Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>)
An 11-year-old female <i>Hapalemur alaotrensis</i> was evaluated following a history of dyspnea of 15 days’ duration. Thoracic radiography performed by the referring veterinarian revealed a large cardiac silhouette and dorsal deviation of the trachea. Heart sounds were muffled. Echocardi...
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MDPI AG
2021-02-01
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author | Mara Bagardi Jessica Bassi Angelica Stranieri Vanessa Rabbogliatti Daniela Gioeni William Magnone Claudio Pigoli |
author_facet | Mara Bagardi Jessica Bassi Angelica Stranieri Vanessa Rabbogliatti Daniela Gioeni William Magnone Claudio Pigoli |
author_sort | Mara Bagardi |
collection | DOAJ |
description | An 11-year-old female <i>Hapalemur alaotrensis</i> was evaluated following a history of dyspnea of 15 days’ duration. Thoracic radiography performed by the referring veterinarian revealed a large cardiac silhouette and dorsal deviation of the trachea. Heart sounds were muffled. Echocardiographic findings were indicative of severe pericardial effusion without cardiac tamponade. No pleural effusion was identified. A computed tomography (CT) exam confirmed the presence of severe pericardial effusion and allowed identification of a parenchymatous mediastinal lesion sited at the level of the left hemithorax. To delineate the thoracic duct, lymphoCT was also performed by injection of iodinated contrast medium in the perianal subcutaneous tissue. Pericardiocentesis yielded a considerable amount of effusion with chylous biochemical and cytological properties. A diagnosis of chylopericardium with absence of pleural effusion was made. Initially, the chylopericardium was managed conservatively with two centesis and oral treatment with prednisolone. Medical treatment did not result in complete resolution of effusion and clinical signs; therefore, subtotal pericardiectomy and thoracic duct ligation were recommended. After the second pericardiocentesis, the subject died and the pericardiectomy could not be performed. To the authors’ knowledge, this is the first report of the development of chylopericardium in a <i>Hapalemur alaotrensis</i>. |
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spelling | doaj.art-23cebd826813488f97561ef80230750a2023-12-11T17:33:12ZengMDPI AGAnimals2076-26152021-02-0111253610.3390/ani11020536Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>)Mara Bagardi0Jessica Bassi1Angelica Stranieri2Vanessa Rabbogliatti3Daniela Gioeni4William Magnone5Claudio Pigoli6Department of Veterinary Medicine, University Veterinary Teaching Hospital, University of Milan, 26900 Lodi, ItalyDepartment of Veterinary Medicine, University Veterinary Teaching Hospital, University of Milan, 26900 Lodi, ItalyDepartment of Veterinary Medicine, University Veterinary Teaching Hospital, University of Milan, 26900 Lodi, ItalyDepartment of Veterinary Medicine, University Veterinary Teaching Hospital, University of Milan, 26900 Lodi, ItalyDepartment of Veterinary Medicine, University Veterinary Teaching Hospital, University of Milan, 26900 Lodi, ItalyParco Natura Viva, Garda Zoological Park, 37012 Bussolengo, ItalyDepartment of Veterinary Medicine, University Veterinary Teaching Hospital, University of Milan, 26900 Lodi, ItalyAn 11-year-old female <i>Hapalemur alaotrensis</i> was evaluated following a history of dyspnea of 15 days’ duration. Thoracic radiography performed by the referring veterinarian revealed a large cardiac silhouette and dorsal deviation of the trachea. Heart sounds were muffled. Echocardiographic findings were indicative of severe pericardial effusion without cardiac tamponade. No pleural effusion was identified. A computed tomography (CT) exam confirmed the presence of severe pericardial effusion and allowed identification of a parenchymatous mediastinal lesion sited at the level of the left hemithorax. To delineate the thoracic duct, lymphoCT was also performed by injection of iodinated contrast medium in the perianal subcutaneous tissue. Pericardiocentesis yielded a considerable amount of effusion with chylous biochemical and cytological properties. A diagnosis of chylopericardium with absence of pleural effusion was made. Initially, the chylopericardium was managed conservatively with two centesis and oral treatment with prednisolone. Medical treatment did not result in complete resolution of effusion and clinical signs; therefore, subtotal pericardiectomy and thoracic duct ligation were recommended. After the second pericardiocentesis, the subject died and the pericardiectomy could not be performed. To the authors’ knowledge, this is the first report of the development of chylopericardium in a <i>Hapalemur alaotrensis</i>.https://www.mdpi.com/2076-2615/11/2/536chylopericardiumlymphoCTzoo animals |
spellingShingle | Mara Bagardi Jessica Bassi Angelica Stranieri Vanessa Rabbogliatti Daniela Gioeni William Magnone Claudio Pigoli Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>) Animals chylopericardium lymphoCT zoo animals |
title | Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>) |
title_full | Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>) |
title_fullStr | Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>) |
title_full_unstemmed | Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>) |
title_short | Chylopericardium Effusion in a Lac Alaotra Bamboo Lemur (<i>Hapalemur alaotrensis</i>) |
title_sort | chylopericardium effusion in a lac alaotra bamboo lemur i hapalemur alaotrensis i |
topic | chylopericardium lymphoCT zoo animals |
url | https://www.mdpi.com/2076-2615/11/2/536 |
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