No funding sources were used. This paper was presented in part at the 10th International Veterinary Emergency and Critical Care Symposium, September 2004, San Diego, CA.
IMAGING DIAGNOSIS: ACUTE LUNG INJURY FOLLOWING MASSIVE BEE ENVENOMATION IN A DOG
Article first published online: 13 SEP 2005
Veterinary Radiology & Ultrasound
Volume 46, Issue 4, pages 300–303, July 2005
How to Cite
Walker, T., Tidwell, A. S., Rozanski, E. A., DeLaforcade, A. and Hoffman, A. M. (2005), IMAGING DIAGNOSIS: ACUTE LUNG INJURY FOLLOWING MASSIVE BEE ENVENOMATION IN A DOG. Veterinary Radiology & Ultrasound, 46: 300–303. doi: 10.1111/j.1740-8261.2005.00054.x
- Issue published online: 13 SEP 2005
- Article first published online: 13 SEP 2005
- Received December 7, 2004; accepted for publication February 12, 2005.
- computed tomography;
- anaphylactic shock;
A 5-year-old neutered male mixed breed dog presented for increased respiratory effort after being stung by over 100 bees and developing anaphylactic shock. Given the history, clinical signs and thoracic radiographic findings of a mild bilateral interstitial pattern, acute lung injury/acute respiratory distress syndrome (ALI/ARDS) was suspected. Further testing was performed to support this diagnosis. On computed tomographic images, there was a diffuse bilateral opacification of the lungs, with preservation of bronchial and vascular margins. Pulmonary function testing indicated decreased pulmonary compliance, decreased diffusion capacity and decreased functional residual capacity. These results supported the diagnosis of ALI/ARDS secondary to bee sting envenomation and development of anaphylactic shock. After 8 days of treatment with oxygen, steroids, antibiotics, and bronchodilators the dog improved. This case demonstrates the usefulness of computed tomography and pulmonary function testing in the diagnosis of ALI/ARDS.