Dirofilaria immitis is a mosquito-borne nematode that often infects dogs worldwide and causes what is commonly referred to as heartworm disease. The infection is recognized as being more prevalent in tropical and subtropical coastal regions; however, due to recent climate changes, it has been detected in regions previously considered free of infection. The asymptomatic animals presented in this case report had their infections detected opportunistically. One was presented for a routine checkup and the other for pre-operative evaluation. In the checkup case, heartworm disease was suspected after auscultation. In the presurgical case, microfilariae were found when cytology was performed. Both dogs had D. immitis infection confirmed by antigen detection using an enzyme-linked immunosorbent assay (ELISA) test. The microfilariae were confirmed to be D. immitis. This report highlights the unsuspected finding of the infection in a region where canine heartworm disease has not been a concern. It throws light on the importance of constant surveillance of animal vector-borne diseases in areas of ecotone. Surveillance must be reinforced when natural resources are disturbed, especially in the face of global climate change.
Brachycephalic dogs are usually affected by primary and secondary anatomical changes in the airways that contribute to the brachycephalic syndrome. Chronically, these changes contribute to an increase in pulmonary arterial pressure and right cardiac overload (cor pulmonale). The right cardiac function in 17 dogs with brachycephalic syndrome was assessed using echocardiography before, and at 30 and 60 days after rhinoplasty. The maximum pulmonary systolic flow velocity, the pressure gradient between the AP and RV (GrFP), the right ventricular systolic function (tricuspid ring systolic excursion (TAPSE), the variation of the right ventricular area (FAC), the velocity of the systolic displacement of the right ventricular myocardium (S') by tissue Doppler) and right ventricular diastolic function (transtricuspid flow and the relationship between the E and A waves, evaluation of the E' and A' waves using tissue Doppler of the free wall of the right ventricle) were evaluated. The right ventricular fractional area, velocity, and pressure gradient of pulmonary arterial flow showed the best sensitivity in these analyses. The present study reinforces the concept that obstructions in the anterior airways contribute to pulmonary hypoxia. However, the correction of these obstructions proved to be beneficial in the reduction of right heart overload.
Dirofilaria immitis is a nematode that can cause a disease that may present clinical signs from severe to absent. When dogs are symptomatic, the clinical signs are cardiorespiratory and nonspecific, which may be misleading. This study aimed to demonstrate the clinical presentations to cardiac care by evaluating 26 dogs subjected to clinical examination, complete blood count (CBC), specific tests for D. immitis infection, chest radiography, and echocardiography. Among them, 11 (42.3%) dogs were infected and 15 (57.7%) were non-infected. Most dogs presented with coughing (65.4%) and abnormal lung sounds (81%) independent of infection. Murmur at the tricuspid focus was present in 26.9% of the dogs, of which 57.1% were infected. Echocardiography revealed tricuspid regurgitation in 30.8% of the dogs and pulmonary regurgitation in 46.1%, of which 37.5% and 50% were infected, respectively. Worms were detected by echocardiography in 45.5% of the infected dogs. The x-rays showed that the bronchial pattern was present in 45.5% of the infected dogs and in 46.7% of the non-infected dogs. The interstitial pattern was present in 18.2% of the infected animals, in contrast to 6.7% of the non-infected dogs. The CBC results for all dogs were within the reference range, except for platelets. Although similar, the percentage of dogs with thrombocytopenia was higher among infected dogs (36.4%) than among the non-infected (6.7%). These results reinforce that due to the non-specific signs of infection, it is mandatory to perform parasitological assays when evaluating dogs presenting with cardiopulmonary signs.
Tracheal collapse is the most common progressive affection of the anterior pathways in small animals. The most common clinical symptom is a "goose honk" cough in cases of tracheal collapse and inspiratory discomfort in cases of cervical collapse. The diagnosis is based on the history, physical examination, and imaging tests, notably chest radiography and endoscopic examination. Treatment can be clinical or surgical depending on the degree of collapse. Obesity currently affects several domestic animals and predisposes them to respiratory disorders. The overlapping adipose tissue presses on the muscles of the trachea, aggravating the collapse and influencing the lung compliance and expansion. The present report describes the clinical improvement in an obese canine with tracheal and bronchial collapse after clinical management and therapeutic ration.
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