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犬猫溴敌隆中毒:来自加利福尼亚动物健康与食品安全实验室系统的14年回顾性研究(2010 - 2023年)

Bromethalin Exposure in Dogs and Cats: A 14-Year Retrospective Study (2010-2023) From the California Animal Health and Food Safety Laboratory System.

作者信息

Klainbart Sigal, Pérez-López Marcos, Filigenzi Michael S, Poppenga Robert H

机构信息

California Animal Health and Food Safety Laboratory System, University of California, Davis, California, USA.

Department of Small Animal Emergency and Critical Care, The Veterinary Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.

出版信息

J Vet Intern Med. 2025 May-Jun;39(3):e70057. doi: 10.1111/jvim.70057.

DOI:10.1111/jvim.70057
PMID:40135768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11938294/
Abstract

BACKGROUND

Bromethalin, a rodenticide, is increasingly used due to restrictions on other rodenticides.

OBJECTIVES

The study aimed to analyze the frequency, demographics, clinical signs, and diagnostics of suspected bromethalin intoxication in dogs and cats.

ANIMALS

Two hundred twenty-three cases (249 samples) involving 123 dogs and 100 cats suspected or confirmed to have bromethalin intoxication were submitted to the toxicology laboratory at the California Animal Health and Food Safety Laboratory.

METHODS

This was a retrospective cohort study. Between 2010 and 2023, Liquid Chromatography-Mass Spectrometry was used to detect desmethylbromethalin (DMB), bromethalin's metabolite, in various tissues and serum.

RESULTS

Cases increased 2.8-fold from 59 (2010-2016) to 164 (2017-2023). Cats were significantly younger (median 24 months, IQR: 41.5) than dogs (36 months, IQR: 60.0; p = 0.016) and were more likely to have confirmed DMB exposure (60% vs. 25%, p < 0.0001). Submitted samples for analysis were adipose tissue (37%), liver (20%), and brain (19%). Clinical signs included seizures, tremors, weakness, and paralysis. Magnetic resonance imaging (MRI) findings in 17 dogs and cats were consistent with bromethalin intoxication in 77% of cases. Autopsies (33 cases) revealed CNS lesions compatible with bromethalin toxicosis in 2/8 dogs and in 24/25 cats.

CONCLUSIONS AND CLINICAL IMPORTANCE

Bromethalin exposure is increasingly prevalent in pets. Adipose tissue remains the most reliable sample for diagnosis; cats are more likely to test positive for DMB and exhibit compatible autopsy results. MRI findings can also support the diagnosis. These insights could assist in diagnosing and managing bromethalin intoxication in pets.

摘要

背景

由于对其他灭鼠剂的限制,灭鼠剂溴敌隆的使用越来越广泛。

目的

本研究旨在分析犬猫疑似溴敌隆中毒的发生频率、人口统计学特征、临床症状及诊断方法。

动物

223例(249份样本)涉及123只犬和100只猫,疑似或确诊溴敌隆中毒,被送至加利福尼亚动物卫生与食品安全实验室的毒理学实验室。

方法

这是一项回顾性队列研究。2010年至2023年期间,采用液相色谱-质谱法检测各种组织和血清中的溴敌隆代谢产物去甲基溴敌隆(DMB)。

结果

病例数从2010年至2016年的59例增加到2017年至2023年的164例,增长了2.8倍。猫的年龄显著小于犬(中位数24个月,四分位间距:41.5)(犬为36个月,四分位间距:60.0;p = 0.016),且猫更有可能被证实接触过DMB(60% 对25%,p < 0.0001)。送检分析的样本包括脂肪组织(37%)、肝脏(20%)和脑(19%)。临床症状包括癫痫发作、震颤、虚弱和瘫痪。17只犬猫的磁共振成像(MRI)结果在77%的病例中与溴敌隆中毒相符。尸检(33例)显示,8只犬中有2只、25只猫中有24只的中枢神经系统病变与溴敌隆中毒相符。

结论及临床意义

宠物接触溴敌隆的情况日益普遍。脂肪组织仍然是诊断的最可靠样本;猫更有可能DMB检测呈阳性,并呈现相符的尸检结果。MRI结果也可支持诊断。这些见解有助于宠物溴敌隆中毒的诊断和处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197f/11938294/a7e69581bb0f/JVIM-39-e70057-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197f/11938294/89902f2b73b2/JVIM-39-e70057-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197f/11938294/4e4b64fd3529/JVIM-39-e70057-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197f/11938294/a7e69581bb0f/JVIM-39-e70057-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197f/11938294/89902f2b73b2/JVIM-39-e70057-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197f/11938294/4e4b64fd3529/JVIM-39-e70057-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197f/11938294/a7e69581bb0f/JVIM-39-e70057-g005.jpg

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本文引用的文献

1
Magnetic resonance imaging pattern recognition of metabolic and neurodegenerative encephalopathies in dogs and cats.犬猫代谢性和神经退行性脑病的磁共振成像模式识别
Front Vet Sci. 2024 Jul 30;11:1390971. doi: 10.3389/fvets.2024.1390971. eCollection 2024.
2
Delayed transforaminal brain herniation in a cat following bromethalin intoxication.猫溴敌隆中毒后出现延迟性经椎间孔脑疝。
J Vet Emerg Crit Care (San Antonio). 2024 Sep-Oct;34(5):502-508. doi: 10.1111/vec.13413. Epub 2024 Aug 5.
3
Case Report: MRI, Clinical, and Pathological Correlates of Bromethalin Toxicosis in Three Dogs.
病例报告:三只犬溴敌隆中毒的MRI、临床及病理相关性
Front Vet Sci. 2022 Apr 26;9:879007. doi: 10.3389/fvets.2022.879007. eCollection 2022.
4
Retrospective evaluation of the effects and outcome of bromethalin ingestion: 192 Dogs (2010-2016).溴敌隆摄入的效果和结果的回顾性评估:192 只狗(2010-2016 年)。
J Vet Emerg Crit Care (San Antonio). 2021 Jan;31(1):94-98. doi: 10.1111/vec.13026. Epub 2020 Nov 3.
5
Medical outcomes of bromethalin rodenticide exposures reported to US poison centers after federal restriction of anticoagulants.美国联邦限制抗凝剂后,向美国中毒控制中心报告的溴敌隆毒饵暴露的医学结果。
Clin Toxicol (Phila). 2019 Nov;57(11):1109-1114. doi: 10.1080/15563650.2019.1582776. Epub 2019 Mar 20.
6
Correlation of MRI with the Neuropathologic Changes in Two Cats with Bromethalin Intoxication.两只溴敌隆中毒猫的MRI与神经病理变化的相关性
J Am Anim Hosp Assoc. 2019 May/Jun;55(3):e55302. doi: 10.5326/JAAHA-MS-6724. Epub 2019 Mar 14.
7
An Overview of Trends in Animal Poisoning Cases in the United States: 2011 to 2017.美国动物中毒病例趋势概述:2011年至2017年
Vet Clin North Am Small Anim Pract. 2018 Nov;48(6):899-907. doi: 10.1016/j.cvsm.2018.07.010.
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Common Rodenticide Toxicoses in Small Animals.小动物常见的灭鼠剂中毒
Vet Clin North Am Small Anim Pract. 2018 Nov;48(6):1027-1038. doi: 10.1016/j.cvsm.2018.06.006. Epub 2018 Aug 31.
9
Fatal bromethalin intoxication in 3 cats and 2 dogs with minimal or no histologic central nervous system spongiform change.3只猫和2只狗发生致命的溴敌隆中毒,组织学检查显示中枢神经系统海绵状改变轻微或无改变。
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