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多模式药物治疗与物理康复成功治疗小火烈鸟(Phoeniconaias minor)的捕获性肌病

Multimodal Drug Therapy and Physical Rehabilitation in the Successful Treatment of Capture Myopathy in a Lesser Flamingo (Phoeniconaias minor).

作者信息

McEntire Michael Stephen, Sanchez Carlos R

出版信息

J Avian Med Surg. 2017 Sep;31(3):232-238. doi: 10.1647/2015-128.

DOI:10.1647/2015-128
PMID:28891689
Abstract

A wild-caught lesser flamingo (Phoeniconaias minor) from the Fort Worth Zoo (Fort Worth, TX, USA) presented with moderate lameness that progressed to the inability to stand 2 days after restraint and handling. Results of blood tests showed severely elevated creatine phosphokinase (CPK) and aspartate aminotransferase (AST) activities, confirming suspected capture myopathy. Intensive supportive therapy, consisting of intravenous fluids and muscle relaxants, along with physical rehabilitation therapy, nutritional support, and anxiolytics, were instituted to aid in relaxation and muscle regeneration. After 2 weeks of intensive therapy, the bird showed substantial improvement and could remain standing throughout the day after being assisted to a standing position. By day 23, the bird was able to stand independently and walk completely unassisted, with no discernible lameness. The bird has subsequently remained healthy since it was returned to the flock approximately 27 days after it was first presented for treatment. Although anecdotal communications of successful treatment of this condition in flamingos exist, this is the first report, to our knowledge, that describes in detail the successful treatment of capture myopathy in any flamingo species. Success in this case is attributed to the combination of early fluid and drug therapy, intensive physical rehabilitation therapy, and anxiolytics to counteract the hyperexcitable nature of this wild-caught bird.

摘要

一只从美国得克萨斯州沃思堡动物园捕获的野生小火烈鸟(Phoeniconaias minor)出现中度跛行,在被限制活动和处理两天后发展到无法站立。血液检测结果显示肌酸磷酸激酶(CPK)和天冬氨酸转氨酶(AST)活性严重升高,证实了疑似捕获性肌病的诊断。采取了强化支持治疗,包括静脉输液和肌肉松弛剂,同时进行物理康复治疗、营养支持和使用抗焦虑药,以帮助放松和肌肉再生。经过两周的强化治疗,这只鸟有了显著改善,在被辅助站立后能够整天保持站立。到第23天时,这只鸟能够独立站立并完全自主行走,没有明显跛行。这只鸟在首次接受治疗约27天后回到鸟群,此后一直保持健康。虽然有关于火烈鸟这种疾病成功治疗的传闻,但据我们所知,这是第一份详细描述任何火烈鸟物种捕获性肌病成功治疗的报告。该病例的成功归因于早期液体和药物治疗、强化物理康复治疗以及使用抗焦虑药来对抗这只野生捕获鸟类的过度兴奋特性的综合治疗。

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