Kyle L. Granger, Charles T. Talbot, Cory N. Wakamatsu, McAllister Harris, Kristy L. Dowers
Adverse drug events are classified into type A (dose‐dependent and common) or type B (idiosyncratic and uncommon) reactions. Benzimidazole toxicosis in veterinary medicine typically induces nonspecific signs such as gastrointestinal distress and infrequent myelosuppression. Pancytopenia from benzimidazoles is exceptionally rare, with only one reported case. We present a 12‐year‐old, female, spayed, mixed‐breed dog with acute lethargy, anorexia, pyrexia and severe leukopenia after high‐dose benzimidazole therapy for suspected liver fluke infection. Despite hospitalisation, the dog remained unresponsive to antimicrobial therapies, developed neutropenic sepsis and was euthanized. Bone marrow analysis indicated marked haematopoietic hypoplasia suggestive of a type A adverse drug event secondary to an incidental, high‐dose fenbendazole administration.
{"title":"Benzimidazole‐associated pancytopenia in a dog with presumed Heterobilharzia americana infection","authors":"Kyle L. Granger, Charles T. Talbot, Cory N. Wakamatsu, McAllister Harris, Kristy L. Dowers","doi":"10.1002/vrc2.892","DOIUrl":"https://doi.org/10.1002/vrc2.892","url":null,"abstract":"Adverse drug events are classified into type A (dose‐dependent and common) or type B (idiosyncratic and uncommon) reactions. Benzimidazole toxicosis in veterinary medicine typically induces nonspecific signs such as gastrointestinal distress and infrequent myelosuppression. Pancytopenia from benzimidazoles is exceptionally rare, with only one reported case. We present a 12‐year‐old, female, spayed, mixed‐breed dog with acute lethargy, anorexia, pyrexia and severe leukopenia after high‐dose benzimidazole therapy for suspected liver fluke infection. Despite hospitalisation, the dog remained unresponsive to antimicrobial therapies, developed neutropenic sepsis and was euthanized. Bone marrow analysis indicated marked haematopoietic hypoplasia suggestive of a type A adverse drug event secondary to an incidental, high‐dose fenbendazole administration.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"156 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140932102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Leila Bedos, Anna Catherine Bowden, Jeff Olivarez, Melissa A. Kubai, Rachel A. Allbaugh
The objective was to evaluate the progression and management of eyelid tacking sutures before permanent eyelid surgical correction. A 1‐year‐old Aberdeen black Angus bull presented with a 1‐month history of bilateral corneal ulcers. Ophthalmic examination revealed an infected stromal corneal ulcer on the left eye and bilateral lower eyelid entropion. Lower eyelid tacking sutures were placed bilaterally to allow corneal healing, prevent recurrent corneal ulceration and allow resolution of concurrent moist dermatitis. Approximately 2 weeks after eyelid tacking, permanent entropion repair using a modified Hotz Celsus technique was performed on both lower eyelids. This report details the successful treatment of bilateral lower eyelid entropion in a bull using temporary tacking sutures to stabilise corneal and eyelid disease before permanent eyelid surgical correction.
{"title":"Management of bilateral lower eyelid entropion in a black Angus bull by temporary tacking and modified Hotz Celsus","authors":"Leila Bedos, Anna Catherine Bowden, Jeff Olivarez, Melissa A. Kubai, Rachel A. Allbaugh","doi":"10.1002/vrc2.890","DOIUrl":"https://doi.org/10.1002/vrc2.890","url":null,"abstract":"The objective was to evaluate the progression and management of eyelid tacking sutures before permanent eyelid surgical correction. A 1‐year‐old Aberdeen black Angus bull presented with a 1‐month history of bilateral corneal ulcers. Ophthalmic examination revealed an infected stromal corneal ulcer on the left eye and bilateral lower eyelid entropion. Lower eyelid tacking sutures were placed bilaterally to allow corneal healing, prevent recurrent corneal ulceration and allow resolution of concurrent moist dermatitis. Approximately 2 weeks after eyelid tacking, permanent entropion repair using a modified Hotz Celsus technique was performed on both lower eyelids. This report details the successful treatment of bilateral lower eyelid entropion in a bull using temporary tacking sutures to stabilise corneal and eyelid disease before permanent eyelid surgical correction.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"43 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140932110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daniel Prado, Joseph Smith, Taylor Locklear, Denae LoBato, Michelle Liu
{"title":"Klebsiella spp.‐associated septicaemia in a 5‐day‐old reindeer (Rangifer tarandus) calf","authors":"Daniel Prado, Joseph Smith, Taylor Locklear, Denae LoBato, Michelle Liu","doi":"10.1002/vrc2.874","DOIUrl":"https://doi.org/10.1002/vrc2.874","url":null,"abstract":"","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"105 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140931923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carley Johnson, Janis Lapsley, Hunter Piegols, Adam Rudinsky, Laura E. Selmic
A 13‐year‐old spayed female Cairn terrier was referred for surgical resection of a large oesophageal mass. The dog was initially presented to the primary care veterinarian for several days of gagging. The mass was initially diagnosed on thoracic radiographs and confirmed via computed tomography and oesophagoscopy. Endoscopic biopsies were performed that were consistent with oesophagitis. The dog was then referred to The Ohio State University Veterinary Medical Center for surgical resection of the mass. On surgical approach, a small nodule was palpable in the oesophagus; however, a large mass was not found. Oesophagoscopy was repeated intraoperatively, which revealed a small nodule in the same region of the previously described mass. The small nodule was removed, and histopathology was consistent with lymphohistiocytic inflammation and previous haemorrhage, consistent with an oesophageal haematoma. The dog made a full recovery post‐operatively, with continued resolution of clinical signs reported 5 months after surgery.
患者是一只 13 岁的绝育雌性凯恩梗，因食道大肿块而转诊接受手术切除。该犬最初因连续几天吞咽困难而被送往主治兽医处。该肿块最初是通过胸部 X 光片诊断出来的，后经计算机断层扫描和食道镜检查证实。内窥镜活检结果与食道炎一致。随后，该犬被转到俄亥俄州立大学兽医中心进行肿块手术切除。手术时，在食道内可触及一个小结节，但未发现大肿块。术中再次进行食道镜检查，发现在之前描述的肿块的同一区域有一个小结节。切除了小结节，组织病理学检查结果与淋巴组织细胞炎症和先前的出血一致，与食道血肿相符。该犬术后完全康复，据报告术后 5 个月临床症状持续缓解。
{"title":"Oesophageal haematoma in a Cairn terrier presenting for impaired swallowing, retching and cervical pain","authors":"Carley Johnson, Janis Lapsley, Hunter Piegols, Adam Rudinsky, Laura E. Selmic","doi":"10.1002/vrc2.876","DOIUrl":"https://doi.org/10.1002/vrc2.876","url":null,"abstract":"A 13‐year‐old spayed female Cairn terrier was referred for surgical resection of a large oesophageal mass. The dog was initially presented to the primary care veterinarian for several days of gagging. The mass was initially diagnosed on thoracic radiographs and confirmed via computed tomography and oesophagoscopy. Endoscopic biopsies were performed that were consistent with oesophagitis. The dog was then referred to The Ohio State University Veterinary Medical Center for surgical resection of the mass. On surgical approach, a small nodule was palpable in the oesophagus; however, a large mass was not found. Oesophagoscopy was repeated intraoperatively, which revealed a small nodule in the same region of the previously described mass. The small nodule was removed, and histopathology was consistent with lymphohistiocytic inflammation and previous haemorrhage, consistent with an oesophageal haematoma. The dog made a full recovery post‐operatively, with continued resolution of clinical signs reported 5 months after surgery.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"43 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140931922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rok Marzel, Starič Jože, Veren Geč Lena, Klinc Primož
A total mastectomy was the treatment of choice in a 10‐year‐old pet doe Pika with a history of severe necrotic mastitis secondary to a precocious udder. Following an elliptical skin incision, the mammary tissue was bluntly excised. Because of a large surgical defect, severe skin tension was needed to close the wound completely. A passive drain was placed in the surgical site to remove excess fluid, and the animal received antibiotic and anti‐inflammatory treatment. On the fifth day after the surgery, the drain was removed and palpation revealed an extensive subcutaneous emphysema at the surgical site as well as the back and neck of the animal. The antibiotic treatment was prolonged, and the animal kept for observation. After 3 weeks, the wound had healed completely, and the doe was discharged.
{"title":"Total mastectomy in severe necrotic mastitis in a pet goat complicated by a post‐operative generalised emphysema","authors":"Rok Marzel, Starič Jože, Veren Geč Lena, Klinc Primož","doi":"10.1002/vrc2.889","DOIUrl":"https://doi.org/10.1002/vrc2.889","url":null,"abstract":"A total mastectomy was the treatment of choice in a 10‐year‐old pet doe Pika with a history of severe necrotic mastitis secondary to a precocious udder. Following an elliptical skin incision, the mammary tissue was bluntly excised. Because of a large surgical defect, severe skin tension was needed to close the wound completely. A passive drain was placed in the surgical site to remove excess fluid, and the animal received antibiotic and anti‐inflammatory treatment. On the fifth day after the surgery, the drain was removed and palpation revealed an extensive subcutaneous emphysema at the surgical site as well as the back and neck of the animal. The antibiotic treatment was prolonged, and the animal kept for observation. After 3 weeks, the wound had healed completely, and the doe was discharged.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"21 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140883303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 5‐year‐old, entire, female Greenland dog was presented with polyuria and polydipsia. A mildly increased circulating concentration of ionised calcium, mild non‐regenerative anaemia, mild hypercholesterolemia and mild increases in liver enzyme activity were detected. Parathyroid hormone, plasma parathyroid hormone‐related protein and vitamin D were analysed in a blood sample, with all results below the lower limit of the reference range. Further investigation with abdominal ultrasonography, fine‐needle aspiration for cytology of the liver and spleen, thoracic radiography, adrenocorticotropic hormone‐stimulation and serum protein electrophoresis could not detect any disease. During the next months, the dog developed coat changes that clinically corresponded to an endocrinopathy. Analysis of thyroxine and thyroid‐stimulating hormone was performed. Thyroxine was less than 6 nmol/L and thyroid‐stimulating hormone was 1.5 µg/L, which indicated primary hypothyroidism. Treatment with l‐thyroxine resulted in normalisation of the hypercalcaemia. Moreover, the polyuria and alopecia resolved.
一只 5 岁大的雌性格陵兰犬出现多尿和多饮症状。经检测，该犬血液循环中的离子化钙浓度轻度升高、轻度非再生性贫血、轻度高胆固醇血症和肝酶活性轻度升高。对血样中的甲状旁腺激素、血浆甲状旁腺激素相关蛋白和维生素 D 进行了分析，所有结果均低于参考范围的下限。进一步的检查包括腹部超声波检查、肝脏和脾脏细针穿刺细胞学检查、胸部放射线检查、促肾上腺皮质激素刺激检查和血清蛋白电泳检查，均未发现任何疾病。在接下来的几个月里，这只狗的皮毛发生了变化，临床表现与内分泌病症相符。对甲状腺素和促甲状腺激素进行了分析。甲状腺素低于 6 nmol/L，促甲状腺激素为 1.5 µg/L，这表明狗狗患有原发性甲状腺功能减退症。使用左旋甲状腺素治疗后，高钙血症恢复正常。此外，多尿症和脱发也得到了缓解。
{"title":"Hypercalcaemia in a dog with hypothyroidism","authors":"Erika Brandeker, Amanda Scuka, Josefine Öberg","doi":"10.1002/vrc2.845","DOIUrl":"https://doi.org/10.1002/vrc2.845","url":null,"abstract":"A 5‐year‐old, entire, female Greenland dog was presented with polyuria and polydipsia. A mildly increased circulating concentration of ionised calcium, mild non‐regenerative anaemia, mild hypercholesterolemia and mild increases in liver enzyme activity were detected. Parathyroid hormone, plasma parathyroid hormone‐related protein and vitamin D were analysed in a blood sample, with all results below the lower limit of the reference range. Further investigation with abdominal ultrasonography, fine‐needle aspiration for cytology of the liver and spleen, thoracic radiography, adrenocorticotropic hormone‐stimulation and serum protein electrophoresis could not detect any disease. During the next months, the dog developed coat changes that clinically corresponded to an endocrinopathy. Analysis of thyroxine and thyroid‐stimulating hormone was performed. Thyroxine was less than 6 nmol/L and thyroid‐stimulating hormone was 1.5 µg/L, which indicated primary hypothyroidism. Treatment with <jats:sc>l</jats:sc>‐thyroxine resulted in normalisation of the hypercalcaemia. Moreover, the polyuria and alopecia resolved.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"221 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140883237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Four dogs with a median age of 5 months (4–8 months) were presented with type I congenital elbow luxation. Two dogs were bilaterally affected. All dogs had severe lameness and limited range of motion of the affected elbow. All were treated by radial head ostectomy. Mid‐term results were assessed by clinical and radiographic or computed tomography follow‐up in three dogs and using a validated owner questionnaire, the canine brief pain inventory (CBPI), in all dogs. Long‐term follow‐up was continued using the same questionnaire over a median time of 40.5 months. Follow‐up computed tomography or radiographs showed persistent humeroulnar incongruency and bone proliferation proximal to the ostectomy site. All owners reported rare episodes of mild lameness and a decreased CBPI score. This therapeutic option provided satisfactory mid‐ and long‐term outcomes. Moreover, to our knowledge, this is the first report of bilateral radial head ostectomy in dogs with type I congenital elbow luxation.
{"title":"Type I congenital elbow luxation treated by radial head ostectomy in four dogs (2019–2021)","authors":"Laura Bondonny, Audrey Belmudes, Pablo Rivier","doi":"10.1002/vrc2.865","DOIUrl":"https://doi.org/10.1002/vrc2.865","url":null,"abstract":"Four dogs with a median age of 5 months (4–8 months) were presented with type I congenital elbow luxation. Two dogs were bilaterally affected. All dogs had severe lameness and limited range of motion of the affected elbow. All were treated by radial head ostectomy. Mid‐term results were assessed by clinical and radiographic or computed tomography follow‐up in three dogs and using a validated owner questionnaire, the canine brief pain inventory (CBPI), in all dogs. Long‐term follow‐up was continued using the same questionnaire over a median time of 40.5 months. Follow‐up computed tomography or radiographs showed persistent humeroulnar incongruency and bone proliferation proximal to the ostectomy site. All owners reported rare episodes of mild lameness and a decreased CBPI score. This therapeutic option provided satisfactory mid‐ and long‐term outcomes. Moreover, to our knowledge, this is the first report of bilateral radial head ostectomy in dogs with type I congenital elbow luxation.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"46 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140883238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alicia McLaughlin, Chelsea Tripp, Eric Hostnik, Anna‐Maria Travis, Elise LaDouceur
A 4‐year‐old, entire, female chinchilla (Chinchilla lanigera) presented to an emergency veterinary hospital for laboured breathing, lethargy and hyporexia. Physical exam findings and diagnostic imaging were supportive of uterine disease. An ovariohysterectomy was performed, and histopathology diagnosed incompletely resected uterine lymphoma. A rotating outpatient chemotherapy protocol containing oral prednisolone (0.5 mg/kg), subcutaneous L‐asparaginase (400 iu/kg), oral cyclophosphamide (200 mg/m2) and subcutaneous cytosine arabinoside (50 mg/kg) was initiated. The patient tolerated chemotherapeutics well based on normal behaviour, appetite, exam findings and serial bloodwork values. One hundred two days after initial presentation, the patient was euthanased due to a decline in clinical condition. Postmortem examination and histopathology confirmed metastasis of lymphoma to the brain, mediastinum, mesentery, liver and spleen. No evidence of organ damage due to chemotherapeutics was noted histologically. Postmortem immunohistochemistry confirmed the diagnosis of lymphoma. Further studies are needed to guide chemotherapeutic dosing and treatment of lymphoma in chinchillas.
{"title":"Diagnosis and treatment of metastatic uterine lymphoma in a chinchilla (Chinchilla lanigera)","authors":"Alicia McLaughlin, Chelsea Tripp, Eric Hostnik, Anna‐Maria Travis, Elise LaDouceur","doi":"10.1002/vrc2.886","DOIUrl":"https://doi.org/10.1002/vrc2.886","url":null,"abstract":"A 4‐year‐old, entire, female chinchilla (<jats:italic>Chinchilla lanigera</jats:italic>) presented to an emergency veterinary hospital for laboured breathing, lethargy and hyporexia. Physical exam findings and diagnostic imaging were supportive of uterine disease. An ovariohysterectomy was performed, and histopathology diagnosed incompletely resected uterine lymphoma. A rotating outpatient chemotherapy protocol containing oral prednisolone (0.5 mg/kg), subcutaneous L‐asparaginase (400 iu/kg), oral cyclophosphamide (200 mg/m<jats:sup>2</jats:sup>) and subcutaneous cytosine arabinoside (50 mg/kg) was initiated. The patient tolerated chemotherapeutics well based on normal behaviour, appetite, exam findings and serial bloodwork values. One hundred two days after initial presentation, the patient was euthanased due to a decline in clinical condition. Postmortem examination and histopathology confirmed metastasis of lymphoma to the brain, mediastinum, mesentery, liver and spleen. No evidence of organ damage due to chemotherapeutics was noted histologically. Postmortem immunohistochemistry confirmed the diagnosis of lymphoma. Further studies are needed to guide chemotherapeutic dosing and treatment of lymphoma in chinchillas.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"101 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renal dysplasia is a histological diagnosis characterised by disorganised architecture of the renal cortex and medulla with disrupted nephron differentiation and primitive ducts surrounded by collarettes of the mesenchymal tissue. This condition has been reported once previously in ferrets as a component of multiple congenital abnormalities of the urogenital tract. A 1.5‐year‐old, male, neutered ferret was presented after being found minimally responsive under a fallen shelf in its enclosure. The ferret was obtunded, with mild intermittent muscle tremors and severe dehydration. Survey radiographs, including thoracic and abdominal ventrodorsal and right and left lateral views, were performed to assess for general trauma. The right renal silhouette was normal in size, and the left was moderately reduced. The capsular margins of both renal silhouettes were moderately undulating and mildly indistinct with perirenal retroperitoneal striations. No signs of trauma or other abnormalities were identified. Whole blood biochemical analysis demonstrated elevated creatinine, elevated blood urea nitrogen, hypernatraemia, hypercalcaemia, hyperphosphataemia and hyperproteinemia characterised by hyperalbuminemia and haemoconcentration. The hypernatraemia and mentation failed to improve with intravenous fluid therapy, and the ferret was euthanased. Bilateral renal dysplasia was confirmed via gross postmortem examination and histopathology.
{"title":"Bilateral renal dysplasia in a ferret (Mustela putorius furo)","authors":"Sayrah Gilbert, Angela Lennox, Cathy Johnson‐Delaney, Ethan Biswell","doi":"10.1002/vrc2.887","DOIUrl":"https://doi.org/10.1002/vrc2.887","url":null,"abstract":"Renal dysplasia is a histological diagnosis characterised by disorganised architecture of the renal cortex and medulla with disrupted nephron differentiation and primitive ducts surrounded by collarettes of the mesenchymal tissue. This condition has been reported once previously in ferrets as a component of multiple congenital abnormalities of the urogenital tract. A 1.5‐year‐old, male, neutered ferret was presented after being found minimally responsive under a fallen shelf in its enclosure. The ferret was obtunded, with mild intermittent muscle tremors and severe dehydration. Survey radiographs, including thoracic and abdominal ventrodorsal and right and left lateral views, were performed to assess for general trauma. The right renal silhouette was normal in size, and the left was moderately reduced. The capsular margins of both renal silhouettes were moderately undulating and mildly indistinct with perirenal retroperitoneal striations. No signs of trauma or other abnormalities were identified. Whole blood biochemical analysis demonstrated elevated creatinine, elevated blood urea nitrogen, hypernatraemia, hypercalcaemia, hyperphosphataemia and hyperproteinemia characterised by hyperalbuminemia and haemoconcentration. The hypernatraemia and mentation failed to improve with intravenous fluid therapy, and the ferret was euthanased. Bilateral renal dysplasia was confirmed via gross postmortem examination and histopathology.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"66 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An approximately 3‐month‐old female free‐ranging jaguarundi (Herpailurus yagouaroundi) was admitted for evaluation of swelling near the right stifle and inability to use the right hindlimb. Radiographic examination revealed a closed, short oblique fracture of the right distal femoral metaphysis, and the bone cortex appeared thin. Because of the poor body condition, the surgical procedure was performed 6 days after admission. The fracture was stabilised using a dynamic intramedullary crosspinning technique. Two 1.5 mm diameter Kirschner (K) wires were introduced at an approximately 20° angle to the sagittal plane of the femur. Radiographic evaluation 3 months after surgery revealed an open distal physis, fracture healing in the remodelling phase and K‐wires engulfed by the bone, which made removal impossible. At the 6‐month follow‐up, a length discrepancy of 0.8 cm in the right femur compared to the left femur was noted. Despite this complication, the locomotion pattern was considered normal according to visual gait analysis.
{"title":"Dynamic intramedullary crosspinning technique for the treatment of distal femoral metaphyseal fracture in a free‐ranging jaguarundi (Herpailurus yagouaroundi)","authors":"Guilherme Rech Cassanego, Sheila Canevese Rahal, Marcelo Meller Alievi, Charline Vanessa Vaccarin, Gabriella De Nardin Peixoto","doi":"10.1002/vrc2.879","DOIUrl":"https://doi.org/10.1002/vrc2.879","url":null,"abstract":"An approximately 3‐month‐old female free‐ranging jaguarundi (<jats:italic>Herpailurus yagouaroundi</jats:italic>) was admitted for evaluation of swelling near the right stifle and inability to use the right hindlimb. Radiographic examination revealed a closed, short oblique fracture of the right distal femoral metaphysis, and the bone cortex appeared thin. Because of the poor body condition, the surgical procedure was performed 6 days after admission. The fracture was stabilised using a dynamic intramedullary crosspinning technique. Two 1.5 mm diameter Kirschner (K) wires were introduced at an approximately 20° angle to the sagittal plane of the femur. Radiographic evaluation 3 months after surgery revealed an open distal physis, fracture healing in the remodelling phase and K‐wires engulfed by the bone, which made removal impossible. At the 6‐month follow‐up, a length discrepancy of 0.8 cm in the right femur compared to the left femur was noted. Despite this complication, the locomotion pattern was considered normal according to visual gait analysis.","PeriodicalId":23496,"journal":{"name":"Veterinary Record Case Reports","volume":"11 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140836603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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