Page 671 - WSAVA2018
P. 671

T. Ongvisespaibool1
1Kasetsart University Veterinary Teaching Hospital, Faculty of Veterinary Medicine- Kasetsart University, Bangkok, Thailand
Malignant adrenal gland tumour can be associated with the life threatening thromboembolism.
To demonstrate the cause of non-cardiogenic pulmonary edema.
Both sides adrenal gland enlargement was revealed with incident of the posterior vena cava invasion by the right. Chest radiographic finding demonstrated alveolar pattern without fluid accumulation inside pleural space at the left lung lobe and enhancement of radiographic opacity at peri-hilar area. The IRIS stage II azotemia with polyuria polydipsia was displayed on physical examination. No evident of hypernatremia, hypokalemia, hypertension and tachycardia was detected. ACTH stimulation test
and low dose dexamethasone suppression test rejected to the disease. Oxygen therapy, antiplatelet, diuretic were administered to correct pulmonary edema and thromboembolism. Unfortunately, the dog was not
very well responded and necropsy was carried out.
The architecture of the right adrenal medulla was devastated by the tumour mass. Histopathological description of caudal vena cava was composed of neoplastic polygonal-shaped with slightly indistinct cells borders arranged in cords, small packets and nested patterns. A thin ribbon of adrenal cortices was seen and compressed by neoplastic cells. The left adrenal gland was intact.
In summary, the cause of death is thromboembolism and regional angioinvasion induced by malignant pheochromocytoma.
Your Singapore, the Tropical Garden City
Y. Dewi1
1PET CARE, practicing veterinarian, Jakarta Selatan, Indonesia
Ivermectin has been known to cause serious toxicosis in chelonians. Although the use of this drug is strictly contraindicated, there is always risk of accidental administration.
The objective of this case report is to recognize the symptom and to provide the necessary medical care.
A group of 19 tortoises and turtles were brought to the clinic suffering from side effects following ivermectin injections. The tortoise includes aldabras, sulcatas, emys, red foot and Indian star. The turtle includes common snapping, fly rivers, red ear sliders, biukus, and snake head. They were injected with ivermectin in a previous week with the dose of 0.1 cc SC (Ivomect ®). All tortoises and turtles did not eat and showed symptom of weakness. Some of them with sunken eyes, and some were very lethargic and even paralized. All of them were immediately treated with ICe fluids (10 ml/
kg bw). Activated charcoal were used to neutralize the ivermectin effect and was given peroral with a dose of
1 g/kg bw. Nutritional support was given by soft tubes and vitamin B12 with the dose of 0.05 mg/kg bw IM was added to stimulate appetite. They were kept warm using UVA lamps. The aquatic turtles were kept in shallow water.
The recovery time varied as turtles needed longer time to recover. Only one fly river turtle died during treatment, while the other 18 recovered fully.
Despite guarded prognosis related to ivermectin toxicosis in chelonians, good supportive care can still yield positive results.
A 12 year-old, Siberian Husky was referred to further diagnosis according to abdominal organ enlargement and the abdominal breathing Colour Doppler ultrasonography was carried out.

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