Congenital nutritional myodegeneration in a neonatal foal.

A 2-day-old Quarter Horse colt was presented to the Atlantic Veterinary College for recumbency and diarrhea. Dietary history of the dam, serum biochemistry findings, and whole blood selenium levels were consistent with nutritional myodegeneration. The patient was treated successfully with fluid therapy and broad-spectrum antimicrobials. Recovery was uneventful, and the patient was discharged with a favorable prognosis.

Myodégénérescence nutritionnelle congénitale chez un poulain néonatal. Un poulain Quarter Horse âgé de deux jours a été présenté à l'Atlantic Veterinary College pour un décubitus et de la diarrhée. L'anamnèse nutritionnelle de la mère, les résultats de la biochimie sérique et les taux de sélénium dans le sang total étaient conformes à la myodégénérescence nutritionnelle. Le patient a été traité avec succès à l'aide d'une fluidothérapie et d'antimicrobiens à large spectre. Le rétablissement a été sans incident et le patient a reçu son congé avec un pronostic favorable.(Traduit par Isabelle Vallières).

Umbilical artery Doppler studies in small for gestational age babies reflect disease severity.

OBJECTIVES: To determine: 1. whether abnormal umbilical artery Doppler studies were independently associated with newborn morbidity; and 2. whether small for gestational age babies with normal umbilical artery Doppler studies had small mothers and a low rate of newborn malnutrition and morbidity. DESIGN: Prospective observational study. SETTING: National Women's Hospital, a tertiary referral centre, Auckland, New Zealand. POPULATION: One hundred eighty-six women and their small for gestational age babies (birthweight < 10th%) who had been participants in one of two randomised controlled trials of small for gestational age pregnancies between 1993 and 1997. METHODS: Newborn morbidity and morphometry were compared between small for gestational age babies with normal and abnormal umbilical artery Doppler studies (resistance index > 95th%). Maternal demographic characteristics and morbidity were also compared. RESULTS: Compared with small for gestational age babies with normal umbilical artery Doppler studies (n = 109), small for gestational age babies with abnormal umbilical artery Doppler studies (n = 77) were diagnosed earlier in pregnancy as being small for gestational age (30.3 vs 32.9 weeks, P < 0.001), were smaller in all body proportions at birth (median Z score birthweight -1.82 vs -1.70, P = 0.004, Z score length -1.86 vs -1.36, P < 0.0001, Z score head circumference -1.31 vs -0.89, P < 0.0001) and were more likely to experience newborn morbidity. When birthweight and gestation were entered into a logistic regression model, an abnormal umbilical artery Doppler study was not an independent predictor of prolonged newborn nursery admission or hypoglycaemia. Of small for gestational age babies with normal umbilical artery Doppler studies, 53 (49%) had low ponderal indices, 26/98 (26%) were hypoglycaemic and 38 (35%) required admission to the newborn nursery. There was no difference in maternal height, weight and ethnicity between the abnormal and normal umbilical artery Doppler groups. CONCLUSIONS: Abnormal umbilical artery Doppler studies reflect earlier onset and more severe growth restriction and are not independently associated with newborn morbidity. Small for gestational age babies with normal Doppler studies have a high rate of newborn nursery admission and malnutrition at birth and are not all just normal small babies.

Evaluation of biochemical evidence of congenital nutritional myopathy in two-week prepartum fetuses from selenium-deficient ewes.

Muscle damage attributable to selenium (Se)/vitamin E deficiencies is known to develop at birth or later in lambs. The purpose of this study was to determine whether and when muscle damage develops in utero. Thirty pregnant ewes maintained on Se-deficient forages from birth were allotted to 3 equal groups. Half of each group was given a single IM injection of 0.056 mg of Se/kg of body weight, 1 month before parturition. At 3 weeks before parturition, cesarean section-derived fetuses from Se-deficient ewes did not have evidence of muscle damage. At 2 weeks before parturition, fetuses from Se-deficient ewes had biochemical evidence of congenital nutritional myopathy, as evidenced by low blood Se concentration (P less than 0.05) and by increased plasma creatinine kinase (P less than 0.001) and lactate dehydrogenase (P less than 0.01) activities, compared with fetuses from Se-treated ewes. Thus, for optimal protection of fetuses and newborn lambs in Se-deficient areas, Se should be administered to ewes at least 1 month before parturition.