Intralipid Emulsion Therapy for the Treatment of Suspected Toxicity in 2 Avian Species.

Intravenous lipid emulsion (ILE) therapy has shown promise as a treatment option for a variety of lipophilic toxins. Two birds presented for suspected ingestion of a toxic substance. A blue-and-gold macaw (Ara ararauna) presented after chewing a block of bromethalin rodenticide without overt clinical signs at the time of presentation. Additionally, a free-ranging bald eagle (Haliaeetus leucocephalus) was found weak and depressed near a municipal landfill after presumptive ingestion of pentobarbital. Both birds were treated with ILE therapy for potential intoxication without any adverse events. The macaw was clinically normal after 3 days of hospitalization and at a 1-week reevaluation. The eagle was transferred to a rehabilitation center after markedly improved mentation and strength and was released 7 days later. Clinicians should consider ILE therapy for the treatment of lipophilic toxicities; however, monitoring is recommended for persistent lipemia and other adverse effects that have been reported in the veterinary literature.

Impact of Dietary Fructose on the Lipid Profile in Six Macaws.

Atherosclerosis is frequently diagnosed in captive parrots. Recent studies have highlighted the potential role of high fructose intake in the development of human cardiovascular disease. The objective of this study was to investigate the effects of dietary fructose on the lipid profile in psittacine birds. Six macaws, composed of 3 green-winged macaws (Ara chloropterus, 2 females, 1 male), and 3 blue-and-gold macaws (Ara ararauna, 1 female, 2 males), ranging from 15 to 26 years of age, were used as subject animals for this dietary investigation. Initially, fruits were removed from the diet and replaced with vegetables lower in fructose for a month. Then, with a crossover study design, each bird was randomly selected to receive either 34 kcal of a fructose solution daily for 5 days then an equivalent volume of water for 5 days, or water in the first 5 days followed by the 34 kcal fructose solution. Lipid profiles were repeatedly performed over the course of the study at specific intervals. Serum cholesterol (3.01-5.55 mmol/L), triglycerides (0.27-2.70 mmol/L), high-density lipoprotein-cholesterol (1.43-4.79 mmol/L), low-density lipoprotein-cholesterol (0.02-0.85 mmol/L), and very low density lipoprotein-cholesterol (0.12-1.22 mmol/L) levels were not statistically significantly different over time and treatment. Although no significant effect could be demonstrated in this study, further studies are needed to investigate the effect of a high fructose intake in psittacine birds, because it could have a deleterious influence on their cardiovascular health if proven to be linked with dyslipidemia as reported in humans. Higher amounts of fructose and longer periods of administration should be considered for future studies.

Modified Tail Amputation Technique in a Blue and Gold Macaw (Ara ararauna) With Uropygial Gland Adenocarcinoma.

A 33-year-old male blue and gold macaw (Ara ararauna) presented with a 5-month history of an ulcerated lesion and feather loss at the tail base. Two 4-mm biopsies obtained by the primary care veterinarian were consistent with uropygial gland adenocarcinoma. The bird was examined at the Veterinary Medical Teaching Hospital, University of California, and on physical evaluation, the dorsal and ventral surface of the tail base were devoid of feathers, ulcerated and crusted without an identifiable uropygial gland. Complete blood count, plasma biochemistry panel, whole-body radiographs, and an echocardiogram were performed before surgery. The bird was anesthetized, and a complete amputation of the tail was performed. The skin was incised with a radiofrequency electrosurgical system approximately 2 mm circumferentially cranial to the diseased tissue. The musculature was transected to the level of the vertebral column, disarticulating between the second and third caudal vertebrae and transecting the spinal cord with a no. 15 blade. Lateral vertebral processes of the second vertebra were removed with a rongeur. Coccygeus lateralis muscles and tensor fasciae latae muscles and skin were closed laterolaterally with 2 layers and 3-0 polydioxanone suture. The bird recovered uneventfully and was discharged after 6 days of hospitalization. The histopathological diagnosis was adenocarcinoma with squamous differentiation, marked scirrhous response, and superficial epithelial ulceration. It was determined that narrow margins of unaffected tissue were achieved from the pathological examination of submitted material. The bird was evaluated 24 days after surgery and again 3.5 months after surgery, without evidence of complications or recurrence. Approximately 10 days after the last reexamination, the bird was euthanatized after being found minimally responsive at home. A postmortem examination was not performed.

Necrotic Enteritis Caused by Clostridium perfringens in Blue and Gold Macaws (Ara ararauna).

Clostridium perfringens types A and C, which are gram-positive, anaerobic, spore-forming bacteria, can cause necrotic enteritis in birds. Although Clostridium perfringens is considered a commensal organism in the avian intestinal tract, in association with severe stress, other infectious agents, or immunosuppressive conditions, it can cause disease outbreaks. This report describes a disease occurrence of necrotic enteritis caused by C perfringens in macaws (Ara ararauna). Two adult male blue and gold macaws maintained in a zoo exhibit were presented for postmortem examinations after histories of sudden death. Based on the gross examinations and microscopic evaluation of submitted tissue from both birds, the cause of death was determined to be necrotic enteritis. Microbiologic assays followed by polymerase chain reaction analyses identified the isolated strains as C perfringens type A, indicated by only being positive for the cpa gene that encodes the α-toxin. The birds were maintained in an exhibit in which patrons can interact with the animals within their environment. Thus, organisms, such as this pathogen, may present a danger for other birds because visitors could disperse the bacterium to other parts of the zoo.

Proventricular dilatation disease (PDD) outbreak in blue-and-gold macaws (Ara ararauna) in the State of Santa Catarina, southern Brazil / Surto de doença da dilatação proventricular em araras-canindé (Ara ararauna) no estado de Santa Catarina, sul do Brasil

Proventricular dilatation disease (PDD) is a lethal and important disease of captive psittacine birds, and affects a wide range of species, including endangered ones, and lacks an effective treatment. This report describes PDD in three blue-and-gold macaws (Ara ararauna) in southern Brazil. All three macaws originated from the same aviary and presented similar clinical signs including anorexia, apathy, emaciation and prostration. At necropsy, one of the macaws presented an enlarged proventriculus. Histologically, lymphoplasmacytic infiltrates was observed in the ganglia and nerves of the esophagus, crop, proventriculus, ventriculus, heart, adrenal glands, and adrenal medulla of all three cases. Two macaws had meningoencephalomyelitis and one had myocarditis. Immunohistochemistry identified PaBV antigen in the brain, proventricular, ventricular ganglia, and epicardial ganglia, and cardiomyocytes of all three macaws.(AU)

A doença da dilatação proventricular (PDD) e uma importante e fatal doença de psitacídeos de cativeiro, que afeta uma grande variedade de espécies e não tem um tratamento efetivo até o momento. Este relato descreve PDD em três araras canindé (Ara ararauna) no sul do Brasil. Todas as três araras eram provenientes do mesmo criatório e apresentaram sinais clínicos semelhantes incluindo anorexia, apatia, emaciação e prostração. Na necropsia, uma das araras apresentou proventrículo dilatado. No exame histopatológico, infiltrados linfoplasmacitários foram observados em gânglios e nervos do esôfago, inglúvio, proventrículo, moela, coração, glândulas adrenais e rins de todos os casos. Adicionalmente, meningoencefalomielite foi observada em duas araras e miocardite em uma. A imuno-histoquímica identificou antígenos de PaBV no encéfalo, coração, proventrículo e moela de todos os casos.(AU)

Radiation Therapy of Periorbital Lymphoma in a Blue-and-Gold Macaw (Ara ararauna).

An adult male blue and gold macaw (Ara ararauna) was presented for evaluation of a right periorbital mass. Results of diagnostic tests, including periorbital ultrasound, fine-needle aspirate, and cytologic examination, confirmed a diagnosis of periocular lymphoma. Radiographs were suggestive of disseminated disease but because of concerns about the patient's quality of life, localized radiation therapy to address the periorbital disease was pursued. Coarse-fractionated radiation therapy was initiated, and the mass regressed rapidly during the 3-week course of treatment. The macaw tolerated the treatments well, maintained vision in the affected eye, and activity level and appetite improved. Three months after treatment was completed, the bird died. Necropsy revealed T-cell-rich B-cell-infiltrative lymphoma of the spleen, liver, and kidneys, with some residual neoplastic cells found in the right periorbital region. This case demonstrates a radiation therapy protocol that reduced a tumor mass in a localized treatment of periorbital lymphoma in a macaw.

Antemortem Diagnosis of Coxiellosis in a Blue and Gold Macaw ( Ara ararauna).

A 15-year-old female blue and gold macaw ( Ara ararauna) was presented for evaluation after being found laterally recumbent, reluctant to move, and lethargic. Results of a complete blood count showed an increased number of immature heterophils with increased cytoplasmic basophilia and degranulation and the presence of a left shift. Radiographs and a computed tomography scan were performed and revealed a markedly enlarged spleen. An ultrasound-guided fine-needle aspirate of the spleen was submitted for cytologic examination and aerobic bacterial culture. While the culture revealed no growth, cytologic examination identified mononuclear phagocytes with cytoplasmic vacuoles containing structures consistent with bacteria. Pan-bacterial 16S rRNA polymerase chain reaction of the splenic sample followed by direct sequencing identified a Coxiella-like agent identical to one previously isolated in the liver of a golden-mantled rosella ( Platycercus eximius). Phylogenetic analysis shows that avian coxiellosis agents and Coxiella burnetii, the agent of Q fever, represent 2 independent events of development of vertebrate pathogenicity in this group of tick endosymbionts. This report suggests diagnostic and treatment directions for coxiellosis in avian patients and indicates where further study is needed.

Normal computed tomographic features and reference values for the coelomic cavity in pet parrots.

BACKGROUND: The increasing popularity gained by pet birds over recent decades has highlighted the role of avian medicine and surgery in the global veterinary scenario; such a need for speciality avian medical practice reflects the rising expectation for high-standard diagnostic imaging procedures. The aim of this study is to provide an atlas of matched anatomical cross-sections and contrast-enhanced CT images of the coelomic cavity in three highly diffused psittacine species. RESULTS: Contrast-enhanced computed tomographic studies of the coelomic cavity were performed in 5 blue-and-gold macaws, 4 African grey parrots and 6 monk parakeets by means of a 4-multidetector-row CT scanner. Both pre- and post-contrast scans were acquired. Anatomical reference cross-sections were obtained from 5 blue-and-gold macaw, 7 African grey parrot, and 9 monk parakeet cadavers. The specimens were stored in a -20 °C freezer until completely frozen and then sliced at 5-mm intervals by means of a band saw. All the slices were photographed on both sides. Individual anatomical structures were identified by means of the available literature. Pre- and post-contrast attenuation reference values for the main coelomic organs are reported in Hounsfield units (HU). CONCLUSIONS: The results provide an atlas of matched anatomical cross-sections and contrast-enhanced CT images of the coelomic cavity in three highly diffused psittacine species.

Pelvic Limb Amputation for the Treatment of a Soft-tissue Sarcoma of the Tibiotarso-tarsometatarsal Joint in a Blue-and-gold Macaw (Ara ararauna).

An unsexed, 16-year-old blue-and-gold macaw (Ara ararauna) was presented for evaluation of rapidly growing subcutaneous masses at the left tibiotarso-tarsometatarsal joint. Results of incisional biopsy were diagnostic for an intermediate-grade soft-tissue sarcoma. A distal-femoral amputation was performed and the leg was submitted for histopathology. Histopathologic examination confirmed the biopsy diagnosis and revealed neoplastic spread into the bone marrow cavity of the tibiotarsus. Excisional margins were complete. The macaw recovered and did well until it died suddenly 32 months after surgery. At necropsy, death was attributed to acute hepatic hemorrhage. No recurrence or metastasis of the sarcoma was identified.