Complete heart block associated with lupus in a dog

A 5-year-old Poodle-cross was initially presented for exercise intolerance and difficulty in chewing and yawning. Some months later it acutely developed lethargy referable to complete heart block. Further investigations before and after permanent pacemaker implantation demonstrated Coombs-positive immune-mediated haemolytic anaemia, presumptive masticatory myositis and hypoadrenocorticism, suggesting the possibility of multisystem auto-immune disease. A diagnosis of systemic lupus erythematosus (SLE) was made based on these findings and a positive anti-nuclear antibody titre. It was thought that immune-mediated destruction of cardiac conduction tissues was responsible for the development of atrioventricular conduction block. Glucocorticoid deficiency was corrected using cortisone replacement therapy. SLE was controlled successfully for 10 months using azathioprine monotherapy until signs, subsequently shown to be due to subacute bacterial endocarditis, resulted in the death of the patient. Lupus should be considered as a potential underlying aetiology in dogs that develop heart block.     

Vigilance for veterinary medicinal products: declarations of adverse reactions in the year 2010

In 2010, we observed again an increase in the number of declarations reported to the vigilance system for veterinary medicinal products up to a total of 160. The species and drug classes reported remained the same as in previous years: the majority of adverse drug reactions (ADRs) concerned either dogs or cats and the most frequently involved drugs were either antiparasitic products or antiinfectives. Adverse reactions following reconversions and 8 cases of suspected allergic reactions following the use of amoxicillin-clavulanic acid combinations in dogs were reported. Additional enquiries were processed by the Swiss Toxicological Information Centre and transmitted to Swiss medic. 11 of these reported accidental ingestions of flavoured tablets in overdose by dogs and some cats. The vaccino vigilance program received 179 declarations following immunization against blue tongue disease as well as 82 declarations following the application of other vaccines. The vigilance system increases the chance to identify rare reactions or interactions and thereby contributes to the security of veterinary medicinal products.     

Frequency distributions of helminths of wolves in Kazakhstan

Between 2001 and 2008 a total of 41 wolves (Canis lupus) were necropsied in southern Kazakhstan and their intestinal parasite fauna evaluated. Of these animals 8 (19.5%) were infected with Echinococcus granulosus, 15 (36%) with Taenia spp, 13 (31.7%) with Dypilidium caninum, 5 (12.2%) with Mesocestoides lineatus, 15 (36.6%) with Toxocara canis, 16 (39%) with Toxascaris leonina, 8 (19.5%) with Trichuris vulpis, 9 (22%) with Macracanthorhynchus catulinus and 1 (2.4%) with Moniliformis moniliformis. All parasites had an aggregated distribution which followed a zero inflated or hurdle model. Although a small convenience sample of wolves, the results indicate a high prevalence of infection with E. granulosus. The mean abundance (1275 E. granulosus per wolf) was high with individual infected wolves carrying intensities of several thousand parasites. As wolves are common in Kazakhstan they may act as an important host in the transmission of this zoonotic parasite. The wolves were sampled from an area of Kazakhstan where there is a high prevalence of hydatid cysts in livestock and where echinococcosis has been observed in wild ungulates.     

First detection of 'Candidatus Mycoplasma haemolamae' infection in alpacas in England

This is the first report of detection of Candidatus Mycoplasma haemolamae in alpacas in England. The primary case occurred in a three year-old male alpaca in the south-east of England which presented with a history of progressive weight loss, lethargy, swelling of the scrotum and pale mucous membranes. Blood smear examination revealed a moderate, regenerative anaemia, with numerous small basophilic coccoid structures consistent with Candidatus M haemolamae. To confirm the presence of Candidatus M haemolamae, a portion of the 16S rDNA gene was amplified and analysed by denaturing gradient gel electrophoresis (DGGE). 16S rDNA gene sequencing showed a 99.8 per cent homology with Candidatus M haemolamae sequences deposited in GenBank. Subsequently, a cross-sectional study was carried out to investigate the presence of Candidatus M haemolamae infection in the alpaca herd from which the primary case was detected (n=131). Blood smear examinations and PCR with DGGE were used and compared with a species-specific PCR. The prevalence of infection when PCR positive results were combined was 29 per cent. A substantial agreement between the PCR/DGGE and the species-specific PCR was found (κ=0.86). A significant association was also found between age and infection (P=0.04) while no significant association was found with sex or origin.     

Complete caecal bypass without ileal transection for caecal impaction in horses: seven clinical cases (1997-2007)

Objectives To report the clinical outcome in seven horses following use of a newly described surgical technique for treating caecal impaction. Methods The medical records of seven horses with caecal impaction treated surgically using a stapling technique to create a complete caecal bypass without ileal transection were reviewed. Data were obtained from the records and through telephone interviews with case-associated personnel. Results The mean age was 10 years (range 2–22 years) and duration of colic ranged from 24 h to 2 weeks. Five horses had type II motility dysfunction and the remaining two had type I. Mean surgical time was 185 min (range 146–245 min) and the horses were hospitalised for a mean of 12.4 days (range 9–22 days); 71% (5/7) were discharged from hospital and all five were alive 60 days from the surgery date. One horse was lost to follow-up. The four (66.7%) available remaining horses were alive ≥ 1 year (long-term survivors). Conclusions Complete caecal bypass without ileal transection for clinical cases of caecal impaction had comparable outcomes to complete bypass with ileal transection. The technique is easy to perform, has the potential to reduce surgical time, compared with traditional bypass techniques, and may reduce the risk of intraoperative abdominal contamination. It is recommended for use in clinical cases in which caecal bypass is desirable.     

CD3+ and BLA.36+ cells do not occur in the epidermis and adnexal epithelia of normal equine skin

A small population of resident T lymphocytes is present in the healthy human and murine epidermis. However, resident epidermal lymphocytes have not been reported in normal skin of the horse. Skin biopsy specimens from the normal skin of 27 horses were examined histologically and immunohistochemically for the presence of lymphocytes, CD3+ cells and BLA.36+ cells in epidermis and adnexal epithelia. All examinations were negative. It appears that lymphocytes occur rarely, if at all, in the epidermis and adnexal epithelia of normal horse skin. Hence, the presence of lymphocytes in these structures should be considered abnormal.     

The measurement of canine steroid-induced alkaline phosphatase by L-phenylalanine inhibition

Canine steroid-induced alkaline phosphatase (SIAP) has been measured quantitatively in an assay which depends on the finding that L-phenylalanine has a greater inhibitory effect on SIAP than on other plasma isoenzymes. The assay has advantages in precision, practicability and availability over other assays for SIAP. The steroid-induced isoenzyme was shown to contribute over 40 per cent of the total alkaline phosphatase (AP) activity in over 60 per cent of cases in which the level of AP was raised.