Rhabdomyolysis and Artifactual Increase in Plasma Bicarbonate Concentration in an Amazon Parrot (Amazona species)
A 7-year-old male Amazon parrot housed outdoors presented with acute collapse, marked lethargy, and open-mouth breathing. The patient had stiffness of the pectoral muscles, and petechiation and ecchymosis noted around the eyes and beneath the mandible. Laboratory data revealed markedly increased asp...
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Veröffentlicht in: | Journal of avian medicine and surgery 2017-09, Vol.31 (3), p.244-249 |
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description | A 7-year-old male Amazon parrot housed outdoors presented with acute collapse, marked lethargy, and open-mouth breathing. The patient had stiffness of the pectoral muscles, and petechiation and ecchymosis noted around the eyes and beneath the mandible. Laboratory data revealed markedly increased aspartate aminotransferase, creatine kinase, and lactate dehydrogenase activity consistent with rhabdomyolysis, as well as markedly increased plasma bicarbonate concentration. Marked clinical improvement and resolution of laboratory abnormalities occurred with fluid therapy, administration of a nonsteroidal anti-inflammatory medication, and husbandry modifications, including indoor housing and dietary alteration. A spurious increase in bicarbonate measurement as documented in equine and bovine cases of rhabdomyolysis also occurred in this avian patient and must be considered for accurate interpretation of acid–base status in exotic species presenting with consistent clinical signs. |
doi_str_mv | 10.1647/2016-189 |
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The patient had stiffness of the pectoral muscles, and petechiation and ecchymosis noted around the eyes and beneath the mandible. Laboratory data revealed markedly increased aspartate aminotransferase, creatine kinase, and lactate dehydrogenase activity consistent with rhabdomyolysis, as well as markedly increased plasma bicarbonate concentration. Marked clinical improvement and resolution of laboratory abnormalities occurred with fluid therapy, administration of a nonsteroidal anti-inflammatory medication, and husbandry modifications, including indoor housing and dietary alteration. A spurious increase in bicarbonate measurement as documented in equine and bovine cases of rhabdomyolysis also occurred in this avian patient and must be considered for accurate interpretation of acid–base status in exotic species presenting with consistent clinical signs.</description><identifier>ISSN: 1082-6742</identifier><identifier>EISSN: 1938-2871</identifier><identifier>DOI: 10.1647/2016-189</identifier><identifier>PMID: 28891700</identifier><language>eng</language><publisher>United States: The Association of Avian Veterinarians</publisher><subject>Acid-Base Equilibrium ; Amazon parrot, Amazona species ; Amazona - blood ; Animals ; Anti-inflammatory agents ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; avian ; bicarbonate ; Bicarbonates - blood ; Bird Diseases - blood ; Bird Diseases - therapy ; Care and treatment ; Clinical Report ; CLINICAL REPORTS ; Diagnosis ; Diet - veterinary ; Dosage and administration ; Fluid Therapy - veterinary ; Housing, Animal ; lactate dehydrogenase ; Male ; Medical examination ; Meloxicam - therapeutic use ; Parrots ; Rhabdomyolysis ; Rhabdomyolysis - blood ; Rhabdomyolysis - therapy ; Rhabdomyolysis - veterinary</subject><ispartof>Journal of avian medicine and surgery, 2017-09, Vol.31 (3), p.244-249</ispartof><rights>2017 by the Association of Avian Veterinarians</rights><rights>2017 Association of Avian Veterinarians</rights><rights>COPYRIGHT 2017 Association of Avian Veterinarians</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b403t-8049fb7946548fb21da03c0a6ba2a86aab4a445d883d306df5e423b4187d9da03</citedby><cites>FETCH-LOGICAL-b403t-8049fb7946548fb21da03c0a6ba2a86aab4a445d883d306df5e423b4187d9da03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44805852$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44805852$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28891700$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Leissinger, Mary K</creatorcontrib><creatorcontrib>Johnson, James G</creatorcontrib><creatorcontrib>Tully, Thomas N</creatorcontrib><creatorcontrib>Gaunt, Stephen D</creatorcontrib><title>Rhabdomyolysis and Artifactual Increase in Plasma Bicarbonate Concentration in an Amazon Parrot (Amazona species)</title><title>Journal of avian medicine and surgery</title><addtitle>J Avian Med Surg</addtitle><description>A 7-year-old male Amazon parrot housed outdoors presented with acute collapse, marked lethargy, and open-mouth breathing. The patient had stiffness of the pectoral muscles, and petechiation and ecchymosis noted around the eyes and beneath the mandible. Laboratory data revealed markedly increased aspartate aminotransferase, creatine kinase, and lactate dehydrogenase activity consistent with rhabdomyolysis, as well as markedly increased plasma bicarbonate concentration. Marked clinical improvement and resolution of laboratory abnormalities occurred with fluid therapy, administration of a nonsteroidal anti-inflammatory medication, and husbandry modifications, including indoor housing and dietary alteration. A spurious increase in bicarbonate measurement as documented in equine and bovine cases of rhabdomyolysis also occurred in this avian patient and must be considered for accurate interpretation of acid–base status in exotic species presenting with consistent clinical signs.</description><subject>Acid-Base Equilibrium</subject><subject>Amazon parrot, Amazona species</subject><subject>Amazona - blood</subject><subject>Animals</subject><subject>Anti-inflammatory agents</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>avian</subject><subject>bicarbonate</subject><subject>Bicarbonates - blood</subject><subject>Bird Diseases - blood</subject><subject>Bird Diseases - therapy</subject><subject>Care and treatment</subject><subject>Clinical Report</subject><subject>CLINICAL REPORTS</subject><subject>Diagnosis</subject><subject>Diet - veterinary</subject><subject>Dosage and administration</subject><subject>Fluid Therapy - veterinary</subject><subject>Housing, Animal</subject><subject>lactate dehydrogenase</subject><subject>Male</subject><subject>Medical examination</subject><subject>Meloxicam - therapeutic use</subject><subject>Parrots</subject><subject>Rhabdomyolysis</subject><subject>Rhabdomyolysis - blood</subject><subject>Rhabdomyolysis - therapy</subject><subject>Rhabdomyolysis - veterinary</subject><issn>1082-6742</issn><issn>1938-2871</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV9rFDEUxYMotlbBL6AEClIfpiaZzCTzuC62FgoW0edw82c0ZSbZJtmH9dObYdaCoOQhuTm_m5zkIPSakkvac_GBEdo3VA5P0CkdWtkwKejTuiaSNb3g7AS9yPmeVIoR-RydMCkHKgg5RQ9ff4K2cT7E6ZB9xhAs3qTiRzBlDxO-CSY5yA77gO8myDPgj95A0jFAcXgbg3GhJCg-hoWBgDcz_KrFHaQUC75YS8B554x3-f1L9GyEKbtXx_kMfb_69G37ubn9cn2z3dw2mpO2NJLwYdRi4H3H5agZtUBaQ6DXwED2AJoD552VsrUt6e3YOc5azakUdljYM3SxnrtL8WHvclGzz8ZNEwQX91nVjxKiEy3nFT1f0R8wOeXDGOuLzIKrTUeGltGKVuryH1Qd1s3exOBGX_f_ajg6MCnmnNyodsnPkA6KErXkppbcVM2tom-PZvd6dvYR_BNUBd6swH0uMT3qnEvSyY5V_d2qax-rlf_f9Btv0aZe</recordid><startdate>201709</startdate><enddate>201709</enddate><creator>Leissinger, Mary K</creator><creator>Johnson, James G</creator><creator>Tully, Thomas N</creator><creator>Gaunt, Stephen D</creator><general>The Association of Avian Veterinarians</general><general>Association of Avian Veterinarians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201709</creationdate><title>Rhabdomyolysis and Artifactual Increase in Plasma Bicarbonate Concentration in an Amazon Parrot (Amazona species)</title><author>Leissinger, Mary K ; Johnson, James G ; Tully, Thomas N ; Gaunt, Stephen D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b403t-8049fb7946548fb21da03c0a6ba2a86aab4a445d883d306df5e423b4187d9da03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Acid-Base Equilibrium</topic><topic>Amazon parrot, Amazona species</topic><topic>Amazona - blood</topic><topic>Animals</topic><topic>Anti-inflammatory agents</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>avian</topic><topic>bicarbonate</topic><topic>Bicarbonates - blood</topic><topic>Bird Diseases - blood</topic><topic>Bird Diseases - therapy</topic><topic>Care and treatment</topic><topic>Clinical Report</topic><topic>CLINICAL REPORTS</topic><topic>Diagnosis</topic><topic>Diet - veterinary</topic><topic>Dosage and administration</topic><topic>Fluid Therapy - veterinary</topic><topic>Housing, Animal</topic><topic>lactate dehydrogenase</topic><topic>Male</topic><topic>Medical examination</topic><topic>Meloxicam - therapeutic use</topic><topic>Parrots</topic><topic>Rhabdomyolysis</topic><topic>Rhabdomyolysis - blood</topic><topic>Rhabdomyolysis - therapy</topic><topic>Rhabdomyolysis - veterinary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Leissinger, Mary K</creatorcontrib><creatorcontrib>Johnson, James G</creatorcontrib><creatorcontrib>Tully, Thomas N</creatorcontrib><creatorcontrib>Gaunt, Stephen D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of avian medicine and surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Leissinger, Mary K</au><au>Johnson, James G</au><au>Tully, Thomas N</au><au>Gaunt, Stephen D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rhabdomyolysis and Artifactual Increase in Plasma Bicarbonate Concentration in an Amazon Parrot (Amazona species)</atitle><jtitle>Journal of avian medicine and surgery</jtitle><addtitle>J Avian Med Surg</addtitle><date>2017-09</date><risdate>2017</risdate><volume>31</volume><issue>3</issue><spage>244</spage><epage>249</epage><pages>244-249</pages><issn>1082-6742</issn><eissn>1938-2871</eissn><abstract>A 7-year-old male Amazon parrot housed outdoors presented with acute collapse, marked lethargy, and open-mouth breathing. The patient had stiffness of the pectoral muscles, and petechiation and ecchymosis noted around the eyes and beneath the mandible. Laboratory data revealed markedly increased aspartate aminotransferase, creatine kinase, and lactate dehydrogenase activity consistent with rhabdomyolysis, as well as markedly increased plasma bicarbonate concentration. Marked clinical improvement and resolution of laboratory abnormalities occurred with fluid therapy, administration of a nonsteroidal anti-inflammatory medication, and husbandry modifications, including indoor housing and dietary alteration. A spurious increase in bicarbonate measurement as documented in equine and bovine cases of rhabdomyolysis also occurred in this avian patient and must be considered for accurate interpretation of acid–base status in exotic species presenting with consistent clinical signs.</abstract><cop>United States</cop><pub>The Association of Avian Veterinarians</pub><pmid>28891700</pmid><doi>10.1647/2016-189</doi><tpages>6</tpages></addata></record> |
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source | Jstor Complete Legacy; MEDLINE |
subjects | Acid-Base Equilibrium Amazon parrot, Amazona species Amazona - blood Animals Anti-inflammatory agents Anti-Inflammatory Agents, Non-Steroidal - therapeutic use avian bicarbonate Bicarbonates - blood Bird Diseases - blood Bird Diseases - therapy Care and treatment Clinical Report CLINICAL REPORTS Diagnosis Diet - veterinary Dosage and administration Fluid Therapy - veterinary Housing, Animal lactate dehydrogenase Male Medical examination Meloxicam - therapeutic use Parrots Rhabdomyolysis Rhabdomyolysis - blood Rhabdomyolysis - therapy Rhabdomyolysis - veterinary |
title | Rhabdomyolysis and Artifactual Increase in Plasma Bicarbonate Concentration in an Amazon Parrot (Amazona species) |
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