Abstract
In the present study 89 free-living birds of prey and owls were clinically
  examined. Blood analysis and radiographs were also performed. After
  stabilization the birds underwent endoscopy and kidney biopsy.
  The aims of the study were:
  1. Investigation of the feasibility and diagnostic reliability of kidney biopsies for
  the diagnosis of renal disease in birds of prey and owls, 
  2. Evaluation of the compatibility of kidney biopsies and the effect on selected
  blood parameters,
  3. Investigation of the reliability of clinical examination, blood tests and
  radiology for kidney diseases.
  topic one: Kidney biopsies are a useful tool for the diagnosis of kidney
  diseases. The lateral approach through the caudal thoracic and abdominal air
  sacs allows the evaluation of one kidney and a specific biopsy. Due to the
  anatomic arrangement only one kidney is completely visible using this
  approach.
  During endoscopy 2.2% (2/89) of the kidneys had severe changes, 13.5%
  (12/89) moderate changes and 52.8% (47/89) slight changes. 31.5% (28/89)
  of the birds had no macroscopically visible abnormalities. The visible changes
  were only local abnormalities.
  Biopsies with pathological findings (n = 66) showed one (53%), two (37.9%),
  three (7.6%) and five (1.5%) concurrent pathological conditions. In 0.8%
  (1/126) of the biopsies pathological alterations were found to be severe, in
  10.3% (13/126) moderate and in 43.7% to a slight degree. 45.2% (57/126) of
  the biopsies showed no histological abnormalities. Subcapsular bleeding
  (19/126), local inflamation (16/126), cell cylinder (12/126), PAS-positive
  material (8/126) and protein cylinders (6/126) were the most important
  histological findings. 76.1% of the specimens showed an conformity between
  endoscopy and biopsy results.
  The histopathology of the biopsy material had similar results in 30.8% (12/39)
  of cases when compared to post mortal examination.
  No endoscopically detectable changes had 20.5% (8/39) of the histopathologic
  examined animals.
  topic two: Taking of biopsies with specific forceps was possible without
  complications. Post biopsy haemorrhage averaged 67 seconds. The influence
  of the biopsy on blood values was small. One day after the biopsy urea and
  phosphorus rose significantly. Some birds showed a decrease of hematocrit up
  to 10%. The analysis of hematocrit, phosphorus, uric acid and urea showed no
  correlation over five days of monitoring.
  The 126 biopsies had in average a length of 2.2 mm, a width of 1.3 mm and a
  height of 1.0 mm. All samples contained proximal and distal tubuli and 1 - 89
  glomeruli. The number of the globuli was estimated and the most biopsie
  samples had 25 - 29 glomeruli per histological slice. 38.9% (49/126) of them
  contained one to for intralobular veins. 
  Biopsy material consisted of 10.7% of air sac tissue.
  A good estimation of the samples was possible in 89.7% (113/126) cases.
  59.5% (75/126) of the specimens were not damaged.
  topic three: No bird showed any indication of a kidney disease based on
  clinical examination.
  Uric acid levels above the reference value of 8.5 mg/dl had 28,3% (15/53) of
  the Eurasian buzzards (Buteo buteo) and 5.7% (3/53) had urea levels above
  36 mg/dl on the day of endoscopy. 
  One goshawk (Accipiter gentilis) showed uric acid levels above 14.3 mg/dl.
  Two sparrowhawks had uric acid levels above the reference value of 9.1 mg/dl.
  There was no correlation between radiological results and the histological
  biopsy results. 
  Some kidneys without endoscopical and histological findings revealed
  radiological alterations.
  69.1% (38/55) of the kidneys pathological examined birds showed no bacterial
  growth on microbiologic examination. E. coli was detected in 21.8% of this
  kidneys. 10.9% of the samples revealed Streptokokkus, Proteus, Micrococcus,
  coryneform bacteria, oxidase positive and gram positive bacteria. In 18.2% of
  the specimens microorganisms and histological findings were diagnosed. |