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  1. Article: Metronidazole‐induced neurotoxicity in 26 dogs

    Tauro, A / E Beltran / GB Cherubini / AT Coelho / A Wessmann / CJ Driver / CJ Rusbridge

    Australian veterinary journal. 2018 Dec., v. 96, no. 12

    2018  

    Abstract: BACKGROUND: Metronidazole is an antibacterial, antiprotozoal and anthelmintic medication commonly used in veterinary medicine. We describe cases of neurotoxicity associated with the drug’s administration. METHODS: Medical records between 2004 and 2017 ... ...

    Abstract BACKGROUND: Metronidazole is an antibacterial, antiprotozoal and anthelmintic medication commonly used in veterinary medicine. We describe cases of neurotoxicity associated with the drug’s administration. METHODS: Medical records between 2004 and 2017 from four veterinary referral hospitals were reviewed. Inclusion criteria were the presence of neurological signs compatible with metronidazole toxicity, clinical history supporting recent metronidazole therapy and resolution of clinical signs upon discontinuation of metronidazole administration. RESULTS: A total of 26 dogs were identified with clinical signs supporting a diagnosis of metronidazole toxicity. Median age at presentation was 7.2 years (range, 0.1–12 years); median duration of treatment was 35 days (range, 5–180 days); median treatment dosage was 21 mg/kg BID (range, 13–56 mg/kg every 12 h); median resolution of the clinical signs upon discontinuation of metronidazole was 3 days (range, 1–26 days). Magnetic resonance imaging (MRI) of the brain was performed in 19 cases and only one dog had brain lesions affecting the dentate nuclei, which resembled the MRI appearance of this disease in humans. CONCLUSIONS: We found evidence of neurotoxicity in dogs at much lower doses than previously reported and we suggest caution when administering metronidazole at doses > 40 mg/kg every 24 h, regardless of the duration of the treatment.
    Keywords anthelmintics ; brain ; dogs ; drug therapy ; drugs ; hospitals ; humans ; magnetic resonance imaging ; medical records ; metronidazole ; neurotoxicity ; signs and symptoms (animals and humans)
    Language English
    Dates of publication 2018-12
    Size p. 495-501.
    Publishing place Wiley Publishing Asia Pty Ltd
    Document type Article
    Note JOURNAL ARTICLE
    ZDB-ID 41542-x
    ISSN 1751-0813 ; 0005-0423
    ISSN (online) 1751-0813
    ISSN 0005-0423
    DOI 10.1111/avj.12772
    Database NAL-Catalogue (AGRICOLA)

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  2. Article: Mitochondriopathy with Regional Encephalic Mineralization in a Jack Russell Terrier

    Gruber, A. D / A. Tipold / A. Wessmann / B. A. Summers / M. Vandevelde

    Veterinary pathology. , v. 39, no. 6

    2002  

    Abstract: A 10-month-old female Parson Jack Russell Terrier was euthanatized because of therapy-resistant ataxia, hypermetria, and deafness that had first been observed at 10 weeks of age. Severe, bilateral, symmetrical neuronal degeneration and mineralization of ... ...

    Abstract A 10-month-old female Parson Jack Russell Terrier was euthanatized because of therapy-resistant ataxia, hypermetria, and deafness that had first been observed at 10 weeks of age. Severe, bilateral, symmetrical neuronal degeneration and mineralization of the brain were found in the cochlear and cerebellar nuclei, dorsal areas of the medulla oblongata, the vestibulocochlear nerve, plexus choroideus, and within the granule cell layer of the ventral cerebellar hemispheres. The mineralized deposits were located free in the parenchyma, around intact or degenerate neurons, in myocytes of small- and medium-sized arteries, and around capillaries. Hepatocytes and cardiac myocytes showed oncocytotic change with increased numbers of enlarged or misshapen mitochondria filled with densely packed cristae and electron-dense inclusions. Skeletal myocytes had only minor increases in the number of mitochondria. The microscopic and ultrastructural lesions were consistent with mitochondrial encephalopathy with similarities to mitochondrial encephalomyopathy with lactic acidosis and strokelike episodes in humans.
    Keywords acidosis ; animal pathology ; arteries ; ataxia (disorder) ; cardiomyocytes ; cerebellum ; deafness ; encephalopathy ; females ; hepatocytes ; humans ; medulla oblongata ; mineralization ; mitochondria ; myotubes ; nerve tissue ; neurodegenerative diseases ; neurons
    Language English
    Dates of publication 2002-11
    Size p. 732-736.
    Publishing place SAGE Publications
    Document type Article
    ZDB-ID 188012-3
    ISSN 1544-2217 ; 0300-9858
    ISSN (online) 1544-2217
    ISSN 0300-9858
    DOI 10.1354/vp.39-6-732
    Database NAL-Catalogue (AGRICOLA)

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