CVJ - December 2023, Vol. 64, No. 12

Scientific

Case Reports

Doxorubicin and zoledronate treatment in a dog with hemophagocytic histiocytic sarcoma

Aimée M. Soileau, Rachel L.A.L.T. Neto, Patricia Titos Jimenez, Jack Hamersky, Ashley A. Smith (page 1103)

A 6-year-old castrated male greyhound dog was referred for hemophagocytic histiocytic sarcoma (HHS) diagnosed following splenectomy. Severe thrombocytopenia, mild hypoalbuminemia, mild hypocholesterolemia, and mild hyperbilirubinemia were present. Abdominal ultrasound findings were concerning for hepatic metastasis. Doxorubicin and zoledronate combination therapy was initiated. The dog improved clinically and its thrombocytopenia, hypoalbuminemia, and hyperbilirubinemia resolved. The dog appeared well for 147 d before tumor progression was noted. The dog was treated with lomustine as a final measure, with no response. The dog survived for 6 mo with chemotherapy. To the authors’ knowledge, this is the first report of clinical benefit of chemotherapy for HHS.

Key clinical message:
Doxorubicin should be considered for treating canine HHS since this variant of the disease is historically refractory to lomustine. Further research regarding efficacy of doxorubicin and zoledronate should be pursued.

Management of penetrating thoracic wounds from a dog attack in a Nigerian dwarf goat: A case report

Alejandro Merchán, Nicola Cribb, Kevin G. Mitchell, Alex zur Linden, Alexander Valverde, Brigitte A. Brisson (page 1109)

Pet goat ownership has gradually increased in popularity and veterinarians are expected to provide gold-standard treatments for these animals. As in small-animal practice, decision-making regarding thoracic bite injuries is challenging because of the variability in clinical, radiographic, and surgical findings. Mortality rates from dog bite wounds in small animals range between 15.3 and 17.7%, and these cases represent 10% of all traumatic injuries referred to an emergency service; such information is not available regarding pet goats. The aim of this report is to describe a thoracic dog bite wound in a goat. It details the clinical, radiographic, and surgical findings and the repair, and reports the successful outcome, all to provide information to small-ruminant practitioners for treatment or referral. Future retrospective studies will help to determine prognostic factors for outcomes in goats with thoracic dog bite wounds.

Key clinical message:
Thoracic bite wounds are a challenge to manage, considering the potential severe underlying pathology and the absence of clear external injuries or clinical signs. Referring veterinarians and owners should be advised that goats with the presence of flail chest, pneumothorax, or rib fractures may require a higher level of intervention.

Antibiotic treatment of Mycoplasma ovipneumoniae in domestic sheep (Ovis aries): Working at the livestock-wildlife interface in Yukon, Canada

Kristenn Magnusson, N. Jane Harms, Michelle Thompson (page 1114)

Domestic sheep (Ovis aries) can carry the bacterium Mycoplasma ovipneumoniae (M. ovipneumoniae) in their upper respiratory tract, often with little effect on health and productivity. However, for bighorn sheep (Ovis canadensis) populations, there is a link between M. ovipneumoniae infection and pneumonia, poor lamb recruitment, and high fatality rate. Because of these outcomes, preventing transmission of M. ovipneumoniae to free-ranging wild sheep has garnered interest from both the livestock and wildlife sectors. We hypothesized that treatment with intranasal and systemic enrofloxacin would reduce the prevalence of M. ovipneumoniae-positive animals in a flock of domestic sheep. Initially, the prevalence decreased in the treated group; but by 34 d post-treatment, the number of M. ovipneumoniae-positive sheep returned to near pretreatment prevalence.

Key clinical message:
Test-and-slaughter is a method used to reduce the risk of transmission of pneumonia-causing M. ovipneumoniae from domestic sheep and goats to free-ranging wild sheep. In an effort to find an alternative, we used enrofloxacin to treat a flock of M. ovipneumoniae-positive domestic sheep; however, long-term reduction of M. ovipneumoniae prevalence in the flock was not achieved.

Intravenous lipid emulsion therapy in 2 dogs and 2 cats with vitamin D toxicosis

Andrea Voss, Rosalind Chow (page 1119)

Vitamin D toxicosis can lead to severe and prolonged hypercalcemia resulting in multi-organ damage and even death. Current treatment often involves prolonged hospitalization and may require medications with potential for adverse effects. The objective of this case series was to describe reductions in serum ionized calcium concentrations following intravenous lipid emulsion therapy in vitamin D toxicosis. Two dogs and 2 cats with vitamin D toxicosis were treated with intravenous lipid emulsion therapy in addition to standard treatment regimens. Ionized hypercalcemia was lower following intravenous lipid emulsion therapy despite a more than 24-hour delay in initiating treatment in 3 of the 4 patients, and no adverse reactions were observed. Additionally, 2 of the 4 animals in this case series had long-term monitoring of 25-hydroxyvitamin D concentrations that revealed persistent elevations at 6 d in a dog and 5 mo in a cat, despite earlier resolution of their ionized hypercalcemia.

Key clinical message:
This is the first documented serial report of reduction of serum ionized calcium concentrations after administration of intravenous lipid emulsion, in addition to other standard therapies, in 2 dogs and 2 cats with vitamin D toxicosis. Furthermore, a chronically elevated plasma 25-hydroxyvitamin D concentration was documented in 2 of the 4 patients, including the first report in a cat. In these 2 cases, ionized calcium concentrations normalized despite persistently elevated 25-hydroxyvitamin D concentrations.

Diagnosis of Potomac horse fever (syn. equine neorickettsiosis) in 2 foals in southwestern Ontario

Rosalie Fortin-Trahan, Erika Sjolin, Amy Lack, Cristina Lopez de Arbina, Amy McFadden-Bennett, Lidan Wang, John D. Baird, Yasuko Rikihisa, Luis G. Arroyo (page 1129)

Potomac horse fever (PHF) is characterized by fever, depression, anorexia, ileus, diarrhea, and occasionally, laminitis. The disease is caused by infection with Neorickettsia risticii and/or N. findlayensis. Equids of all ages may be affected; however, the condition has not been well-characterized in foals. This report describes clinical signs, laboratory findings, and treatment of 2 foals diagnosed with PHF in southwestern Ontario. Feces submitted for an equine PCR panel tested positive for Neorickettsia spp. and were subsequently confirmed to be N. risticii (Case 1) and N. findlayensis (Case 2). Both foals recovered following hospitalization and intensive care.

Key clinical message:
The purpose of this report is to make veterinarians aware that foals may develop PHF. During summer (July to September), when encountering foals in endemic areas with clinical signs compatible with PHF, veterinarians should consider PHF as a diagnostic rule-out. For confirmation of the diagnosis, blood and feces should be submitted for PCR testing for Neorickettsia spp.

Articles

Estimating spatial and temporal trends of dog importation into Canada from 2013 to 2019

Jillian Blackmore, Helen Gerson, Katie M. Clow, Maureen E.C. Anderson, Joanne Tataryn (page 1133)

Background and objective
For several years, there has been growing concern over the public and animal health impacts of dog importation, with many Canadian veterinarians reporting increasing diagnoses of exotic pests and pathogens. This study is the first to estimate the number of dogs imported into Canada and describe spatial and temporal trends.

Animal and procedure
Commercial and a subset of personal dog importation records, obtained from the Canada Border Services Agency, were used to estimate the total number of dogs imported into Canada from 2013 to 2019.

Results
The number of dogs imported annually increased by > 400% over the study period, with > 37 000 dogs imported in 2019. The majority of dogs (72%) were imported from the United States and Eastern Europe, and 23% originated in a country considered high-risk for canine rabies.

Conclusion
Dog importation into Canada has increased substantially over time. Moving forward, education and improved tracking will be essential.

Retrospective evaluation of toceranib phosphate (Palladia) use in the treatment of feline pancreatic carcinoma

Carlos Ortiz Rosario, Margaret L. Musser, Lignan Yuan, Jonathan P. Mochel, Jessica Talbott, Chad M. Johannes, Erika P. Berger (page 1143)

Objective
To retrospectively assess the biological response in cats with pancreatic carcinoma treated with toceranib phosphate.

Animals
Twenty-six client-owned cats.

Procedure
Patient information from multiple institutions was solicited via an emailed REDCap survey. For inclusion, cats were required to have a confirmed diagnosis of exocrine pancreatic carcinoma either by histopathology, cytology, or both; to have received treatment with toceranib phosphate; and to have adequate follow-up data for analysis.

Results
Twenty cats were treated for gross disease and 6 for microscopic disease/incomplete margins. Clinical benefit (complete response, partial response, or stable disease ≥ 10 wk) was observed in 9/20 cats treated in the gross disease setting (45%; complete response: n = 1, stable disease: n = 8). The remaining 11 cats with gross disease did not respond to toceranib phosphate. In the cats with microscopic disease, response was mixed. The median survival time for all cats was 97 d (range: 1 to 1666 d).

Conclusion
Toceranib phosphate was well-tolerated and provided modest clinical benefit to a subset of cats treated.

Clinical relevance
Although feline exocrine pancreatic carcinoma continues to be a challenging disease to treat, toceranib phosphate appeared to provide potential clinical benefit.

Can intake data inform on impacts of repeated subsidized onsite spay-neuter clinics for dogs?

Megan S. Sorenson, Susan J. Kutz, Alanna C. Collicutt, R.J.E. Bailot, Katharine L. Anderson, Karin Orsel (page 1149)

Objective
Subsidized dog care and population management programs (DPM) are often implemented for dog population control where for-profit veterinary care is inaccessible. However, impacts of such programs are rarely assessed. The goal of this project was to determine if and how previously collected intake data from ongoing high-volume spay-neuter clinics could be used to measure impacts of such DPM programs.

Animals
We used intake data collected from 2008 to 2019 from spay-neuter clinics that had been delivered repeatedly over a 10-year period in 6 First Nations communities in Alberta, to assess changes in intake dog characteristics.

Procedures
Numbers of dogs brought in for spay-neuter surgery or surrendered, and their ages, sexes, breeds, weights, and body condition scores were compared. Reasons for surrender were investigated and socioeconomic factors were investigated as possible drivers for community differences in clinic participation rates and clinic sex ratios.

Results
Socioeconomic indicators did not differ between the 6 participating communities; however, the total number of clinics requested by communities varied. In early years, female dogs were more likely to be brought to the clinics to be spayed whereas, in later years, more males were seen. The age at which animals were brought in for spay or neuter decreased over time (P < 0.05) but the surrender age did not. Breed proportions of x-large, small, and x-small breeds varied over time for both spay-neuter and surrender dogs (P < 0.05), with large-breed dogs always being the most common. However, there was an increase in small and x-small breeds in the final years of the study. Finally, weight status, a calculated estimate of body condition of spay-neuter dogs, increased over time within large and medium breeds, whereas the body condition score of surrendered dogs shifted from “thin” to “ideal” over time.

Conclusions and clinical relevance
This work highlights the potential and challenges of using intake data to assess impacts of spay-neuter clinics that occur repeatedly over many years in the same communities. Overall increased weight status, high participation rates, and reduction of age at intake suggest positive effects of the assessed spay-neuter programs.

Quiz Corner

(page 1095)

Acknowledgment of Reviewers/Translators

(page 1087)

Features

Editorial

It’s official. The CVJ is going online only!

John Kastelic, Tim Ogilvie (page 1089)

Veterinary Medical Ethics

(page 1093)

News

Kelly Gray-Sabourin, Sophie Perreault (page 1097)

Clinical Oncology

Diagnostic interpretation of a structured interstitial pattern on thoracic radiographs

Brooklyn Bourgeois, Sally L. Sukut, Monique N. Mayer (page 1159)

McEachran Institute Dialogues

Introducing the McEachran Dialogues

Craig Stephen (page 1163)

Food Animal Matters

Using data as a clinical tool

Robert Tremblay (page 1165)

One Health

Veterinarians Without Borders
Young Volunteer Program — Ghana 2023

Marley Blok (UBC 2023), Dr. Keisha Harris (OVC 2023), Sandra Nyman (OVC 2026) (page 1171)

Notices

Index of Advertisers

(page 1174)

Business Directory

(page 1176)