Cranial superficial epigastric vein (CSEV) phlebitis and septicemia in
dairy cows. Figure 1. The intimal surface of the CSEV
(arrows) of case 4 is roughened and covered by thin layers of fibrin
(asterisk). The adjacent areas were markedly swollen and firm, as a
result of edema and fibrosis. Figure 2. The wall of the
CSEV of case 4 was markedly thickened by fibrosis and moderate numbers
of lymphocytes, plasma cells, and macrophages, mainly in the tunica
adventitia (arrowhead). There were extensive areas of endothelial
loss, covered by strands of fibrin, and expansion of the
subendothelial spaces with fibrin, neutrophils, and cell debris
(asterisk). H&E. Bar = 5 mm. Figure 3. Vegetative
endocarditis of the mitral valve of case 4. Figure 4. The
surface of the renal cortex of case 4 contained irregular pale tan
areas (infarcts) and yellow, 0.1–0.3-mm diameter nodules of embolic
nephritis.