Exudative Pleural Diseases in Small Animals

Epstein, Steven E

doi:10.1016/j.cvsm.2013.08.005

Cited by 33 publications

(82 citation statements)

References 60 publications

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“…Migrating foreign bodies in the thorax have been associated with canine empyema and pneumothorax in certain geographical locations . The inhalation or ingestion of plant awns and subsequent aberrant migration within the thorax has been identified in dogs undergoing diagnostic evaluation of pyothorax with variable frequency . The etiology of pyothorax is definitively identified only within a small portion of dogs (2%–22%) in the veterinary literature, with foreign bodies such as migrating plant awns (MPA) discovered in an even smaller portion .…”

Section: Introductionmentioning

confidence: 99%

“…Although commonly associated with septic or suppurative thoracic effusions, MPA have been infrequently reported to be the cause of pneumothorax in dogs . Surgery for pyothorax or pneumothorax is pursued often after failed medical management, identification of mediastinal or pulmonary lesions or evidence of foreign material, or isolation of Actinomyces organisms . A larger proportion of canine pyothorax and pneumothorax cases than is documented in the literature may occur secondary to MPA, depending on geographic location.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13] The inhalation or ingestion of plant awns and subsequent aberrant migration within the thorax has been identified in dogs undergoing diagnostic evaluation of pyothorax with variable frequency. [1][2][3][4][5][6][7][8] The etiology of pyothorax is definitively identified only within a small portion of dogs (2%-22%) in the veterinary literature, with foreign bodies such as migrating plant awns (MPA) discovered in an even smaller portion. [1][2][3][4][5] Although commonly associated with septic or suppurative thoracic effusions, MPA have been infrequently reported to be the cause of pneumothorax in dogs.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] The etiology of pyothorax is definitively identified only within a small portion of dogs (2%-22%) in the veterinary literature, with foreign bodies such as migrating plant awns (MPA) discovered in an even smaller portion. [1][2][3][4][5] Although commonly associated with septic or suppurative thoracic effusions, MPA have been infrequently reported to be the cause of pneumothorax in dogs. 9,10 Surgery for pyothorax or pneumothorax is pursued often after failed medical management, identification of mediastinal or pulmonary lesions or evidence of foreign material, or isolation of Actinomyces organisms.…”

Section: Introductionmentioning

confidence: 99%

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Utility of bronchoscopy combined with surgery in the treatment and outcomes of dogs with intrathoracic disease secondary to plant awn migration

et al. 2019

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Objective To evaluate the diagnostic and therapeutic utility of bronchoscopy in dogs undergoing computed tomography (CT) and surgery for intrathoracic disease (pyothorax and pneumothorax) secondary to migrating plant awns (MPA) and to report outcomes in dogs that did and did not undergo bronchoscopy in addition to CT and surgery. Study design Retrospective case series. Animals Thirty‐seven client‐owned dogs. Methods Medical records from 2008 to 2017 were reviewed for dogs with documented MPA in the thoracic cavity treated with CT and surgery with or without bronchoscopy. Information regarding diagnostics, treatments, complications, and outcomes relating to hospitalization was evaluated. Results At least one abnormal lung lobe was identified by CT in all dogs. Bronchial abnormalities were identified with bronchoscopy in 21 of 22 dogs (95.4%) with available reports. Agreement between CT and bronchoscopy findings ranged from 50% to 81.8%, depending on lung lobe. Thirty‐six dogs had one or more lung lobes surgically removed. Thirty‐seven MPA were retrieved via bronchoscopy in 10 of 27 (37%) dogs, and 39 MPA were retrieved at surgery in 26 of 37 (70.3%) dogs. Actinomyces spp. were cultured from surgical samples in 7 of 33 (21.2%) dogs. Thirty‐five of 37 (94.6%) dogs survived to discharge. Conclusion Migrating plant awns were successfully retrieved via bronchoscopy. Agreement between CT findings and bronchoscopy was inconsistent, so there may be roles for both modalities. Short‐ and long‐term survival was excellent in this cohort. Clinical significance Bronchoscopy may allow for diagnostic and therapeutic advantages compared with CT in dogs with endobronchial MPA. Actinomyces spp appear to be variably present in surgically acquired bacterial cultures in dogs with MPA.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Utility of bronchoscopy combined with surgery in the treatment and outcomes of dogs with intrathoracic disease secondary to plant awn migration

et al. 2019

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“…Patients can be first presented to the veterinarian in late and chronic stages of illness due to the vague clinical signs associated with pyothorax . Hematologic and biochemical abnormalities are nonspecific and can include increases in liver enzyme activities, electrolyte abnormalities, hypoalbuminemia, hyperglobulinemia, hypoglycemia or hyperglycemia, anemia, and leukocytosis . Diagnostic imaging and cytologic and microbiologic evaluation of pleural fluid are required for definitive diagnosis.…”

Section: Introductionmentioning

confidence: 99%