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Respiratory Systen: T h e t r a c h e a c o n t a i n s a p i n k , fosrily s u b s t a n c e . The l u n g s are heavy pink-brown w i t h a m o t t l e d a p p e a r a n c e . The c a p s u l a r s u r f a c e h a s numerous p e t e c h i a l hemorrhagic a r e a s . On c u t s e c t i o n t h e r e i s e v i d e n c e o f m o d e r a t c t o s e v e r e c o n g e s t i o n ~britha s s o c i a t e d s e v e r e p u l m o n a ~ e d e m a t h r o u g h o u t t h e p a r e n c h y x a . Fibrii:ous b r o n d ~ opzeurronia e v i d e n t '&roughout. D i q e s t i v e System: The e s o p h a g u s r e v e a l s no s i g n i f i c a n t l e s i o n s . . The f o r e s t o m a c h i s e m-p t - . a n d t h e l n u c o s a i s m o d e r a t e l y s l o u q h e d . v The q l a n d u l ; s t o m a c h h a s a s m a l l q u a n t i t y o f s e m i - d i g e s t e d f i s h - s he m u c o s a r e v e a l s no s i g n i f i c a n t l e s i o r l s . The s m a l l and l a r q ? i n t e s t i n e s c o n t a i n a d a r k brown-black mucoid i n g e s t a . There is a moderate t a p e ~ ~ o ri n f e s t a t i o n i n m t h e srnall i n t e s t i n e s . ?'he l i v e r i s p u r p l e - b r o : ; n w i t h a roughenccl c a p s u l ; s u r f a c e and s w o l l e n e d g e s . On c u t s e c t i o n t b e r c i s e v i d e n c e o f m o d e r a t e congeskion. The a b d o m i n a l c a v i t y c o n t a i n s a b o u t 3 l i t e r s o f a y e l l o w clear f l u i d t h a t has a very s t r o n g u r i n e odor.
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Lymphatic system: The b r o n c h i a l , p r e s c a p u l a r , h e p a t i c a n d m e s e n t e r i c ivmoh n o d e s a r e s o f t , s w o l l e n t a n - g r a y . On c u t s e c t i o n t h e r e i s e v i d e n c e of darkening i n the medullary region. The s p l e e n i s m o d e r a t e l y e n l a r g e d , p u r p l e w i t h numerous f i b r i n t a g s o n t h e c a p s u l e . The c u t s e c t i o n r e v e a l s s e v e r e c o n g e s t i o n and t h e parenchyma i s j e l l y - l i k e .
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M u s c u l o s k e l e t a l Svstem: The m u s c u l a t u r e i n t h e inquinal region is K r u i s c d a n d hyper=and d i s c o l o r e d d o r s a l and v e n t r a l t o t h e u r i n a r y bladder. There is a l a r g e q u a n t i t y o f c l o t t e d blood n e a r t h e neck o f t h e bladder. The r e m a i n d e r o f t h e s y s t e m r e v e a l s n o s i g n i f i c a n t l e s i o n s . Endocrine & Exocrine System: The a d r e n a l g l a n d s are tan-brown and a p p e a r t o be s l i q h t l y atrophied. On c u t s e c t i o n t h e r e i s s l i g h t c o n q e s t i o n i n t h e m e d u l l a r y ~ c o r t i c a lr e g i o n . The p a n c r e a s r e v e a l s no s i g n i f i c a n t l e s i o C a r d i o v a s c u l a r System: The h e a r t i s o f n o r m a l . s h a p e a n d s i z e a n d i s slightly pale i n color. On c u t s e c t i o n t h e m y o c a r d i u m i s s l i g h t l y p a l e . The r e m a i n d e r o f t h e s y s t e m r e v e a l s n o s i g n i f i c a n t l e s i o n s . U r i n a r y S -t e m : y sThe k i d n e y s a r e d a r k brown a n d o f n o r m a l s h a p e , s i z e and c o n s i s t e n c y . On c u t s e c t i o n t h e r e i s e v i d e n c e -of m o d e r a t e c o n g e s t i o n The u r i n a r y b l a d d e r h a s a s m a l l q u a n t i t y o f a m i l k y r e d t h i c k m u c o i d u r i n e . The mucosa h a s s e v e r a l s m a l l p e t e c h i a l h e m o r r h a g i c a r e a s . R e p r o d u c t i v e System: The o v a r i e s a r e t a n s m a l l a n d i n a c t i v e . r e v e a l s no s i g n i f i c a n t l e s i o n s . Nervous System: Not e x a m i n e d . The u t e r u s
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C. 10306
PAT'ENT IDEN'TIFICATIOI!
A-079093-00
P L E A S E ~ N F O R M S OF i r r . U
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r ~ r . Lanny Cornell -Sea Ialorld 1720 South Shores Road Mission Bay. I San Diego, CA 921 09
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A O O R E S S R E P L Y T O THE D ~ R E C T O R A T T N - AFIP
3 C ;;.: p;~ ,; .
Dear Doctor Cornel 1 : Thank yo,u f o r s u b m i t t i n g t h i s i n t e r e s t i n g c a s e t i t h e Registry o f Comparati ve Path01 ogy. Your c a s e number i s Sbl-79093. 1.
AFIP D I A G F I O S s
Bronchopneumonia, a c u t e t o s u b a c u t e , f i br-i nop u r u l e n t , e x t e n s i v e , s e v e r e , 1 u t ~ g s , fernal e , k i l l e r whale (Orcinus 01-ca), Cetacea, b a c t e r i a l o r i g i n . Necrosis and f a t t y d e ~ e n e r a t i o n , d i f f u s e , s e v e r e , 1 i v e r . Congestion, p a s s i v e , s e v e r e , d i f f u s e , s p l e e n .
2.
3.
..Mi.
Comment: The pngurnonic l e s i o n s were s e v e r e and d i f f u s e and they appeared t o be o f r e c e n t duratioti a s evidenced by e x t e n s i v e hen:orrhage, congestion and f i b r i no-purul e n t exudate. Large c o l o n i e s of mi xed b a c t e r i a were p r e s e n t but most ~:et-egram-posi t i ve cocci arranged i n 1 a r g e c l u s t e r s , n;orph3l o g i c a l l y reserrbl ing t h e genus S t a p l ~ y ~ o c o c c u s .Large a r e a s of n e c r o s i s d r ~ df a t t y d e g e n e r a t i o n were noted i n t h e l i v e r and v;e be1 i e v e t h a t t h e s e v!ei-e secondary changes r e l a t e d t o t h e prirnary pneunlonic l e s i o n s . A very i n t e r e s t i n g c a s e c f o r 11hich we a r e pleased t o add t o O I J ~ o l l e c t i o n on d i s e a s e s o f marine nlammal s .
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RESPIRATORY: The l u n g s : H i s t o l o g i c a l l y t h e l e s i o n s i n t h e lunqs were c h a r a c t e r i z e d b y an a c u t e f i b r i n o - p u r u l e n t pneumonia. Numerous n e u r r o p h i l s f i l l e d t h e a l v e o l i a n d many o f t h e b r o n c h i . A l o n g w i t h t h e n e u t r o p h i l s was a c o n s i d e r a b l e amount o f e d e m a t o u s f l u i d and f i b r i n . Colonies o f bacteria, L J i~c h a p p e a r e d t o b e sma 1 1 b a c i 1 1 i , ! ] e r e f o u n d i n rrany a 1 v e o l i a n d b r o n c h i . DIGESTIVE: The l i v e r r e v e a l e d e v i d e n c e o f f o c a l n e c r o s i s t ~ i t h e n o r r h a g h There were s c a t t e r e d a r eas o f a p e r i p o r t a l i n f l a m m a t i o n , c l i a r a c t e r i zed by lymphocyte i r l f i l t r s t i o n . Some o f t h e s i n u s o i d s w i t h i n t h e l i v e r c o n t a i n e d a f e w n e u t r o p h i l s a n d t h e r e a p p e a r e d t o be some h y p e r p l a s i a o f P u r k i n j e c e l l s o ottier reticuloendothelial c e l l s . Sect'ions o f t h e i n t e s t i n e r e v e a l e d e r o s i o n s and f o c a l a r e a s o f n e c r o s i s . T h e s e l e s i o n s p e r h a p s c o u l d b e r e l a ~ e dt o p o s t mortem a u t o l y s i s . HEHOPO I ETI C: The s p l e e n was n a s s i v e , l y c o n g e s t e d a n d h e m o r r h a g i c . ~ h ' es p l e e n , a l o n g w i t h t h e 1 ymph nodes', a p p e a r e d t o h a v e u n d e r g o n e soc2 s u p p r e s s i o f Iymphopoies'is.
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