A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020

Background and Aim: Poisonings commonly bring cats and dogs to veterinary emergency facilities. This retrospective study aimed to analyze clinical signs, confirmed or suspected toxicants, treatments, and outcomes of feline poisoning cases presented over 5 years to the emergency service of a small an...

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Main Authors: Carina Markert, Romy Monika Heilmann, Dschaniena Kiwitz, René Dörfelt
Format: Article
Language:English
Published: Veterinary World 2023-09-01
Series:Veterinary World
Subjects:
Online Access:https://www.veterinaryworld.org/Vol.16/September-2023/21.pdf
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author Carina Markert
Romy Monika Heilmann
Dschaniena Kiwitz
René Dörfelt
author_facet Carina Markert
Romy Monika Heilmann
Dschaniena Kiwitz
René Dörfelt
author_sort Carina Markert
collection DOAJ
description Background and Aim: Poisonings commonly bring cats and dogs to veterinary emergency facilities. This retrospective study aimed to analyze clinical signs, confirmed or suspected toxicants, treatments, and outcomes of feline poisoning cases presented over 5 years to the emergency service of a small animal referral center. Materials and Methods: Medical records of 166 cats were evaluated for a history of confirmed or presumed poisoning, suspected toxicant, clinical signs, treatment, and outcome. Poisoning probability was determined using patient history, clinical findings, observation, toxicologic examination, and, in some cases, gastric contents. Results: Most cats were hospitalized (94.0%) due to poisoning with mostly unknown toxicants (48.2%), rodenticides (21.1%), and various toxic plants (12.0%), followed by antiparasitics (6.0%), chemicals (6.0%), drugs (4.2%), tetrahydrocannabinol (1.2%), or inhaled smoke (1.2%). Patients presented predominantly with neurologic deficits (68.7%), reduced general condition (60.2%), and hypothermia (43.4%). The survival rate was 88.6%. Most cats (93.2%) showed no apparent complications at the time of discharge from the hospital. Toxicant-related complications (48.2%) included thermodysregulation (22.9%), central nervous system signs (18.7%), respiratory issues (6.0%), nephrotoxicity (2.4%), gastrointestinal complications (4.8%), evidence of hepatic failure (4.8%), and hemorrhage (1.8%). Conclusion: In this study, the causative toxicant remained unidentified in many cases. Known poisonings were mostly caused by rodenticides. Neurological signs were the most common clinical presentation. Survival rates were high and comparable with those reported by others.
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spelling doaj.art-ad42eb6e5e7a42bdbb3273cbc74d70842023-09-23T13:17:45ZengVeterinary WorldVeterinary World0972-89882231-09162023-09-011691940195110.14202/vetworld.2023.1940-1951A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020Carina Markert0https://orcid.org/0000-0002-9951-3679Romy Monika Heilmann1https://orcid.org/0000-0003-3485-5157Dschaniena Kiwitz2https://orcid.org/0000-0003-1791-2826René Dörfelt3https://orcid.org/0000-0003-1831-377XDepartment for Small Animals, Tierklinik Hofheim, 65719 Hofheim am Taunus, Germany; Department for Small Animals, University of Leipzig, 04103 Leipzig, Germany.Department for Small Animals, University of Leipzig, 04103 Leipzig, Germany.Department for Small Animals, Tierklinik Hofheim, 65719 Hofheim am Taunus, Germany.Clinic of Small Animal Medicine, LMU Munich, 80539 Munich, Germany.Background and Aim: Poisonings commonly bring cats and dogs to veterinary emergency facilities. This retrospective study aimed to analyze clinical signs, confirmed or suspected toxicants, treatments, and outcomes of feline poisoning cases presented over 5 years to the emergency service of a small animal referral center. Materials and Methods: Medical records of 166 cats were evaluated for a history of confirmed or presumed poisoning, suspected toxicant, clinical signs, treatment, and outcome. Poisoning probability was determined using patient history, clinical findings, observation, toxicologic examination, and, in some cases, gastric contents. Results: Most cats were hospitalized (94.0%) due to poisoning with mostly unknown toxicants (48.2%), rodenticides (21.1%), and various toxic plants (12.0%), followed by antiparasitics (6.0%), chemicals (6.0%), drugs (4.2%), tetrahydrocannabinol (1.2%), or inhaled smoke (1.2%). Patients presented predominantly with neurologic deficits (68.7%), reduced general condition (60.2%), and hypothermia (43.4%). The survival rate was 88.6%. Most cats (93.2%) showed no apparent complications at the time of discharge from the hospital. Toxicant-related complications (48.2%) included thermodysregulation (22.9%), central nervous system signs (18.7%), respiratory issues (6.0%), nephrotoxicity (2.4%), gastrointestinal complications (4.8%), evidence of hepatic failure (4.8%), and hemorrhage (1.8%). Conclusion: In this study, the causative toxicant remained unidentified in many cases. Known poisonings were mostly caused by rodenticides. Neurological signs were the most common clinical presentation. Survival rates were high and comparable with those reported by others.https://www.veterinaryworld.org/Vol.16/September-2023/21.pdfclinical signsintoxicationoutcomeseizurestoxicant
spellingShingle Carina Markert
Romy Monika Heilmann
Dschaniena Kiwitz
René Dörfelt
A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020
Veterinary World
clinical signs
intoxication
outcome
seizures
toxicant
title A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020
title_full A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020
title_fullStr A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020
title_full_unstemmed A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020
title_short A retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020
title_sort retrospective evaluation of confirmed and suspected poisonings in 166 cats between 2016 and 2020
topic clinical signs
intoxication
outcome
seizures
toxicant
url https://www.veterinaryworld.org/Vol.16/September-2023/21.pdf
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