Clinical respiratory and radiographic abnormalities in dogs with spontaneous hypercortisolism.

The objective of this study was to characterize respiratory clinical signs, other than panting and respiratory distress, as well as thoracic radiographic abnormalities, in dogs with hypercortisolism. Although there have been case reports and studies evaluating the results of pulmonary scintigraphy, no studies have yet reviewed respiratory clinical signs and radiograph results in dogs with hypercortisolism. This study addresses this gap. A case series was evaluated and the dogs' clinical histories were obtained, including clinical signs and physical examination. Digital thoracic radiographs were analyzed to consider such parameters as the diameter of the main bronchi, lung patterns, and the size of the pulmonary trunk. The most common respiratory symptoms were snoring (61.9%), coughing (57.1%), and fatigue (52.4%). Physical examination revealed a high frequency of changes on lung auscultation (95.2%). The body condition score (BCS) was high in 95% of dogs and a significant correlation was observed between the presence of cyanosis and changes in lung auscultation, both of which present similar risk factors. Furthermore, body weight showed a moderate correlation with respiratory rate (RR = 0.571). Radiographic changes were evident in 47.5% of dogs, with the bronchial pattern being the most common (70%). Based on these results, it was observed that respiratory and radiographic abnormalities are frequent in dogs with spontaneous hypercortisolism and a high body condition score was relevant for exacerbating clinical respiratory signs, such as cyanosis and tachypnea.

L'objectif de cette étude était de caractériser les signes cliniques respiratoires, autres que le halètement et la détresse respiratoire, ainsi que les anomalies radiographiques thoraciques, chez les chiens atteints d'hypercortisolisme. Bien qu'il existe des rapports de cas et des études évaluant les résultats de la scintigraphie pulmonaire, aucune étude n'a encore examiné les signes cliniques respiratoires et les résultats radiographiques chez les chiens atteints d'hypercortisolisme. Cette étude comble cette lacune. Une série de cas a été évaluée et les antécédents cliniques des chiens ont été obtenus, incluant les signes cliniques et l'examen physique. Des radiographies thoraciques numériques ont été analysées pour prendre en compte des paramètres tels que le diamètre des bronches principales, les schémas pulmonaires et la taille du tronc pulmonaire. Les symptômes respiratoires les plus courants étaient le ronflement (61,9 %), la toux (57,1 %) et la fatigue (52,4 %). L'examen physique a révélé une fréquence élevée de changements à l'auscultation pulmonaire (95,2 %). Le score d'état corporel (BCS) était élevé chez 95 % des chiens et une corrélation significative a été observée entre la présence de cyanose et les modifications de l'auscultation pulmonaire, qui présentent toutes deux des facteurs de risque similaires. De plus, le poids corporel a montré une corrélation modérée avec la fréquence respiratoire (RR = 0,571). Des changements radiographiques étaient évidents chez 47,5 % des chiens, le schéma bronchique étant le plus courant (70 %). Sur la base de ces résultats, il a été observé que les anomalies respiratoires et radiographiques sont fréquentes chez les chiens atteints d'hypercortisolisme spontané, et qu'un score d'état corporel élevé était pertinent pour l'exacerbation des signes respiratoires cliniques, tels que la cyanose et la tachypnée.(Traduit par Docteur Serge Messier).

Evaluation of Seroprevalence and Risk Factors of Heartworm Infection for Dogs in Rio de Janeiro with Access to Veterinary Care.

Heartworm infection is a chronic disease with clinical signs and effects ranging from an asymptomatic condition to severe disease and death. The prevalence of heartworm disease in the state of Rio de Janeiro has been reported to be high (21.3%). The present study was conducted to evaluate the seroprevalence and risk factors of heartworm infection for the canine population with access to veterinary services in different areas of the state of Rio de Janeiro, Brazil. A total of 1787 canine blood samples were obtained from 135 practices across 8 different areas of Rio de Janeiro state (Rio de Janeiro municipality, São Gonçalo municipality, Niterói municipality, Baixada Fluminense, and the northern, southern, eastern, and mountainous areas) and tested for the presence of Dirofilaria immitis antigens and antibodies against several tick-borne disease pathogens using a commercial immunochromatography technique (Vetscan® Flex 4 Rapid Test; Zoetis; NJ USA). Pet owners reported living conditions, physical characteristics, demographics, and clinical signs for evaluation of risk factors for heartworm infection. Only two evaluated risk factors were shown to enhance the risk for D. immitis infection, including having a short hair coat vs. having a medium or long hair coat (OR 2.62) or positive for antibodies to tick-borne disease parasites (OR 3.83). Clinical signs reported for dogs with heartworm disease were typical for that condition. The overall prevalence of heartworm disease in the state was 8.2%, ranging from 2.4% in the mountainous region to 29.4% in the eastern area. It could not be determined if veterinarians were not diligent about dispensing heartworm preventatives or if poor levels of compliance by dog owners were responsible for higher infection rates in some areas of the state.

Dogs infected by Dirofilaria immitis: a threat to the health of human and non-human animals in Rio de Janeiro, Brazil.

This study aimed to investigate the presence of Dirofilaria immitis microfilaremia in dogs from two regions of the state of Rio de Janeiro, Brazil, where heartworm infections are highly prevalent. Blood samples were collected from dogs aged > 12 months, independent of the use of preventatives. All samples obtained and analyzed using Knott's modified test by the investigators. A total of 133 blood samples were tested, and D. immitis microfilariae were detected in 29 of them, resulting in an occurrence of 21.8%. The percentage of dogs with microfilaremia detected raises concerns for pet families, one health professionals, and small animal practitioners. Microfilaremic dogs are the richest source of infection for the mosquitoes, increasing the risk of transmission. Therefore, the stakeholders in One Health must raise concerns regarding the health of wild animals, as wild canids and other species of wild animals are exposed to the risk of D. immitis infection. In addition, humans can get infected and develop human pulmonary dirofilariasis. In conclusion, the presence of dogs with microfilaremia potentiates opportunities for D. immitis transmission, exposing all animals, wild or domestic, human or non-human to the disease.

Este estudo objetivou investigar a presença de cães portadores de microfilemia da espécie Dirofilaria immitis em duas áreas do estado do Rio de Janeiro, Brasil onde a infecções por vermes do coração são altamente prevalescentes. Amostras de sangue foram obtidas de cães com mais de 12 meses de idade, independentemente do uso de preventivos. Todas as amostras foram obtidas e analisadas pelo grupo do estudo utilizando-se o teste de Knott modificado. Um total de 133 amostras foi testado e microfilárias de D. immitis foram detectadas em 29 amostras, resultando em uma ocorrencia de 21,8%. A porcentagem de cães com microfilaremia detectada gera preocupações para as famílias de animais de estimação, para profissionais da saúde única e para clínicos de pequenos animais. Cães microfilarêmicos são a mais rica fonte de infecção para mosquitos, aumentando o perigo de transmissão. Assim, atores de todos os segmentos sociais com interesse na saúde única devem incluir a saude de animais selvagens em suas preocupações, uma vez que canideos selvagens e outras espécies de animais selvagens são expostos ao desafio da infecção por D.immitis. Além disso, seres humanos podem se tornar infectados e desevolver dirofilariose pulmonar humana. Em conclusão, a presença de cães microfilarêmicos potencializa as oportunidades de trasmissão de D. immitis, expondo todos os animais, selvagens ou domesticos, humanos ou não humanos à doença.

Platynosomum illiciens infection in domestic cats: insights from a sanctuary.

Platynosomum illiciens, a trematode parasite known for its intricate life cycle, predominantly infests the liver, gallbladder, and bile ducts of domestic cats. In this study, we examined feline fecal samples from a cat sanctuary in Metropolitan Rio de Janeiro, Brazil, aiming to determine whether, even in such environments, cats retain their atavistic hunting habits, as evidenced by the presence of P. illiciens in fecal samples. The infection diagnosis utilized centrifugal sedimentation in the formalin-ethyl acetate test. Out of 72 fecal samples collected from various cats, four tested positive for P. illiciens eggs. This study serves as a reminder that even in environments where they are well-fed, cats exhibit predatory behavior, engaging in hunting and consuming prey, thus exposing themselves to parasites. It emphasizes the importance of veterinarians and cat caretakers being cognizant of the widespread presence of P. illiciens in Brazil and considering it in the differential diagnosis for cats presenting with liver or gallbladder issues. In conclusion, our findings underscore that the ancestral instinct for hunting and predation, preserved in domestic cats, persists despite fulfilling their nutritional needs.

Platynosomum illiciens, um parasito trematódeo conhecido por seu ciclo de vida complexo, infesta predominantemente o fígado, a vesícula biliar e os ductos biliares de gatos domésticos. Neste estudo, examinamos amostras fecais de felinos de um santuário de gatos na região metropolitana do Rio de Janeiro, Brasil, com o objetivo de determinar se, mesmo nesses ambientes, os gatos mantêm seus hábitos de caça, evidenciado pela presença de P. illiciens em amostras fecais. O diagnóstico da infecção foi realizado por sedimentação centrífuga no teste de formalina-acetato de etila. Foram obtidas 72 amostras fecais de diferentes gatos e quatro testaram positivo para ovos de P. illiciens. Este estudo é um lembrete de que os gatos terão comportamento predatório, caçando e consumindo presas mesmo quando bem alimentados, ficando expostos ao parasito. Veterinários e cuidadores de gatos devem estar atentos à ampla presença de P. illiciens no Brasil e considerá-la no diagnóstico diferencial de gatos com problemas de fígado ou vesícula biliar. Concluindo, nossos resultados mostram que o instinto atávico dos gatos que se mantiveram conservados durante a domesticação não pode ser anulado quando as necessidades nutricionais dos gatos são satisfeitas.

Clinical and blood count findings in dogs naturally infected with Dirofilaria immitis.

Dirofilaria immitis is a nematode that infects canids worldwide as well as other mammalian species, including humans. Worms and dogs are well adapted to one another, making dogs the best urban host for the parasite. Nevertheless, 30% of dogs do not sufficiently present microfilaremia, that is, the low larval load impairs transmission by mosquitoes and diagnosis by its detection in the blood samples. Therefore, the canine diagnosis must always include a microfilaria test and serological tests to detect adult worm antigens. To describe the clinical findings in naturally infected dogs in Rio de Janeiro, 34 dogs were included in the study. All dogs were evaluated for history, anamnesis, physical examination, complete blood count (CBC), D. immitis testing for antigens (ELISA test SNAP 4Dx Plus®), and microfilarial burden. The most frequent complaint from the owners was coughing (14.7%, 5/34). The most common CBC finding was eosinophilia (29.4%), followed by thrombocytopenia (26.5%) and neutrophilia (14.7%). Of the 34 animals, 91.2% were microfilaremic, with a mean count of 11.939 microfilaria/mL. Veterinarians working in areas endemic to D. immitis should always undergo screening tests and pulmonary auscultation, and increased expiratory sounds, even in the absence of coughing, can be considered a sign of the disease, along with eosinophilia, thrombocytopenia, and neutrophilia.

Dirofilaria immitis, é um nematoide que infecta canídeos em todo o mundo, bem como outras espécies de mamíferos, incluindo humanos. Os vermes e os cães estão bem adaptados um ao outro, tornando os cães o melhor hospedeiro urbano para o parasita. Contudo, 30% dos cães não apresentam microfilaremia, prejudicando a transmissão pelos mosquitos e o diagnóstico por detecção de larvas em amostras de sangue. Portanto, o diagnóstico canino deve incluir sempre a pesquisa de microfilárias e sorologia para detecção do antígeno do verme adulto. Com o objetivo de descrever os achados clínicos de cães naturalmente infectados no Rio de Janeiro, 34 cães foram incluídos. Todos os cães foram avaliados por histórico, anamnese, exame físico, hemograma completo (CBC), teste de antígenos, pesquisa e contagem de microfilárias de D. immitis. A queixa mais frequente dos responsáveis foi a tosse (14,7% - 5/34). O achado de hemograma mais comum foi eosinofilia (29,4%), seguido de trombocitopenia (26,5%) e neutrofilia (14,7%). Dos 34 animais, 91,2% eram microfilarêmicos com contagem média de 11.939 microfilárias/mL. Os veterinários que atuam em áreas endêmicas de D. immitis devem sempre realizar exames de triagem e ausculta pulmonar, pois mesmo na ausência de tosse, sons expiratórios aumentados podem ser considerados um sinal da doença, assim como eosinofilia, trombocitopenia e neutrofilia.

How does Dirofilaria immitis infection impact the health of dogs referred to cardiology care.

Dirofilaria immitis is a nematode that can cause a disease that may present clinical signs from severe to absent. When dogs are symptomatic, the clinical signs are cardiorespiratory and nonspecific, which may be misleading. This study aimed to demonstrate the clinical presentations to cardiac care by evaluating 26 dogs subjected to clinical examination, complete blood count (CBC), specific tests for D. immitis infection, chest radiography, and echocardiography. Among them, 11 (42.3%) dogs were infected and 15 (57.7%) were non-infected. Most dogs presented with coughing (65.4%) and abnormal lung sounds (81%) independent of infection. Murmur at the tricuspid focus was present in 26.9% of the dogs, of which 57.1% were infected. Echocardiography revealed tricuspid regurgitation in 30.8% of the dogs and pulmonary regurgitation in 46.1%, of which 37.5% and 50% were infected, respectively. Worms were detected by echocardiography in 45.5% of the infected dogs. The x-rays showed that the bronchial pattern was present in 45.5% of the infected dogs and in 46.7% of the non-infected dogs. The interstitial pattern was present in 18.2% of the infected animals, in contrast to 6.7% of the non-infected dogs. The CBC results for all dogs were within the reference range, except for platelets. Although similar, the percentage of dogs with thrombocytopenia was higher among infected dogs (36.4%) than among the non-infected (6.7%). These results reinforce that due to the non-specific signs of infection, it is mandatory to perform parasitological assays when evaluating dogs presenting with cardiopulmonary signs.

Dirofilaria immitis, é um nematoide que pode causar sinais clínicos de graves a ausentes. Quando os cães são sintomáticos, os sinais clínicos são cardiorrespiratórios e inespecíficos, o que pode confundir com outras doenças. Com o objetivo de descrever a apresentação clínica de cães atendidos em um serviço de cardiologia e doenças respiratórias, após consentimento dos tutores, 26 pacientes foram submetidos a exame clínico, hemograma, exames específicos para infecção por D. immitis, radiografia de tórax e ecocardiografia. Entre esses cães, 11 estavam infectados (42,3%) e 15 não infectados (57,7%). A maioria dos cães apresentou tosse (65,4%) e sons pulmonares anormais (81%) independentemente da infecção. O sopro no foco tricúspide estava presente em 26,9% dos cães, sendo 57,1% infectados. A ecocardiografia mostrou insuficiência tricúspide em 30,8% dos cães e insuficiência pulmonar em 46,1%, sendo 37,5% e 50% infectados, respectivamente. Parasitos foram detectados pela ecocardiografia em 45,5% dos cães infectados. As radiografias mostraram que o padrão brônquico estava presente em 45,5% dos cães infectados e em 46,7% dos não infectados. O padrão intersticial esteve presente em 18,2% dos infectados e em 6,7% dos não infectados. Os resultados do hemograma de todos os cães estavam dentro do intervalo de referência para todas as células, exceto plaquetas. Embora semelhante, a porcentagem de cães com trombocitopenia foi maior entre os cães infectados (36,4%), do que entre os livres de infecção (6,7%). Esses resultados reforçam que, devido aos sinais inespecíficos da infecção, é obrigatória a realização de ensaios parasitológicos na avaliação de cães que apresentem sinais cardiopulmonares.

Feline Heartworm in Clinical Settings in a High Canine Prevalence Area.

Heartworm (HTW) infection in cats is associated with persistent pulmonary pathology, even when clinical signs are absent. Treatment options for cats are limited once infected, making prevention an important topic for discussion with cat owners. In Brazil, tests to detect feline HTW infections are unavailable, likely leading to an underestimation of its impact on the wellbeing of cats. The present study investigated the seroprevalence of HTW antigen in cats living in an area with high canine HTW prevalence and investigated risk factors and clinical signs associated with HTW disease in cats from Rio de Janeiro, Brazil. Clinical examinations were conducted, and serological evaluations performed with a point-of-care test (SNAP® Feline Triple® Test, IDEXX Laboratories, Inc.). A total of 586 cats were examined. The HTW antigen seroprevalence was 1.2%. Heartworm positive results were significantly associated with vomiting and abnormal lung sounds. Results from this study indicate that cats residing in areas of high canine HTW prevalence should have HTW disease as a differential diagnosis when presenting with compatible clinical signs. Veterinarians should prioritize client education and promote regular use of effective prophylaxis to protect feline health.

Pulmonary atelectasis in a young dog with Cor pulmonale: clinical and radiographic follow-up.

Pulmonary atelectasis is a disease characterized by the collapse of the pulmonary alveoli, leading to partial or total loss of function in the affected lung, and is mostly described in older dogs. It occurs due to chronic inflammatory and obstructive processes such as pneumonia. In infants who do not feed directly from the mother, it is common to develop aspiration pneumonia due to inhalation of a milk replacer. Once aspirated, food generates an inflammatory process in the airway that alters the function of the pulmonary surfactant, increases mucus production, and causes consequent airway obstruction, which may progress to alveolar and bronchial collapse. The aim of the present study was to report a case of a 4-month-old canine with pulmonary atelectasis secondary to bronchopneumonia and the outcome of the clinical case. The patient presented with cough, exercise intolerance, tachypnea, and progressive weight loss. Thoracic radiographic examination was performed to identify displacement of the mediastinum and heart overlapping the collapsed lung, interstitial-alveolar pattern associated with atelectasis of the middle lobe of the right lung, and a diffuse interstitial bronchial pattern throughout the other lung fields. Pulmonary support treatment was administered with antibiotics, bronchodilators, mucolytics, and inhaled corticosteroids, with resolution of clinical and radiographic symptoms after 60 days of treatment. Therefore, adequate treatment of chronic bronchopneumonia is effective in resolving pulmonary atelectasis and its associated clinical complications.

A atelectasia pulmonar é uma enfermidade caracterizada pelo colapso dos alvéolos pulmonares levando a perda de função parcial ou total do pulmão acometido, sendo mais frequente em cães mais velhos. Ocorre devido a processos inflamatórios crônicos e obstrutivos como as pneumonias. Em filhotes que não se alimentam diretamente da mãe, é comum o desenvolvimento de pneumonia aspirativa devido à inalação de fórmula de leite. Uma vez broncoaspirado, o alimento gera um processo inflamatório que altera a função do surfactante pulmonar, aumento na produção de muco e consequente obstrução das vias aéreas, podendo progredir para colapso de alvéolos e brônquios. O objetivo do presente estudo foi relatar um caso de um canino, de 4 meses de idade, com atelectasia pulmonar secundária a broncopneumonia e a evolução do caso clínico. O paciente apresentava sinais de tosse, intolerância a exercícios, taquipneia e emagrecimento progressivo. Realizado exame radiográfico de tórax, identificou-se deslocamento de coração sobrepondo-se ao pulmão colapsado, padrão interstício-alveolar associado a atelectasia do lobo médio do pulmão direito, além de padrão intersticial brônquico difuso pelos demais campos pulmonares. O tratamento de suporte pulmonar foi realizado com antibióticos, broncodilatadores, mucolíticos e corticosteroides inalatórios, com resolução dos sintomas clínicos e radiográficos após 60 dias de tratamento. Portanto, o tratamento adequado para broncopneumonia crônica foi eficaz na resolução da atelectasia pulmonar e suas complicações clínicas.

Efficacy of semi-annual therapy of an extended-release injectable moxidectin suspension and oral doxycycline in Dirofilaria immitis naturally infected dogs.

BACKGROUND: Dirofilaria immitis is a life-threatening nematode spreading globally. Arsenical treatment is currently recommended for removal of adult worms. However, arsenical treatment is not available in some countries, and there are dogs that cannot tolerate the rapid kill of adult worms; therefore, alternative adulticide slow-kill treatments are needed. Criticisms against the use of these alternative protocols include the potential for allowing disease to progress and for the development of ML-resistant worms. METHODS: The efficacy of a protocol that includes semi-annual doses (i.e. every 6 months) of commercially available extended-release injectable moxidectin suspension (ProHeart® SR-12) with 30-day oral administration of doxycycline was studied in 20 dogs with naturally occurring D. immitis infections. Each dog received treatment with ProHeart® SR-12 (0.5 mg moxidectin/kg) by subcutaneous injection and oral doxycycline (10 mg/kg/bid × 30 days) every 6 months until two consecutive negative antigen test results were obtained. Pulmonary and cardiac evaluations were performed by radiographic and echocardiographic parameters. Physical examinations, complete blood counts, clinical chemistry profiles, microfilariae and antigen tests were performed periodically. RESULTS: At enrollment, all dogs were positive for D. immitis antigen and 18 were microfilaremic. On day 30, microfilaremia counts decreased, and all dogs became amicrofilaremic by day 150. On day 180, 11 dogs were antigen-negative, and 7 more became negative by day 360. The two remaining antigen-positive dogs converted to negative by day 540 or 810. All antigen tests performed 180 days after the first negative test were negative. There was no decline in cardiac performance of the dogs throughout the study. Overall, pulmonary clinical conditions, presence of worms by echocardiography, and enlargement of caudal and main pulmonary arteries improved after treatment. Physical examinations, complete blood count results, and clinical chemistry profiles were within normal reference values. Respiratory conditions were improved, no damage to the heart was observed, and the treatment protocol was well tolerated by the animals. CONCLUSIONS: This alternative adulticide treatment was efficacious and well tolerated in naturally infected dogs. The injectable formulation provides the advantage of having veterinarians able to administer, monitor, and assess the efficacy and condition of the dog throughout the treatment and post-treatment periods.

Unusual feline Dirofilaria immitis infection: a case report.

Cats are less susceptible to Dirofilaria immitis infection than dogs. Although rare, the feline disease can be fatal even with low parasitic loads. The infection is often asymptomatic or has non-specific symptoms that are mainly associated with the death of immature worms. Microfilaremia is rare and transient. Normally, microfilaremia, when present, lasts for not more than 33 days. This study describes a feline case presenting with non-specific clinical signs and prolonged microfilaremia. Case: a random bred cat infected by feline leukemia virus (FeLV) that was found to be microfilaremic by chance. The infection was detected by the presence of microfilariae in a blood smear and was confirmed by antigen test (SNAP Feline Triple Test, Idexx®) and echocardiogram.

Use of Slow-Release Injectable Moxidectin for Treatment of Dirofilaria immitis Infection During Pregnancy.

Canine heartworm disease is a life-threatening disease caused by Dirofilaria immitis and is prevalent in Brazil. The standard drug for its treatment, melarsomine dihydrochloride, is a fast-killing organic arsenical chemotherapeutic agent not approved in Brazil. Therefore, an alternative strategy, such as macrocyclic lactone in combination with a tetracycline antibiotic, has to be used. The alternative method is a long-term therapy that could lead to compliance issues during treatment. The aim of this case report is to present a preliminary assessment on the efficacy and safety of an off-label biannual administration of slow-release moxidectin (0.5 mg/kg every 6 months), which is formulated for annual administration (0.5 mg/kg annually). This overdose was chosen to test if moxidectin serum levels could be maintained high enough to harm the worms. It was administered to a 4-year-old female dog in combination with a 30-day doxycycline course. The second dose of moxidectin was administered approximately a week before she gave birth to three healthy puppies. Microfilariae were not detected on day 180 of treatment. Serological tests showed that the worms were eliminated, as two negative antigen tests were obtained 6 months apart (at day 180 and day 360 of treatment). Therefore, the off-label biannual use of moxidectin in combination with doxycycline was effective in eliminating D. immitis in 360 days and was harmless for the pregnant dog and her offspring, suggesting that this strategy is promising. Although these results are encouraging, further studies are needed to confirm safety and efficacy issues.

Hypertrophic phenotypic cardiomyopathy in an ocelot (Leopardus pardalis)

Background: Hypertrophic cardiomyopathy phenotype (HCM) is the most common cardiac disease in domestic cats but is rarely described in wild species. This phenotype is characterized by concentric hypertrophy of the left ventricle and may be of familial inheritance or secondary to other diseases such as hyperthyroidism, chronic kidney disease, systemic arterial hypertension, and hyperaldosteronism. HCM can cause diastolic and systolic dysfunction and may cause congestive heart failure in affected animals. The present work aims to describe the first report of cardiomyopathy of the hypertrophic phenotype in a specimen of Leopardus pardalis, kept under human care. Case: A 11-year-old female ocelot (Leopardus pardalis) kept under human care, during a preventive care visit, had hypertrophic cardiomyopathy phenotype detected by cardiological evaluation with echocardiogram and a murmur grade III/ VI could be detected on cardiac auscultation. This preventive care occurred under chemical restraint with ketamine [6 mg/kg, i.m] associates with midazolam [0.5 mg/kg, i.m] and other evaluations have been done like complete blood count (CBC), biochemistry (alanine aminotransferase, aspartate aminotransferase, total proteins, albumin, albumin:globulin ratio, creatinine, urea, sodium, potassium, calcium, phosphorus, and globulin) and tyroid hormones [free tyroxine (T4) and thyroid-stimulating hormone (TSH)]. Medical management based on clopidogrel, and atenolol was administered for 3 months until the patient showed manifestations of congestive heart failure (CHF) 80 days later the initial evaluation. In this moment the patient presented with dyspnea, so a cardiological and laboratory evaluation was requested. On pulmonary auscultation crackling was identified, suggesting pulmonary edema and, on echocardiographic examination, some parameters had worsened. The CBC and biochemistry were all within reference ranges. Then, the beta-blocker was discontinued and replaced by pimobendan combined with furosemide as treatment of CHF, and the condition stabilized. After one year, the patient was re-evaluated and showed a slight improvement in the condition but still remained stable. Also, feline proBNP levels was tested (SNAP Feline proBNP® IDEXX) in this moment and it was increased. Discussion: The findings on echocardiography associated with the subjective evaluation associated with progressive worsening and clinical manifestation of CHF, as well as the response to treatment, even though there are no reference values for the species, reinforce the diagnosis. There is no evidence to suggest diseases that may contribute to secondary left ventricular hypertrophy. It is believed that pimobendan plays a key role in maintaining hemodynamic balance, since this has already been observed in other mammalian species. The use of beta blockers is commonly employed in domestic cats with HCM, and they have been prescribed in an attempt to promote greater ventricular relaxation, decrease left ventricular outflow obstruction, thus improving ventricular filling for maintenance of cardiac output. In view of the atrial enlargement and possible risk of thrombus formation, clopidogrel was prescribed, extrapolating what is known from domestic cats. It is reasonable to conclude that in this case, the cardiomyopathy behaved similarly to what is observed in domestic cats, both in its clinical evolution and in the means of diagnosis, and in its response to the therapy instituted.

Risk of arrhythmias in dogs with structural heart disease / Potencial arrítmico de cardiopatias em cães

Presently, pet life expectancy is becoming longer and several diseases inherent to age have been diagnosed, with heart disease being a frequent finding. Although various heart diseases have different pathophysiologies, many morphological and hemodynamic changes can predispose patients to arrhythmias. The presence of arrhythmias can worsen the underlying heart disease and predispose patients to develop new alterations, making arrhythmia detection important for establishing adequate therapeutic protocols and a better prognosis. The present study aimed to determine the arrhythmias most frequently found in dogs treated at the Cardiology and Respiratory Diseases Service (SCDR) of the Small Animals Sector of the Veterinary Hospital of the Federal Rural University of Rio de Janeiro (UFRRJ), during the period from January to 2014 to December 2017, relating them to sex, age group, size, and the presence or absence of heart disease. A total of 586 medical records of dogs treated with SCDR-UFRRJ were retrospectively evaluated. Of these, 15.4% had arrhythmias, 95.6% had diagnoses of heart disease, 61.1% (55/90) were diagnosed with mitral valve disease, and 27.8% (25/90) had dilated cardiomyopathies. The most frequent rhythm disturbances were premature ventricular complexes associated with chronic degenerative mitral valve disease or dilated cardiomyopathy. Statistical analysis confirmed the risk of a cardiac patient developing rhythm or conduction alterations (OR, 4.46; p = 0.0003). In conclusion, the pathophysiology of heart failure can lead to the development of rhythm and conduction disorders.

Com a maior expectativa de vida dos animais de estimação, diversas enfermidades inerentes a idade têm sido diagnosticadas, sendo as cardiopatias um achado frequente. Apesar das diferentes cardiopatias terem fisiopatologias distintas, diversas alterações morfológicas e hemodinâmicas podem ocorrer predispondo ao aparecimento de arritmias. A presença de arritmias pode agravar a doença cardíaca de base e predispor ao desenvolvimento de novas alterações, tornando-se importante a sua detecção para instituição de protocolos terapêuticos adequados e melhor prognóstico da doença. O presente estudo teve como objetivo determinar as arritmias mais frequentemente encontradas em cães atendidos no Serviço de Cardiologia e Doenças Respiratórias (SCDR) do Setor de Pequenos Animais do Hospital Veterinário da Universidade Federal Rural do Rio de Janeiro (UFRRJ), no período de janeiro de 2014 a dezembro de 2017, relacionando-as com sexo, faixa etária, porte e presença ou não de cardiopatias. De maneira retrospectiva, foram avaliados 586 prontuários de cães atendidos no SCDR-UFRRJ. Destes, 15.4% apresentavam alguma arritmia e 95,6% apresentavam diagnostico de alguma cardiopatia, sendo 61.1% (55/90) diagnosticados com endocardiose de mitral e 27.8% (25/90) com cardiomiopatia dilatada. O distúrbio de ritmo mais frequente foram os complexos ventriculares prematuros associados a doença valvar degenerativa crônica de mitral ou a cardiomiopatia dilatada. Na análise estatística, o risco de um paciente cardiopata desenvolver alterações de ritmo ou de condução foi confirmado (OR: 4,46; p=0,0003). Conclui-se que a fisiopatologia da insuficiência cardíaca pode levar ao desenvolvimento de distúrbios de ritmo e também distúrbios de condução.

Nutraceticals for dissolving nephrolites in cats

Background: Nephrolithiasis is a condition frequently observed in felines, with or without concomitant chronic kidneydisease, constituting the major cause of ureteral obstruction and causing progressive damage to the renal parenchyma. About90% of nephrolites are composed of calcium oxalate, which cannot dissolve, and its incidence has increased substantiallyin recent years, along with its recurrence. There are functional foods known as nutraceuticals provides health benefits suchas renoprotection. Due to these benefits and the high prevalence of nephrolithiasis in feline species, the present study aimedto evaluate the efficacy of the association of some nutraceuticals in the dissolution of nephrolites.Materials, Methods & Results: The included cats had an ultrasound diagnosis of nephrolithiasis that, on clinical examination, showed: (i) the absence of previous or concomitant treatment for urinary infections and/or vesical and renal lithiasis;(ii) absence of genitourinary clinical manifestations; (iii) absence of obstructive processes; and (iv) absence of concomitantureterolithiasis. We separated 51 cats with nephrolithiasis into 2 groups: control (n = 12) and study (n = 39). The controlgroup received a placebo and the study group, nutraceuticals (magnesium chelate, resveratrol, vitamin K2, docosahexaenoicacid, and eicosapentaenoic acid). Laboratory tests (blood and urine) and abdominal imaging (ultrasound) were performedat day 0 and 30 days after enrollment. Monitoring the therapeutic efficacy in both groups was performed on day 30 for theCG and on days 30, 60, and 90 for the EG. The CG cats, after this step, were referred to surgery or to the EG, with priorauthorization from their tutors. The diameter of nephrolites was significantly different before and after treatment, indicating a reduction in nephroliths over time. During the use of the nutraceutical formulation by the EG and use of placebo...

Brachycephalic syndrome in dogs - endoscopic findings in the airways

Background: Brachycephalic dogs have several abnormalities in the airways, which generate clinical manifestations that impair the quality of life of these animals. Primary alterations promote airflow obstruction and increase intraluminal negative pressure, causing secondary alterations due to a cycle of inflammation with consequent obstruction. With the onset of inflammation and other alterations in the airways, clinical manifestations can be observed, such as snoring, reverse sneezing, coughing, dyspnea, cyanosis, syncope, and vomiting. Endoscopic examination of the airways allows visualization and diagnosis of morphological changes in these animals. This study aimed to evaluate the endoscopic findings of the airways and determine the quantitative and qualitative assessment of the severity of clinical manifestations in 14 dogs with brachycephalic syndrome (BS). Materials, Methods & Results: Historical and anamnesis data and clinical, respiratory, and digestive manifestations were collected from the owners' reports. The clinical manifestations were classified as mild, moderate, or severe. All animals were subjected to endoscopy of the airways, and image findings were grouped according to the anatomical site where they were observed, then the abnormalities were correlated with the severity of the clinical manifestations. When comparing the frequency of endoscopic abnormalities with the severity of clinical manifestations, it is interesting to observe that animals with severe disease more frequently presented the following alterations: prolongation and thickening of the soft palate, laryngeal changes, presence of hyperemia, lymphoid hyperplasia and polyps in the nasopharynx, hypoplasia and presence of tracheal secretion and thickening of the dorsal tracheal muscle; bronchial collapse, hypoplasia of the main bronchi and bronchial hyperemia and the presence of aberrant nasal turbinates. Comparison between the means of nonparametric variables was performed using the Mann-Whitney test, with a 5% significance level. Discussion: A higher frequency of French Bulldog dogs included in the study was observed, probably due to their greater popularity, although any brachycephalic dog may be affected by BS. Considering that nostril stenosis is a congenital alteration, which is usually diagnosed early, and since the animals included in the study were dogs referred for the rhinoplasty procedure the higher frequency of young dogs in the study was not surprising. The results revealed a significant difference in the endoscopic findings with the severity of the clinical manifestations in different variables, such as prolongation and thickening of the soft palate, eversion of the laryngeal saccules, presence of laryngeal inflammation and collapse, presence of polyps or lymphoid hyperplasia in the nasopharynx, thickening of the dorsal muscle of the trachea, polyps in the trachea and hypoplasia in addition to bronchial hyperemia. The larynx was the most affected anatomical site, with alterations present in 92.8% of the evaluated dogs. Based on these findings, it can be concluded that airway obstruction caused by primary alterations can cause secondary alterations, with consequent clinical manifestations in brachycephalic dogs it is possible to suggest that dogs with this syndrome may present severe manifestations of the disease, regardless of age. Furthermore, it can be concluded that in this study, dogs with BS had frequent laryngeal alterations and that alterations in the main bronchi were present in all animals with severe manifestations of the disease.

Unilateral atrial ectopic rhythm in a golden retriever

Background: Atrial ectopic rhythm is a type of supraventricular arrhythmia, originating in two distinct points in the atrialregion. In the electrocardiographic (ECG) tracing, it is represented by independent depolarizations of sinus P waves andectopic P waves. The occurrence of this disorder is rare, and the diagnosis criteria are the presence of the described waveswithin the basal rhythm. In humans, there have been reports related to severe heart failure with an unfavorable prognosis.The present report aimed to describe the clinical case of a dog with unilateral atrial ectopic rhythm without any underlying cardiac disorder.Case: A 8-year-old male golden retriever was brought to a veterinary clinic for a preoperative evaluation for lipoma removalin the right forelimb. On clinical examination, the owner stated that the patient was active, with no signs of easy fatigueor cough. The canine displayed normophagy, normodipsia, normoquezia, and normouria. On physical examination, hedemonstrated a lymphatic temperament with tachypnea. The temperature and capillary filling time were within the normalrange, with a normokinetic pulse. Cardiac auscultation revealed a mild grade I/VI murmur in mitral focus and an 80-bpmheart rate. Respiratory auscultation revealed the presence of harshy lung sounds. The cough reflex was positive; the Piparotetest, negative. The blood test showed no noticeable changes in blood count and serum biochemistry. Systemic systolicblood pressure was 120 mmHg. On radiographic examination, no evidence of heart or lung abnormalities were identified.After the clinical evaluation, an ECG examination was performed; a unilateral atrial ectopic rhythm was observed withdifferent frequencies between atrial and ventricular rhythm and with P (164°) and P waves (80°). On echocardiographic...(AU)

Unilateral atrial ectopic rhythm in a golden retriever

Background: Atrial ectopic rhythm is a type of supraventricular arrhythmia, originating in two distinct points in the atrialregion. In the electrocardiographic (ECG) tracing, it is represented by independent depolarizations of sinus P waves andectopic P waves. The occurrence of this disorder is rare, and the diagnosis criteria are the presence of the described waveswithin the basal rhythm. In humans, there have been reports related to severe heart failure with an unfavorable prognosis.The present report aimed to describe the clinical case of a dog with unilateral atrial ectopic rhythm without any underlying cardiac disorder.Case: A 8-year-old male golden retriever was brought to a veterinary clinic for a preoperative evaluation for lipoma removalin the right forelimb. On clinical examination, the owner stated that the patient was active, with no signs of easy fatigueor cough. The canine displayed normophagy, normodipsia, normoquezia, and normouria. On physical examination, hedemonstrated a lymphatic temperament with tachypnea. The temperature and capillary filling time were within the normalrange, with a normokinetic pulse. Cardiac auscultation revealed a mild grade I/VI murmur in mitral focus and an 80-bpmheart rate. Respiratory auscultation revealed the presence of harshy lung sounds. The cough reflex was positive; the Piparotetest, negative. The blood test showed no noticeable changes in blood count and serum biochemistry. Systemic systolicblood pressure was 120 mmHg. On radiographic examination, no evidence of heart or lung abnormalities were identified.After the clinical evaluation, an ECG examination was performed; a unilateral atrial ectopic rhythm was observed withdifferent frequencies between atrial and ventricular rhythm and with P (164°) and P waves (80°). On echocardiographic...

Recurrent spontaneous pneumothorax in a Maltese dog with endogenous lipoid pneumonia

Background: Pneumothorax is a clinical condition which can cause respiratory distress. It can have as its origin traumatic causes or even classified as spontaneous, mainly related to diseases of the lung parenchyma. Lipoid pneumonia is rarely described in dogs, and it is characterized by globules of lipid in the alveolar spaces. Endogenous lipoid pneumonia (EnLP) occurs when lesions on pulmonary cells release cholesterol and other lipids in the alveoli. There is no clinical approach established for EnLP in veterinary patients. The aim of this report is to describe a case of a young Maltese dog, with recurrent spontaneous pneumothorax in which EnLP was diagnosed post mortem. Case: A 2-year-old sexually intact male Maltese dog was evaluated for restrictive dyspnea. Clinicopathologic findings included cyanotic, muffled chest auscultation with hypersonic thoracic percussion. Chest x-ray demonstrated an increase in pleuropulmonary radio transparency and a floating-looking heart, indicating pneumothorax. Complete blood counts and biochemical panel results were normal. Dirofilaria immitis antigen test results were negative. Computed tomography demonstrated slightly hyper-expanded pulmonary fields, with slightly enlarged reticular marking with areas of mild multicentric panlobular emphysema and a fracture on the sixth left rib. The treatment was focused on improving the breathing pattern through sedation, supplementation with oxygen, and thoracentesis. Owing to the reserved prognosis of the case, the unknown etiology of the recurrent pneumothorax, and the clinical worsening of the patient, the owner opted for euthanasia. Necropsy displayed multiple, circular whitish areas in the lungs, distributed over the surface of all lobes. Histopathological examination revealed pulmonary tissue with the subpleural micronodular foci, multifocal to coalescent, with a moderate accumulation of foamy intra-alveolar macrophages, occasionally multinucleate, associated with cholesterol crystals compatible with endogenous lipid pneumonia. Discussion: The patient presented with clinical signs and physical examination characteristics of pneumothorax at the first visit. After the pneumothorax diagnosis, and clinical stabilization of the patient. No predisposing factor for the formation of the pneumothorax was identified as the radiography revealed only bronchitis and blood tests were normal, the patient was thus discharged after 24 h, with the recommendations for observing the breathing pattern. Initially, spontaneous pneumothorax was suspected. The antibiotics were administered since bacterial pneumonia, although not confirmed on chest x-ray, is the main cause of pneumothorax in dogs is lung parenchyma disease. With the worsening of the clinical condition of the patient, CT was performed and did not demonstrate any findings that would justify the presence of pneumothorax. Despite the placement of the chest tube for facilitating the management of thoracentesis, there was no stabilization of the condition, enhancing the frequency of centesis procedures, which led to the decision to euthanize. The microscopic examination of the pulmonary alterations was decisive for the diagnostic conclusion. The visualization of the accumulation of foamy intra-alveolar macrophages, occasionally multinucleate, associated with cholesterol crystals, was responsible for the diagnosis of EnLP. This condition is rarely described in dogs and as in the present report, it is a noninfectious inflammatory condition, characterized by intra- or extracellular globules of lipid in the alveolar spaces. In the present report, although it was not possible to determine the etiology of EnLP, we can conclude that although rare, it can affect dogs and can generate severe clinical repercussions.

Unusual feline Dirofilaria immitis infection: a case report / Infecção incomum por Dirofilaria immitis em felino: relato de caso

Cats are less susceptible to Dirofilaria immitis infection than dogs. Although rare, the feline disease can be fatal even with low parasitic loads. The infection is often asymptomatic or has non-specific symptoms that are mainly associated with the death of immature worms. Microfilaremia is rare and transient. Normally, microfilaremia, when present, lasts for not more than 33 days. This study describes a feline case presenting with non-specific clinical signs and prolonged microfilaremia. Case: a random bred cat infected by feline leukemia virus (FeLV) that was found to be microfilaremic by chance. The infection was detected by the presence of microfilariae in a blood smear and was confirmed by antigen test (SNAP Feline Triple Test, Idexx®) and echocardiogram.(AU)

Gatos são menos susceptíveis à infecção por Dirofilaria immitis do que cães. Apesar de rara, a doença nos gatos pode ser fatal mesmo com baixas cargas parasitárias. Muitas vezes, a doença é assintomática ou apresenta sintomas inespecíficos, principalmente associados com a morte de formas parasitárias imaturas. Microfilaremia é rara e transitória. Normalmente, quando ocorre microfilaremia, ela permanece por, no máximo, 33 dias. Este estudo descreve o caso de um felino que apresentava sinais inespecíficos e microfilaremia prolongada: um gato sem raça definida, portador de infecção pelo vírus da leucemia felina (FeLV) que foi diagnosticado como microfilaremico ao acaso. A infecção foi detectada pela presença de microfilárias em esfregaço sanguíneo e, posteriormente, confirmada pelo teste de antígenos (SNAP Feline Triple Test, Idexx®) e por ecocardiograma.(AU)

Nebulization with sodium chloride solution (0.9%) in the treatment of chronic canine bronchitis

Chronic bronchitis is a disease of high occurrence in dogs. Its etiology is usually associated with allergic and / or infectious causes, in which inflammation of the bronchi and bronchioles occurs, leading to airway irritation, accumulation of mucus and clinical signs such as productive cough and exacerbated lung noise. The therapeutic protocol of humidification and mucinase through aerosolization by nebulization, may gain attention for its use in veterinary medicine in the face of the obstacles often presented due to the non cooperation of the patient and unavailability of the tutor. The present study aimed to establish the adjuvant use of nebulization in the treatment of canine bronchitis.(AU)