Pleural effusions in the dog. Etiology, Pathogenesis, Diagnosis and Treatment


S. Ε. KLADAKIS (Σ.Ε. ΚΛΑΔΑΚΗΣ)
K. K. ADAMAMA - MORAITOU (Κ. Κ. ΑΔΑΜΑΜΑ-ΜΩΡΑΪΤΟΥ)
T. S. RALLIS (Τ.Σ. ΡΑΛΛΗΣ)
Résumé

Accumulation of fluid (pleural effusion) in the pleural space of dogs is a relatively common clinical entity in the everyday practice. These can result from variable causes, such as right-sided heart failure, pericardial disease, hypoalbouminemia, neoplasia, heartworm disease, diaphragmatic hernia, bleeding disorders, traumatic or idiopathic causes. Diagnosis is based on history, clinical findings, laboratory tests, thoracocentesis, thoracic radiography and/or ultrasonography. Therapeutic approach depends on the etiology and the clinical condition of the affected dog. In dogs presented with severe respiratory distress, and after the confirmation of pleural effusion with thoracic radiography, thoracocentesis is performed to stabilize the animal's condition. If indicated, surgical management is attempted. Conservative therapy includes intravenous fluid and electrolyte replacement, antibiotics administration and chest tube placement in refractory cases. Moreover, pleurodesis may be indicated in chronic relapsing cases.

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Références
Μιχαήλ ΣΓ, Υπεζωκότας. Συγκριτική Ανατομική των Κατοικίδιων Θηλαστικών. Θεσσαλονίκη. 1990:554-555.
Christofer MM. Pleural effusions. Vet Clin North Am Small Anim Pract 1987,17: 255-270
Forrester SD, Troy GC, Fossum TW. Pleural effusions : pathophysiology and diagnostic considerations. Compend Cont Ed Pract Vet 1988,10:121-136
Hawkins EC. Respiratory Disorders. In : Nelson RW, Couto GC (eds) Small Animal Internal Medicine. 2nd ed, Mosby Year Book, St. Louis, 1998: 205-343
Fossum TW. Surgery of the Lower Respiratory System, Pleural Cavity and Diaphragm. In : Fossum TW (ed) Small Animal Surgery. Mosby Year Book, St. Louis 1997: 675-704
Cowell RL, Tyler RD, Meincoth JH. Abdominal and Thoracic Fluid. In : Cowell RL, Tyler RD, Meincoth JH (eds) Diagnostic Cytology and Hematology of the Dog and Cat. 2nd ed, Mosby Year Book, St. Louis, 1999:142-158
Birchard SJ, Fossum TW. Chylothorax in the Dog and Cat. Vet Clin North Am Small Anim Pract 1987,17: 271-283
Willard MD, Conroy JD. Chylothorax associated with blastomycosis in a dog. J Am Vet Med Assoc 1985,186:72-73
Bauer T, Woodfield JA. Mediastinal, Pleural and Extrapleural diseases. In : Ettinger SJ, Feldman EC (eds) Textbook of Veterinary Internal Medicine. 4th ed, WB Saunders Co, Philadelphia, 1995: 812-842
Spackman CJA, Caywood DD, Feeney DA, Johnston GR. Thoracic wall and pulmonary trauma in dogs sustaining fractures as a result of motor vehicle accidents. J Am Vet Med Assoc 1984,185: 975-977
Glaus TM, Rawlings CA, Mahaffey EA, Mahaffey MB. Acute Thymic Hemorrhage and Hemothorax in a Dog. J Am Anim Hosp Assoc 1993,29: 489-491
Fossum TW, Evering WN, Miller MW, Forrester SD, Palmer DR, Hodges CC. Severe bilateral fibrosing pleuritis associated with chronic chylothorax in five cats and two dogs. J Am Vet Med Assoc 1992,201: 317-324
Tyler RD, Cowell RL. Evaluation of Pleural and Peritoneal Effusions. Vet Clin North Am Small Anim Pract 1989, 19:743-767
Quinn PJ, Carter ME, Markey B, Carter JR. The Actinomycetes In : Quinn PJ, Carter ME, Markey B, Carter JR Clinical Veterinary Microbiology, Mosby Year book, St. Louis 1994:144-151
Fossum TW, Jacobs RM, Birchard SJ. Evaluation of cholesterol and triglyceride concentrations iin differentiating chylous and nonchylous pleural effusions in dogs and cats. J Am Vet Med Assoc 1986,188: 49-51
Stowater JL, Lamb CR. Ultrasonography of noncardiac thoracic diseases in small animals. J Am Vet Med Assoc 1989, 195:514-520
Turner WD, Breznock EM. Continuous suction drainage for management of canine pyothorax:a retrospective study. J Am Anim Hosp Assoc 1988,24: 485-494
Κουτίνας ΑΦ, Πράσινος NN, Αδαμαμά-Μωραΐτου KK, Κριτσέπη ΜΓ. Η θεραπευτική αντιμετώπιση του πυοθώρακα στη γάτα : Αναφορά σε δυο κλινικά περιστατικά. Δελτίον Ελληνικής Κτηνιατρικής Εταιρείας 1998,50(1): 43-49
Willauer CC, Breznock EM. Pleurovenous shunting technique for treatment of chylothorax in three dogs. J Am Vet Med Assoc 1987,191:1106-1109
Gallagher LA, Birchard SJ, Weisbrode SE. Effects of tetracycline hydrochloride on pleurae in dogs with induced pleural effusion. Am J Vet Res 1990,51(10): 1682-1687
Fossum TW, Welhnan M, Relford RL, Slater MR. Eosinophilic pleural or peritoneal effusions in dogs and cats: 14 cases (1986 -1992). J Am Vet Med Assoc 1993, 202(11):
-1876
Shapiro W, Turrel J. Management og pleural effusion secondary to metastatic adenocarcinoma in a dog. J Am Vet Med Assoc 1988,192(4): 530-532