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Highly Pathogenic Avian Influenza A(H5N1) Virus Infection in Cats, South Korea, 2023
Yong-Myung Kang
1, Gyeong-Beom Heo
1, Se-Hee An, Hyunho Lee, Eunhye Park, Ra Mi Cha, Yun Yueng Jang, Mingeun Sagong, Ah-Young Kim, Jongho Kim, Eun-Kyoung Lee, Seong Hee Kim, Kyungki Lee, Bokkyung Ku, Youn-Jeong Lee, Kyunghyun Lee
, and Kwang-Nyeong Lee
Author affiliation: Animal and Plant Quarantine Agency, Gimcheon-si, South Korea (Y.-M. Kang, G.-B. Heo, S.-H. An, R.M. Cha, Y.Y. Jang, M. Sagong, A.-Y. Kim, J. Kim, E.-K. Lee, S.H. Kim, Kyungki Lee, B. Ku, Y.-J. Lee, Kyunghyun Lee, K.-N. Lee); Kyungpook National University, Daegu, South Korea (Y.-M. Kang); Seoul National University, Seoul, South Korea (G.-B. Heo); Seoul Metropolitan Government Research Institute of Public Health and Environment, Gwacheon-si, South Korea (H. Lee, E. Park)
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Figure 1
Figure 1. Gross, microscopic, and immunohistochemistry (IHC) findings in cats infected with highly pathogenic avian influenza A(H5N1) virus, South Korea, 2023. Findings are shown for cat carcasses from shelter 1 (Y cat carcass no. 3) and shelter 2 (G cat carcass no. 1). A–D) Gross findings: A) severe congestion and edema in the lungs; B) congestion and edema in the lungs; C) lack of lesions in the small intestine; D) bloody diarrhea in the small intestine (D). E–J) Hemotoxylin and eosin staining: E) brain showing no lesions; F) multifocal gliosis in the brain; G) interstitial pneumonia with focally extensive vascular thrombosis; H) interstitial pneumonia characterized by invasion of the alveolar lumina by mixed neutrophils and macrophages; I) brain showing no lesions; J) necrotic enteritis with confused villi. K–P) Immunohistochemical staining: K) brain showing no influenza virus antigens; L) influenza virus antigens in the neurons; M) influenza virus antigens in alveolar macrophages and bronchial epithelial cells; N) influenza virus antigens in alveolar macrophages and bronchial epithelial cells; O) influenza virus antigens in the small intestine; P) influenza virus antigens in the crypt epithelium and blood vessels in the submucosa. Original magnification ×100, except panel F, in which original magnification was ×10.
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