Topics in companion animal medicine最新文献

This study aimed to determine the minimum anesthetic concentration (MAC) of sevoflurane in tegus (Salvator merianae) and the morphine-sparing effect on this variable. In a prospective, non-blinded, crossover study, MAC was first determined in 6 tegus under sevoflurane anesthesia alone (MAC_SEVO) and then following intramuscular administration of morphine (10 mg/kg), administered 3 hour before sevoflurane anesthesia (MAC_SEVO+MOR). A standard bracketing technique was applied to determine the MAC by an electrical supramaximal noxious stimulus (50 Hz, 30 mA) delivered at the base of the tail of the tegus. The end-tidal sevoflurane fraction was reduced or increased by 10% in any evidence of negative or positive motor responses, respectively. The MAC was calculated as the mean of the 2 highest successive sevoflurane concentrations that permitted positive responses and the 2 lowest that prevented positive responses. Heart rate, esophageal temperature, and noninvasive mean arterial blood pressure were assessed every 10 minutes. The MAC was significantly different between MAC_SEVO (2.41 ± 0.06%) and MAC_SEVO+MORF (1.88 ± 0.43%) (P = .007), with a mean ± SD morphine-induced reduction in the sevoflurane MAC of 22 ± 18% (P = .0158). Heart rate, mean arterial blood pressure, and esophageal temperature did not differ between groups or within groups over time. Results showed that intramuscular premedication with 10 mg/kg morphine produced a sevoflurane sparing effect in tegus with no significant impact on cardiovascular variables.

Systemic arterial hypertension is a health condition causing target organ damage (TOD) in dogs. Early and effective treatment is essential to prevent hypertensive emergencies and to reduce the risk of TOD. This study investigated the diseases underlying hypertension and compared the short-term efficacy of antihypertensive drugs in dogs. We evaluated the medical records of client-owned dogs treated with antihypertensive drugs between 2017 and 2018. The study included 75 dogs diagnosed with systemic arterial hypertension (systolic blood pressure ≥150 mmHg). The dogs were classified based on treatment with the following antihypertensive drugs: calcium channel blocker amlodipine, angiotensin-converting enzyme inhibitor ramipril, and angiotensin receptor blocker telmisartan, either as monotherapy or combination therapy (telmisartan + amlodipine or ramipril + amlodipine). Systolic blood pressure was measured using an indirect Doppler method over 4 weeks. Naturally acquired hyperadrenocorticism was the most common disorder to be diagnosed in conjunction with systemic hypertension. In the telmisartan group, the systolic blood pressure decreased more rapidly for 3 weeks compared to ramipril. The combination of telmisartan and amlodipine showed the greatest decrease in systolic blood pressure throughout the 4-week treatment period. This study is meaningful as it suggests guidelines for the use of various antihypertensive drugs in dogs.

This report describes the clinical features and molecular diagnosis of a case of canine leproid granuloma (CLG) caused by mycobacterial strains of the Mycobacterium simiae complex in Brazil. A 12-year-old non-neutered male Labrador Retriever dog was presented with a 2-week history of progressive painless cutaneous lesions. Ulcerated nodules with hematic crusts were observed on the dorsal surface of the right and left pinna and on the metacarpal, metatarsal, and digits. Complete blood count, serum biochemistry, aspiration cytology of cutaneous lesions, biopsy for histopathological evaluation, culture for aerobic and anaerobic bacteria, polymerase chain reaction and DNA sequencing to identify mycobacterial species were performed. According to the clinical and histopathological findings, a diagnosis of CLG was established. Despite the negative result of the bacterial culture, mycobacterial identification was made by sequencing the hsp65 gene. Our findings highlight that mycobacterial species closely related to members of the M simiae clade can be causative agents of CLG.

The primary aim of this study was to establish the seroprevalence of Borrelia burgdorferi in dogs in Los Angeles County by testing shelter and client owned dogs with 2-tier ELISA testing. A secondary goal was to create a pilot study for evaluation of all Borrelia positive dogs for dermatologic signs of infection. This is the first study to look at the seroprevalence of Borrelia burgdorferi in dogs in Los Angeles County. We hypothesized that the prevalence is higher than previously predicted (0.5%-1%). 422 shelter and client owned dogs were tested for Borrelia burgdorferi with an ELISA cageside test. Seropositive animals were to have additional blood sent to a reference laboratory for further ELISA testing and examined for dermatologic manifestations of Borrelia burgdorferi. No dogs tested positive for Borrelia burgdorferi in this study population, however 3 dogs tested positive for Ehrlichia and 1 for Anaplasma, 2 other tick-borne pathogens uncommon in southern California. This is the first study in Los Angeles County to employ active surveillance regarding an important zoonotic disease. The findings prove that results from these types of studies may differ from those of predictions and passive surveillance. Dogs are sentinels for disease in people and focus should be placed on monitoring antibody levels in canine patients. This study carried out in an endemic area may prove more valuable in assessing cutaneous manifestations of Borrelia burgdorferi and provide a foundation for future hypothesis driven studies.

Chronic sun exposure in dogs can result in clinical changes in the skin referred to as solar or actinic dermatitis. A 5-year-old, neutered male, American Bulldog presented with localized unilateral erythematous macules, plaques, alopecia, comedones and hemorrhagic bullae involving the non-pigmented skin on left lateral ventral flank area. The presence of hyperplastic epidermis with keratinocyte dysplasia, superficial dermal elastosis, and multiple follicular cysts with occasional rupture (furunculosis) on histology, together with history and characteristic skin lesions was consistent solar dermatitis/actinic keratosis. Skin scrapings were negative and treatment for secondary pyoderma was initiated with oral clindamycin for 8 weeks. After 2 months of antibiotic therapy, the hemorrhagic bullae resolved; however, erythematous solar/actinic skin lesions with induration and comedones persisted. Topical application of imiquimod 5% cream 3 times weekly for 8 weeks resulted in the resolution of erythema, but some of the non-inflamed comedones remained. Staining for elastin and Ki67 revealed keratinocyte hyperplasia in hair follicle infundibulums and alterations in the elastic fibers around follicles, which may lead to closure and formation of follicular cysts. Imiquimod has been long suggested as a treatment option for solar dermatitis, but this is the first known case report detailing its efficacy in dogs.

Current management practices of pyometra in the private practice setting are not well documented. The goal of this study was to understand pyometra management in the private practice setting, and the current relationship private practices have with high quality, high volume, spay-neuter (HQHVSN) clinics regarding referral for pyometra surgery. An anonymous electronic survey was piloted and distributed using SurveyMonkey via email, social media, and the Independent Veterinary Practitioners Association targeting veterinarians who see companion animals. A total of 153 responses were received from June to July 2021, with respondents distributed throughout the United States. Practices performed a median of 10 spay and neuters per week, with the median spay cost being $350 (IQR 250-500) for dogs and $250 (IQR 180-350) for cats. The median cost of a pyometra surgery was $1000 (IQR 700-1500) for dogs and $750 (IQR 450-1000) for cats. All practices treated pyometra at least sometimes, despite the disruption (major 19%, moderate 47%, mild 29%, none 5%) to their day. All pyometra presentations were accepted for treatment at least sometimes: BAR/QAR (98%), depressed or non-ambulatory (88%), and obtunded or lateral (62%) with mean estimated survival of 96%, 74%, and 31%, respectively. The majority (56%) of clients were reported to sometimes have trouble paying for all recommended services, while it was less often reported that clients often (31%) or rarely (13%) had trouble. Private practices willing to refer only did so always 20% of the time and sometimes 36% of the time. Private practices will do what they can to treat most pyometras that present at their practice within a timely manner before referring elsewhere. There is currently inconsistent utilization of HQHVSN clinics as a potential referral resource due to location or appointment availability.

The SARS-CoV-2 pandemic affected not only the physical and emotional health of human beings but also cats. Restrictions put into effect during the pandemic resulted in changes in the daily routine of pet cats and the number of new pet owners. The current study aimed to evaluate the diseases induced by stress in cats, such as gastrointestinal, hepatobiliary, and urinary tract diseases. To this end, the study evaluated the pre-pandemic (n: 52) (March 2019-Feb 2020) and pandemic (n: 95) (March 2020-March 2021) diagnosis data of cats (n: 147) with gastrointestinal, hepatobiliary, and urinary system diseases admitted to the Internal Medicine Department of Hatay Mustafa Kemal University Veterinary Health, Practice and Research Center between March 2019 and March 2021. There was no statistically significant difference between the sexes of the cats admitted to the clinic in both periods. There was a significant change in cat breeds during the pandemic, except for the mixed-breed and Ankara breeds. The age (mean ± SEM) of the cats admitted to the clinic was 30.14 ± 4.24 months before the pandemic and 30.45 ± 3.43 during the pandemic. Distributions of gastrointestinal diseases in the pre-pandemic and pandemic periods were determined as 35.7% and 64.3%, respectively. During the pandemic, the number of gastritis cases was lower than that in the pre-pandemic period, and the number of gastroenteritis cases was higher than that in the pre-pandemic period. Except for gastrointestinal diseases (P <.05), a statistical difference between the periods was not found. The changes, especially influencing the daily routine of cats and causing stress, seem to have had significant effects on the gastrointestinal health of domestic cats.

The emergence of antimicrobial resistance among Staphylococcus spp. isolated from clinical cases of canines should be continuously monitored hence the present study was formulated to ascertain the antibiotypes and methicillin resistance in coagulase positive and coagulase negative staphylococci of canine skin and associated mucous membrane affections from a hot and dry region of India. A total of 165 clinical samples were collected and Staphylococcus aureus was identified by conventional bacteriological methods and PCR. Antibiotic susceptibility test was done against commercially available antibiotic impregnated discs as per Clinical and Laboratory Standards Institute (CLSI) method. Methicillin resistance was determined by plate methods and then via PCR of mecA gene. These 165 samples yielded, 88 (53.33%) isolates of genus Staphylococcus and 46 S. aureus and 51/88 (57.95%) isolates were coagulase positive staphylococci. Total 55 (62.5%) isolates showed susceptibility to Ceftriaxone/Sulbactum, 37 (42.05%) to Ciprofloxacin, 26 (29.55%) to Oxacillin, 24 (27.27%) to Penicillin, and 10 (11.36%) to Gentamicin. Total 21 methicillin-resistant S. aureus (MRSA) and 12 methicillin-resistant coagulase negative staphylococci (MRCoNS) were found on phenotypic basis whereas the mecA gene was detected in 6/21 MRSA and 2/12 MRCoNS isolates. Staphylococcus spp. showed increased level of resistance against commonly used antibiotics. The higher prevalence of methicillin resistance found with phenotypic methods than to mecA PCR indicates toward additional mechanisms responsible for emergence of MRS, especially in CoNS.

Apocrine gland anal sac adenocarcinoma (AGASAC) is a relatively uncommon tumor in the dog and comprises approximately 17% of perianal malignancies; however, it is one of the most common causes of paraneoplastic hypercalcemia. Clinical signs in affected dogs most commonly are associated with mechanical obstruction caused by the primary tumor or enlarged regional metastatic lymph nodes and the effects of paraneoplastic hypercalcemia when present. Surgical excision of the primary tumor and metastasectomy of affected locoregional lymph nodes is the preferred initial treatment option for most dogs, although radiation therapy and adjuvant chemotherapy are commonly incorporated into multi-modality treatment plans. A significant role for the use of adjuvant chemotherapy has not been clearly demonstrated. Prolonged survival times are possible, especially for dogs with smaller primary tumors and for dogs that undergo further treatments for recurrent disease. In this article, we review the clinical signs, diagnosis, staging, treatment, and prognosis of AGASAC in the dog.

Ovariohysterectomy is a common surgical procedure performed on female dogs throughout the world. One rare complication is the development of granulomas as a reaction to sutures. Granulomas can grossly and on diagnostic imaging mimic neoplasia, which can present a diagnostic challenge. We present a rare case of ovarian suture granuloma, which resembled a tumor on diagnostic imaging. A 5-year-old, spayed, mixed-breed bitch was presented for anorexia and apathy lasting for a week. On clinical examination fever, dehydration, enlarged lymph nodes, and a tense abdomen were evident. Radiology and ultrasound revealed a 9 cm x 7 cm mass at the location of the left ovary, presumed to be a tumor. The mass was removed on laparotomy and submitted for histopathology which diagnosed granulomatous inflammation as a reaction to a foreign body (most consistently with suture reaction). The current case presents a rare late complication of ovariohysterectomy in the form of a suture granuloma. The case emphasizes the need for additional diagnostic procedures for etiologic diagnosis of masses encountered in the abdomen, especially histopathology, as diagnostic imaging cannot distinguish inflammation from neoplasia.