RESUMO
Ornithobacterium rhinotracheale (ORT) has been considered exotic to New Zealand and thus, any samples from poultry suspected of ORT infection are submitted as part of an exotic disease investigation managed by Ministry for Primary Industries (MPI) and subjected to standardized test protocols carried out in the physical containment level 3+ laboratory at MPI's Animal Health Laboratory (AHL). All previous exotic disease investigations concerning ORT produced negative results by bacterial culture and conventional PCR. Following the recent introduction of a real-time PCR for ORT at the AHL, several tracheal wash fluids from backyard chickens ( Gallus gallus domesticus ) were tested positive. This identification constituted the first detection of ORT in New Zealand poultry. As a result, a second premise was investigated with further samples testing positive for ORT by molecular assays. This paper describes the two exotic disease investigations associated with the first detection of ORT in New Zealand poultry and its implications.
Assuntos
Infecções por Flavobacteriaceae/veterinária , Ornithobacterium/isolamento & purificação , Doenças das Aves Domésticas/microbiologia , Animais , Galinhas , Infecções por Flavobacteriaceae/diagnóstico , Infecções por Flavobacteriaceae/microbiologia , Nova Zelândia , Ornithobacterium/genética , Ornithobacterium/fisiologia , Doenças das Aves Domésticas/diagnóstico , Reação em Cadeia da Polimerase em Tempo RealRESUMO
We report the case of a 51-year-old woman receiving endobronchial treatment with neodymium:yttrium garnet laser After 30 minutes of stable anaesthesia and laser treatment, sudden inferior myocardial ischaemia developed followed by haemodynamic collapse. Resuscitation with fluids, pressors, atropine and esmolol was successful, leading to rapid resolution of the ischaemia and full recovery. The sudden onset and time course of the ST segment elevation was consistent with coronary artery air embolism, as occurs occasionally during cardiac surgery. Systemic gas embolism during endobronchial laser treatment has been previously reported with poor outcomes and significant mortality. This complication can be avoided with awareness of the mechanism while appropriate monitoring may allow early detection and successful treatment.