Journal
VETERINARY PATHOLOGY
Volume 56, Issue 1, Pages 61-77Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/0300985818806049
Keywords
pathology; immunohistochemistry; Rift Valley fever; sheep; tissue tropism; bunyaviruses; viral hemorrhagic fevers; zoonotic disease
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Funding
- Institutional Research Theme, Biotechnology and the Management of Animal and Zoonotic Diseases, of the University of Pretoria
- Department of Paraclinical Sciences of the Faculty of Veterinary Science, University of Pretoria
- Department of Diagnostic Medicine/Pathobiology, College of Veterinary Medicine, of Kansas State University
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Rift Valley fever (RVF) is a mosquito-borne disease that affects both ruminants and humans, with epidemics occurring more frequently in recent years in Africa and the Middle East, probably as a result of climate change and intensified livestock trade. Sheep necropsied during the 2010 RVF outbreak in South Africa were examined by histopathology and immunohistochemistry (IHC). A total of 124 sheep were available for study, of which 99 cases were positive for RVF. Multifocal-random, necrotizing hepatitis was confirmed as the most distinctive lesion of RVF cases in adult sheep. Of cases where liver, spleen, and kidney tissues were available, 45 of 70 had foci of acute renal tubular epithelial injury in addition to necrosis in both the liver and spleen. In some cases, acute renal injury was the most significant RVF lesion. Immunolabeling for RVFV was most consistent and unequivocal in liver, followed by spleen, kidney, lung, and skin. RVFV antigen-positive cells included hepatocytes, adrenocortical epithelial cells, renal tubular epithelial cells, macrophages, neutrophils, epidermal keratinocytes, microvascular endothelial cells, and vascular smooth muscle. The minimum set of specimens to be submitted for histopathology and IHC to confirm or exclude a diagnosis of RVFV are liver, spleen, and kidney. Skin from areas with visible crusts and lung could be useful additional samples. In endemic areas, cases of acute renal tubular injury should be investigated further if other more common causes of renal lesions have already been excluded. RVFV can also cause an acute infection in the testis, which requires further investigation.
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