Clinical, laboratorial and image aspects of a perforated pyloric ulcer secondary to nonsteroidal anti-inflammatory use in a cat

Background: Inappropriate use of drugs for veterinary patients represents a common problem at clinical practice. Nonsteroidal anti-inflammatories are one of these misused drugs and may lead to clinical status of challenging diagnosis. Adverseeffects for patients submitted to its incorrect use may include simple cases such as pharmacological gastroenteritis to severeacute renal failure or perforated gastroenteric ulcers with no pathognomonic clinical signs. The objective of this reportwas to describe a case of a perforated pyloric ulcer secondary to prolonged use of meloxicam in a cat with its clinical,laboratorial and image aspects from the moment of suspicion until the diagnosis.Case: An 8-year-old female feline was attended at the Veterinary Hospital of the Dom Bosco Catholic University, withmain complaint being a mammary nodule with recent ulceration. Tumor staging and pre-surgical blood analysis wereperformed previous to total unilateral mastectomy. Eleven days post-surgery the patient was brought for suture removal,but it was observed stupor, moderate dehydration (estimated 10%), 36.7ºC rectal temperature, heart rate at 100 beats/min,respiratory rate at 60 breaths/min, 40 mg/dL blood glucose, icterus and abdominal distension with tympany at percussion(fluid wave test was negative). Anamnesis revealed the possible use of meloxicam for 10 days. The first suspicion wassepsis, with enteric gas secondary to infection. Due to no classical signs of peritoneum effusion and possible severe entericdistension, abdominocentesis was not immediate performed. Complete blood count and serum biochemistry revealed amarked band leukocytosis associated with renal injury, supporting the first sepsis suspicion. Abdominal radiography revealedradiodensity of diffuse aspect at ventral topography but no evidence of marked...

Clinical, laboratorial and image aspects of a perforated pyloric ulcer secondary to nonsteroidal anti-inflammatory use in a cat

Background: Inappropriate use of drugs for veterinary patients represents a common problem at clinical practice. Nonsteroidal anti-inflammatories are one of these misused drugs and may lead to clinical status of challenging diagnosis. Adverseeffects for patients submitted to its incorrect use may include simple cases such as pharmacological gastroenteritis to severeacute renal failure or perforated gastroenteric ulcers with no pathognomonic clinical signs. The objective of this reportwas to describe a case of a perforated pyloric ulcer secondary to prolonged use of meloxicam in a cat with its clinical,laboratorial and image aspects from the moment of suspicion until the diagnosis.Case: An 8-year-old female feline was attended at the Veterinary Hospital of the Dom Bosco Catholic University, withmain complaint being a mammary nodule with recent ulceration. Tumor staging and pre-surgical blood analysis wereperformed previous to total unilateral mastectomy. Eleven days post-surgery the patient was brought for suture removal,but it was observed stupor, moderate dehydration (estimated 10%), 36.7ºC rectal temperature, heart rate at 100 beats/min,respiratory rate at 60 breaths/min, 40 mg/dL blood glucose, icterus and abdominal distension with tympany at percussion(fluid wave test was negative). Anamnesis revealed the possible use of meloxicam for 10 days. The first suspicion wassepsis, with enteric gas secondary to infection. Due to no classical signs of peritoneum effusion and possible severe entericdistension, abdominocentesis was not immediate performed. Complete blood count and serum biochemistry revealed amarked band leukocytosis associated with renal injury, supporting the first sepsis suspicion. Abdominal radiography revealedradiodensity of diffuse aspect at ventral topography but no evidence of marked...(AU)

Piometra em cadela possivelmente causada pelo uso simultâneo de levonorgestrel e cipionato de estradiol / Pyometra in a bitch possibly caused by simultaneous administration of levonorgestrel and estradiol cypionate

Background: Toxicological events in animals may be accidental or intentional and could occur in the home environment.These events could involve different agents such as pesticides, rodenticides, medicines, foods, and plants. Indiscriminateuse of medication in pets by their owners is common. Self-medication of animals with drugs for human use can cause irreversible damage to their health. The emergency contraceptive pill (morning-after pill), comprising concentrated hormonalcompounds, is sold freely in Brazil. The objective of this article was to report a case of pyometra in a bitch possibly causedby simultaneous administration of human emergency contraceptive pill along with a veterinary contraceptive medication.Case: A 6-year-old bitch was referred to a Veterinary Medical Teaching Hospital for abdominal enlargement. Accordingto the guardian, during estrus (30 days before the consultation) the female dog was covered. After intercourse, the owneradministered a human emergency contraceptive pill (morning-after pill - Levonorgestrel) and a veterinary contraceptive(Estradiol Cypionate). Physical examination revealed severe dehydration (10%) and high temperature, besides the abdominalenlargement. The hemogram revealed leukocytosis with a left shift, characteristic of infection. After clinical examination,closed pyometra was suspected, and later confirmed by ultrasonography. Due to the poor clinical condition, fluid therapywas performed, and a systemic antibiotic was administered. After stabilization, the patient underwent ovariohysterectomy.In the postoperative period, the fluid therapy was continued, and antibiotic and anti-inflammatory drugs were administered.Two days after surgery, the patient was discharged for home recovery.Discussion: Most cases of drug poisoning in animals involve female dogs, similar to the patient in this report. There isno theory elucidating the same, but the rate of incidence in female dogs has been reported to be higher...

Piometra em cadela possivelmente causada pelo uso simultâneo de levonorgestrel e cipionato de estradiol / Pyometra in a bitch possibly caused by simultaneous administration of levonorgestrel and estradiol cypionate

Background: Toxicological events in animals may be accidental or intentional and could occur in the home environment.These events could involve different agents such as pesticides, rodenticides, medicines, foods, and plants. Indiscriminateuse of medication in pets by their owners is common. Self-medication of animals with drugs for human use can cause irreversible damage to their health. The emergency contraceptive pill (morning-after pill), comprising concentrated hormonalcompounds, is sold freely in Brazil. The objective of this article was to report a case of pyometra in a bitch possibly causedby simultaneous administration of human emergency contraceptive pill along with a veterinary contraceptive medication.Case: A 6-year-old bitch was referred to a Veterinary Medical Teaching Hospital for abdominal enlargement. Accordingto the guardian, during estrus (30 days before the consultation) the female dog was covered. After intercourse, the owneradministered a human emergency contraceptive pill (morning-after pill - Levonorgestrel) and a veterinary contraceptive(Estradiol Cypionate). Physical examination revealed severe dehydration (10%) and high temperature, besides the abdominalenlargement. The hemogram revealed leukocytosis with a left shift, characteristic of infection. After clinical examination,closed pyometra was suspected, and later confirmed by ultrasonography. Due to the poor clinical condition, fluid therapywas performed, and a systemic antibiotic was administered. After stabilization, the patient underwent ovariohysterectomy.In the postoperative period, the fluid therapy was continued, and antibiotic and anti-inflammatory drugs were administered.Two days after surgery, the patient was discharged for home recovery.Discussion: Most cases of drug poisoning in animals involve female dogs, similar to the patient in this report. There isno theory elucidating the same, but the rate of incidence in female dogs has been reported to be higher...(AU)

Análise a respeito do uso indiscriminado de medicamentos sem a prescrição do médico veterinário em aves de rapina / Analysis concerning the indiscriminated use of medicines without prescription of the veterinary doctor in prey birds

One of the greatest barriers faced by veterinary medicine, aimed at safeguarding the health of its patients, is related to the indiscriminate use of medicines in animals without the prescription made by the Veterinarian. This practice is something that occurs commonly and is facilitated by the indiscriminate sale and acquisition of veterinary and human medicines. The practice of self-medication in wild birds poses serious health risks to these animals. The present work lasted six weeks and was divided into three stages. The analysis of the data occurred from the evaluation of the questionnaires. Fifty-five questionnaires were applied, it is important to remember that all respondents were owners of birds of prey. The most prominent Brazilian regions were the Southeast Region, which presented a prevalence of 66% in relation to the other participating regions. It can be concluded that the great majority of owners of birds of prey tend not to seek help from the vet or even when the bird became ill, they used their birds on their own without considering that this practice could bring numerous complications, complications that do not solve the problem, but rather aggravate it, since only the veterinarian has enough knowledge to know which medicine to use, the quantity, for how long.(AU)

Análise a respeito do uso indiscriminado de medicamentos sem a prescrição do médico veterinário em aves de rapina / Analysis concerning the indiscriminated use of medicines without prescription of the veterinary doctor in prey birds

One of the greatest barriers faced by veterinary medicine, aimed at safeguarding the health of its patients, is related to the indiscriminate use of medicines in animals without the prescription made by the Veterinarian. This practice is something that occurs commonly and is facilitated by the indiscriminate sale and acquisition of veterinary and human medicines. The practice of self-medication in wild birds poses serious health risks to these animals. The present work lasted six weeks and was divided into three stages. The analysis of the data occurred from the evaluation of the questionnaires. Fifty-five questionnaires were applied, it is important to remember that all respondents were owners of birds of prey. The most prominent Brazilian regions were the Southeast Region, which presented a prevalence of 66% in relation to the other participating regions. It can be concluded that the great majority of owners of birds of prey tend not to seek help from the vet or even when the bird became ill, they used their birds on their own without considering that this practice could bring numerous complications, complications that do not solve the problem, but rather aggravate it, since only the veterinarian has enough knowledge to know which medicine to use, the quantity, for how long.