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==Myositis==
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#redirect[[:Category:Muscles - Inflammatory Pathology]]
 
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*Inflammation of muscle
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===Bacterial myositis===
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*Bacteria gain entry via:
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**Direct penetration
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**Blood stream
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**Extension
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*Lesions caused:
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**Suppurative
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**Serosanguinous
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**Granulomatous
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====Abscesses====
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*Caused by pyogenic bacteria
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*Usually:
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**[[Arcanobacter pyogenes|''Arcanobacterium pyogenes'']] in sheep and cattle
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**[[Respiratory Bacterial Infections - Pathology#Strangles|''Streptococcus equi'']] in horses
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**''[[Corynebacterium pseudotuberculosis]]'' in sheep and goats
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**[[Pasteurella multocida|''Pasteurella multocida'']] causes cellulitis in cats
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*Usually localised suppuration and necrosis of myofibres
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*Occasionally my spread via the fascia
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====[[Black Leg]]====
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====[[Gas Gangrene|Gas gangrene]]====
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====[[Actinobacillosis|Wooden tongue]]====
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====[[Tuberculosis]]====
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====''[[Actinomyces bovis]]''====
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*"[[Lumpy jaw]]"
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====[[Botryomycosis]]====
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===Viral myositis===
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*Rare in the UK
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====[[Porcine encephalomyelitis]]====
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====[[Foot and Mouth Disease]]====
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====[[Bluetongue Virus|Bluetongue]]====
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===Parasitic myositis===
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*Rare in domestic animals
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====Nematodes====
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*[[Trichinella|'''''Trichinella''''']] larvae
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*[[Ancylostomatoidea|''Ancylostoma'']] larvae
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**Cause inflammation and [[Muscles Degenerative - Pathology#Necrosis|necrosis]]
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*[[Ascaridoidea|Ascarid]] larvae
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*[[Dirofilaria immitis|''Dirofilaria immitis'']] in dogs causing ischaemic myopathy due to [[Muscles Degenerative - Pathology#Ischaemia|infartcs]]
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====Cestodes====
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*[[Taenia|''Taenia solium, '']] - cysticercosis in swine and humans
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*[[Taenia|''T. ovis'']] - cysticercosis in sheep
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*[[Taenia|''T. saginata'']] in cattle cysticercosis
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*[[Taenia|''Multiceps serialis'']] in rabbits, primates coenurosis
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*[[Echinococcus|''Echinococcus granulosus'']] hydatid disease in herbivores and humans
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====Protozoa====
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*'''''[[Toxoplasma gondii]]'''''
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*[[Neospora|'''''Neospora caninum''''']]
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*[[Sarcocystis|'''''Sarcocystis''''']]
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*[[Hepatozoon|'''''Hepatozoon americanum''''']]
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*'''''[[Trypanosoma]]'''''
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*'''''[[Babesia|Babesia bovis]]'''''
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====Arthropods====
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*Dipterious larvae causing [[Myiasis|myiasis]]
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*[[Hypoderma spp.|''Hypoderma'' spp.]] in cattle
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**May occasionally burrow into muscle
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===Immune-mediated myositis===
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====Masticatory muscle myositis (MMM)====
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*Occurs in dogs
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*Tends to affect the masseter and temporalis muscles
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*Autoantibodies selectively attack muscles of mastication (type IIM fibres)
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*Acute stage = eosinophilic myositis
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**Extremely swollen, painful, hard masticatory muscles
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*Chronic stage = atrophic myositis
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**Atrophy may occur without previous acute stage
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*Grossly:
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**Bilateral but not necessarily symmetrical
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**At first, enlarged and oedematous muscles becominf dark red, firm with reddish streaks and yellowiss foci
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*Histologically:
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**Acute lesions:
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***Mainly eosinophilic infiltrate, few lymphocytes, [[Monocytes|monocytes]] and plasma cells
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***In recurrent disease plasma cells predominate
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***[[Muscles Degenerative - Pathology#Necrosis|Necrotic]] myofibres, [[Muscles Degenerative - Pathology#Atrophy|atrophy]] and attempted [[Muscle Regeneration|regeneration]]
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**Chronic stage:
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***[[Muscles Degenerative - Pathology#Atrophy|Atrophy]] predominates
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***Fasciculi are shrunken
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***Condensation of stroma -> enlarged endomysium
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***Focal plasma cell and lymphocyte infiltration
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====[[Canine Dermatomyositis|Canine dermatomyositis]]====
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===Idiopathic myositis===
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====Canine polymyositis====
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*DOES NOT include MMM above
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*Rare
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*Clinical signs:
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**Muscle pain
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**Fever
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**Weakness, particularly in hind limbs
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*Grossly:
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**Inflammation is accompanied by muscle necrosis and regeneration
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*Histologically:
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**Inflammatory foci with lymphocytes, plasma cells and occasionally eosinophils
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*Possibly immunological cause
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*Single biopsy may not be enough to make the diagnosis as it tends to be multifocal and disseminated
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*Lesions similar to some infectious causes (such as ''[[Toxoplasma gondii]]'')
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====Canine bilateral extraocular polymyositis====
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*In Golden retrievers
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*Very rare
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*Clinical signs:
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**Acute bilateral exophthalmos
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*Involves only extraocular muscles except for retractor blbi
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*Grossly:
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**Swollen and pale extraocular muscles
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*Histologically:
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**Sterile myositis
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**Multifocal necrosis of myofibres
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**Lymphocytic, histiocytic and plasmacytic infiltrate with few [[Neutrophils|neutrophils]]
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====Bovine and ovine eosinophilic myositis====
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*Unknown aetiology
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*Major cell involved is eosinphil
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*Usually noticed at slaughter - green muscle discoloration
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*May be caused by degenteration of [[Sarcocystis|''Sarcocystis'' spp.]]
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*Grossly:
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**Green discolored areas, well demarcated
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**Mostly in muscles of back and thighs
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*Histologically:
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**Massive eosinophil infiltration
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**Muscle fibres may degenerate
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**In old lesions - endimysial fibrosis, myofibre atrophy, some regeneration, lymphocytes, plasma cells, macrophages and few eosinophils
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**Capsule may form
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[[Category:Musculoskeletal System - Pathology]]
 
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