A retrospective case series of companion animals hospitalized for ethylene glycol poisoning at a Canadian veterinary teaching hospital.

IF 1 4区 农林科学 Q3 VETERINARY SCIENCES
Taylor Sauder, Madison Ricard, Jennifer Loewen, Vanessa Cowan
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引用次数: 0

Abstract

Background: Ethylene glycol (EG), the toxic ingredient in some antifreeze products, is a potent animal poison.

Objective and animals: Our objective was to characterize EG poisoning in cats and dogs hospitalized at a Canadian veterinary teaching hospital.

Procedure: We conducted a medical record review.

Results: Twenty-one cases were included from the 17-year study period (dogs n = 15, cats n = 6). Common signalments were young male intact dogs (n = 5) and adult spayed female cats (n = 4). More cases were presented in summer (n = 10) than other seasons. Cases were often presented > 8 h after onset of signs (n = 12). Diagnostic tests included venous blood gas (n = 17), serum chemistry (n = 14), urinalysis (n = 14), AFAST/TFAST (n = 6), and full abdominal ultrasonography (n = 2). The most common treatments were IV fluids (n = 17) and 4-methylpyrazole (n = 8). The survival-to-discharge rates were 33% and 0% for dogs and cats, respectively.

Conclusion: Poisoning with EG had a high fatality rate in dogs and cats presented to the emergency clinic. Animals were often presented late in the course of poisoning, making antidotal therapy unsuccessful.

Clinical relevance: Regardless of time of year, EG should be considered a differential diagnosis for animals with CNS depression, gastrointestinal signs, and evidence of acute kidney injury. In clinics that do not have commercial diagnostic tests available, the authors recommend combining findings from venous blood gas, urinalysis, ultrasonography, and a Wood's lamp screen to establish a diagnosis.

回顾加拿大一家兽医教学医院因乙二醇中毒住院的伴侣动物病例系列。
背景:乙二醇(EG)是一些防冻产品中的有毒成分,是一种强效的动物毒药。目的和动物:我们的目的是表征在加拿大兽医教学医院住院的猫和狗EG中毒。程序:我们进行了一项医疗记录审查。结果:21例病例来自17年的研究期间(狗n = 15,猫n = 6)。常见的信号是年轻的雄性完整狗(n = 5)和成年的雌性绝育猫(n = 4)。夏季病例数(n = 10)高于其他季节。病例通常在出现症状后8小时出现(n = 12)。诊断检查包括静脉血气(n = 17)、血清化学(n = 14)、尿液分析(n = 14)、AFAST/TFAST (n = 6)、全腹超声(n = 2)。最常见的治疗方法是静脉输液(n = 17)和4-甲基吡唑(n = 8)。狗和猫的存活率分别为33%和0%。结论:在急诊就诊的猫狗中,EG中毒有很高的死亡率。动物经常出现在中毒过程中较晚,使解毒治疗不成功。临床相关性:无论一年中的什么时候,对于有中枢神经系统抑制、胃肠道体征和急性肾损伤证据的动物,EG都应被视为鉴别诊断。在没有商业诊断测试的诊所,作者建议结合静脉血气、尿液分析、超声检查和伍德灯筛查的结果来确定诊断。
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来源期刊
CiteScore
1.20
自引率
10.00%
发文量
177
审稿时长
12-24 weeks
期刊介绍: The Canadian Veterinary Journal (CVJ) provides a forum for the discussion of all matters relevant to the veterinary profession. The mission of the Journal is to educate by informing readers of progress in clinical veterinary medicine, clinical veterinary research, and related fields of endeavor. The key objective of The CVJ is to promote the art and science of veterinary medicine and the betterment of animal health. A report suggesting that animals have been unnecessarily subjected to adverse, stressful, or harsh conditions or treatments will not be processed for publication. Experimental studies using animals will only be considered for publication if the studies have been approved by an institutional animal care committee, or equivalent, and the guidelines of the Canadian Council on Animal Care, or equivalent, have been followed by the author(s).
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