Lipossarcoma pleomórfico esplênico primário em uma cadela / Primary splenic pleomorphic liposarcoma in a bitch

Background: Liposarcoma is a malignant neoplasm of lipoblasts with low incidence in dogs, representing 1.7% of tumorsdiagnosed in the spleen. In veterinary medicine, this neoplasm is classified morphologically into the myxoid, well-differentiated, undifferentiated and pleomorphic subtypes, the latter being one of the most aggressive forms, mainly in cavityorgans. This report refers to a primary splenic pleomorphic liposarcoma in a female dog, addressing anatomopathologicaland immunohistochemical aspects.Case: A 14-year-old, 35 kg bitch mongrel with history of absence of defecation, progressive weight loss, difficulty walking, sensitivity to abdominal palpation, prostration, pale mucous membranes, tachypnea and abdominal distention waspresented to diagnosis. The condition evolved to death and, on necroscopy, there was an increase in splenic volume withneoformation of whitish and reddish color, measuring 32 × 27 cm in its largest axes and weighing 8.9 kg. The neoformationexhibited areas of firm and soft consistency, and sectioning revealed focal areas of extensive necrosis and cavity collectionsof different diameters that allowed the flow of liquid serous contents with a brownish red color. Microscopy showed cellsof neoplastic morphology infiltrating the splenic parenchyma, mostly with slightly acidophilic cytoplasm and few intracytoplasmic lipid vacuoles, which varied in size and distribution. The nucleus of the cells was large, eccentric and irregular,with round to oval morphology, grossly lacy chromatin and single or multiple evident nucleoli. These cells exhibited markedanisocytosis, anisokaryosis and pleomorphism, with more than one mitotic figure per high magnification field visible. Mildinflammatory infiltrate, predominantly lymphocytic, permeated the neoplastic cells, and marked depletion of lymphoidfollicles and atrophy of the red pulp were found in the remaining splenic parenchyma. Immunohistochemical tests...

Lipossarcoma pleomórfico esplênico primário em uma cadela / Primary splenic pleomorphic liposarcoma in a bitch

Background: Liposarcoma is a malignant neoplasm of lipoblasts with low incidence in dogs, representing 1.7% of tumorsdiagnosed in the spleen. In veterinary medicine, this neoplasm is classified morphologically into the myxoid, well-differentiated, undifferentiated and pleomorphic subtypes, the latter being one of the most aggressive forms, mainly in cavityorgans. This report refers to a primary splenic pleomorphic liposarcoma in a female dog, addressing anatomopathologicaland immunohistochemical aspects.Case: A 14-year-old, 35 kg bitch mongrel with history of absence of defecation, progressive weight loss, difficulty walking, sensitivity to abdominal palpation, prostration, pale mucous membranes, tachypnea and abdominal distention waspresented to diagnosis. The condition evolved to death and, on necroscopy, there was an increase in splenic volume withneoformation of whitish and reddish color, measuring 32 × 27 cm in its largest axes and weighing 8.9 kg. The neoformationexhibited areas of firm and soft consistency, and sectioning revealed focal areas of extensive necrosis and cavity collectionsof different diameters that allowed the flow of liquid serous contents with a brownish red color. Microscopy showed cellsof neoplastic morphology infiltrating the splenic parenchyma, mostly with slightly acidophilic cytoplasm and few intracytoplasmic lipid vacuoles, which varied in size and distribution. The nucleus of the cells was large, eccentric and irregular,with round to oval morphology, grossly lacy chromatin and single or multiple evident nucleoli. These cells exhibited markedanisocytosis, anisokaryosis and pleomorphism, with more than one mitotic figure per high magnification field visible. Mildinflammatory infiltrate, predominantly lymphocytic, permeated the neoplastic cells, and marked depletion of lymphoidfollicles and atrophy of the red pulp were found in the remaining splenic parenchyma. Immunohistochemical tests...(AU)

Osmotic demyelination syndrome after primary hypoadrenocorticism crisis management

Background: Primary hypoadrenocorticism is a rare condition resulting from immune-mediated destruction of the adrenal cortices. It can also occur due to necrosis, neoplasms, infarctions, and granulomas. The clinical and laboratory changes are due to deficient secretion of glucocorticoids and mineralocorticoids, which leads to electrolyte disorders associated with hyponatremia and hyperkalemia. These disorders can cause hypotension, hypovolemia and shock, putting a patient's life at risk if inadequate hydroelectrolytic supplementation and hormone replacement is provided. Nevertheless, rapid sodium chloride supplementation is contraindicated due to the risk of central pontine myelinolysis induction. The present study aims to describe a thalamic osmotic demyelination syndrome after management of a primary hypoadrenocorticism crisis in a 2-year-old, female West White Highland Terrier. Case: The patient had a presumptive diagnosis of hypoadrenocorticism already receiving oral prednisolone and gastrointestinal protectants in the last 2 days. After prednisolone dose reduction the dog presented a severe primary hypoadrenocorticism crisis treated with intravenous sodium chloride 0.9% solution along with supportive therapy. Four days after being discharged from the hospital, the patient showed severe neurological impairment and went back to the clinic where a neurological examination revealed mental depression, drowsiness, ambulatory tetraparesis and proprioceptive deficit of the 4 limbs, postural deficits, and cranial nerves with decreased response. Due to these clinical signs, a magnetic resonance imaging was performed. It showed 2 intra-axial circular lesions, symmetrically distributed in both thalamus sides, with approximately 0.8 cm in diameter each without any other anatomical changes on magnetic resonance imaging. The images were compatible with metabolic lesions, suggesting demyelination. Furthermore, liquor analysis did not show relevant abnormalities, except for a slight increase in density and pH at the upper limit of the reference range. After treatment, the patient had a good neurological evolution secondary to standard primary hypoadrenocorticism treatment, without sequelae. Discussion: In the present case report, primary hypoadrenocorticism gastrointestinal signs seemed to be triggered by a food indiscretion episode, not responsive to the symptomatic therapies employed. The patient´s breed and age (young West White Highland Terrier bitch) is in accordance with the demographic profile of patients affected by the disease, where young females are frequently more affected. Regarding the probable thalamic osmotic demyelination syndrome documented in this case, is important to notice that myelinolysis or demyelination is an exceedingly rare noninflammatory neurological disorder, initially called central pontine myelinolysis, which can occur after rapid correction of hyponatremia. It has already been observed in dogs after correction of hyponatremia of different origins, including hypoadrenocorticism and parasitic gastrointestinal disorders. Currently, the terms "osmotic myelinolysis" or "osmotic demyelination syndrome" are considered more suitable when compared to the term "central pontine myelinolysis" since it has been demonstrated in dogs and humans the occurrence of demyelination secondary to the rapid correction of hyponatremia in distinct regions of the central nervous system including pons, basal nuclei, striatum, thalamus, cortex, hypoppocampus, and cerebelum. The present case report emphasizes the difficulties for hormonal confirmation of primary hypoadrenocorticism in a patient already on corticosteroid treatment, as well as proposes that the current term osmotic demyelination syndrome replace the term "central pontine myelinolysis" in veterinary literature related to the management of hypoadrenocorticism crisis.

Hérnia diafragmática peritoneopericárdica em um felino da raça Persa / Peritoneopericardial diaphragmatic hernia in a Persian cat

Background: Peritoneopericardial diaphragmatic hernia is a congenital defect characterized by an anomalous communication between the abdominal cavity and pericardial sac, which can lead to displacement of the abdominal viscera into the thoracic cavity. The occurrence in felines is higher among long-haired breeds, mainly the Persian breed, possibly based onan autosomal recessive inheritance. The diagnosis of PPDH is performed by means of chest radiography with or without contrast, in association with other imaging tests such as ultrasonography and echocardiography. Our objective in this study was to report the occurrence and macroscopic changes in a case of peritoneopericardial diaphragmatic hernia in a Persian feline. Case: A 9-year-old male Persian cat weighing 3.4 kg was referred to the HPET-Private Veterinary Clinic, Salvador, Bahia, with an history of weight loss and chronic intermittent vomiting during the preceding 6 months, with lateral decubitus and breathing difficulties. Ultrasonography revealed findings suggestive of an infiltrative process in the stomach and duodenum, enlarged gastric lymph nodes, and some nodular images indicating slight displacement of the liver. Chest radiography revealed a cardiac silhouette with markedly enlarged dimensions associated with a dorsal deviation of the terminal trachea, and echocardiography revealed a small amount of pericardial effusion. The patient showed initial clinical improvement after blood transfusion; however, after 2 days, he exhibited significant clinical worsening and was therefore euthanized with the owner's consent. Post mortem evaluation revealed partial herniation of the liver and gallbladder into the chest cavity through a diaphragmatic hernia ring. The heart was partially surrounded by the left medial lobe of the liver, which was displaced into the pericardial sac. Herniated hepatic lobes had an irregular capsular surface with evident lobulation and tension lipidosis. In the abdominal cavity, the remainder of the liver (right lateral and medial lobes) was observed to be slightly enlarged, with an irregular surface, diffusely reddish with intense evidence of the lobular pattern and white and firm multifocal areas (fibrosis). In the duodenum, close to the pylorus, there was a nodule measuring 2.8 x 2.5 x 1.0 cm, with a whitish and ulcerated surface. When cut, it was soft and exhibited a homogeneous, whitish compact surface. Histopathological examinationshowed marked proliferation of fibrous connective tissue, which for the most part separated the lobes by septa and surrounded the portal space (fibrosis), a marked diffuse chronic inflammatory infiltrate composed of lymphocytes and plasma cells. In addition, marked bile duct hyperplasia and multifocal areas of fatty degeneration (steatosis). Discussion: The diagnosis was based on the association of clinical and pathological findings. Considering the age and clinical signs presented by the patient in this report, as well as the presence of few radiographic signs that were indicative of PPDH, the first differential diagnosis thought was pericardial neoplasia. Peritoneopericardial diaphragmatic hernia in felines is always of congenital origin and may occur asymptomatically depending on the number and involvement of herniated viscera. In this case, the patient's diagnosis of peritoneopericardial hernia was a necropsy finding; the fact that in agreement with previous reports of high rates of incidental diagnoses reinforces the importance of performing necropsy for confirmation or diagnosis of unexpected pathologies. In the present case, peritoneopericardial diaphragmatic hernia in isolation may not have led to severe anemia that culminated in the patient's death. The anatomopathological findings were compatible with biliary cirrhosis and multifocal liver fibrosis, accompanied by the presence of anemia and consequent hypovolemia.

Intermittent hemodialysis, an alternative treatment for ovine with acute-on-chronic kidney disease / Hemodiálise intermitente, um tratamento alternativo para ovinos em doença renal crônica agudizada / Hemodialisis intermitente, un tratamiento alternativo para ovinoscon enfermedad renal aguda en crónica

Chronic Kidney Disease (CKD) is a syndrome composed of numerous comorbidities such as the failure of excretion of toxins and nitrogenous compounds from metabolism, as well as the failure to maintain endocrine, water, electrolyte and acid-base homeostasis in all mammals. As it is a non-regenerative and progressive disease, any endogenous or exogenous insults in the organ in question will lead to the intensification of all these mentioned disorders associated with decreased urinary output. Several studies in humans and animals recommend the use of renal replacement therapy, especially in those who already have CKD, and who are in uremic syndrome. This report aims to demonstrate that the use of intermittent hemodialysis (HI) in sheep is a therapeutic alternative in those in renal failure. A six-year-old Bergamasca sheep was presented with lateral decubitus, dyspnea, dark liquid diarrhea, apathy, anorexia and pulmonary crepitation on auscultation. Laboratory tests showed azotemia and electrolyte changes such as hypocalcemia, hypokalemia, hypochloremia, isosthenuria (1,012), pyuria, glycosuria, and a protein: creatinine ratio of 0.88. In ultrasonography, the real resistivity index was above 0.54, being suggestive of loss of renal perfusion. The treatment chosen consisted of electrolytic and fluid replacement, associated with HI. After HI, the sheep showed great clinical and laboratory improvement as expected, however, despite not having survived, the histopathological findings of the necropsy pointed out segments of glomerulosclerosis, thus reinforcing the hypothesis that the animal already had a CKD which was aggravated due to the association of hypovolemia, hypotension by anesthetic drugs and the indiscriminate use of NSAIDs. Despite the death of the sheep, HI again proved to be a therapy of rapid clinical...

A Doença Renal Crônica (DRC) é uma síndrome composta por inúmeras comorbidades como a falha da excreção de toxinas e compostos nitrogenados oriundos do metabolismo, bem como da falha na manutenção da homeostase endócrina, hídrica, eletrolítica e ácido-básico de todos os mamíferos. Por ser uma doença não-regenerativa e progressiva, quaisquer insultos endógenos ou exógenos no órgão em questão propiciará a intensificação de todas estas desordens mencionadas associadas a diminuição do débito urinário. Diversos estudos em humanos e animais recomendam o emprego de terapia de substituição renal, especialmente naqueles que já apresentam a DRC, e que se encontram em síndrome urêmica. Este relato tem como objetivo demonstrar que o emprego da hemodiálise intermitente (HI) em ovinos é uma alternativa terapêutica naqueles em falência renal. Uma ovelha Bergamácia de seis anos foi encaminhada em decúbito lateral, dispneia, diarreia líquida escura, apatia, anorexia e crepitação pulmonar à auscultação. Exames laboratoriais demonstraram azotemia e alterações eletrolíticas como hipocalcemia, hipocalemia, hipocloremia, isostenúria (1.012), piúria, glicosúria, e razão proteína: creatinina de 0,88. Em ultrassonografia, o index de resistividade real, apresentou-se acima de 0,54, sendo sugestivo de perda de perfusão renal. O tratamento eleito constituiu na reposição eletrolítica e volêmica, associada a HI. Após a HI, a ovelha apresentou grande melhora clínica e laboratorial como esperado, no entanto, apesar de não ter sobrevivido, os achados histopatológicos da necropsia apontaram segmentos de glomeruloesclerose, reforçando assim a hipótese de que o animal já apresentava uma DRC a qual agudizou devido a associação da hipovolemia, hipotensão por fármacos anestésicos e ao uso indiscriminado de AINES. Apesar do óbito da ovelha, a HI demonstrou novamente ser uma terapia de rápida melhora clínica e laboratorial do paciente comparada ao tratamento clínico convencional, assim sendo uma importante alternativa...

La enfermedad renal crónica (ERC) es un síndrome compuesto por numerosas comorbilidades, como el fracaso de la excreción de toxinas y compuestos nitrogenados del metabolismo, así como el fracaso para mantener la homeostasis endocrina, hidrica, electroliticay ácido-base en todos los mamíferos. Como es una enfermedad no regenerativa y progresiva, cualquier insulto endógeno o exógeno en el órgano en cuestión conducirá a la intensificación de todos estos trastornos mencionados asociados con la disminución del gasto urinario. Varios estudios en humanos y animales recomiendan el uso de la terapia de reemplazo renal, especialmente en aquellos que ya tienen ERC y que padecen síndrome urémico. Este informe tiene como objetivo demostrar que el uso de hemodiálisis intermitente (HI) en ovejas es una alternativa terapéutica en aquellos con insuficiencia renal. Una oveja Bergamasca de seis años fue apresentadaen decúbito lateral, disnea, diarrea líquida oscura, apatía, anorexia y crepitación pulmonar en la auscultación. Las pruebas de laboratorio mostraron alteraciones de azotemia y electrolitos como hipocalcemia, hipocalemia, hipocloremia, isostenuria (1,012), piuria, glucosuria y una relación proteína: creatinina de 0.88. En la ecografía, el índice de resistividad real fue superior a 0,54, lo que sugiere una pérdida de perfusión renal. El tratamiento elegido consistió en reemplazo electrolítico y de fluidos, asociado con HI. Después de HI,la oveja mostró una gran mejoría clínica y de laboratorio como se esperaba, sin embargo, a pesar de no haber sobrevivido, los hallazgos histopatológicos de la necropsia señalaron segmentos de glomeruloesclerosis, lo que refuerza la hipótesis de que el animal ya tenía una ERC que se agravó debido a la asociación de hipovolemia, hipotensión por fármacos anestésicos y el uso indiscriminado de AINE. A pesar de la muerte de la oveja, HI nuevamente demostró ser una terapia de rápida mejora clínica y de laboratorio del paciente en comparación con el tratamiento clínico convencional...

Intermittent hemodialysis, an alternative treatment for ovine with acute-on-chronic kidney disease / Hemodiálise intermitente, um tratamento alternativo para ovinos em doença renal crônica agudizada / Hemodialisis intermitente, un tratamiento alternativo para ovinoscon enfermedad renal aguda en crónica

Chronic Kidney Disease (CKD) is a syndrome composed of numerous comorbidities such as the failure of excretion of toxins and nitrogenous compounds from metabolism, as well as the failure to maintain endocrine, water, electrolyte and acid-base homeostasis in all mammals. As it is a non-regenerative and progressive disease, any endogenous or exogenous insults in the organ in question will lead to the intensification of all these mentioned disorders associated with decreased urinary output. Several studies in humans and animals recommend the use of renal replacement therapy, especially in those who already have CKD, and who are in uremic syndrome. This report aims to demonstrate that the use of intermittent hemodialysis (HI) in sheep is a therapeutic alternative in those in renal failure. A six-year-old Bergamasca sheep was presented with lateral decubitus, dyspnea, dark liquid diarrhea, apathy, anorexia and pulmonary crepitation on auscultation. Laboratory tests showed azotemia and electrolyte changes such as hypocalcemia, hypokalemia, hypochloremia, isosthenuria (1,012), pyuria, glycosuria, and a protein: creatinine ratio of 0.88. In ultrasonography, the real resistivity index was above 0.54, being suggestive of loss of renal perfusion. The treatment chosen consisted of electrolytic and fluid replacement, associated with HI. After HI, the sheep showed great clinical and laboratory improvement as expected, however, despite not having survived, the histopathological findings of the necropsy pointed out segments of glomerulosclerosis, thus reinforcing the hypothesis that the animal already had a CKD which was aggravated due to the association of hypovolemia, hypotension by anesthetic drugs and the indiscriminate use of NSAIDs. Despite the death of the sheep, HI again proved to be a therapy of rapid clinical...(AU)

A Doença Renal Crônica (DRC) é uma síndrome composta por inúmeras comorbidades como a falha da excreção de toxinas e compostos nitrogenados oriundos do metabolismo, bem como da falha na manutenção da homeostase endócrina, hídrica, eletrolítica e ácido-básico de todos os mamíferos. Por ser uma doença não-regenerativa e progressiva, quaisquer insultos endógenos ou exógenos no órgão em questão propiciará a intensificação de todas estas desordens mencionadas associadas a diminuição do débito urinário. Diversos estudos em humanos e animais recomendam o emprego de terapia de substituição renal, especialmente naqueles que já apresentam a DRC, e que se encontram em síndrome urêmica. Este relato tem como objetivo demonstrar que o emprego da hemodiálise intermitente (HI) em ovinos é uma alternativa terapêutica naqueles em falência renal. Uma ovelha Bergamácia de seis anos foi encaminhada em decúbito lateral, dispneia, diarreia líquida escura, apatia, anorexia e crepitação pulmonar à auscultação. Exames laboratoriais demonstraram azotemia e alterações eletrolíticas como hipocalcemia, hipocalemia, hipocloremia, isostenúria (1.012), piúria, glicosúria, e razão proteína: creatinina de 0,88. Em ultrassonografia, o index de resistividade real, apresentou-se acima de 0,54, sendo sugestivo de perda de perfusão renal. O tratamento eleito constituiu na reposição eletrolítica e volêmica, associada a HI. Após a HI, a ovelha apresentou grande melhora clínica e laboratorial como esperado, no entanto, apesar de não ter sobrevivido, os achados histopatológicos da necropsia apontaram segmentos de glomeruloesclerose, reforçando assim a hipótese de que o animal já apresentava uma DRC a qual agudizou devido a associação da hipovolemia, hipotensão por fármacos anestésicos e ao uso indiscriminado de AINES. Apesar do óbito da ovelha, a HI demonstrou novamente ser uma terapia de rápida melhora clínica e laboratorial do paciente comparada ao tratamento clínico convencional, assim sendo uma importante alternativa...(AU)

La enfermedad renal crónica (ERC) es un síndrome compuesto por numerosas comorbilidades, como el fracaso de la excreción de toxinas y compuestos nitrogenados del metabolismo, así como el fracaso para mantener la homeostasis endocrina, hidrica, electroliticay ácido-base en todos los mamíferos. Como es una enfermedad no regenerativa y progresiva, cualquier insulto endógeno o exógeno en el órgano en cuestión conducirá a la intensificación de todos estos trastornos mencionados asociados con la disminución del gasto urinario. Varios estudios en humanos y animales recomiendan el uso de la terapia de reemplazo renal, especialmente en aquellos que ya tienen ERC y que padecen síndrome urémico. Este informe tiene como objetivo demostrar que el uso de hemodiálisis intermitente (HI) en ovejas es una alternativa terapéutica en aquellos con insuficiencia renal. Una oveja Bergamasca de seis años fue apresentadaen decúbito lateral, disnea, diarrea líquida oscura, apatía, anorexia y crepitación pulmonar en la auscultación. Las pruebas de laboratorio mostraron alteraciones de azotemia y electrolitos como hipocalcemia, hipocalemia, hipocloremia, isostenuria (1,012), piuria, glucosuria y una relación proteína: creatinina de 0.88. En la ecografía, el índice de resistividad real fue superior a 0,54, lo que sugiere una pérdida de perfusión renal. El tratamiento elegido consistió en reemplazo electrolítico y de fluidos, asociado con HI. Después de HI,la oveja mostró una gran mejoría clínica y de laboratorio como se esperaba, sin embargo, a pesar de no haber sobrevivido, los hallazgos histopatológicos de la necropsia señalaron segmentos de glomeruloesclerosis, lo que refuerza la hipótesis de que el animal ya tenía una ERC que se agravó debido a la asociación de hipovolemia, hipotensión por fármacos anestésicos y el uso indiscriminado de AINE. A pesar de la muerte de la oveja, HI nuevamente demostró ser una terapia de rápida mejora clínica y de laboratorio del paciente en comparación con el tratamiento clínico convencional...(AU)

Hypotonic enteral electrolyte solutions administered by nasoesophageal tube in continuous flow in dogs dehydrated by water restriction: Part 1 / Soluções eletrolíticas enterais hipotônicas administradas por sonda nasoesofágica em fluxo contínuo em cães desidratados por restrição hídrica: Parte 1

The present study assessed and compared the effects of hypotonic enteral electrolyte solutions administered by nasoesophageal tube in continuous flow in dogs submitted to water restriction on packed cell volume; total serum protein and serum osmolarity concentrations; blood volume; plasma glucose and lactate levels; blood gas analysis, anion gap, and strong ion difference. Six adult dogs were used (four males and two females). All animals were submitted to both proposed treatments in a crossover design 6×2. The treatments were as follows: ESmalt consisting of 5g sodium chloride, 1g potassium chloride, 1g calcium acetate, 0.2g magnesium pidolate, and 9.6g maltodextrin that were diluted in 1.000mL water (measured osmotic concentration of 215mOsm L−1) and ESdext consisting of 5g sodium chloride, 1g potassium chloride, 1g calcium acetate, 0.2g magnesium pidolate, and 9.6g dextrose that were diluted in 1.000mL water (measured osmotic concentration of 243mOsm L−1). All solutions were administered at 15ml kg−1 h−1 for 4 hours. Both solutions increased the plasma volume in dehydrated dogs without causing adverse effects. However, ESmalt was more effective in promoting the increase in blood volume.(AU)

O presente estudo avaliou e comparou os efeitos de soluções eletrolíticas enterais hipotônicas, administradas por sonda nasoesofágica em fluxo contínuo em cães submetidos a restrição hídrica, sobre o hematócrito, proteínas totais séricas, osmolaridade sérica, volemia, glicose e lactato plasmáticos, hemogasometria, ânion gap e DIF. Foram utilizados seis cães adultos (quatro machos e duas fêmeas). Todos os animais foram submetidos aos dois tratamentos propostos, em um delineamento crossover 6×2. Os tratamentos foram os seguintes: SEmalt - 5g de cloreto de sódio, 1g de cloreto de potássio, 1g de acetato de cálcio, 0,2g de pidolato de magnésio e 9,6g de maltodextrina, diluídos em 1.000mL de água (osmolaridade mensurada: 215mOsm L -1 ); SEdext - 5g de cloreto de sódio, 1g de cloreto de potássio, 1g de acetato de cálcio, 0,2g de pidolato de magnésio e 9,6g de dextrose, diluídos em 1.000mL de água (osmolaridade mensurada: 243mOsm L -1 ). Todas as soluções foram administradas no volume de 15mL kg -1 hora -1 , durante quatro horas, em fluxo contínuo. Ambas as soluções aumentaram o volume plasmático em cães desidratados, sem gerar o aparecimento de efeitos adversos. Porém, a SEmalt foi mais eficaz em promover a expansão da volemia.

Hypotonic enteral electrolyte solutions administered by nasoesophageal tube in continuous flow in dogs dehydrated by water restriction: Part 1 / Soluções eletrolíticas enterais hipotônicas administradas por sonda nasoesofágica em fluxo contínuo em cães desidratados por restrição hídrica: Parte 1

The present study assessed and compared the effects of hypotonic enteral electrolyte solutions administered by nasoesophageal tube in continuous flow in dogs submitted to water restriction on packed cell volume; total serum protein and serum osmolarity concentrations; blood volume; plasma glucose and lactate levels; blood gas analysis, anion gap, and strong ion difference. Six adult dogs were used (four males and two females). All animals were submitted to both proposed treatments in a crossover design 6×2. The treatments were as follows: ESmalt consisting of 5g sodium chloride, 1g potassium chloride, 1g calcium acetate, 0.2g magnesium pidolate, and 9.6g maltodextrin that were diluted in 1.000mL water (measured osmotic concentration of 215mOsm L−1) and ESdext consisting of 5g sodium chloride, 1g potassium chloride, 1g calcium acetate, 0.2g magnesium pidolate, and 9.6g dextrose that were diluted in 1.000mL water (measured osmotic concentration of 243mOsm L−1). All solutions were administered at 15ml kg−1 h−1 for 4 hours. Both solutions increased the plasma volume in dehydrated dogs without causing adverse effects. However, ESmalt was more effective in promoting the increase in blood volume.(AU)

O presente estudo avaliou e comparou os efeitos de soluções eletrolíticas enterais hipotônicas, administradas por sonda nasoesofágica em fluxo contínuo em cães submetidos a restrição hídrica, sobre o hematócrito, proteínas totais séricas, osmolaridade sérica, volemia, glicose e lactato plasmáticos, hemogasometria, ânion gap e DIF. Foram utilizados seis cães adultos (quatro machos e duas fêmeas). Todos os animais foram submetidos aos dois tratamentos propostos, em um delineamento crossover 6×2. Os tratamentos foram os seguintes: SEmalt - 5g de cloreto de sódio, 1g de cloreto de potássio, 1g de acetato de cálcio, 0,2g de pidolato de magnésio e 9,6g de maltodextrina, diluídos em 1.000mL de água (osmolaridade mensurada: 215mOsm L -1 ); SEdext - 5g de cloreto de sódio, 1g de cloreto de potássio, 1g de acetato de cálcio, 0,2g de pidolato de magnésio e 9,6g de dextrose, diluídos em 1.000mL de água (osmolaridade mensurada: 243mOsm L -1 ). Todas as soluções foram administradas no volume de 15mL kg -1 hora -1 , durante quatro horas, em fluxo contínuo. Ambas as soluções aumentaram o volume plasmático em cães desidratados, sem gerar o aparecimento de efeitos adversos. Porém, a SEmalt foi mais eficaz em promover a expansão da volemia.

Clinical responses to acute blood loss in goats / Respostas clínicas à perda sanguínea aguda em caprinos

The response to blood loss is directly related to the degree of hemorrhage, but for the caprine species some aspects still need to be investigated. Therefore, the present study aimed to assess the clinical and hemodynamic effects of acute blood loss in goats. Eight healthy, adult male crossbred goats were subjected to external jugular puncture to remove 30% of the total blood volume. A physical examination and blood gas, biochemical, and hematologic analyses were performed at baseline, before blood loss (T0), and after one (T1h), six (T6h), 12 (T12h), 24 (T24h) and 72 (T72h) hours, and eight (T8d), 16 (T16d), 24 (T24d) and 32 (T32d) days after the acute blood loss event. The goats presented with tachycardia, tachypnea, and hyperthermia one hour after blood loss with a return to normal physiological values at T6h. Packed cell volume was decreased at T1h and red cell counts at T12h, both returning to baseline at T24d. There was a reduction in total protein and albumin levels at T1h, both remained below baseline levels until T16d and T8d, respectively. The serum calcium concentration decreased over the period T1h to T24h and glucose increased over the period T1h to T6h. The values of pH, TCO2 , bicarbonate, and base excess were lower at T1h, while lactate increased markedly at this time. The pCO2 value only was reduced at T24h. Systolic (PS), diastolic (PD), and mean (PM) pressures were decreased at T1h. Acute loss of 30% of blood volume in goats caused changes in clinical, blood gas, and biochemical parameters, which were restored over a six-hour period, while hematologic changes were more persistent, with baseline values restored only after 24 days.

A resposta clínica à perda de sangue está diretamente relacionada ao grau de hemorragia, mas para a espécie caprinas alguns aspectos ainda precisam ser investigados. Deste modo o presente estudo teve como objetivo avaliar os efeitos clínicos e hemodinâmicos da perda aguda de sangue em caprinos. Oito caprinos adultos, mestiços, hígidos, foram submetidas a punção jugular externa para remoção de 30% do volume total de sangue. Foi realizado exame clínico e análises hematológicas, hemogasométricas e bioquímicas no momento basal, antes da perda de sangue (T0), e uma (T1h), seis (T6h), 12 (T12h), 24 (T24h) e 72 (T72h) horas e oito (T8d), 16 (T16d), 24 (T24d) e 32 (T32d) dias após. As cabras apresentaram taquicardia, taquipneia e hipertermia uma hora após a perda de sangue com retorno aos valores fisiológicos em T6h. O volume globular diminuiu em T1h e a contagem de células vermelhas em T12h, ambos retornando valores basais em T24d. Houve uma redução nos níveis de proteína totais e albumina em T1h, e ambos permaneceram abaixo dos níveis basais até T16d e T8d, respectivamente. A concentração sérica de cálcio diminuiu durante o período T1h para T24h e a glicose aumentou no período T1h a T6h. Os valores de pH, TCO2, bicarbonato e excesso de base foram menores em T1h, enquanto o lactato aumentou acentuadamente neste momento. O pCO2 foi reduzida somente em T24h. As pressões sistólica (PS), diastólica (PD) e média (PM) diminuíram em T1h. A perda aguda de 30% do volume sangüíneo em cabras causou alterações nos parâmetros clínicos, hemogasométricos e bioquímicos, que foram restaurados ao longo de um período de seis horas, enquanto que as alterações hematológicas foram mais persistentes, com valores basais restaurados somente após 24 dias.

Clinical responses to acute blood loss in goats / Respostas clínicas à perda sanguínea aguda em caprinos

The response to blood loss is directly related to the degree of hemorrhage, but for the caprine species some aspects still need to be investigated. Therefore, the present study aimed to assess the clinical and hemodynamic effects of acute blood loss in goats. Eight healthy, adult male crossbred goats were subjected to external jugular puncture to remove 30% of the total blood volume. A physical examination and blood gas, biochemical, and hematologic analyses were performed at baseline, before blood loss (T0), and after one (T1h), six (T6h), 12 (T12h), 24 (T24h) and 72 (T72h) hours, and eight (T8d), 16 (T16d), 24 (T24d) and 32 (T32d) days after the acute blood loss event. The goats presented with tachycardia, tachypnea, and hyperthermia one hour after blood loss with a return to normal physiological values at T6h. Packed cell volume was decreased at T1h and red cell counts at T12h, both returning to baseline at T24d. There was a reduction in total protein and albumin levels at T1h, both remained below baseline levels until T16d and T8d, respectively. The serum calcium concentration decreased over the period T1h to T24h and glucose increased over the period T1h to T6h. The values of pH, TCO2 , bicarbonate, and base excess were lower at T1h, while lactate increased markedly at this time. The pCO2 value only was reduced at T24h. Systolic (PS), diastolic (PD), and mean (PM) pressures were decreased at T1h. Acute loss of 30% of blood volume in goats caused changes in clinical, blood gas, and biochemical parameters, which were restored over a six-hour period, while hematologic changes were more persistent, with baseline values restored only after 24 days.(AU)

A resposta clínica à perda de sangue está diretamente relacionada ao grau de hemorragia, mas para a espécie caprinas alguns aspectos ainda precisam ser investigados. Deste modo o presente estudo teve como objetivo avaliar os efeitos clínicos e hemodinâmicos da perda aguda de sangue em caprinos. Oito caprinos adultos, mestiços, hígidos, foram submetidas a punção jugular externa para remoção de 30% do volume total de sangue. Foi realizado exame clínico e análises hematológicas, hemogasométricas e bioquímicas no momento basal, antes da perda de sangue (T0), e uma (T1h), seis (T6h), 12 (T12h), 24 (T24h) e 72 (T72h) horas e oito (T8d), 16 (T16d), 24 (T24d) e 32 (T32d) dias após. As cabras apresentaram taquicardia, taquipneia e hipertermia uma hora após a perda de sangue com retorno aos valores fisiológicos em T6h. O volume globular diminuiu em T1h e a contagem de células vermelhas em T12h, ambos retornando valores basais em T24d. Houve uma redução nos níveis de proteína totais e albumina em T1h, e ambos permaneceram abaixo dos níveis basais até T16d e T8d, respectivamente. A concentração sérica de cálcio diminuiu durante o período T1h para T24h e a glicose aumentou no período T1h a T6h. Os valores de pH, TCO2, bicarbonato e excesso de base foram menores em T1h, enquanto o lactato aumentou acentuadamente neste momento. O pCO2 foi reduzida somente em T24h. As pressões sistólica (PS), diastólica (PD) e média (PM) diminuíram em T1h. A perda aguda de 30% do volume sangüíneo em cabras causou alterações nos parâmetros clínicos, hemogasométricos e bioquímicos, que foram restaurados ao longo de um período de seis horas, enquanto que as alterações hematológicas foram mais persistentes, com valores basais restaurados somente após 24 dias.(AU)

Histopathological and immunohistochemical evaluation of primary muscular peripheral T cell lymphoma in a dog

Background: Canine lymphoma is the most common hematopoietic neoplasm in dogs and reveals divergent biological behaviors correlated to histopathological subtype, the immunophenotypic (T or B) and tumor stage. The multi-centric form is the most common presentation for canine lymphoma, followed by gastrointestinal and cutaneous forms. Miscellaneous forms of canine lymphoma (nasal, osseous, central nervous system and muscle) represent less than 1% of all cases. This report describes the clinical, macroscopic, histopathological and immunohistochemical findings detected in a dog with a primary muscular lymphoma. Case: The subject was referred to the Emergency and Critical Care Service at the Veterinary Hospital with a history of claudication in the left pelvic limb, severe dehydration, hypovolemia, vomiting and diarrhea caused by gastroenteritis associated with the use of phenylbutazone. After death, the post-mortem examination revealed ulcerative gastritis in the gastrointestinal tract (GIT). Histopathological examination of the GIT specimens, mesenteric lymph nodes, and the left popliteal lymph node revealed no neoplastic alterations. Histological examination of semitendinosus muscle revealed proliferation of cells with round or oval nucleus, an evident pleomorphic nucleolus and scanty, eosinophilic cytoplasm. There were five to six mitosis per each 400x field. These cells infiltrated through the muscle fibers. The muscle fibers displayed marked eosinophilic sarcoplasm, loss of striations and fragmentation (degeneration). Immunohistochemical staining revealed negative reaction for CD79a and positive for CD45 and CD3. Discussion: The primary muscle lymphoma it is very rare disease and patients commonly have clinical signs related with muscle location...

Nefrectomia total unilateral em cachorro-do-mato (Cerdocyon thous) / Total unilateral nephrectomy in a crab-eating fox (Cerdocyon thous)

Background: The loss of natural habitats associated with the development of humanity resulted in the need for longer trips and greater interaction with highways by some animal species. Vehicle collision with animals is one of the main factors of pressure over wild animal populations in Brazil; veterinary surgery can play an important role for the recovery of these patients. The lesions commonly seen in animals hit by vehicles may comprise skin lesions, central nervous system injuries, intrathoracic and intra-abdominal complications, among which renal lesions are included. The aim of this work is to report the use of a total nephrectomy technique in a crab-eating fox. Case: A female, adult, 5-kg crab-eating fox (Cerdocyon thous Linnaeus, 1766) was received for emergency care at the Veterinary Hospital of Universidade Federal do Paraná at Palotina. The patient had been struck by a vehicle at a local highway, was unconscious, and exhibited signs of blood loss such as hypothermia, hypotension, and pale mucous membranes. As the clinical evaluation was performed, the patient was stabilized with pain management, correction of hypovolemia and hypothermia, and oxygen therapy. Blood samples were taken in case of the need for preoperative tests. Subsequently, the animal was submitted to the diagnostic imaging section to investigate possible injuries. No chemical restraint was necessary for the procedures. Radiography examination revealed loss of intra-abdominal contrast, which was confirmed to be free fluid on ultrasound examination. Immediately after imaging examination, the animal was taken to the surgical room for exploratory laparotomy. The surgical incision, which was performed over the linea alba, extended from the xiphoid process to the pubis...

Nefrectomia total unilateral em cachorro-do-mato (Cerdocyon thous) / Total unilateral nephrectomy in a crab-eating fox (Cerdocyon thous)

Background: The loss of natural habitats associated with the development of humanity resulted in the need for longer trips and greater interaction with highways by some animal species. Vehicle collision with animals is one of the main factors of pressure over wild animal populations in Brazil; veterinary surgery can play an important role for the recovery of these patients. The lesions commonly seen in animals hit by vehicles may comprise skin lesions, central nervous system injuries, intrathoracic and intra-abdominal complications, among which renal lesions are included. The aim of this work is to report the use of a total nephrectomy technique in a crab-eating fox. Case: A female, adult, 5-kg crab-eating fox (Cerdocyon thous Linnaeus, 1766) was received for emergency care at the Veterinary Hospital of Universidade Federal do Paraná at Palotina. The patient had been struck by a vehicle at a local highway, was unconscious, and exhibited signs of blood loss such as hypothermia, hypotension, and pale mucous membranes. As the clinical evaluation was performed, the patient was stabilized with pain management, correction of hypovolemia and hypothermia, and oxygen therapy. Blood samples were taken in case of the need for preoperative tests. Subsequently, the animal was submitted to the diagnostic imaging section to investigate possible injuries. No chemical restraint was necessary for the procedures. Radiography examination revealed loss of intra-abdominal contrast, which was confirmed to be free fluid on ultrasound examination. Immediately after imaging examination, the animal was taken to the surgical room for exploratory laparotomy. The surgical incision, which was performed over the linea alba, extended from the xiphoid process to the pubis...(AU)

Histopathological and immunohistochemical evaluation of primary muscular peripheral T cell lymphoma in a dog

Background: Canine lymphoma is the most common hematopoietic neoplasm in dogs and reveals divergent biological behaviors correlated to histopathological subtype, the immunophenotypic (T or B) and tumor stage. The multi-centric form is the most common presentation for canine lymphoma, followed by gastrointestinal and cutaneous forms. Miscellaneous forms of canine lymphoma (nasal, osseous, central nervous system and muscle) represent less than 1% of all cases. This report describes the clinical, macroscopic, histopathological and immunohistochemical findings detected in a dog with a primary muscular lymphoma. Case: The subject was referred to the Emergency and Critical Care Service at the Veterinary Hospital with a history of claudication in the left pelvic limb, severe dehydration, hypovolemia, vomiting and diarrhea caused by gastroenteritis associated with the use of phenylbutazone. After death, the post-mortem examination revealed ulcerative gastritis in the gastrointestinal tract (GIT). Histopathological examination of the GIT specimens, mesenteric lymph nodes, and the left popliteal lymph node revealed no neoplastic alterations. Histological examination of semitendinosus muscle revealed proliferation of cells with round or oval nucleus, an evident pleomorphic nucleolus and scanty, eosinophilic cytoplasm. There were five to six mitosis per each 400x field. These cells infiltrated through the muscle fibers. The muscle fibers displayed marked eosinophilic sarcoplasm, loss of striations and fragmentation (degeneration). Immunohistochemical staining revealed negative reaction for CD79a and positive for CD45 and CD3. Discussion: The primary muscle lymphoma it is very rare disease and patients commonly have clinical signs related with muscle location...(AU)

Pathological alterations in dogs resulting from parasitism by Spirocerca Lupi

Background: Spirocercosis is considered to be an emerging pathological condition within veterinary medicine. The disease has worldwide distribution, although the greatest prevalence has been described in tropical and subtropical regions. The infection rate is affected by the interrelationships between the density of the dog population and intermediate hosts. The aim of this study was report the morphological and histopathological characteristics of natural infection by Spirocerca lupi in dogs from Distrito Federal, Brazil. Cases: Records were obtained from 10 dogs diagnosed with spirocercosis at the Pathology Sector, School of Veterinary Medicine, União Pioneira de Integração Social (UPIS), in Brasília, Federal District. For six animals, the diagnosis was confirmed through necropsy. Two dogs presented aortic rupture, thus resulting in hemothorax and consequent hypovolemic shock. Another animal presented gastric nodules, erratic migration to the lungs and renal and splenic infarction due to aortic thromboembolism. One dog presented neoplastic transformation of the esophageal granuloma to osteosarcoma. The age of the dogs ranged from one to eight years and the weight ranged from 15 to 40 kg. The clinical histories were similar: regurgitation (10/10), emesis (5/10), dysphagia (7/10), weight loss (10/10), weakness (3/10) and dyspnea (4/10). Esophageal nodules measured 1 to 5 cm in [...](AU)

Pathological alterations in dogs resulting from parasitism by Spirocerca Lupi

Background: Spirocercosis is considered to be an emerging pathological condition within veterinary medicine. The disease has worldwide distribution, although the greatest prevalence has been described in tropical and subtropical regions. The infection rate is affected by the interrelationships between the density of the dog population and intermediate hosts. The aim of this study was report the morphological and histopathological characteristics of natural infection by Spirocerca lupi in dogs from Distrito Federal, Brazil. Cases: Records were obtained from 10 dogs diagnosed with spirocercosis at the Pathology Sector, School of Veterinary Medicine, União Pioneira de Integração Social (UPIS), in Brasília, Federal District. For six animals, the diagnosis was confirmed through necropsy. Two dogs presented aortic rupture, thus resulting in hemothorax and consequent hypovolemic shock. Another animal presented gastric nodules, erratic migration to the lungs and renal and splenic infarction due to aortic thromboembolism. One dog presented neoplastic transformation of the esophageal granuloma to osteosarcoma. The age of the dogs ranged from one to eight years and the weight ranged from 15 to 40 kg. The clinical histories were similar: regurgitation (10/10), emesis (5/10), dysphagia (7/10), weight loss (10/10), weakness (3/10) and dyspnea (4/10). Esophageal nodules measured 1 to 5 cm in [...]

Noradrenaline and dobutamine effects on the volume expansion with normal saline in rabbits subjected to hemorrhage

PURPOSE: To evaluate the effects of dobutamine (DB), noradrenaline (NA), and their combination (NADB), on volume retention in rabbits submitted to hemorrhage. METHODS: Thirty six rabbits were randomly divided into 6 groups: SHAM, Control, Saline, DB, NA, DB+NA. All the animals, except for SHAM, were subjected to hemorrhage of 25% of the calculated blood volume. Control animals were replaced with their own blood. The other groups received NSS 3 times the volume withdrawn. The intravascular retention, hematocrit, diuresis, central venous pressure, mean arterial pressure, NGAL, dry-to-wet lung weight ratio (DTWR) and the lung and kidney histology were analyzed. RESULTS: Replacement with NSS and NA, DB or NA+DB did not produce differences in the intravascular retention. After hemorrhage, the animals presented a significant decrease in the MAP and CVP, which were maintained until volume replacement. Regarding NGAL, dry-to-wet-lung-weight ratio, lung and kidney histology, there were no statistical differences between the groups. CONCLUSION: The use of noradrenaline, dobutamine or their combination did not increase the intravascular retention of volume after normal saline infusion.(AU)

AVALIAÇÃO DAS ALTERAÇÕES HEMATOLÓGICAS E BIOQUIMÍCAS PROMOVIDAS PELO USO DA DEXMEDETOMIDINA ISOLADA OU ASSOCIADA COM A METADONA NA SEDAÇÃO E ANALGESIA DE EQUINOS

Na rotina médica e cirúrgica de equinos é comum à utilização de fármacos analgésicos e sedativos alfa-2 agonistas, para os mais diversos procedimentos, dentre esses, situações como a síndrome do abdômen agudo não responsivo ao uso de anti-inflamatórios não esteroidais. O objetivo do presente trabalho foi avaliar as alterações promovidas pelo uso da dexmedetomidina isolada ou associada com a metadona na sedação e analgesia de equinos por meio de exames laboratoriais de rotina. Foram selecionados 6 equinos da raça quarto de milha, adultos, sem distinção de sexo, com peso aproximado (431,8 ± 30,3 Kg), hígidos, comprovados por meio de exames clínicos, sorológicos negativos para anemia infecciosa equina, hemograma, perfil bioquímico renal (ureia e creatinina), bioquímico hepático (Aspartato aminotransferase (AST), Fosfatase Alcalina (FA), albumina e Gama glutamil transferase (GGT) e exames parasitológicos dentro dos valores normais. A seguir, foram coletadas amostras sanguíneas em todos os grupos nos tempos basal, 5, 10, 30, 60, 90 minutos. Houve redução dos eritrócitos, hemácias, hemoglobina e leucócitos totais em ambos os grupos e redução nas enzimas albumina, AST, FA aos 30 minutos em relação ao basal. Em todos os tratamentos os animais apresentaram características de sedação leve à moderada, esta sendo mais relevante no grupo dexmedetomidina associada à metadona (GDM) e ambos permitiram a coleta das amostras sem intercorrências. Os resultados demonstraram uma redução significativa na FC em relação aos tempos 5 e 10 minutos em comparação com os 60 minutos no grupo GDM. Nas variáveis AST e FA houve diferença estatística (p<0,05) no tempo de 30 minutos em relação ao basal. Foi observada diferença (p<0,05) nos indices de uréia nos tempos entre 5 e 10 minutos. Na avaliação dos parâmetros hematológicos em ambos os grupos dexmedetomidina (GD) e GDM houve uma redução significativa dos eritrócitos, hematócrito, hemoglobina e leucócitos totais nos primeiros 30 minutos após administração dos fármacos retornando próxima a normalidade aos 90 minutos da administração, não houve diferença significativa na concentração de proteína plasmática. Conclui-se que associação dexmedetomidina e metadona promoveu uma sedação de curta duração sendo indicado para procedimentos com igual ou inferior duração de 30 minutos. Além disso, uso da dexmedetomidina isolada ou associada é contraindicado em pacientes com quadros de anemia, hipovolemia devido à redução nos parâmetros hematológicos.

In the medical and surgical routine of horses, it is common to use analgesic drugs and sedatives alpha-2 agonists, for the most diverse procedures, among these, situations such as acute abdomen syndrome not responsive to the use of non-steroidal anti-inflammatory drugs. The aim of this study was to evaluate the alterations promoted by the use of dexmedetomidine alone or associated with methadone in equine sedation and analgesia through routine laboratory tests. Six quarter-mile horses were selected, adults, without gender distinction, with approximate weight (431.8 ± 30.3 kg), healthy, proven by clinical, serological tests negative for equine infectious anemia, blood count, renal biochemical profile (urea and creatinine), hepatic biochemical (Aspartate aminotransferase (AST), Alkaline phosphatase (FA), albumin and Gamma glutamyl transferase (GGT) and parasitological examinations within normal values. Next, blood samples were collected in all groups at baseline, 5, 10, 30, 60, 90 minutes. There was a reduction in erythrocytes, red blood cells, hemoglobin and total leukocytes in both groups and reduction in albumin enzymes, AST, FA at 30 minutes in relation to baseline. In all treatments, the animals presented mild to moderate sedation characteristics, which is more relevant in the methadone-associated dexmedetomidine group (GDM) and both allowed the collection of samples without complications. The results showed a significant reduction in HR in relation to 5 and 10 minutes in comparison with 60 minutes in the GDM group. In the variables AST and AF there was a statistical difference (p<0.05) in the time of 30 minutes in relation to the baseline. A difference (p<0.05) was observed in the urea indices at times between 5 and 10 minutes. In the evaluation of hematological parameters in both the dexmedetomidine (GD) and GDM groups, there was a significant reduction in erythrocytes, hematocrit, hemoglobin and total leukocytes in the first 30 minutes after administration of the drugs returning close to normal at 90 minutes of administration, there was no significant difference in plasma protein concentration. It was concluded that the association of dexmedetomidine and methadone promoted a short-term sedation and indicated for procedures with equal or less duration of 30 minutes. In addition, use of dexmedetomidine alone or associated is contraindicated in patients with anemia, hypovolemia due to the reduction in hematological parameters.

Medical and surgical management of a large thermal burn in a dog

Background: Thermal wounds are relatively uncommon in veterinary practice and most of them are the result of accidental burns. Patients with severe burns are among the most challenging cases presented to veterinarians, because severe burn injury leads to significant hemodynamic instability, massive fluid shifts, and hypovolemia requiring prompt and aggressive therapy. Because severe burn injury in small animals has been poorly described in the veterinary literature, this case study describes the presentation, complications, medical and surgical treatment of a female dog with an accidental severe burn wound caused by a thermal mattress during an elective surgery. Case: A 6-month-old 9.6 kg female crossbred was referred with 20% total body surface area burned by a thermal mattress during an ovariohysterectomy procedure two days before. The dog presented a severe burn and systemic complications as anemia, leukocytosis, total protein at the lower limit and hyperlactatemia, which were managed with intensive medical care, including administration of crystalloid fluids, colloids, antibiotics, analgesics and enteral nutrition. The large wound was treated with debridement and the use of different kind of dressing to obtain a healthy granulation tissue. As a large portion of the trunk was lost, it was not possible to use axial pattern flaps, so skin-stretching devices and multiple surgic...(AU)

Medical and surgical management of a large thermal burn in a dog

Background: Thermal wounds are relatively uncommon in veterinary practice and most of them are the result of accidental burns. Patients with severe burns are among the most challenging cases presented to veterinarians, because severe burn injury leads to significant hemodynamic instability, massive fluid shifts, and hypovolemia requiring prompt and aggressive therapy. Because severe burn injury in small animals has been poorly described in the veterinary literature, this case study describes the presentation, complications, medical and surgical treatment of a female dog with an accidental severe burn wound caused by a thermal mattress during an elective surgery. Case: A 6-month-old 9.6 kg female crossbred was referred with 20% total body surface area burned by a thermal mattress during an ovariohysterectomy procedure two days before. The dog presented a severe burn and systemic complications as anemia, leukocytosis, total protein at the lower limit and hyperlactatemia, which were managed with intensive medical care, including administration of crystalloid fluids, colloids, antibiotics, analgesics and enteral nutrition. The large wound was treated with debridement and the use of different kind of dressing to obtain a healthy granulation tissue. As a large portion of the trunk was lost, it was not possible to use axial pattern flaps, so skin-stretching devices and multiple surgic...