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latrogenic lipoid pneumonia in an adult horse.

Metcalfe L, Cummins C, Maischberger E, Katz L - Ir Vet J (2010)

Bottom Line: A 20-year-old gelding presented with a history of acute respiratory distress which began immediately after administration of a mineral oil and water mix, via nasogastric intubation, for treatment of suspected gastrointestinal dysfunction.Despite intensive supportive therapy the horse's condition continued to deteriorate and the decision was made for humane euthanasia.Gross necropsy findings supported the clinical diagnosis of lipoid pneumonia.

View Article: PubMed Central - HTML - PubMed

Affiliation: Section of Veterinary Clinical Studies, University Veterinary Hospital, School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland. lucy.metcalfe@ucd.ie.

ABSTRACT
A 20-year-old gelding presented with a history of acute respiratory distress which began immediately after administration of a mineral oil and water mix, via nasogastric intubation, for treatment of suspected gastrointestinal dysfunction. An initial presumptive diagnosis of acute lipoid pneumonia was made; this was further supported by evidence of arterial hypoxaemia and oxygen desaturation on arterial blood gas analysis, ultrasonographic signs of bilateral ventral lung consolidation and a mixed bronchoalveolar-interstitial lung pattern seen on thoracic radiographs. Despite intensive supportive therapy the horse's condition continued to deteriorate and the decision was made for humane euthanasia. Gross necropsy findings supported the clinical diagnosis of lipoid pneumonia.

No MeSH data available.


Related in: MedlinePlus

Gross specimen of the lung. Pulmonary emphysema is apparent on the cranio-ventral area of the lung (black arrows). Severe congestion and haemorrhage is apparent dorsally (white arrows).
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Figure 3: Gross specimen of the lung. Pulmonary emphysema is apparent on the cranio-ventral area of the lung (black arrows). Severe congestion and haemorrhage is apparent dorsally (white arrows).

Mentions: Gross necropsy revealed marked congestion of the trachea, particularly in the distal half, with a large quantity of oil globlets present in the lumen (Figure 2). Pulmonary emphysema extended bilaterally over the cranioventral part of the lungs, affecting approximately 75% of the lungs. The dorsal region of the anterior lobes was severely congested (Figure 3), and a large amount of oil globules were apparent in the pulmonary parenchyma. Histopathology slides were reported to be non-diagnostic.


latrogenic lipoid pneumonia in an adult horse.

Metcalfe L, Cummins C, Maischberger E, Katz L - Ir Vet J (2010)

Gross specimen of the lung. Pulmonary emphysema is apparent on the cranio-ventral area of the lung (black arrows). Severe congestion and haemorrhage is apparent dorsally (white arrows).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3113859&req=5

Figure 3: Gross specimen of the lung. Pulmonary emphysema is apparent on the cranio-ventral area of the lung (black arrows). Severe congestion and haemorrhage is apparent dorsally (white arrows).
Mentions: Gross necropsy revealed marked congestion of the trachea, particularly in the distal half, with a large quantity of oil globlets present in the lumen (Figure 2). Pulmonary emphysema extended bilaterally over the cranioventral part of the lungs, affecting approximately 75% of the lungs. The dorsal region of the anterior lobes was severely congested (Figure 3), and a large amount of oil globules were apparent in the pulmonary parenchyma. Histopathology slides were reported to be non-diagnostic.

Bottom Line: A 20-year-old gelding presented with a history of acute respiratory distress which began immediately after administration of a mineral oil and water mix, via nasogastric intubation, for treatment of suspected gastrointestinal dysfunction.Despite intensive supportive therapy the horse's condition continued to deteriorate and the decision was made for humane euthanasia.Gross necropsy findings supported the clinical diagnosis of lipoid pneumonia.

View Article: PubMed Central - HTML - PubMed

Affiliation: Section of Veterinary Clinical Studies, University Veterinary Hospital, School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland. lucy.metcalfe@ucd.ie.

ABSTRACT
A 20-year-old gelding presented with a history of acute respiratory distress which began immediately after administration of a mineral oil and water mix, via nasogastric intubation, for treatment of suspected gastrointestinal dysfunction. An initial presumptive diagnosis of acute lipoid pneumonia was made; this was further supported by evidence of arterial hypoxaemia and oxygen desaturation on arterial blood gas analysis, ultrasonographic signs of bilateral ventral lung consolidation and a mixed bronchoalveolar-interstitial lung pattern seen on thoracic radiographs. Despite intensive supportive therapy the horse's condition continued to deteriorate and the decision was made for humane euthanasia. Gross necropsy findings supported the clinical diagnosis of lipoid pneumonia.

No MeSH data available.


Related in: MedlinePlus