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Multiorgan dysfunction syndrome secondary to joint supplement overdosage in a dog
Authors:Irma J. Nobles  Safdar Khan
Affiliation:BluePearl Veterinary Partners — ER/CC, 3000 Busch Lake Blvd, Tampa, Florida 33614, USA (Nobles); ASPCA — Animal Poison Control Center, Urbana, Illinois, USA (Khan).
Abstract:A 5-year-old spayed female Bernese mountain dog, with a chief complaint of vomiting and melena ingested approximately 200 nutritional joint supplement tablets. Despite aggressive therapy, the patient developed a coagulopathy, pancreatitis, peritonitis, acute kidney injury, and was euthanized. Postmortem examination revealed myocardial necrosis, pneumonia, centrilobular hemorrhage and necrosis of the liver, vasculitis, and acute tubular necrosis.
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