Conventional treatment of a metaldehyde-intoxicated cat with additional use of low-dose intravenous lipid emulsion
| Autor: | Clara Mattavelli, Ilaria Magagnoli, Giorgio Grossi, Ilaria Bergamini, Massimo Giunti |
|---|---|
| Přispěvatelé: | Bergamini I., Mattavelli C., Grossi G., Magagnoli I., Giunti M. |
| Rok vydání: | 2020 |
| Předmět: |
Intravenous lipid emulsion
040301 veterinary sciences Case Report 0403 veterinary science 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Intensive care lipophilicity Neurotoxicity medicine Small Animals intensive care Anisocoria lcsh:Veterinary medicine business.industry Stupor Low dose Conventional treatment 030208 emergency & critical care medicine 04 agricultural and veterinary sciences decontamination medicine.disease chemistry Anesthesia lcsh:SF600-1100 medicine.symptom Metaldehyde business |
| Zdroj: | JFMS Open Reports Journal of Feline Medicine and Surgery Open Reports, Vol 6 (2020) |
| ISSN: | 2055-1169 |
| DOI: | 10.1177/2055116920940177 |
| Popis: | Case summaryAn adult male intact domestic shorthair cat was presented for acute onset of generalised tremors, stupor, horizontal nystagmus, anisocoria and bilateral absence of pupillary light and palpebral reflexes. Response to intravenous (IV) administration of benzodiazepines was minimal; thus, the induction of general anaesthesia with propofol, midazolam and dexmedetomidine was necessary to control clinical signs. Following a clinical suspicion of neurotoxicosis, a low-dose constant rate infusion (CRI) of IV lipid emulsion (ILE) was started. Phenobarbital and a low-dose CRI of ketamine were also used for neuroprotective purposes. Metaldehyde intoxication was confirmed by qualitative faecal toxicological analysis after discharge. Anaesthetic drugs were progressively tapered and stopped after 28 h and extubation was possible after 44 h. The cat was discharged 8 days after admission with a complete recovery of the clinical signs.Relevance and novel informationTo the authors’ knowledge, this is the first report to describe a case of metaldehyde toxicosis in a cat treated with intensive supportive care and an additional low-dose CRI of ILE. |
| Databáze: | OpenAIRE |
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