Use of CO-oximetry to confirm carboxyhemoglobinemia in cats involved in secondary arson homicide.

The body of a deceased human and 4 deceased cats were found in a house while a fire was being extinguished. As a result of these findings, arson, homicide, and animal death investigations were opened. As part of the animal death investigation, all of the cats were submitted for veterinary forensic autopsies. All cats had soot on the fur and had soot deposits within the oral cavity, esophagus, and respiratory tract. Two cats had soot within the stomach. Cardiac blood was analyzed for carboxyhemoglobin using a CO-oximeter, and all cats had levels >65%. The cause of death was determined to be due to toxic smoke inhalation from the structure fire. Case findings support the potential use of CO-oximeter for determination of carboxyhemoglobin levels in cats and continued research in this area of forensic practice.

Pathology of carbon monoxide poisoning in two cats.

BACKGROUND: Carbon monoxide (CO), a common cause of poisoning in human beings has also been implicated in the death of animals. Though there are multiple studies on CO poisoning and relevant lethal blood COHb concentrations in humans, there are no reliable reports of diagnostic lethal carboxyhemoglobin percentage of saturation (COHb%) in cats. Additionally, due to shared housing environments, exposures to companion animals can be a surrogate for lethal exposures in human beings and provide valuable information in concurrent forensic investigations. CASE PRESENTATION: Two adult Singapura brown ticked cats were submitted to the California Animal Health and Food Safety Laboratory (CAHFS) for necropsy and diagnostic work-up. These animals were found dead along with their two deceased owners. Similar lesions were observed in both cats. At necropsy, gross lesions consisted of multifocal, large, irregular, bright red spots on the skin of the abdomen and the inner surface of ear pinnae, bright red muscles and blood. The carcasses, and tissues fixed in formalin retained the bright red discoloration for up to two weeks. Microscopic lesions included diffuse pulmonary congestion and edema, and multifocal intense basophilia of cardiomyocytes mostly affecting whole fibers or occasionally a portion of the fiber. Based on the clinical history,gross and microscopic changes, cyanide or carbon monoxide poisoning was suspected. Blood samples analyzed for carbon monoxide showed 57 and 41% carboxyhemoglobin COHb%. Muscle samples were negative for cyanide. CONCLUSION: There are no established reference values for lethal COHb concentration in cats. The COHb % values detected in this case which fell within the lethal range reported for other species, along with the gross lesions and unique histological findings in the heart suggest a helpful criteria for diagnosis of CO intoxication associated death in cats. This case demonstrates that since pets share the same environment as human beings and often are a part of their activities, they can be useful adjuncts in potential forensic investigations to help solve human cases.

Magnetic resonance imaging and clinical findings in carbon monoxide intoxication in dogs. A case series. / Magnetresonanztomographische und klinische Befunde von drei Hunden nach Kohlenmonoxidvergiftung. Eine Fallserie.

This paper presents magnetic resonance imaging (MRI) findings of three dogs after carbon monoxide intoxication. In the first and second cases, MRI changes were confined to both caudate nuclei and in the first case also to the putamen as bilaterally symmetric diffuse homogenous T2 and FLAIR hyperintense, T1 hypointense lesions. No contrast enhancement was seen. In the third case MRI revealed multiple areas of hyperintensity bilaterally on T2 and FLAIR as well as ill-defined areas within the frontal, parietal and occipital grey matter. The caudal colliculi, globus pallidus, substantia nigra and central area of the thalamus showed bilaterally hyperintense lesions on T2w and FLAIR with moderate enhancement after intravenous contrast administration.

Extended suicide with a pet.

The combination of the killing of a pet and a suicide is a perplexing scenario that is largely unexplored in the literature. Many forensic psychiatrists and psychologists may be unaccustomed to considering the significance of the killing of a pet. The subject is important, however, because many people regard their pets as members of their family. A case is presented of a woman who killed her pet dog and herself by carbon monoxide poisoning. The purpose of this article is to provide an initial exploration of the topic of extended suicide with a pet. Forensic mental health evaluations may have a role in understanding the etiology of this event and in opining as to the culpability of individuals who attempt to or successfully kill a pet and then commit suicide. Because the scientific literature is lacking, there is a need to understand this act from a variety of perspectives. First, a social and anthropological perspective will be presented that summarizes the history of the practice of killing of one's pet, with a focus on the ancient Egyptians. A clinical context will examine what relationship animals have to mental illness. A vast body of existing scientific data showing the relevance of human attachment to pets suggests that conclusions from the phenomena of homicide-suicide and filicide-suicide are applicable to extended suicide with a pet. Finally, recommendations will be proposed for both clinical and forensic psychiatrists faced with similar cases.

Clinical and neuropathological findings of acute carbon monoxide toxicity in chihuahuas following smoke inhalation.

Three adult Chihuahuas were presented for evaluation after smoke inhalation during a house fire. All three dogs received supportive care and supplemental oxygen. After initial improvement, the dogs developed seizures. Despite anticonvulsant therapy and supportive care, the dogs died. The brains of two dogs were examined. Lesions were identified that were compatible with acute carbon monoxide (CO) toxicity. Lesions were confined to the caudate nucleus, the globus pallidus, and the substantia nigra bilaterally, as well as the cerebellum, cerebral cortex, and dorsal thalamus. This case report describes the clinicopathological sequelae in acute CO toxicity.

Smoke inhalation.

Unfortunately, fires are common events both in urban and rural portions of the United States. Smoke inhalation is the leading fire-related cause of death. The elemental combustion products of fire are light, heat, and smoke. Smoke is a very complex mixture of potentially harmful substances. Although a relatively rare presenting event to small animal hospitals, when animal fire victims do appear, clinicians must know how to recognize the signs of smoke inhalation and how to successfully deal with them. This discussion will investigate the toxic nature of fire smoke, its mechanism of action upon respiratory tissues, the clinical signs displayed, and its diagnosis and treatment. Differential diagnoses of smoke inhalation and prevention and prognosis will also be explored. Veterinary hospitals should have set protocols in place for managing animal victims of smoke inhalation in order to ensure a successful outcome.

Toxicology of selected pesticides, drugs, and chemicals. Smoke inhalation.

Animals with smoke inhalation should be given a thorough diagnostic evaluation. Optimal care relies on the information derived, as well as judicious choice of therapeutic measures. Careful attention to such animals by the veterinarian and allied staff is important to minimize suffering and to enhance not only the likelihood of survival, but also the extent of recovery.

[Poisoning in swine]. / Vergiftungen beim Schwein.

For clinical interests it is advisable to subdivide cases of swine poisoning in such as caused by food, drugs and environmental poisonings. This division gives pointers to aetiologic connections and special measures necessary for the clearing of the processes. With food poisoning mycotoxicoses play an evermore important role, whereas poisonings by trace elements are on the decrease. Sodium chloride poisoning often results primarily from insufficient water supply. With environmental poisonings carbon monoxide and cyanamide intoxication are presented. Poisonings caused by drugs are mainly the result of an overdose, of segregation in food or of non-licensed drugs. A relatively unknown swine poisoning by a drug against coccidiosis--licensed for poultry--is described.

Perinatal piglets under sublethal concentrations of atmospheric carbon monoxide.

Perinatal exposure to atmospheric carbon monoxide at sublethal concentrations affected neonatal piglets negatively. Low total hemoglobin concentration and oxyhemoglobin saturation ratio were present at birth in piglets farrowed by gilts that had been exposed to carbon monoxide at 250 ppm from gestation d 109 on, but stillbirth rate was only 4.8%. Carboxyhemoglobin saturation ratio increased from .0 to 19.8 and 22.4% as carbon monoxide concentration rose from background (less than 5 ppm) to 200 and 250 ppm. Carbon monoxide affected neonatal piglets' behavior. Piglets exposed to atmospheric carbon monoxide at 250 ppm perinatally took longer to nurse for the first time than did counterparts under background or 200-ppm concentrations. Those under carbon monoxide at 250 ppm had compromised performance in behavior tests that measured a piglet's ability to orient itself in, maneuver in and investigate its environment, respectively.

Weanling pigs under sublethal concentrations of atmospheric carbon monoxide.

Atmospheric carbon monoxide at 200 ppm for 21 d had no adverse effect on any performance or behavioral characteristic measured in weanling pigs. The pigs tended to compensate for carboxyhemoglobin-induced reduction in oxygen-carrying capacity of their blood by increasing total hemoglobin concentration. Pigs exposed to carbon monoxide at 300 ppm had a 31% reduction in body-weight gain (.20 vs .29 kg/d) and a 20% reduction in feed conversion efficiency (gain/feed = .48 vs .60) at d 10. Over the 21-d exposure period, rate of gain was reduced by 21% (.31 vs .39 kg/d), feed conversion efficiency by 8% (.47 vs .51). There appeared to be a threshold concentration between 200 and 300 ppm above which atmospheric carbon monoxide reduced weanling pigs' performance.

Effects of carbon monoxide exposure on pregnant sows and their fetuses.

Miniature and domestic sows at 108 to 110 days of the gestation were exposed to atmospheric carbon monoxide (CO) concentrations of 150 to 400 ppm for 48 to 96 hours. Overall stillbirth rates were 6.7%, 34.8%, 42.3%, and 80.0% in the sows exposed to CO in concentrations of 200, 250, 300, and 350 ppm, respectively. A significant linear relationship was determined between these concentrations of CO and the resultant maternal carboxyhemoglobin (COHb) concentration (P less than 0.01). The frequency of stillbirth increased significantly when maternal COHb concentration exceeded 23% saturation of hemoglobin. The COHb concentrations in new-delivered pigs (cesarean section) were greater than maternal COHb concentrations by 3 to 22%. Common gross lesions in stillborn pigs were cherry red discoloration of the subcutaneous tissues, muscle, and viscera and accumulation of a large volume of serosanguineous pleural effusion. Hypoxic ischemic leukoencephalopathy was found in new-delivered pigs from 3 of 14 litters. Lesions included focal leukoencephalomalacia, glial-vascular proliferation, multifocal hemorrhage, and vacuolation of the neuropile. Many extramedullary hematopoietic centers were present in liver sections.

Increased incidence of still birth in piglets associated with levels of atmospheric carbon monoxide.

Raised levels of atmospheric carbon monoxide, associated with malfunctioning gas-fired creep heaters and inadequate ventilation, appeared responsible for an increased incidence of stillbirths in two herds. In one, a concentration of 180 to 200 ppm of carbon monoxide was readily produced. Both problems resolved when the ventilation and heating were improved, the incidence of stillbirths in one herd falling from 28 to 6.7 per cent. It is suggested that similar incidents may have occurred during cold weather but have been ascribed to other causes.