Intravascular haemolytic syndrome in dogs.
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Biomedical subjects
Publications and source records attributed to R B Atwell.
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Six dogs infected with Dirofilaria immitis and known to develop shock-like reactions after administration of diethylcarbamazine (DEC) were given ivermectin 50 micrograms/kg orally. None of the dogs showed any adverse reaction and subsequently all reacted to DEC 20 mg/kg orally.
Latex casts were made of the pulmonary arteries in 10 normal dogs. These casts were used to measure the angles of deviation of the right and left pulmonary arteries from the pulmonary trunk. The measurements were made in three projections. In both craniocaudal and dorsoventral projections the right pulmonary artery deviated more from the axis of the pulmonary trunk than did the left pulmonary artery. In the lateral projection, the right artery deviated ventrally and the left deviated dorsally, but the angles of deviation were similar. The diameter of the right pulmonary artery was significantly larger than that of the left. This difference in size of the major arteries could be a major determinant in the distribution of lesions in dirofilariasis. However the curved pathway taken by the blood as it is ejected from the right ventricle and the angles of deviation of the arteries as they branch from the pulmonary trunk could also play a part in the distribution of the lesions.
Fifty-seven cases of canine dirofilariasis were classified according to the severity of their clinical signs and then assessed on the basis of their haematological findings. It was found that regenerative normocytic, normochromic anaemia usually accompanied the combination of severe clinical dirofilariasis and an amicrofilaraemic (occult) status.
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Peripheral pulmonary arterial disease sometimes associated with immature filariae (larvae) was found in 5 dogs in which infestations of D. immitis were considered to be relatively recent. Gross and histological arterial lesions were similar to the endarteritis described in association with adult filariae. No adult filariae were associated with these peripheral lesions.
Four dogs with congestive heart failure associated with dirofilariasis and mitral valvular incompetence initially responded to treatment with digoxin or etamiphylline camsylate, and frusemide but became refractory to this therapy and were in cardiac decompensation. Frusemide dosage was increased and the alpha adrenoreceptor blocking drug prazosin hydrochloride was added to the therapeutic regime. Six weeks later all dogs were stabilized and their clinical condition was markedly improved.
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Dogs infected with D. immitis were treated with oral levamisole hydrochloride at various dose rates over different durations. Clinical toxicity, haematological and biochemical parameters, body weight and food intake were recorded and filarial mortality estimated at autopsy. All filariae were dead in dogs treated at 10 mg/kg body weight twice daily (12 hourly) for 14 days, with minimal clinical toxicity being seen during the treatment period.
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