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一只狗因食粪导致疑似卡洛芬中毒。

Suspected carprofen toxicosis caused by coprophagia in a dog.

作者信息

Hutchins Rae G, Messenger Kristen M, Vaden Shelly L

机构信息

Departments of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27607, USA.

出版信息

J Am Vet Med Assoc. 2013 Sep 1;243(5):709-11. doi: 10.2460/javma.243.5.709.

Abstract

CASE DESCRIPTION

A 1-year-old spayed female mixed-breed dog was evaluated because of urinary incontinence, polyuria, polydipsia, and minimally concentrated urine.

CLINICAL FINDINGS

Markedly high circulating alanine transaminase activity, mildly high circulating alkaline phosphatase activity, and low urine specific gravity were detected for the dog. Results of ultrasonographic examination of the abdomen and cytologic examination of liver samples were unremarkable. Carprofen was detected in serum and plasma samples obtained from the dog. Exposure to carprofen was attributed to ingestion of feces of another dog in the household that was receiving the drug daily.

TREATMENT AND OUTCOME

Access to feces of other dogs in the household was prevented; no other treatment was initiated. Urinary incontinence, polyuria, and polydipsia resolved, and urine specific gravity increased within 7 days following discontinuation of consumption of feces. Alanine transaminase activity was substantially lower than the value determined during the initial examination, and alkaline phosphatase activity was within the reference range 5 weeks after discontinuation of consumption of feces by the dog.

CLINICAL RELEVANCE

Findings for the dog of this report suggested that carprofen toxicosis can be caused by consumption of feces of another dog receiving the drug. This cause of adverse effects should be a differential diagnosis for dogs with clinical signs and clinicopathologic abnormalities consistent with carprofen toxicosis.

摘要

病例描述

一只1岁已绝育的雌性混种犬因尿失禁、多尿、多饮及尿比重极低而接受评估。

临床发现

检测到该犬循环中的丙氨酸转氨酶活性显著升高、循环碱性磷酸酶活性轻度升高以及尿比重降低。腹部超声检查结果和肝脏样本的细胞学检查结果均无异常。在从该犬采集的血清和血浆样本中检测到卡洛芬。卡洛芬暴露归因于该犬摄入了家中另一只每天服用该药的犬的粪便。

治疗与结果

防止该犬接触家中其他犬的粪便;未采取其他治疗措施。停止摄入粪便后7天内,尿失禁、多尿和多饮症状消失,尿比重升高。该犬停止摄入粪便5周后,丙氨酸转氨酶活性显著低于初次检查时测定的值,碱性磷酸酶活性在参考范围内。

临床意义

本报告中该犬的检查结果表明,摄入另一只服用卡洛芬的犬的粪便可导致卡洛芬中毒。对于出现与卡洛芬中毒相符的临床症状和临床病理异常的犬,这种不良反应原因应作为鉴别诊断之一。

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