Case report(s)

English

88 (5) pp 278

Title: 
Immune-mediated hemolytic anemia associated with chronic fibrosing mediastinitis in an Arabo-Friesian horse
Author(s): 
C. RIBONNET, V. SAEY, R. DUCATELLE, K. PALMERS
Abstract: 
In this report, a ten-year-old gelding with immune-mediated hemolytic anemia associated with chronic fibrosing mediastinitis of unknown origin is described. The patient suffered from chronic weight loss and intermittent diarrhea for already several months. He was presented with severe anemia, anorexia and fever of a 24-hour onset. A direct Coombs test was highly positive for IgG auto-agglutination. No evidence of an underlying process was found on clinical examination. Post-mortem examination revealed green liquid material containing food particles in the cranial mediastinum and histology suggested chronic fibrosing mediastinitis. Even though perforation of the esophagus is a plausible cause, no signs of esophageal rupture were noted on macroscopic examination. This case shows that non-responsive, immune-mediated hemolytic anemia can be due to an undetected underlying disease, such as chronic mediastinitis.
Full text: 
pp 278-286
Case report(s)

88 (4) pp 226

Title: 
Medical management of echinococcus multilocularis infection mimicking a locally aggressive cavitary tumor with pulmonary metastases in a dog
Author(s): 
J. FRITZ, M. MAHINC, B. RANNOU, E. CAUVIN
Abstract: 
A two-year-old Labrador retriever living in the French Alps was presented with abdominaldistension, lethargy and weight loss but no other specific clinical signs. CT examination revealed alarge, cavitary liver mass invading the caudal vena cava, associated with multiple hepatic lesionsof similar appearance, lymphadenopathy and pulmonary nodules. The condition was initiallymistaken for a malignant neoplasm. However, cytologic and histologic examinations of the largest liver mass were consistent with cestodiasis and PCR testing confirmed infection with Echinococcus multilocularis. Medical treatment with albendazole was initiated. The dog remained clinicallywell for ten months following the diagnosis, but had to be euthanized because the ownershad to return to Great-Britain and the dog could not be legally imported. To the authors’ knowledge, this is the first case report, in which long-term follow-up of Echinococcus sp. infection in adog, managed medically, is described. This case also shows that medical management may be aviable option in case surgery is not feasible.
Full text: 
pp 226-232
Case report(s)

88 (4) pp 219

Title: 
The use of a pin-screw-wire tie-in configuration for ventral stabilization of congenital atlantoaxial instability in a Yorkshire terrier
Author(s): 
H. J. HAN, J. KANG, H.Y. YOON
Abstract: 
A one-year-old Yorkshire terrier of 1.2 kg was presented with an eight-month-old historyof non-ambulatory tetraparesis. The dog was diagnosed on right-lateral radiography with atlantoaxial instability (AAI). Ventral stabilization was achieved with a tie-in configuration. Two0.9-mm-positive-profile-threaded pins and four 1.2-mm-locking screws were inserted into theatlas and the axis, respectively. The pin shafts were bent caudally and tied in with the screwsusing cerclage wire. Polymethylmethacrylate (PMMA) was applied to the entire construct. Thedog showed rapid improvement after surgery, walking on his own on day three, postoperatively.There were no complications related to the surgery. This adjusted multiple implant fixation technique using pins, screws and cerclage wire embedded in PMMA in a tie-in configuration can bea feasible option to provide rigid fixation for AAI in toy breed dogs.
Full text: 
pp 219-235
Case report(s)

88 (4) pp 207

Title: 
Long-term outcome of arthrodesis of the proximal interphalangeal joint in two adult warmblood horses using a locking compression plate and four lag screws
Author(s): 
K. BARANKOVÁ, L.N. RASSMUSSEN, H.C. WILDERJANS
Abstract: 
Two adult warmblood horses with a history of chronic hind limb lameness originating fromthe proximal interphalangeal joint (PIPJ) were presented at the equine hospital De Bosdreef(Belgium) between 2016 and 2017. Based on the case history and orthopedic examination, chronicosteoarthrosis (OA) of the PIPJ was diagnosed in both horses. A modified surgical arthrodesisof the PIPJ was performed using a central dorsal three-hole proximal interphalangeal lockingcompression plate (PIP plate) and four 5.5 mm transarticular cortical screws placed in a lagfashion (TCS-LF). The procedure resulted in an early bone bridging of the PIPJ and a return ofthe horses to the intended use within ten months after the surgery.
Full text: 
pp 207-218
Case report(s)

88 (3) pp 168

Title: 
Therapeutic complications and follow-up in a dog with atopic dermatitis
Author(s): 
C. MEERE., S. VANDENABEELE
Abstract: 
In this case report, the therapeutic follow-up of a four-year-old, male, castrated Shih Tzu with atopic dermatitis is described. The treatment first consisted of prednisolone (Prednisolone®), followed by oclacitinib (Apoquel®) and afterwards lokivetmab (Cytopoint®). Furthermore, the diagnosis of AD and the different treatment options are discussed. In addition, more information is given about lokivetmab (Cytopoint®), a new therapeutic agent.
Full text: 
pp 168-174
Case report(s)

88 (3) pp 164

Title: 
Ocular manifestations and CT scan findings in a cat with suspected angioinvasive pulmonary neoplasia
Author(s): 
L. BATALLER-MONTANER, R. TAPIA-NIETO
Abstract: 
An eleven-year-old domestic long hair cat was presented with a history of stiffness of the hindlimbs, lethargy, depression, partial anorexia and recent anisocoria. Ophthalmological examinationrevealed chorioretinal necrosis and angioinvasive pulmonary carcinoma was suspected.Computed tomography (CT) findings were consistent with the presumable diagnosis.
Full text: 
pp 164-167
Case report(s)

88 (2) pp 091

Title: 
Necrotizing eosinophilic dermatitis in three dogs
Author(s): 
J. DECLERCQ, G. VERCAUTEREN
Abstract: 
In this paper, necrotizing eosinophilic dermatitis with an acute onset and a rapidly progressiveclinical course is reported in three dogs. Early skin lesions were characterized by intensely pruritic,erythematous and firm intact papules and plaques. The lesions enlarged and evolved quickly intocoalescing nodular target shaped lesions with central exudation, ulceration and necrosis. Thelesion distribution pattern was mainly the neck and the dorsolateral trunk. Oral involvementwas observed in one dog. The histopathology was characterized by eosinophilic dermatitis andpanniculitis targeting dermal and subcutaneous blood vessels with secondary involvement ofhair follicles. While causation remained unproven in these cases, a hypersensitivity reaction tomedications or other foreign antigens was suspected.
Full text: 
pp 091-096
Case report(s)

88 (2) pp 083

Title: 
Surgical site infections despite perioperative antimicrobial therapy in two dogs
Author(s): 
A. LYSSENS, N. DEVRIENDT, E. STOCK, T. ROGGEMAN, H. DE ROOSTER
Abstract: 
Surgical site infections (SSI) are common complications with a prevalence of 0.8 to 18%.Many risk factors, such as patient, environmental and treatment factors can contribute to thedevelopment of SSI. Two dogs that developed a SSI after forelimb amputation are discussed. Thefirst dog was presented with an open comminuted intra-articular fracture of the right elbow. Thesecond dog was diagnosed with a soft-tissue sarcoma at the right elbow. Perioperative cefazolinwas administered in both patients. Only in the first patient, antimicrobial therapy was continuedin the postoperative period. Both dogs developed an SSI within four to five days postoperatively.Yet, prophylactic antimicrobials can help to prevent SSI, provided that the correct antimicrobialis used at the correct dose, at the right time and given IV. Factors, such as hypothermia, violatingthe Halsted’s principles and the number of people present in the theater may increase therisk of SSI. Besides the meticulous use of antimicrobials, perioperative management is thus alsoimportant in SSI prevention.
Full text: 
pp 083-090
Case report(s)

88 (1) pp 44

Title: 
Supraventricular tachycardia with isorhythmic atrioventricular dissociation in a Labrador retriever
Author(s): 
A. VAN LOON, V. LIEKENS, D. BINST, D. PAEPE, B. HOUDELLIER, P. SMETS
Abstract: 
A neutered, seven-year-old, female Labrador retriever was presented with complaints of tachypnea,gagging and abdominal distension. A left apical systolic murmur with an intensity of 3/6, tachycardia,weak femoral pulses and positive undulation were observed on physical examination. After echocardiographicand electrocardiographic examination, dilated cardiomyopathy (primary or secundary) andsupraventricular tachycardia were diagnosed. At a later control visit, after initiation of treatment withdigoxin, electrocardiography revealed isorhythmic atrioventricular dissociation (IAVD) and poor controlof the SVT. After transition to diltiazem, the tachycardia was well-controlled. A full recovery ofthe heart was observed on echocardiographic examination. Twenty-four months later, the dog showedno more cardiac signs. In this case report, a rare arrhythmia, i.e. IAVD in combination with SVT isdescribed. It shows the importance of SVT as a reversible cause of a DCM-like phenotype on echocardiography.
Full text: 
pp 44-54
Case report(s)

88 (1)

Title: 
Accidental diagnosis of Dirofilaria repens in a hematoma in a dog in Belgium
Author(s): 
H. DE BOSSCHERE, E. KINDERMANS
Abstract: 
A ten-year-old, female Malinois shepherd was presented with a large swelling caudally of themandibula and at the base of the throat. On cytological examination, a hematoma was diagnosed bymeans of a fine needle aspiration. Coincidentally, some Dirofilaria repens microfilariae were observedin the slide-out. Next to the case description, a review of the literature of Dirofilaria repens is given.
Full text: 
pp 39-43
Case report(s)

Pages