BackgroundBrachycephalic dogs have unique upper respiratory anatomy with abnormal breathing patterns similar to those in humans with obstructive sleep apnea syndrome (OSAS). The objective of this study was to evaluate the correlation between anatomical components, clinical signs and several biomarkers, used to determine systemic inflammation and myocardial damage (C-reactive protein, CRP; Haptoglobin, Hp; cardiac troponin I, cTnI), in dogs with brachycephalic upper airway obstructive syndrome (BAOS).ResultsFifty brachycephalic dogs were included in the study and the following information was studied: signalment, clinical signs, thoracic radiographs, blood work, ECG, components of BAOS, and CRP, Hp and cTnI levels. A high proportion of dogs with BAOS (88%) had gastrointestinal signs. The prevalence of anatomic components of BAOS was: elongated soft palate (100%), stenotic nares (96%), everted laryngeal saccules (32%) and tracheal hypoplasia (29.1%). Increased serum levels of biomarkers were found in a variable proportion of dogs: 14% (7/50) had values of CRP > 20 mg/L, 22.9% (11/48) had values of Hp > 3 g/L and 47.8% (22/46) had levels of cTnI > 0.05 ng/dl. Dogs with everted laryngeal saccules had more severe respiratory signs (p<0.02) and higher values of CRP (p<0.044). No other statistical association between biomarkers levels and severity of clinical signs was found.ConclusionsAccording to the low percentage of patients with elevated levels of CRP and Hp, BAOS does not seem to cause an evident systemic inflammatory status. Some degree of myocardial damage may occur in dogs with BAOS that can be detected by cTnI concentration.

Visceral leishmaniasis with glomerulonephritis and nephrotic syndrome was diagnosed in a six‐year‐old dog presented with thromboembolic manifestations. A blood coagulation test indicated low levels of antithrombin III, prolonged partial thromboplastin time, hypofibrinogenaemia, an increase in fibrin degradation products and decreased plasminogenic activity. These results confirmed the diagnosis of thrombosis induced by glomerulonephritis, accompanied by secondary fibrinolysis. Bone marrow aspiration revealed an abundance of parasites of the genus Leishmania. Histopathology confirmed the presence of membranous glomerulonephritis due to Leishmania species parasites, as well as the presence of thrombosis in the aorta, iliac arteries, vena cava and femoral veni.

A 14-month-old female crossbreed dog with leishmaniasis, receiving allopurinol, was presented with acute paraplegia. A diagnosis of renal failure with pelvic limb lower motor neuron signs was made and the dog was euthanased. Histopathological examination demonstrated leukocytoclastic vasculitis in multiple organs. Malacia and haemorrhage affecting the spinal cord was associated with multiple foci of vasculitis within the nervous tissue. Rupture and thrombosis of inflamed vessels caused haemorrhage in the spinal cord and subsequent paralysis.

A six-year-old male crossbred dog was presented with clinical signs of right-sided heart failure. Echocardiography demonstrated a pericardial effusion with cardiac tamponade, while pericardiocentesis and cytology did not reveal any evidence of malignancy. Pericardial drainage was performed twice over a period of three months to resolve haemodynamic impairment before a subtotal pericardiectomy was performed. Biopsy of parietal and visceral pericardium confirmed the diagnosis of pericardial mesothelioma. Intrathoracic cisplatin combined with intravenous doxorubicin were administered, although neutropenia, mild azotaemia and alopecia were noted as adverse reactions to these drugs. Intravenous cisplatin was repeated 45 days later after the signs of nephrotoxicity had resolved. The dog was still free of disease after 27 months. Intrathoracic chemotherapy after pericardiectomy and early diagnosis are recommended to improve prognosis, having achieved long-term survival in the present case.

A five-year-old female intact German shepherd presented with an acute onset of abdominal pain. Abdominal ultrasound revealed a 5-cm encapsulated, heterogeneous structure with hypoechoic patches near the right pancreatic lobe. An exploratory laparotomy revealed a partially encapsulated necrotic mass located at the greater omentum. A partial omentectomy was performed. Histopathological findings were consistent with necrosis of the omentum secondary to omental torsion. Postoperative course was uneventful. Omental torsion is a rare cause of abdominal pain in human beings and animals. In veterinary medicine, it has only been reported four times, none of them in a dog. Omental torsion should be included as a differential diagnosis for dogs with acute abdominal pain and gastrointestinal signs. Imaging studies can aid in the diagnosis but exploratory laparotomy is probably the best diagnostic and therapeutic intervention in these cases. Prognosis after surgery appears to be good but an underlying aetiology should be searched thoroughly.