@article{perry_enders_watanabe_2023, title={Refractory shock, hypercoagulability, and multiorgan thrombosis associated with hypertrophic osteodystrophy in a dog}, ISSN={["1476-4431"]}, DOI={10.1111/vec.13280}, abstractNote={OBJECTIVE
To describe the clinical findings and case progression in a dog presenting with severe systemic inflammatory response, refractory shock, progressive metabolic acidosis, and respiratory failure that was ultimately diagnosed with hypertrophic osteodystrophy (HOD).


CASE SUMMARY
A 4-month-old male intact Mastiff presented with a 24-hour history of lethargy and generalized ostealgia. On examination, the dog was recumbent, febrile, and tachycardic with pain on palpation of the abdomen, right femur, and mandible. Appendicular joint radiographs showed changes consistent with osteochondrosis and ulnar-retained cartilaginous cores, with no overt evidence of HOD. Initial treatment included IV fluid therapy, multimodal analgesia, and broad-spectrum antimicrobials. Vasopressor therapy was initiated following hemodynamic decompensation. Synovial fluid cytological analysis and culture revealed nonseptic suppurative inflammation and no bacterial growth, respectively. Blood and urine cultures also yielded no growth. Viscoelastic testing was consistent with hypercoagulability. The dog initially had a metabolic acidosis with appropriate respiratory compensation that progressed to a mixed metabolic and respiratory acidosis despite aggressive therapies that included antimicrobials, vasopressors, positive inotropes, and corticosteroids. Humane euthanasia was elected approximately 32 hours after admission. Necropsy yielded a diagnosis of HOD.


NEW OR UNIQUE INFORMATION PROVIDED
This is the first report detailing the occurrence of refractory shock and hypercoagulability associated with HOD in a dog without evidence of another identified comorbidity. HOD should be considered in any young, large-breed dog with generalized ostealgia and signs of systemic illness, even in the absence of classic radiographic abnormalities. Further investigation of coagulation status in dogs with HOD and a secondary systemic inflammatory response is warranted.}, journal={JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE}, author={Perry, Kayla M. and Enders, Brittany D. and Watanabe, Tatiane Terumi Negrao}, year={2023}, month={Feb} }
 @article{perry_lynch_caudill_vigani_roberston_vaden_2021, title={Clinical features, outcome, and illness severity scoring in 32 dogs with urosepsis (2017-2018)}, volume={11}, ISSN={["1476-4431"]}, DOI={10.1111/vec.13158}, abstractNote={OBJECTIVE
To describe the clinical features, outcome, and utility of illness severity scoring in dogs diagnosed with urosepsis.


DESIGN
Retrospective study (2017-2018).


SETTING
University teaching hospital.


ANIMALS
Thirty-two dogs diagnosed with urosepsis secondary to pyometra, prostatitis, or pyelonephritis.


INTERVENTIONS
 None.


MEASUREMENTS AND MAIN RESULTS
Urosepsis was identified in 32 dogs, consisting of 9 of 32 (28.1%) with pyometra, 7 of 32 (21.8%) with prostatitis, and 16 of 32 (50%) with pyelonephritis. In total, 28 (87.5%) dogs survived to discharge, with the following group-specific survival rates: pyometra, 9 of 9 (100%); prostatitis, 5 of 7 (71.4%); and pyelonephritis, 14 of 16 (87.5%). Positive bacterial cultures were obtained in 27 of 32 (84.1%) dogs. The most commonly implicated pathogens were Escherichia coli (14/37 [37.8%]), Klebsiella pneumoniae (8/37 [21.6%]), and Staphylococcus pseudintermedius (6/37 [16.2%]). Multiple organ dysfunction syndrome (MODS) was identified in 21 of 32 dogs (65.6%). Although the presence of MODS was not different between survivors and nonsurvivors (P = 0.6), nonsurvivors had more dysfunctional organs (P = 0.04). Nonsurvivors also had higher Acute Patient Physiology and Laboratory Evaluation (APPLEFAST ) scores compared to survivors (P = 0.01).


CONCLUSIONS
Survival of dogs with urosepsis was good and may be higher than for other sources of sepsis. Compared to survivors, nonsurvivors had more dysfunctional organs and higher illness severity scores, which may be helpful in the assessment and management of dogs with urosepsis.}, journal={JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE}, author={Perry, Kayla M. and Lynch, Alex M. and Caudill, Alexander and Vigani, Alessio and Roberston, James B. and Vaden, Shelly}, year={2021}, month={Nov} }