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The main histologic lesions were demyelination, gliosis, meningitis, perivascular lymphocytic cuffing, and inclusion bodies. These lesions were similar in all 4 cases regardless of the time since vaccination, except that meningoencephalitis and gliosis were subacute in 3 dogs and chronic in 1 dog. However, these differences did not appear to be related to their vaccination status. Immunohistologically, a CDV-positive immunoreaction was seen mainly in astrocytes, neurons and their axons, lymphocytes around and in the blood vessels of the pia mater and choroid plexus, ependymal cells of each ventricle, and the cells of the choroid plexus. The histologic and immunohistologic changes were similar in the cerebellum and cerebrum. The genetic characterization of the virus strains in 2 of these naturally occurring canine distemper cases confirmed that they were South American wild-type strains (Kiki and Uy251) belonging to the EU1\/SA1 lineage. These strains are not included in the commercial CDV vaccines available in Uruguay.<\/jats:p>","DOI":"10.1177\/10406387211009210","type":"journal-article","created":{"date-parts":[[2021,4,17]],"date-time":"2021-04-17T06:16:57Z","timestamp":1618640217000},"page":"640-647","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Central nervous system lesions caused by canine distemper virus in 4 vaccinated dogs"],"prefix":"10.1177","volume":"33","author":[{"given":"Gimena","family":"Feij\u00f3o","sequence":"first","affiliation":[{"name":"Departments of Pathobiology, Veterinary Faculty, Universidad de la Rep\u00fablica, Montevideo, Uruguay"},{"name":"Veterinary Clinics & Hospital, Veterinary Faculty, Universidad de la Rep\u00fablica, Montevideo, Uruguay"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanji","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Departments of 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