Disseminated intravascular coagulation following melarsomine therapy for is reported in a 9-year-old female intact pit bull-type dog. The dog had been diagnosed with (antigen and microfilaria positive) and treated with imidacloprid, moxidectin, doxycycline and 3 doses of melarsomine over a 92-day period. Seven days after the third melarsomine injection, the patient was presented to her family veterinarian due to right pelvic limb swelling.
View Article and Find Full Text PDFJ Vet Emerg Crit Care (San Antonio)
March 2023
Background: Multiple studies have evaluated the breed-specific prevalence of dog erythrocyte antigen (DEA) 1 in various geographic regions. However, few large-scale studies exist that describe breed prevalence of DEA 1 in the United States.
Key Findings: From January 2000 to October 2020, 6469 dogs had their RBC antigen type determined and were included in the study.
Case Description: An approximately 2-year-old sexually intact male German Shorthair Pointer was presented for treatment of baclofen toxicosis.
Clinical Findings: The dog had signs of severe baclofen toxicosis (no gag reflex, intermittent vocalization, and stupor) and received intravenous lipid emulsion (142 mL/kg) as a constant rate infusion over 11 hours. Severe hypertriglyceridemia (29,221 mg/dL; reference interval, 19 to 133 mg/dL) developed, followed by cardiovascular depression (poor peripheral perfusion, hyperlactatemia, and hypertension), severe hypoglycemia (26 mg/dL), acute kidney injury (serum creatinine, 3.
J Vet Emerg Crit Care (San Antonio)
July 2020
Objective: To describe a serious adverse event of gastrointestinal obstruction requiring surgery following routine administration of multiple doses of activated charcoal (AC) granules, which were prescribed for carprofen toxicosis.
Case Summary: A 2-year-old female neutered Airedale Terrier presented for ingestion of 207 mg/kg of carprofen. Decontamination was initiated with apomorphine to induce emesis.
J Vet Emerg Crit Care (San Antonio)
November 2019
Objective: To evaluate the ability of arterial hemoglobin oxygen saturation measurement via pulse oximetry (SpO ) to serve as a surrogate for PaO in dogs.
Design: Two-part study: prospective observational and retrospective components.
Setting: University teaching hospital.
Objective: To describe the clinical signs, clinicopathologic abnormalities, treatment, and outcome after IV administration of polyethylene glycol 3350 (PEG3350) in a cat.
Case Summary: A cat was inadvertently administered 6 g/kg of PEG3350 in electrolyte solution, IV, resulting in severe hypernatremia (203 mmol/L), diffuse encephalopathy, hemolysis, and moderate azotemia. The hemolysis and acute kidney injury observed immediately following PEG3350 administration resolved with supportive care.
J Vet Emerg Crit Care (San Antonio)
March 2017
Objective: To validate a smartphone-based spectrophotometric assay for point-of-care (POC) measurement of hemoglobin (Hgb) concentration against the standard measurement method in dogs without increases in serum lipemia, hemolysis, or bilirubin.
Design: Prospective observational study.
Setting: University teaching hospital.
Background: The majority of states have enacted price transparency laws to allow patients to shop for care and to prevent price discrimination of the uninsured. In California, hospitals must provide a price estimate to a requesting uninsured patient and cannot bill for an amount greater than the reimbursement the hospital would receive from a government payer.
Objective: To assess the response rate of California hospitals to a patient price request and to compare the price estimates received to Medicare reimbursement.