to take advantage of the potential for lung growth.

ASPERGILLOSIS IN BROILER CHICKEN IN TUNJUK VILLAGE, TABANAN DISTRICT, TABANAN REGENCY, BALI

In the development of broiler farming in Indonesia, it is necessary to be aware of diseases that often attack livestock, namely Aspergillosis fungal infection. This case study aims to confirm the diagnosis in the death of 30-day-old broiler chickens of male sex who experienced clinical symptoms of lethargy, nasal discharge, shortness of breath, swollen eyelids, and difficulty eating for 3 days so that they were separated from the rest of the chicken population obtained at one of the farms located in Tunjuk Village, Tabanan District, Tabanan Regency, Bali. Examination of case animals included signaling, anamnesis, epidemiological data, clinical symptoms, anatomical pathology and histopathology examination, bacteriology and mycology examination, and parasitology examination. The results of the anatomical pathology examination showed congestion in the brain, petechie in the ventriculus, hemorrhage in the intestines, hemorrhage in the lungs with white nodules and white nodules in the kidneys. Histopathological examination found septa hyphae and conidiophore. In the mycological examination, the case animals identified Aspergillosis in the lung and kidney organs grown on SDA (Sabouraud Dextose Agar) media and observation under a microscope using 10% KOH dye and methylene blue. In the bacteriological examination, samples of lung and intestinal organs were cultured on general Nutrient Agar (NA) media, followed by selective Eosin Methylene Blue Agar (EMBA) media, primary tests, gram staining, biochemical tests and sugar tests until the results showed that there was a secondary infection of Klebsiella sp in the lung organ samples. The results of the examination related to parasites in the feces of case chickens by qualitative methods, namely natif (direct), sedimentation concentration, and buoyancy concentration were confirmed not to be found worm eggs or coccidia. From this case study it can be concluded that the case chicken was infected with Aspergillosis. Prevention of the spread of Aspergillosis should be done by improving farm management such as housing sanitation and good husbandry methods to prevent the risk of livestock experiencing the disease.

Morphometric studies of the skin of calfs

Relevance. Previously, we conducted comparative morphometric studies of skin samples from different topographic sites in adult cows obtained in winter. At the same time, morphological features of the skin of different topographic areas were established. In this paper, the purpose of our study was to conduct comparative morphometric studies of the skin of different topographic areas in calves.Methods. Morphometric studies of histological preparations were carried out at the Department of Pathological Anatomy and Forensic Veterinary Medicine and at the Department of Biology, Ecology and Histology. Morphometric studies of histological preparations were used to study the thickness of the dermis proper, as well as bundles of collagen fibers of the mesh layer of the dermis. The research results were statistically processed using the "Biostat" program.Results. Morphological features of the skin of different topographic areas in calves have been established, manifested by different thicknesses of skin layers and bundles of collagen fibers of the dermis. The morphometry performed made it possible to supplement the data on the morphological structure of the skin of cattle and can also be used in the study of morpho- and pathogenesis of skin diseases.

COLIBACILLOSIS IN PIGLETS AT TARO VILLAGE, GIANYAR, BALI

Colibacillosis is a disease caused by Escherichia coli bacteria, which attacks piglets and can result in weight loss, stunted growth and, if not treated immediately, will cause death. The aim of this case report is to establish a diagnosis of the death of a 35 day old pig using anamnesis, epidemiological procedures, clinical symptoms, anatomical pathology examination and laboratory examination. The laboratory examinations in question are histopathology, bacteriology and parasitology. The animal case obtained was a young pig suspected of being infected with E. coli, which came from a farm in Taro Village, Tegallalang, Gianyar, Bali. The case pig is a Landrace type, 35 days old weighing ± 7 kg, male. Symptoms observed in the cases were that the piglets looked thin, weak, anorexic, and had yellowish diarrhea. The pig population is 100, during one maintenance period there were approximately 7 pigs who were sick and 2 pigs who died. Based on anamnesis, clinical symptoms, epidemiology, changes in anatomical pathology and histopathological lesions, isolation and identification of colonies on NA media, EMBA, gram staining, primary test, secondary test (biochemical test), and sugar test, E. Coli bacteria were successfully isolated. So a diagnosis was obtained that the pig case was infected with colibacillosis. The results of a stool examination in the parasitology laboratory did not reveal any infection with worm eggs or protozoa. Based on anamnesis, clinical symptoms, epidemiology, anatomical pathological changes, histopathological lesions, and bacterial tests. Conclusion in pig cases diagnosed with colibacillosis by Escherichia coli. It is necessary to carry out good sanitation and management to prevent the occurrence of colibacillosis.

G. G. Avtandilov and A. P. Avtsyn: Two Outstanding Pathologists, Two Unique Lives

Academician A.P. Avtsyn and Professor G.G. Avtandilov are generally recognized world authorities in pathological anatomy. Alexander Pavlovich Avtsyn is known as an outstanding scientist, a famous community health administrator, an active public personality, a wonderful teacher, a corresponding member of the USSR Academy of Medical Sciences and a laureate of the USSR State Prize, the founder of the Research Institute of Human Morphology, which was later given his name. Georgy Gerasimovich Avtandilov is an outstanding scientist and educator, a prominent specialist, professor, Doctor of Medical Sciences, Honored Doctor of Kabardino-Balkaria and Honored Scientist of the RSFSR and the Republic of North Ossetia – Alania, as well as an academician of the Russian Academy of Natural Sciences. G.G. Avtandilov specialised in the field of pathological anatomy, mainly in morphometry. The paper describes details of their contribution to the development of pathological anatomy, from both a fundamental and practical point of view. Unique methodological approaches developed by G.G. Avtandilov and A.P. Avtsyn, which are used today by numerous scientists, are presented by the authors. In addition to the scientific life of two outstanding researchers, the article highlights important events from their biographies.

Dedication to Morphology (to the 70th Anniversary of the Birth of Professor I.V. Gaivoronsky)

In February 2024, Professor Ivan Vasilyevich Gaivoronsky, Doctor of Sciences in Medicine, the prominent Russian morphologist, Head of the Department of Normal Anatomy at S.M. Kirov Military Medical Academy, celebrated the 70th anniversary. Ivan Vasilyevich was born on February 2, 1954 in the town of Kadievka, Voroshilovgrad region. In 1979, he graduated with a gold medal from S.M. Kirov Military Medical Academy; within its walls, he came a long way from an adjunct to the Head of the Department of Normal Anatomy, which he has headed for more than 35 years. Ivan V. Gavoronsky is a member of the Presidium of the All-Russian Scientific Medical Society of Anatomists, Histologists and Embryologists and Chairman of its St. Petersburg branch, a member of the Coordinating Council responsible for the field of education “Health and Medical Sciences” and its educational and methodological commission in anatomy and anthropology, Chairman of the dissertation council in the specialties Anatomy and Anthropology, Pathological Anatomy and Forensic Medicine, created at S.M. Kirov Military Medical Academy. Professor Ivan V. Gaivoronsky focused his attention on the development of modern aspects of the collateral circulation issues, the state of various parts of the vascular bed under normal conditions and under the influence of various extreme factors, innovative technologies for preparing and preserving anatomical sections for educational purposes, medical craniology, the study of individual and typological features of the human body, applied issues, dictated by the needs of practical medicine, the history of anatomy, and the improvement of the educational process in the departments of morphological profile. He created a scientific morphological school, which trained 11 doctors and 60 candidates of medical sciences. For significant contribution to the development of Russian science and modernization of the educational process, Professor IvanV. Gaivoronsky was twice awarded the Russian Government Prize in the field of education; he was awarded the honorary titles “Honored Scientist of the Russian Federation” and “Honored Figure of Russian Higher Education”, academician of the Russian Military Medical Academy, Honorary Doctor of the Russian Military Medical Academy; he was awarded the Order of Honor and a medal of the Order for Merits to the Fatherland, II degree.

CASE OF HEPATITIS IN SIAMESE CAT

Hepatitis is inflammation of the liver which can be caused by viruses, bacteria, parasites, fungi, and drugs. However, there are several cases of hepatitis in animals whose cause is unknown, such as what happened to the male Siamese cat in this case report. Therefore, several examinations are carried out to find out the cause and appropriate treatment. Before carrying out the examination, recording the signs and anamnesis is very important. The examination is carried out systematically, namely by clinical and laboratory examination. Laboratory examinations carried out include lesion and cytology examinations (impression tests), hematology examinations, ultrasonography (USG), and anatomical pathology and histology examinations. The results of the ulcer cytology examination using the impression test method found large numbers of neutrophils. CBC examination results revealed that the cat had an infection, anemia, and thrombocytopenia. Blood biochemistry results also revealed that the cat had liver damage with increased AST and ALT values. Abdominal ultrasonography also confirms liver damage. Damage to the liver, spleen and kidneys is also visible on microscopic examination (histopathology). Symptomatic therapy is carried out to reduce clinical symptoms, namely by administering Ornipural®, Viamin 34 inject, and Enbatic powder. The cat died after 1 week of administration of Viamin and Enbatic powder, as well as 1 administration of Ornipural®. From the results of the examination that was carried out, the cat had hepatitis. Early treatment by observing clinical symptoms in animals can reduce the severity of a disease.

NEWCASTLE DISEASE AND AVIAN INFLUENZA IN BROILER THAT VACCINATED ON ONE DAY OLD

Newcastle disease and Avian Influenza are highly contagious viral diseases that can affect poultry with high mortality rates, and are zoonotic diseases that endanger humans. In this case study, broiler chickens aged 12 days were vaccinated at hatching and came from Yangapi Village, Tembuku, Bangli showed clinical symptoms of drooping neck or torticollis, no appetite, and greenish white diluted feces. Examinations are continued at each laboratory to obtain a definite diagnosis. The methods used are anatomical pathology examination, histopathology preparations, HA-HI examination, bacterial identification, and qualitative examination for paracites. The results of anatomical pathology examination found pathognomonic lesions, like ptechie in the proventriculus and ventriculus, enlargement and congestion in the lungs, hemorrhagic trachea, and hyperemic intestines. The results of histopathological examination showed marked changes with single-core inflammatory cells or lymphoid suggesting an infectious agent in the form of a virus. The results of the virology laboratory examination with the HA and HI test showed that the case chicken was positively infected by Newcastle Disease and Avian Influenza viruses. Bacteriology laboratory by culture of lung and intestinal organ samples was carried out on Nutrient Agar, followed by selective media Eosin Methylene Blue Agar, primary tests, gram staining, biochemical tests and sugar tests until the results showed that Escherichia coli bacteria grew from the chicken intestines and were classified as normal flora. The results of the examination related to parasites in the feces of case chickens by qualitative methods, natif, sedimentation concentration, and floating were confirmed not to be found worm eggs or coccidia. From this case study, it can be concluded that the case chicken was infected with Newcastle Disease and Avian Influenza viruses.

THYPLITIS HAEMORRHAGICA ET NECROTICAN IN THE INCIDENCE OF COCCIDIOSIS IN BROILER CHICKENS AGED 32 DAYS

Coccidiosis is a parasitic disease that often infects the digestive system of poultry and is caused by protozoan parasites from the genus Eimeria spp. Eimeria tenella is one of the most pathogenic protozoan species and has a predilection for the cecum and causes bloody diarrhea. The purpose of this paper is to determine the infectious agent that causes the death of 32 days old, female broiler chickens originating from one of the chicken farms in Petak Village, Gianyar District, Gianyar Regency. Clinical signs observed in chickens are weakness, pale wattles, dull looking feathers, clumps in the corners of the cage, and bloody diarrhea and dirty cloaca. Based on the results of the anatomical pathology examination, it showed that there was hemorrhage and thickening of the cecum wall (thyplitis haemorrhagica et necrotican). On histopathological examination, schizonts, hemorrhage, necrosis and inflammatory cell infiltration were found in the cecum and on parasitological examination, Eimeria sp oocysts were found. which has sporulated in chicken feces samples with moderate infection intensity. Conclusion: the case chicken was diagnosed as infected with coccidiosis by Eimeria tenella. Sanitation and improved cage management need to be carried out to prevent the occurrence of coccidiosis in chickens.