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. 2023 Jul;35(4):438-442.
doi: 10.1177/10406387231176816. Epub 2023 May 19.

Canine leproid granuloma caused by a member of the Mycobacterium tuberculosis complex

Affiliations

Canine leproid granuloma caused by a member of the Mycobacterium tuberculosis complex

Federico Giannitti et al. J Vet Diagn Invest. 2023 Jul.

Abstract

Canine leproid granuloma (CLG) is a chronic form of dermatitis that has been associated with nontuberculous mycobacterial infections in Africa, Oceania, the Americas, and Europe. We report here a case of CLG associated with a member of the Mycobacterium tuberculosis complex (MTBC), which could be of public health concern. An 8-y-old pet dog developed 0.5-1-cm diameter, raised, firm, nonpruritic, alopecic, painless skin nodules on the external aspects of both pinnae. Histologic examination revealed severe pyogranulomatous dermatitis with intracellular Ziehl-Neelsen-positive bacilli that were immunoreactive by immunohistochemistry using a polyclonal primary antibody that recognizes tuberculous and nontuberculous Mycobacterium species. DNA extracted from formalin-fixed, paraffin-embedded skin sections was tested by a Mycobacterium genus-specific nested PCR assay targeting the 16S rRNA gene. BLAST sequence analysis of 214-bp and 178-bp amplicons showed 99.5% identity with members of the MTBC; however, the agent could not be identified at the species level. Although CLG has been associated traditionally with nontuberculous mycobacterial infections, the role of Mycobacterium spp. within the MTBC as a cause of this condition, and the role of dogs with CLG as possible sources of MTBC to other animals and humans, should not be disregarded given its zoonotic potential.

Keywords: Mycobacterium tuberculosis complex; canine leproid granuloma; dermatitis; dogs; pathology; pyogranuloma.

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Conflict of interest statement

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Gross appearance of the cutaneous mycobacterial pyogranulomas in an 8-y-old dog. Multifocal-to-coalescing 0.5–1-cm diameter raised alopecic nodules in the skin of the right pinna.
Figure 2.
Figure 2.
Microscopic images of the cutaneous mycobacterial pyogranulomas. A. Pyogranulomatous dermatitis. H&E. B. A multinucleate giant cell contains numerous intracytoplasmic, acid-fast bacilli. ZN stain. C. Scattered Mycobacterium spp. antigen immunoreactivity. IHC with rabbit polyclonal antibody against Mycobacterium spp. purified protein derivative. Hematoxylin counterstain.

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