Iatrogenic pneumothorax associated with inadvertent intrapleural NGT misplacement in two dogs.

This case report presents two cases of inadvertent intrapleural nasogastric tube (NGT) misplacement with consequent creation of a bronchopleural fistula and the development of an iatrogenic pneumothorax in dogs. Due to the simplicity and relative ease of NGT placement and the lack of reported life-threatening complications in the veterinary literature, the serious risks associated with this procedure are often overlooked. Although pulmonary complications with NGT misplacement have been previously reported in the human literature, serious and potentially fatal complications have not been currently described in veterinary patients. Both of the cases described herein were medically managed with successful outcomes; however, one case was associated with significant morbidity.

Evaluation of isoeugenol for anesthesia in koi carp (Cyprinus carpio).

OBJECTIVE: To evaluate isoeugenol as an anesthetic agent in koi carp. ANIMALS: 216 juvenile koi carp (Cyprinus carpio). PROCEDURES: Fish were randomly allocated to 9 groups of 24, and each group was randomly exposed to isoeugenol concentrations ranging from 0 to 500 mg/L. General activity, excitement, fin and gill color changes, opercular movement rate, loss of equilibrium, muscle tone, jaw tone, and handleability were assessed. Five fish from the control (0 mg/L), 200 mg/L, and 500 mg/L groups were randomly selected prior to anesthetic recovery and again 24 hours after recovery for euthanasia, gross necropsy, and histologic assessment of gills, internal viscera, and skeletal muscles. RESULTS: Mean +/- SD interval to achieve stage 2 anesthesia with isoeugenol ranged from 22.4 +/- 6.2 minutes at 20 mg/L to 0.25 +/- 0.4 minutes at 500 mg/L, whereas the mean interval to stage 3 anesthesia ranged from 28.1 +/- 3.9 minutes at 20 mg/L to 0.33 +/- 0.48 minutes at 500 mg/L. With the exception of the 500 mg/L group, opercular movements were maintained throughout. Death was observed only in the 500 mg/L group, in which 50% of the fish either failed to recover or died within 24 hours after anesthetic exposure. There were no pathological differences between fish exposed to isoeugenol at 0 or 500 mg/L. CONCLUSIONS AND CLINICAL RELEVANCE: Isoeugenol appeared to have a wide margin of safety with predictable dose-related effects. Concentrations of 40 to 80 mg/L induced anesthesia within 4 to 11 minutes and were considerably less than the concentration associated with fish death.

Investigation of shell disease in map turtles (Graptemys spp.).

Nineteen map turtles (Graptemys spp.) maintained under natural conditions were investigated because of chronic shell abnormalities. Animals were evaluated using a novel shell scoring system that divided the 54 scutes into six regions, with each region scored for lesion extent and severity, and summated to produce a total shell disease score (TSDS). Complete blood counts and various biochemistry analytes (total protein, albumin, globulin, urea, uric acid, 25-hydroxycholecalciferol, phosphorus, and ionized and total calcium) were measured. Under ketamine-medetomidine-morphine anesthesia, cytology tape strips and full thickness shell biopsies were collected aseptically for microbiologic, histologic (including scoring of biopsy quality), and ultrastructural evaluations. The TSDSs were low and ranged from 4 to 22 (median = 9) out of a possible score of 54. There were no correlations between TSDS and any hematologic or biochemistry parameter. The histologic quality of shell biopsies was good, and normal shell structure, by both light and electron microscopy, is described. Small clefts and pitting lesions were noted in 8/19 sections. There was no evidence of erosion, ulceration, inflammation, or infectious agents, but algae and diatoms were observed. Six biopsies yielded aerobic isolates (Chryseobacterium indologenes, Aeromonas hydrophila, Ralstonia pickettii, and Morganella morganii), whereas 11 shell samples grew various clostridial anerobes. No fungal organisms were cultured. Although the etiology of the lesions described remains unknown, the use of a scoring system in conjunction with full thickness biopsies is suggested to help standardize investigations into chelonian shell disease in the future.

Clinical management of potential ibuprofen toxicosis in a South American red-footed tortoise (Geochelone carbonaria).

This article describes the clinical management of potential ibuprofen toxicosis in South American red-footed tortoise (Geochelone carbonaria). A 2.5-year-old, 0.78-kg Geochelone carbonaria tortoise was presented to the emergency clinic after ingesting solubilized ibuprofen (200 mg) in a gelatin capsule. Treatment on initial presentation consisted of esophagostomy tube placement for gastric lavage and activated charcoal administration, intravenous and intraosseous fluid therapy, and administration of gastrointestinal protectants (sucralfate and famotidine). The tortoise was discharged to the owners. Although follow-up diagnostic monitoring was minimal because of owner compliance, the patient was noted to be alive and in reasonable health 1 year after initial presentation. This is the first report on the management of potential nonsteroidal anti-inflammatory drug toxicosis in any chelonian species.