Vets on the Balkans - an online journal for veterinarians from the Balkans - Vets on the Balkans

Student Association in Veterinary Medicine from Timisoara, Romania…… BRAVO ROMANIA!!!!

August 5, 2015 Leave a Comment

ASMVT stands for the Student Association in Veterinary Medicine from Timisoara, Romania.

We are a little nonprofit organization founded in 2008, our members are students from the Faculty of Veterinary Medicine and our goals are to provide a fun way to connect to our community, our faculty members, our student colleagues and of course, a way to learn more for our craft of saving animals.

We also have a chapter in IVSA, the International Veterinary Student Association, so we have a wide opening to the world of Veterinary Medicine.

ASMVT is having a number of events that are basically the core of our student experience:

Annual Science Competition

Annual Science Competition

We invite our colleagues to make groups of 4 and compete with each other, in a quizz-like competition and win a lot of great awards, like an otoscope, stethoscope, thermometer, or a basic surgical kit, a lot of things that a future veterinarian would need in his practice.

Workshops

Workshops

We organize workshops with different topics with the help of our teachers and we volunteer for workshops organized by RoSAVA and other veterinarians from the city.

Spay/ Neuter campaign

Spay/ Neuter campaign

We want to help our community by reducing the population of stray dogs by acting accordingly and learning in the process. We’ve been helped by some of our teachers and veterinarians from Timisoara.

Student exchanges with IVSA

Student exchanges with IVSA

We have annual student exchanges with other IVSA chapters. The exchange means that a group of students from our chapter goes to visite another country and another Faculty of Veterinary Medicine, for one week and assimilates the whole experience: going to classes, learning, living and partying like a local student. After this, the chapter that hosted the first part of the exchange, comes to visite us, being our guests. This is the way that lifelong acquaintance and friendships are being made.

Student symposium

Student symposium

Every year we organise a symposium for our students to present their scientific works, consisting in reports or case studies in different subjects.

Pet adoption fair

Pet adoption fair

We are collaborating with several shelters for stray dogs and volunteers who foster abandoned dogs and cats, so that we can organize a fair for the families to come and adopt the perfect pet for their home. These are a few from the lucky ones!

Every year, we look forward to have more students signed up for the “ ASMVT experience” and we are challenging ourselves to have new exciting activities, beside our already well known annual ones.

For more information, contact us : https://www.facebook.com/ASMVTimisoara

THANK YOU ASMVT….. for being here!!! We are proud of you ( The team of Vets on The Balkans ) !

HEMOPET – the blood bank on the Balkans

July 26, 2015 Leave a Comment

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The mesenchymal stem cells therapy in veterinary practice. Current opportunities and limitations.

July 9, 2015 Leave a Comment

Dr Peter Eftimov

General information

Mesenchymal stem cells (MSC) are multipotent stromal cells that can differentiate into a variety of cell types, including osteoblasts, chondrocytes, and adipocytes. There are evidences that MSC can be differentiated into oligodendrocyte and dopaminergic neurons, with further clinical applications.

Because the cells, called MSCs by many labs today, can encompass multipotent cells derived from other non-marrow tissues, such as umbilical cord blood, adipose tissue, adult muscle, corneal stroma or the dental pulp of deciduous baby teeth, yet do not have the capacity to reconstitute an entire organ, the term Multipotent Stromal Cell has been proposed as a better replacement.

The International Society for Cellular Therapy has provided the following minimum criteria for defining multipotent human mesenchymal stromal cells:

1) plastic-adherent under standard culture conditions;

2) positive for expression of CD105, CD73, and CD90, and absent for expression of hematopoietic cell surface markers CD34, CD45, CD11a, CD19, and HLA-DR;

3) under specific stimulus, cells should differentiate into osteocytes, adipocytes, and chondrocytes in vitro.

Case reports

Treatment of severe osteoarthritis in 12 years old German sheperd dog vie celluar-substitution therapy with Mesenchymal Stem Cells

Duc, 12 years old German Shepard was presented at the clinic with progressive lameness of the pelvic limbs, which deteriorates in cold days, exercise intolerance and signs of severe pain. He was treated for over a year with NSAID (including selective COX-2 inhibitors), combined with food supplements. The treatment didn’t succeed to alleviate symptoms – in fact, when presented at clinic the patient barely could move his legs and have impaired urinary function.

After confirming the diagnosis with a radiographic examination (fig.1), and taking into account the age of the animal, we decided to attempt cellular-based treatment using adipose derived MSCs, rather than total hip replacement.

Biopsy of approximately 20 grams subcutaneous fat was taken and MSCs (CD44+, CD90+, CD105+) were derived, following standard protocol. After two passages they reached target concentration of 3.10⁶cells/ml and were applied intra-articulary in both coxofemoral joints. Pain alleviation with sub second improvement of the gait was observed 6 days after treatment, and 4 weeks after application of the MSC the dog tolerates long walks (over 40 minutes) and doesn’t show any signs of pain.

Six months after the procedure, Duc visited us again this time with progressive osteoarthritic changes in both elbows and cauda equina syndrome (fig. 2). Another course of cell-based treatment was suggested – via intravenous infusion of stem cells, but the owner preferred topical treatment with hyaluronic acid. It was applied in both elbow joints, but after mild improvement Duc condition deteriorates (lameness with thoracic limbs, urinary incontinention, severe pain and loss of appetite) and after another 3 months he was euthanized.

It is remarkable that he never experienced pain in hip joints after MSC treatment. That fact and the fast recovery after first intervention were highly appreciated by the owner, but the relatively high cost of the cellular therapy, prevented him for taking the decision for another procedure

Treatment of chronic kidney disease (CKD) in a dog and in a cat

1. Treatment of 5 years old male dog with CKD

Lucky is a 5 years old miniature Poodle was presented in deteriorated condition with ongoing conservative treatment of CKD stage 3 (according to IRIS classification) After ultrasound examination we decided to include him in the program for MSC treatment.

Biopsy was performed and MSC were isolated and cultured to the therapeutic concentration (2*10⁶ cells/ml).

Due to his severe condition cells were applied intravenously (to avoid general anesthesia risk). After initial improvement, Lucky deteriorated and discontinued food intake. Another procedure was made and this time cells were administered intra-renaly under the ultrasound guidance. Prior to that, he was subjected to a peritoneal dialysis, in order to diminish the levels of toxic metabolites. Unfortunately, no definitive improvement was observed and shortly after the procedure, the owners took decision to euthanize Lucky

2. Treatment of 14 years old male cat with CKD

Macho, 14 years old cat, was presented with typical signs of CKD (weight loss, decreasing of the appetite, polydipsia and polyuria). He was subjected to a peritoneal dialysis one year ago, after deterioration of his condition and since then was on a standard protocol for treatment of CKD i.e., nutritional supplementation and special diet.

After initial examination ,a biopsy of subcutaneous adipose tissuewas taken, and MSC were isololated and prepared for intra-renal application,which was made under ultrasound guidance.The improvement was quick and stable- the cat regained his appetite, and the values of creatinine measured after the procedure continues to decrease.

We work on a second case of a cat with CKD now.

Treatment of n.radialis paralysis in a cat.

Naida was found on the street and brought to our clinic with a dull trauma of the abdomen, elbow bent low, curved dorsal paw and inability to stepping on his front right leg. Following the screening, we found lack of surface sensitivity on the rostral surface of the limb and lack of deep sensitivity. Our working diagnosis was trauma to the radial nerve. The condition is more common in dogs than in cats and is often the consequence of a hit by a car or falling from above. After considering other options as carpal arthrodesis, amputation or transposition of n.ulnaris we chose to start a procedure of MSC treatment.

Following the standard procedure, a biopsy from the abdominal adiposal tissue was taken and MSC were isolated and cultured. A highly concentrated stem cells isolate was injected into the perineural space of n. radialis.

Two weeks after implantation of mesenchymal stem cells we observed (although minimal) surface and deep sensation in the affected limb. Najda began to flex her elbow, indicating recovery of n. musculocutaneus.

Meeting with Dr Rares Capitan, DVM, resident ECVD

June 30, 2015 Leave a Comment

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Dr Rares Capitan , DVM, resident ECVD

1. When and how you decided to be veterinarian?

I was inspired by my mom and she implement this idea in my mind, as early as I was in elementary school. For me it was my one option. It was life a goal to achieve. I studied veterinary high school and the next step was Veterinary Faculty. Another personal motivation was my first dog. When I was 10 years old and he unfortunately died of Parvovirosis. I was promised to myself that I will try to save as many animals as I can.

2.How did you choose Dermatology as your professional?

I think all started by frustration of dealing with dermatological cases in my clinic. Because if you think about Dermatology, are more less the same. So can you figure it out what is going on with the patient and what is the right diagnosis.Of course, you need to have patience , to have detective way of thinking. I think everything started by attending workshop by Chiara Noli in Bucharest. Then I understood that this is what I wanted to do . The more I got into it, I could not stop. Now, here I am, traveling as a specialist.

3. Tell us ” the price ” to be professional veterinarian?

This a good and hard question. Everybody is first concern about the money. Because the learning in this level is very costly. From my experience , I cannot say is not a financial matter, but is not the most important thing to reach your dream. Time is the most precious thing , because you need to learn, to prepare yourself for the mentor and college expectations. This is far beyond of my initial expectations.

To do residency at european level you need to be 200% motivated , 200% dedicated, 200% willing to succeed and more less leave everything aside. But at the end I know it will worthy.

4. Tell us about your Dermatology Association in Romania?

I am very proud about our association. I think, the biggest goal is to bring international high level of science and practice of veterinary dermatology, closer to our region. I think SRDV (Romanian Society of Veterinary Dermatology) is starting to do that. We are young society, but we already had our first annual congress with 300 participants, 2 workshops and we plan to do 2 more this summer. We are organizing the second big annual congress in October this year. For future plans we want to spread the knowledge over other countries on the Balkans, where I know, there are vets , who need to be part of our society. So we are open to welcome any vet from the Balkan to join us, whoever wants to get involve and join our spirit.

5.Which are negative and positive things to be vet on the Balkans?

Let’s start with the negative. We are depending of our countries economically substantial difference between our general practice level and this one in Western Europe. But there are a lot of good enthusiastic people who want to learn more and align the way of practice and knowledge.

6. Would you like to share with us your future plans?

Of course, I want to finish my residency and pass my exam. I want to build first dermatological clinic in our region. Another big dream of mind, is to have my own residents from the Balkans. So they continue this win. I am already looking for highly motivated vets that want to do performance.

7. What do you thin about Vets on The Balkans?

I think is a good interesting idea. I really hope that this project will continue for a long time and collect many vets as want to share their experience. So the whole community from the Balkans will progress in a good way.

Dr Rares Capitan, DVM , resident in ECVD

He graduated in 2006 at Faculty in Veterinary Medicine in Bucharest , Romania. He is member of ESVD- Europian Society of Veterinary Dermatology.

He passionate about all areas related to veterinary dermatology services to elevated to international standards.

Founder member and President of SRDV – Romanian Society of Veterinary Dermatology

He is passionate about all areas related to veterinary dermatology services to elevated to international standards

Spinal Neurofibrosarcoma in a dog- diagnostic, treatment and prognosis

June 26, 2015 Leave a Comment

Dr Miroslav Todorov , DVM, MRCVS

Neurosurgeon in Small Animal Veterinary Clinic Blue Cross, Sofia ,Bulgaria

Neurofibrosarcomas are malignant nerve sheath tumors that are type of soft tissue sarcomas. They are usually discovered in the peripheral nerves ( most commonly the nerves that are forming the brachial and lumbosacral plexus ). Sometimes they could be discovered in the cranial nerves ( trigeminal, vestibulocochlear ). These tumors are arising from perineural fibroblasts or Schwann cells. They are slow growing and usually locally invasive but are unlikely to metastasize.

5 -years old female dog , Miniature Poodle , was presented for clinical examination. The dog had a long lasting history of difficult movements of the hind limbs. The problem started about 2 months ago, at the beginning only with one limb lameness. The dog had work-up done this problem , including CBC , biochemistry analysis, UA , X-ray, ultrasound of the abdomen and CT of the spine, but not clear visible reason for its condition was discovered. The dog was treated with several drugs, including NSAID , antibiotics, Steroids and Nivalin ( Galantamine hydrobromide ) , but without any successful results.

The dog in general condition , with normal temperature and mild discomfort on palpation on the abdomen. On the neurological examination : alert mental status, normal cranial reflexes, paraplegic patient, with increase patellar reflexes, and present withdrawal reflexes. There was a mild spinal pain over the spine, localized at the thoracic part of the spine around Th7- Th10 vertebra. The urinary bladder was distended and very hard to express.

Pic.1

The problem was localized Th3-L3 area of the spinal cord ( Th3-L3 myelopathy ). The most probable diagnosis that could explain the patient’s condition are : intervertebral disk disease and spinal neoplasia .

Treatment with Prazocin and Bethaneochol was started in order to improve bladder expression and MRI examination was scheduled. With MRI examination was found an ovoid , intradural, extra medullary mass with size 19/11.2 mm that is severely compressing the spinal cord at the level of Th7-Th8. The mass is slightly hyperintensive on T1 and is located on the right side of the spinal cord ( Pic. 1 ) .

After MRI examination the dog lost its deep perception and on the next day was scheduled for surgery. Before the surgery CSF was collected for analysis but the content of the protein and the cell count were normal. The dog had a dorsal laminectomy on the level of the arch of Th7-Th8 vertebra. After opening the spinal canal , a firm, white mass around 15 mm was discovered. ( Pic.2 – black arrows ). After being fully removed , the mass was send for a histopathological examination.

Pic. 2

In the post surgical period the dog had painkillers – Morphine/Ketamine/Lidocaine mixture for 5 days and intravenously administrates antibiotics. On the next day the dog regained its deep perception. On the day of its discharge from the hospital it had little movements of its hind limbs and no problem with urination. The owner was adviced about some rehabilitation techniques that he could do at home with the dog and treatment with antibiotics and NSAID was extended for another week. Two weeks later the patient was much better with slight ataxia and a week later – completely normal.

The histopathological result was Neurofibrosarcoma – malignant mesenchymal neoplasia . This type of tumor could reoccur even after a full surgical removal because of the formation of microsatellites.

The localization of this neoplasia is interesting. Usually this tumor grows at the level of brachial or lumbosacral plexuses and it is very uncommon to be found within the spinal canal.

Additional treatment was discussed with the owner. Usually in such cases radiotherapy could be beneficial ( but not available in Bulgaria ) . Additional metronomic chemotherapy with doxorubicin , cyclophosphamide and vincristine , very often in combination with NSAID , could be possible option.

In this case i suggested a combination with NSAID , Meloxicam at dose 0.1mg/kg , Cyclophosphamide 10-15 mg/m^2 q 24hours per os , but the owner declined the second drug, so the dog stay only on meloxicam only.

Unfortunately , two months later the dog came with clinical signs with the same neurolocalization. A new MRI examination and surgery afterwards were suggested to the owner but he declined. He ordered a wheelchair for the dog , to improve her mobility for a short period.

The prognosis of neurofibrosarcoma is guarded. The recurrence of the neoplastic lesion could be expected despite full surgical removal. The usual localization of this neoplasm is within peripheral nerves but sometimes it could be localized inside the spinal canal and look like an intradural extramedullary lesion. The best treatment option is surgical removal and radiotherapy afterwards.

Veterinary Faculty in Bucharest ,Romania

June 19, 2015 Leave a Comment

History of the Faculty

Most of the professors who have established the faculty,were part of French and German education system.

In 1881 was established the first form of veterinary education and then in 1832 was introduced the first class of veterinary art.

In 1856 Dr Carol Davida established the first medical school in Bucharest,in which had also classes of animal diseases.

In 1861 the veterinary medicine has become independent and the have create veterinary programme.

In 1921 by law,the school of veterinary medicine became Faculty of Veterinary Medicine. In Romanian Veterinary Faculty has been only one in that period on the Balkans. Many students from neighbour countries like Bulgaria, Greece and Yugoslavia graduated there.

Till 1948 was integrated as a part of Bucharest University. And after that it became part of University of Agriculture and Veterinary Medicine in Bucharest.

From 1887 till now the faculty is localizated in the same area.

When I entered the yard I felt the severity of a long history. The noise of many students was like a melody, or I felt this because romanian language sounds nice. I saw a huge building with many people with animals, waiting for examination, it was the clinic of the Faculty.

At the entrance I saw the notice “Bine ai venit la Clinica Facultatii de Medicina Veterinara Bucuresti” or Welcome in Veterinary clinic of Veterinary Faculty in Bucharest. Impressive!

I went in teh building and I was in a big reception room. The clinic has different departments: Obstetrics and Gynecology, Internal disease, Surgery, Ophthalmology center, Imaging sector, Sector for Haemodialysis, huge laboratory department and Pharmacy. Dr Iuliana Ionascu is the responsible person for this clinic. She shared with us all these things and we had a nice chats about the projects of the Faculty.

1.Project HRDSOP 160/2.1/S/139928 “Now a student! Tomorrow a professional! – The improvement of labour market insertion of students enrolled in higher technical/economic/veterinary education”

2. Project HRDSOP 155/1.2/139950 “Imroving quality of national higher education system in accordance with changing knoledge-based society and labor market dynamics”

3.Project HRDSOP 155/1.2/G/136748 “Veterinary emargency medicine-innovation and new skills in higher veterinary education system”

About the last mention project ,the paper present the progress of this project is co-financed by European Social Fund through the Human Resources Development Sectoral Operational Programme 2007-2013, implemented by the Univerity of Agronomical Sciences and Veterinary Medicine Bucharest, University of Agriculture Sciences and Veterinary Medicine Cluj Napoca.

The project aims to improve curriculum in higher veterinary education for a number of 400 students, in accordance with CNCIS, by introducing new disciplines and by developing a Veterinary Sectoral Network in order to achieve a better correlation between labor market and higher education system.

We visited the Ophthalmology center where is possible to diagnose and treat all of eye diseases in dogs and cats, such as Surgical treatment of cataract by the method of phacoemulsification and placement of artificial intraocular lenses, Filtration operations for treatment of glaucoma,vitreoretinal surgery and many others.

We would like to express our gratitude to Dr Iuliana Ionascu for sharing all these things with us .

In this Faculty we can see how the things supposed to be done. We all live on the Balkans and we all know how hard is to involve innovation in our Faculties, but here this is reality. The team of Vets on The Balkans is proud to be part of their work for a few hours.

KRESZINGER small animal veterinary clinic

June 17, 2015 Leave a Comment

The clinic is located in Sesvete, near Zagreb, Croatia. The intention and desire is consolidating in one place high level of diagnostic and treatment.

Practice is among everything, related also to orthopaedic and neurosurgery of referral patients. Misssion is to give service to the owners and patients all over the world, and always to send back to referring colleague. Also it is the only one private emergency center that provides all services 24h/7days per week in Croatia.

The clinic is cooperated with specialists from Europe. Names like Edoardo Auriemma, DVM, DipECVDI, Instituto Veterinario di Novara, Italy and many others, are talking about high level of professional.

Also, there is physiotherapy center that give the opportunity to their and referral patients to recover after orthopaedic and neurosurgery. The center include hydrotherapy, ultrasound therapy, electrotherapy , acupunctura and therapeutic exercises.

Dr Lea Kreszenger

is graduated in 1997 in Veterinary Faculty of University of Zagreb, Croatia. Through 10th 2000-10th 2001 she finished her internship at the Department of Surgery, Orthopaedic and Ophthalmology. She is a member od AOVET and EVSOT.Beside her work ,she is president of Croatian Small Animal Veterinary Section(CSAVS)

In this clinic we can see high level of professional and we can take it nowadays as a model for a good veterinary practice on the Balkans. We are proud of you,Veterinary Clinic Kreszinger!

Veterinary clinic Blue Cross,Sofia ,Bulgaria

June 17, 2015 Leave a Comment

Veterinary clinic “Blue cross” is a 24 hour Small Animal Hospital working without a day off. It is one of the biggest and modernly equipped veterinary clinics in Bulgaria. They use the most up to date equipment available for emergency care, surgery and laboratory activity. On area of more than 400 square m.,are disposed: waiting room and reception, two consulting rooms, laboratory, x-ray and ultrasound department, surgery room, intensive care unit.

The clinic has highly qualified team who follow and visit during the whole years courses, seminars and congresses all over the world, in order to be up to date in the newest in veterinary medicine.

Part of the team:

Dr.Borislav Georgiev

is born on 10.2.1976 in Sofia. He graduated in University of Foresty, Sofia, Bulgaria.

Specialist in Hip Dysplasia (CHP) and is a member of GRSK (Geraman association of radiologists for hereditary diseases of small animal skeleton). In 2010 he recieved a diploma as an expert in elbow dysplasia. Dr.Georgiev and his team are the first in Bulgaria who made a total hip replacement in dog.

Dr. Rosen Cokev

Dr.Cokev is born 27.11.1984 in Sevlievo. He graduated University of Foresty.

Professional interests: cardiology and echocardiolography, internal medicine.

In 2010 he finished course of clinical echocardiography held by one of the leading experts in the world.

Dr.Miroslav Todorov

is born 02.12.1985 in Dobrich.

2013-Europian School for Advanced Veterinary Studies-neurology course 1

2014-Europian School for Advanced Veterinary Studies-neurology course 2

2014-EVSN/ECVN course-Veterinary Neuroscience and Advanced Clinical Neurology/Neurosurgery Course

Atypical ocular manifestation of Angiostrongylus vasorum infection in 6month old Boxer

June 16, 2015 Leave a Comment

Dr. Stefan Savov DVM , MRCVS

Ambleside Veterinary Center,first oppinion practice Walton 11287136_10152849621381373_100308255_n on Thames, Unided Kingdom

Inroduction:

Angiostrongylus vasorum(lungworm) is nematode parasite of the pulmonary arteries and right heart of dogs and wild carnivories. The geographic distribution of the parasite includes various countries of Europe, North and South America as well as Africa. The parasite appears to be quite common in well-isolate endemic foci as the South East of England. One of the hot-spots is Surrey, South West of London. Prophylaxis of the parasite in this regions is achieved using various combinations of antiparasitic tablets and/or spot-on products.

In the literature ocular manifestation of the lungworm invasion include inflamation of the posterior segment (uveitis) with or without retinal detachment and/or retinal hemorrhages. Usually the clinical manifestations is bilateral. As a consequence the vision is impaired. G.Payne also reports anterior uveitis with parasite larvae in the anterior chamber.

History:

Female 6 month old Boxer presented to the clinic with three days history of sudden blindness. The owner is the breeder of the dog. The mother of the dog has never been tested for hereditary eye diseases. Last treatment for fleas and worms was 4 month ago with Frontline spot on (Merial) and Drontal plus tablets (Bayer). The dog was in an excellent general condition at the time of the consultation.

Clinical findings:

The dog was examined using a Protable Slit Lamp (HSL-P1), Tonopen (Medronic Solan) and Tonovet (ICare), Direct Ophtalmoscope (Heine omega 200), in dim light enviorment. The dog was bumping into objects and the right eye(OD) was mildy buphthalmic. Pupillary light reflex, Dazzel and Menace reflexeswere missing completely. OD had severe scleral congestion and corneal edema. The intreocular pressure (IOP) was 29 mm/Hg OD and 23mm/Hg OS respectively. Flare was +1and the vitreous was visible in the anterior chamber. The posterior segment was difficult to evaluate. By retro-illuminationwas found ventral posterior subluxation of the lens and normal size, non-reactive pupil(fig.1). The left eye (OS) was free of corneal oedema and easier to evalute (fig.2). The iris was midriatic with normal color. Was observed dorsal posterior lens subluxation and a large amount of vitreous in the anterior chamber. The retina had a slightly blurry appearance. The optic nerve head ( ONH) was in intensive pink color,blurry and oedematous. Was not find evidencefor cupping of the ONH. Gonioscopy was performed of the OS. The iridocorneal anglewas occluded with prolapsed vitreous.

The dog was diagnosed with secondary glaucoma, posterior lens dislocation, posterior uveitis and possible optic neuritis.

Discussion:

Due to the mix clinical signs,fast and definitive diagnose was a challenge. The glaucoma was definitely a consequence of severe vireous herniationinto the anterior chamber. The dog owner reported frequent wild games with severe shaking of the head. The dynamic force created in the inner eyes fluids combined with weakness of the ciliaryzonular fibres could explain the sudden belateral lens and vitreous dislocations. The investigations were focused on finding possible systemic diseases that would correspond with ocular clinical signs. The hematology profile showed mild regenerative anaemia and the biochemistry was unremarkable. The PCR tests for Ehrlichiosis, Anaplasmosis, Hepatozoon canis and Babesia were negative. Most of the diseases are not edemic in the South East of England and normaly appear as imported disease. The geographic position and the age of the dog combined with the inappropriate prophylactic program lead logically to serology testing for Angiostrongylus vasorum (fig 3) . The number of the larvae on the slides was significantly high.

The initial treatment plan includes an ugrent reduction of the high ocular pressure (IOP). Cosopt (Dorzolamide 20mg/mland Timol 5mg/ml) was chosen for the purpose. In this case Prostaglandine analogues, like Latanoprost, were avoided because of the possible pupillary block from the herniated vitreous. Prostaglandines also could deteriorate the uveitis. Oral Prednisolone tablets 1mg/kg, and Febendazole 1mg /kg were include in the treatment. On the follow ups, 2nd, 7th and 14th day after the initial diagnosethe IOP remained low and stable. The clinical sighs of uveitis disappeared. One week after the initial consultaion retinal hyper-reflectivity was observed. EGR and vitrectomy were not performeddue to the financial constrains of the owner. Unfortunately the vision did nor recover. It is questionable whether the blindness was caused from the higher IOP or from the inflamation of the optic nerve.

Conclusion:

Posterior uveitis is well described in the literature as a clinical sign of lungworm infection. Secondary glaucoma is not described as a complication of the disease. The predisposing factors in this case are lack of appropriate parasite prophylaxis, the silent systemic clinical picture and the frequent games involving head shaking. Angyostrongilus vasorum infection could be included in the differential diagnosis pattern for secondary glaucoma.

fig.2

National congress of Romanian society of Feline Medicine

June 16, 2015 Leave a Comment

The congress is located in Mamaia, part of city of Constanta in Romania. Beautiful place which everybody should visit. The congress is organized every year in the same period by Romanian Society of Feline Medicine. This year most of the subjects were about behaviour of this special species and the stress as a reason of many diseases in cats. It was real pleasure to listen speakers as Dr. Margie Scherk, Dr. Xavier Roura, Dr. Peter Neville and Dr. Serbani Ursachi.

The fact that we have association like this one, so specific, makes me feel proud citizen of our region , Balkan peninsula. Romanian Society of Feline Medicine is in a collaboration with Romanian Small Animal Veterinary Association (AMVAC/RoSAVA/FECAVA). As a guests on the congress were the senior president Valentin Nicolae and the current president Andrei Timen.

All participants were part of the gala dinner, which were brilliant organized. The congress is a good model for refinement and professional in organizing of veterinary event. We would like to express our gratitude to the president of Romanian Society of Feline Medicine ,Dr. Tache Epure, for the invitation and the opportunity to be part of this wonderful event.