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Sago Palm Toxicity
The Nutrition Corner
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April 18-26
 
April 26th
 
April 30th
Chula's Photo was taken by Danny Clark Photography!
 
danny clark photography 
 
 
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Issue: 3/4
April/2012

Humane Society Fun Run 
Well, it is finally Spring and the warmer weather is officially here!  GCVS had tons of fun as a sponsor of the Houston Humane Society Fun Run!  It was so great to see everyone at our booth and it was such a great day to get out with all of our four legged friends!  Remember to always keep an eye on your pet while outside - the high temperatures and humidity in Houston make heat exhausion a big concern for dogs and cats this time of year!
Meet Chula- Our Patient of the Month

 Chula Strake

Meet Chula Strake - and adorable 4year old Chihuahua. Chula presented to the Critical Care service in January for elevated kidney values and muscle tremors. She had been perfectly healthy and then started vomiting the day before seeing her family veterinarian, Dr. Smith, at Briargrove Animal Clinic.  Once evaluated by Dr. Smith, he performed lab work and noticed that her kidney values were very high. Chula was referred for a second opinion that same day to Gulf Coast Critical Care.

At Gulf Coast Veterinary Specialists, Dr. Cook evaluated Chula. Chula was dehydrated from all the vomiting and was very lethargic. Our initial lab work did indeed show that Chula was dehydrated and her kidney values were elevated. However, we also noted that her blood glucose was low. At presentation, her blood pressure was a bit low and so Dr. Cook started some fluids and thankfully, her blood pressure improved. Based on the clinical signs and quick response to IV fluids, Dr. Cook suspected that she might have a condition called hypoadrenocorticism. A baseline cortisol was done and it was low. Dr. Cook's suspicions were confirmed with an ACTH stimulation test which proved Chula had Addison's disease as the cause of all her signs.

Hypoadrenocorticism is a condition typically called Addison's disease. It is not a common condition, but as a referral facility, we see several cases a month. With this condition, the adrenal glands, an endocrine organ located in front of the kidneys, does not produce enough steroid. Steroid is important in the body because it helps to regulate some important functions such as electrolyte balance, fluid balance, heart rate and even blood pressure. Addison's disease can often be easily overlooked as it can mimic many other conditions and is often mistaken for GI disease, pancreatitis and even kidney failure - which was the case with Chula. The good news is that this condition, once diagnosed it easily treated by supplementing the steroid that the body is deficient in producing.

Chula was started on a low dose of steroid and then eventually given an injection of a steroid replacement that lasts her about 28 days. She will need these injections for the rest of her life. Once given steroid, little Chula started improving. Her kidney values improved back to normal and her appetite returned without any more vomiting! Chula was a trooper through her hospitalization and has continued to do well. Her family also deserves credit for allowing us to figure out what was going on with their precious girl and making sure she gets her steroid shots on a monthly basis. We love you Chula and are so glad that she is doing well!

 

Chula's photo was taken by Danny Clark Photography.

   Sago Palm Toxicity

Derek Burney, DVM, DACVIM, PhD

Board Certified Veterinary Internal Medicine Specialist at GCVS

 

 

 As spring is just around the corner, many of us will start thinking about gardening and landscaping needs. In the southern United States, small

This is a male Sago Palm Plant

cycads called Sago Palms (Cycas revolute) are very popular in landscaping. The plants seem to do very well in the heat and humidity that we have in our area. Sago Palms are not really palms at all, they just look like palms or a giant fern. They are a Cycad, which are seed plants that are distinctly female or male. They are quite beautiful, and look very tropical, which is why they are so common in the southern United States.

 

Unfortunately, the plants are extremely toxic to animals and humans. While all parts of the plant are toxic, the seeds that are dropped by the female plant are extremely toxic, as they contain high levels of cycasin.   The seeds are oblong in shape, with a reddish-orange color, and a little bigger than a golf ball. Many dogs seem to really enjoy chewing on the bitter seeds, which leads to nothing but trouble. Cycasin is extremely toxic to the liver. Ingestion of the tiniest amount causes liver failure within 24-36 hours. The patients will lose their appetite, start vomiting, develop diarrhea, and then become jaundiced. If a pet has ingested Sago Palm, it is very important that you seek veterinary attention immediately. If it is soon after ingestion, we may be able to induce vomiting to rid the

Sago Palm (Cycad) seeds

stomach of the seeds. If it has been 4-6 hours since ingestion of the seed, vomiting will not help as the toxin is already being absorbed. There are things we can provide medically to support the liver to give it time to heal. The extent of the liver damage will determine the patient's ability to survive. Some patients will get better with enough time and supportive care.  However, very few patients survive long term without further liver disease. Quite a few patients will get better initially with care, but the damage to the liver is so severe that they develop cirrhosis (scar tissue of the liver) and die 6-8 weeks later of liver failure. Often these patients will stop eating, develop vomiting and diarrhea, their abdomen will be distended with fluid, and they may develop abnormal behavior or seizures.

 

Unfortunately, we find that most gardening centers and landscapers do not realize the plant is toxic. They are often sold to families with small children and pets with no warnings about their toxicity. The plant and its seeds are equally toxic to humans as well, so they can be a real issue with families with young children. In some South Pacific Islands, flying foxes eat a lot of cycad seeds. The flying foxes are considered a great delicacy and are often prepared in wedding feasts. They are then eaten, most commonly by men. Over time, men die of liver failure due to prolonged ingestion of the flying foxes that ate Sago Palm seeds. So you can tell that this toxin is very deadly. It is able to last long enough to accumulate in the flying fox and kill people that eat them later.

 

The past way to treat Cycad toxicity is prevention. If you have Sago Palm in your yard, it would be best to have them removed. The male plant is just as toxic, but for some reason, dogs do not really chew on the leaves or the trunk, they just like to chew on the seeds. The seeds are supposed to taste really bitter (none of us have ever tried one), so it is unknown what makes a dog want to eat them. It is important to keep in mind, that even a tiny amount of the seed is enough to cause liver failure. At TGCVS, we have about a 50% success rate in saving acute onset Sago Palm toxicity. Of the 50% that survive, 60-80% will go on to develop cirrhosis and end-stage liver failure within 6-8 weeks. As you can see, the best thing to do is avoid the problem altogether.

 

If you have any questions about Sago Palm Toxicity, please don't hesitate to talk to your family veterinarian or one of the specialists at Gulf Coast.  

   Lily Toxicity In Cats

Melissa Garcia-Lacaze, DVM, DACVECC

Board Certified Veterinary Emergency & Critical Care Specialists at GCVS

 

 

Easter Lily

 With Spring and Easter right around the corner - this is the time of year when we see a lot of cats affected by Lily toxicity. When any part of the plant is eaten, even just a small amount of pollen, acute and irreversible kidney failure can occur if the condition is not recognized and treated quickly.

 

There are some lillies that are not a "true lily" and do not cause toxicity, such as Peace Lilies or Calla Lilies.  However, Star Gazer Lilies, Asiatic Lilies and Aster Lilies are all toxic.  Unfortunately, the commonly known Easter Lily is among the list of toxic flowers for cats too. 

 

Because of their high level of toxicity, it is important these plants be kept away from your cat or if possible, not even brought intot he house!  Contact your veterinarian or GCVS as soon as possible if you have any concerns about Lily exposure in your cat.  If caught and treated with  agressive IV fluid therapy BEFORE clinical signs start, many of these cats do well.  However, once clinical signs of kidney failure start, it is often irreversible and many cats die as a result.  Prevention is best! 

Understanding Pet Food Labels
Dr. Lenox, DVM, DACVN
Board Certified Veterinary Nutritionist at GCVS

Pet owners frequently have questions about pet food labeling, which is not surprising because the information provided on a bag or can of food or on a company's website can be somewhat difficult to decode!

 

AAFCO, or the American Association of Feed Control Officials, is the governing body that controls pet food and pet food labeling. AAFCO sets laws regarding what has to be on a pet food label. All companies are required to give a "guaranteed analysis," which gives minimum and maximum levels of certain nutrients. Moisture and fiber are given as maximum guarantees, while fat and protein are given as minimum guarantees. Other nutrients may be provided in a guaranteed analysis but are not required by AAFCO. Unfortunately, the minimum and maximum levels can frequently be quite different from what is actually in the food - this is just what the company guarantees will be in the food. Your veterinarian may have access to the typical analysis of your pet's food, which is more exact because the company analyzes the food to provide this information. I use the typical analysis (if available) to evaluate a diet versus the guaranteed analysis for this reason.

 

All guaranteed analyses are on as-fed basis, meaning the food is analyzed when it contains water. This makes it impossible to compare canned food and dry food without doing a calculation because the moisture content between canned and dry food is very different. Your veterinarian can calculate the dry matter content of a diet to analyze the food (non-water) component of the diet. Nutrient levels of any diet can be compared when they are on dry matter basis.

 

Unfortunately, AAFCO does not require the energy density, the amount of kilocalories per cup of dry food, or kilocalories per can of wet food to be on a pet food label. Pet food companies are, however, required to give feeding guidelines, which are based on "average animals." Animals may gain or lose weight based on the instructions on the bag because no animal is truly average in terms of energy requirements.

 

Because pet food labels can be difficult to understand, consult with your veterinarian or a veterinary clinical nutritionist such as myself if you have any questions regarding what diet is best for your pet, and how much to feed. 

 

  If you have any questions regarding your pet's nutrition,

Dr. Lenox is available for consult upon referral by your family veterinarian.

 

 

Gulf Coast Veterinary Specialists strives to provide you with the most compassionate and advanced veterinary care possible.  Thank you for trusting us with your pet's care! 

 

Sincerely,

Your Friends at  Gulf Coast Veterinary Specialists

1111 W. Loop South, Suite 120  Houston, TX 77027

713-693-1155   fax- 713-693-1145

 

 

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Diagnostic Imaging ~ Internal Medicine ~ Nutrition

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