Extra-adrenal paraganglioma of the equine orbit: six cases

At The Ohio State University from 1994–2006 six of seven horses evaluated for primary orbital disease were diagnosed with extra-adrenal paraganglioma (EAPG). The horses ranged in age from 14 to 24 years, with a mean of 16.8 years. Duration of clinical signs was 1.5 years to 5 years, with a mean of 2.8 years. Clinical signs varied, but all six had non-painful exophthalmus of the right eye. Five horses had complete ocular exams reported; three of five had decreased to absent vision, two of five had pale optic nerves, and in three of five, difficulty of retropulsion of the globe was noted. Diagnostic tests performed included complete blood count, serum profile, radiography, ultrasound, computed tomography, true-cut biopsy, ocular examination, guttural pouch endoscopy, oral examination, and physical examination. Expulsive hemorrhage during orbital exenteration occurred in all horses. In five of six cases, tumor extension through the orbital foramen was apparent intra-operatively. Histopathologic appearance of all surgically removed tissues consisted of sheets of polygonal cells with abundant lightly granular cytoplasm, round nuclei with vesicular chromatin, and rare mitoses. Neoplastic cells were arranged into small groups separated by a fine fibrovascular stroma. All six cases were chromagranin positive on immunohistochemical staining. Follow-up ranged from six months to six years, with a mean of two years. Four of the five horses that recovered from surgery had no apparent tumor recurrence in 6–48 months.     

Endotoxin activity in whole blood measured by neutrophil chemiluminescence is applicable to canine whole blood

The dog is widely used as a translational experimental model studying the host response and new treatments for human endotoxemia. The present study evaluated the applicability of a novel patient-near neutrophil chemiluminescence assay for the measurement of endotoxin activity in human blood when applied to canine blood samples. The assay was observed to be analytically sensitive and specific to endotoxin when tested in vitro, spiked with purified Escherichia coli lipopolysaccharide and live E. coli. The diagnostic sensitivity was sustained during Gram-positive contamination. Finally, it also demonstrated diagnostic potential when able to discriminate dogs with spontaneously occurring endotoxemia from both healthy dogs and diseased dogs without endotoxemia. The rapid patient-near assessment of endotoxin activity in canine blood should facilitate future studies on endotoxemia in both spontaneous disease and in experimental settings.     

Streptococcus zooepidemicus Myocardial Abscessation in a 1-Month-Old Thoroughbred Foal

A 1-month-old male Thoroughbred foal was presented at necropsy. A focal purulent lesion was observed in the right ventricular free wall of the myocardium. To the authors' knowledge, this is the first report of Streptococcus zooepidemicus myocardial abscessation in an equine.     

Review of diagnostic laboratory submissions of adult cattle 'found dead' in England and Wales in 2004

A total of 253 submissions from adult cattle 'found dead' in England and Wales were referred to the Veterinary Laboratories Agency in 2004. Carcases accounted for 54 per cent of the submissions and were of more diagnostic value than other types of sample. Whether the animals were beef or dairy, their distance from the laboratory and the number of deaths in the incident affected the likelihood of samples being submitted. The probability of reaching a diagnosis was influenced by the type of sample, the level of testing and the interval from sampling to receipt in the laboratory. Systemic disease was the most frequent cause of death in both dairy and beef cattle with hypomagnesaemia being the most frequent diagnosis (52 per cent) in beef cattle. In dairy cattle, 34 per cent of the diagnoses were for sporadic events, including haemorrhage and torsions of the digestive and reproductive tracts.     

The risk of death: the confidential enquiry into perioperative small animal fatalities

Objective To estimate the risks of anaesthetic and sedation‐related mortality in companion animals in the UK. (The Confidential Enquiry into Perioperative Small Animal Fatalities, CEPSAF). Study design A prospective cohort study with nested case–control study. Animal population All small animals anaesthetized and sedated at participating centres between June 2002 and June 2004. Methods Patient outcomes at 48 hours (alive, dead and killed) were recorded. Anaesthetic and sedation‐related death was defined as death where surgical or pre‐existing medical causes did not solely cause death. Species‐specific risks of anaesthetic‐related death and 95% confidence intervals (95% CI) were calculated. Risks were also estimated in the sub‐sets of dogs, cats and rabbits that were either healthy or sick (ASA 1–2 and 3–5, respectively). Results One hundred and seventeen veterinary practices participated in the study and 98 036 dogs, 79 178 cats and 8209 rabbits were anaesthetized and sedated. Overall risks of anaesthetic and sedation‐related death in dogs were 0.17% (1 in 601, 95% CI 0.14–0.19%), in cats 0.24% (1 in 419, 95% CI 0.20–0.27%) and in rabbits 1.39% (1 in 72, 95% CI 1.14–1.64%) within 48 hours of the procedure. In healthy dogs, cats and rabbits, the risks were estimated to be 0.05% (1 in 1849, 95% CI 0.04–0.07%), 0.11%, (1 in 895, 95% CI 0.09–0.14%) and 0.73% (1 in 137, 95% CI 0.54–0.93%), respectively. In sick dogs, cats and rabbits, the risks were 1.33%, (1 in 75, 95% CI 1.07–1.60%), 1.40% (1 in 71, 95% CI 1.12–1.68%) and 7.37% (1 in 14, 95% CI 5.20–9.54%), respectively. Postoperative deaths accounted for 47% of deaths in dogs, 61% in cats and 64% in rabbits. Most other small animal species had higher mortality risks. Conclusions and clinical relevance Small animal anaesthesia appears to be increasingly safe. Greater patient care in the postoperative period could reduce fatalities.     

Transverse and dorso-ventral changes in thoracic dimension during equine locomotion

Changes in shape of the equine thorax during locomotion are not well defined, although it has been shown recently that the transverse hemi-diameter changes its dimension by up to 80 mm on the side of the trailing forelimb during gallop, despite minimal change in thoracic circumference. The aim of this project was to analyse transverse and dorso-ventral changes in shape of the thorax simultaneously, and to determine if leading limb, treadmill slope and speed have an effect on these shape changes. Reflective markers were placed on the horse’s hemi-thorax and movement of the markers was recorded using a motion capture system while the horse trotted and cantered on a treadmill. Treadmill speed and slope, and the lead the horse cantered on were varied to determine the effects these had on transverse hemi-diameter and dorso-ventral diameter.There was a negative correlation between transverse and dorso-ventral changes in thoracic dimension, the strength of which increased with speed on the trailing limb side. On the leading side, the relationship was either weakly negative or positive. The changes in dimension of the hemi-thorax were significantly greater on the trailing side compared to the leading side. Speed had small effects on thoracic shape changes, but inclined exercise caused an increase in transverse hemi-diameter on the trailing side of the thorax. The changes in thoracic shape are unlikely to contribute substantially to ventilation and rib motion is likely to be due to protraction and retraction of the forelimbs. However, it may reflect asynchronous ventilation of lung lobes and partially explain the prevalence of exercise-induced pulmonary haemorrhage.     

Artifacts in digital radiography

Digital radiography is becoming more prevalent in veterinary medicine, and with its increased use has come the recognition of a number of artifacts. Artifacts in digital radiography can decrease image quality and mask or mimic pathologic changes. They can be categorized according to the step during which they are created and include preexposure, exposure, postexposure, reading, and workstation artifacts. The recognition and understanding of artifacts in digital radiography facilitates their reduction and decreases misinterpretation. The purpose of this review is to name, describe the appearance, identify the cause, and provide methods of resolution of artifacts in digital radiography.     

Oxidative stress and liver disease.

Pro-oxidants are numerous and varied. Antioxidants are equally varied in their mechanism of action, and oxidative stress is likely not a simple arithmetic summation of these two opposing forces. More likely, it is a complex set of interrelated formulas with large areas of overlap and small areas of unique effect. In this article, the language of oxidative stress is reviewed, the consequences of oxidative stress are presented, the pathophysiology of oxidative stress in the liver is briefly discussed, and various antioxidant treatment options most relevant to small animal patients with liver disease are reviewed.     

Gross and histologic evidence of sharp and blunt trauma in North Atlantic right whales (Eubalaena glacialis) killed by vessels.

Vessel-whale collision events represented the ultimate cause of death for 21 (52.5%) of the 40 North Atlantic right whales (Eubalaena glacialis) necropsied between 1970 and December 2006. Injuries seen in vessel-struck whales fall into two distinct categories: 1) sharp trauma, often resulting from contact with the propeller, and 2) blunt trauma, presumably resulting from contact with a vessel's hull. This study analyzes four trauma cases that resulted from vessel-whale collisions, which together provide a framework for a more critical understanding of lethal blunt and sharp trauma resulting from vessel collisions with right whales. In case no. 1, contact with a propeller resulted in three deep lacerations. The animal survived acute trauma only to succumb nearly 14 years later when the lesions reopened and became infected. In case no. 2, anecdotal reports linked the laceration of large arteries of the peduncle and histologic evidence of perimortem trauma at a bone fracture site to vessel-whale collision trauma. Case no. 3 had a laceration of the oral rete and a fracture of the rostrum. Both of the areas displayed histologic evidence of perimortem blunt trauma. Finally, in case no. 4, an antemortem mandibular fracture, two additional skull fractures, and widespread hemorrhage were consistent with severe blunt trauma. Evidence from each case, including the timing of trauma relative to the time of death and identifying characteristics of both trauma types, are presented. Before this study, no detailed comparative analysis of trauma pathology that resulted from lethal interactions between vessels and right whales had been conducted. This study demonstrates the importance of detailed gross and histologic examination in determining the significance and timing of traumatic events. This work represents a new paradigm for the differential diagnosis of lethal sharp and blunt trauma in right whales hit by ships and will enhance the present understanding of the impact of anthropogenic mortality on this critically endangered species.     

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