Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case Report

Heinz body formation has been reported in cats repeatedly administered propofol for anesthesia induction, although the resultant changes were deemed of little clinical significance (1, 2). This report suggests repeated propofol administration to some individual cats might induce anemia with clinical...

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Main Authors: Courtney L. Baetge, Lauren C. Smith, Carolina P. Azevedo
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2020.591556/full
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author Courtney L. Baetge
Lauren C. Smith
Carolina P. Azevedo
author_facet Courtney L. Baetge
Lauren C. Smith
Carolina P. Azevedo
author_sort Courtney L. Baetge
collection DOAJ
description Heinz body formation has been reported in cats repeatedly administered propofol for anesthesia induction, although the resultant changes were deemed of little clinical significance (1, 2). This report suggests repeated propofol administration to some individual cats might induce anemia with clinical signs and cessation of propofol administration may result in rapid resolution. A 9-years-old American Domestic Shorthair cat receiving a 20-fraction radiation protocol for lateral thoracic fibrosarcoma showed lethargy, decreased appetite and activity, and Heinz body (3+ on blood smear examination) anemia (packed cell volume 22%; reference interval 24–45%) after 12 repeated propofol anesthesia inductions. The anesthesia induction protocol was adjusted to exclude propofol. Over the following week, the anemia resolved (packed cell volume, 30%), and the cat's activity level, appetite and attitude improved. The total dose of propofol received over the 12 treatments was 62.4 mg/kg.
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spelling doaj.art-71c4d02c83d34deb834b9f8e1d5582b12022-12-22T02:44:10ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692020-10-01710.3389/fvets.2020.591556591556Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case ReportCourtney L. BaetgeLauren C. SmithCarolina P. AzevedoHeinz body formation has been reported in cats repeatedly administered propofol for anesthesia induction, although the resultant changes were deemed of little clinical significance (1, 2). This report suggests repeated propofol administration to some individual cats might induce anemia with clinical signs and cessation of propofol administration may result in rapid resolution. A 9-years-old American Domestic Shorthair cat receiving a 20-fraction radiation protocol for lateral thoracic fibrosarcoma showed lethargy, decreased appetite and activity, and Heinz body (3+ on blood smear examination) anemia (packed cell volume 22%; reference interval 24–45%) after 12 repeated propofol anesthesia inductions. The anesthesia induction protocol was adjusted to exclude propofol. Over the following week, the anemia resolved (packed cell volume, 30%), and the cat's activity level, appetite and attitude improved. The total dose of propofol received over the 12 treatments was 62.4 mg/kg.https://www.frontiersin.org/articles/10.3389/fvets.2020.591556/fullHeinz bodyanemiapropofolfelineanesthesiarepeated
spellingShingle Courtney L. Baetge
Lauren C. Smith
Carolina P. Azevedo
Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case Report
Frontiers in Veterinary Science
Heinz body
anemia
propofol
feline
anesthesia
repeated
title Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case Report
title_full Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case Report
title_fullStr Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case Report
title_full_unstemmed Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case Report
title_short Clinical Heinz Body Anemia in a Cat After Repeat Propofol Administration Case Report
title_sort clinical heinz body anemia in a cat after repeat propofol administration case report
topic Heinz body
anemia
propofol
feline
anesthesia
repeated
url https://www.frontiersin.org/articles/10.3389/fvets.2020.591556/full
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AT laurencsmith clinicalheinzbodyanemiainacatafterrepeatpropofoladministrationcasereport
AT carolinapazevedo clinicalheinzbodyanemiainacatafterrepeatpropofoladministrationcasereport