Lactate Kinetics in veterinary Critical Care: A Review

Elevation in blood lactate concentration, with or without accompanying metabolic acidosis, is a hallmark finding in patients with circulatory compromise, and is also consistently noted in other conditions affecting critically ill or injured individuals. Little is reported in a veterinary literature regarding lactate measurement in the emergency and critical care setting, despite impressive reports of the clinical usefulness of lactate measurement in people. The purpose of this article is to review lactate kinetics and the clinical utility of lactate measurement. Limitations to lactate evaluation will also be discussed.     

Actinomycin D for Reinduction of Remission in Dogs With Resistant Lymphoma

Twenty-five dogs with malignant lymphoma refractory to chemotherapy were treated with actinomycin D at a median dose of 0.7 mg/m² (range, 0.5 to 0.9 mg/m²) every 3 weeks. The dogs treated had received between 2 and 8 chemotherapeutic agents (median 7), for a median of 266 days before being treated with actinomycin D. For 23 of the 25 dogs, previous chemotherapy included doxorubicin. No dog responded to actinomycin D chemotherapy.     

Endocrine alterations associated with ergopeptine alkaloid exposure during equine pregnancy.

Ergopeptine alkaloid exposure is common in pregnant mares. Many mares live in geographic areas where Neotyphodium coenophialum-infected tall fescue is the dominant grass in pastures and hay. A variety of grasses and cereal grains can be infected by Claviceps purpurea, and fungal sclerotia can contaminate forage and especially ground and pelleted feed. An understanding of the endocrine alterations associated with ergopeptine alkaloid exposure during pregnancy is necessary for the diagnosis of potential exposure to these compounds and for eective prophylaxis and therapy.     

THE NON-CARDIAC DISTRIBUTION OF 99mTC-METHOXY-ISOBUTYL-ISONITRILE (SESTAMIBI) IN NORMAL BEAGLES

Technetium-99m methoxy-isobutyl-isonitrile (sestamibi) is a radiophartnaceutical used for the evaluation of myocardial perfusion. Increased uptake of sestamibi has also been documented in tumors. The objective of this study was to document the extracardiac biodistribution of ^99mTc sestamibi in the normal dog. Nine normal beagles were given 0.35 mCi/kg ^99mTc sestamibi intravenously, and 60 second images were made of the entire body at 1 hour post injection. A defined distribution pattern was recognized, with good visualization of the heart, liver, gallbladder, small intestine, kidneys, urinary bladder, popliteal lymph nodes, parotid salivary glands and zygomatic salivary glands. Splenic uptake was not seen.
Target to background ratios were calculated for all the regions listed, using background regions-of-interest with the smallest coefficient of variance for the denominator. The mean, range and standard deviation of these ratios are given.     

Long-term lack of transmission of Aujeszky's disease virus (ADV) in a chronically infected Swedish weaner pig producing herd

A cohort of 53 swine seronegative to Aujeszky's disease virus (ADV) was monitored in a 1 year study of a chronically infected commercial Swedish weaner pig producing herd. Serum samples were acquired from all 134 adult swine and analyzed by enzyme-linked immmunosorbent assay (ELISA). Animals testing negative, along with introduced replacement gilts, were followed serologically every second month. Movements of animals were recorded for 319 days and exposure to seropositive animals was calculated for each seronegative pig in the cohort. The accumulated daily pig contact between the 53 ADV-non-infected swine and 43 infected swine was 35 660 days and the median number of days in contact for the non-infected swine with infected was 222. Despite the frequent contact with seropositive pigs, no seronegative animals seroconverted during the first 11 months of observation. Forty-six of 53 pigs seroconverted after a clinical outbreak during the twelfth month of observation.     

Congenital esophagotracheal fistula as the cause of bloat in a calf

A four day old Holstein calf was presented with a history of recurrent free gas bloat. An exploratory laparotomy was performed and no abnormalities were discovered in the gastrointestinal tract. An esophagotracheal fistula was suspected and confirmed by endoscopy. Surgical correction was performed by ligating the tubular connection between the trachea and esophagus and suturing closed the defects in these structures.     

Corneal epithelial disease.

This article reviews conditions that primarily affect the corneal epithelium as distinct from corneal stromal diseases. Corneal ulceration is discussed elsewhere in this issue. The other corneal conditions include a variety of more subtle epithelial disease,which might colloquially be termed epitheliopathies, as well as uninfected indolent superficial ulcerations, corneal neoplasia, and eosinophilic keratitis. The fungal plaque is an unusual and somewhat chronic form of epithelial infection. Although less common than corneal ulcers, this collection of lesions may present uniquely challenging obstacles to diagnosis and identification of a cure. Newer therapies and surgical strategies are discussed.     

Cardiac troponin I in canine patients with lymphoma and osteosarcoma receiving doxorubicin: comparison with clinical heart disease in a retrospective analysis

The cumulative cardiotoxicity that occurs as a result of doxorubicin chemotherapy is irreversible and can affect both quality and quantity of life for the cancer patient. Cardiac troponin I (cTnI) is a sensitive and specific marker of cardiomyocyte death. The purpose of this retrospective study was to evaluate serum concentrations of cTnI in dogs with lymphoma or osteosarcoma given doxorubicin chemotherapy, and with known cardiac outcome, based on a minimum assessment by physical examination and thoracic radiography. Serum samples were also available for cTnI measurement from seven healthy dogs given intracoronary doxorubicin. Serial serum samples obtained before, during and after doxorubicin chemotherapy showed increased cTnI concentrations in some clinical patients following chemotherapy (P = 0.0083 compared to baseline), but this did not correlate with clinical signs of cardiomyopathy. In dogs that subsequently developed cardiomyopathy however, serum cTnI concentrations were elevated before clinical signs became evident (confirmed with echocardiography).