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13 March 2023 Intralipid Emulsion Therapy for the Treatment of Suspected Toxicity in 2 Avian Species
Lauren K. Schmidt, Krista A. Keller, Caroline Tonozzi, João Brandão, Jane Christman, Adam W. Stern, Ashley E. Allen-Durrance, Amy B. Alexander
Author Affiliations +
Abstract

Intravenous lipid emulsion (ILE) therapy has shown promise as a treatment option for a variety of lipophilic toxins. Two birds presented for suspected ingestion of a toxic substance. A blue-and-gold macaw (Ara ararauna) presented after chewing a block of bromethalin rodenticide without overt clinical signs at the time of presentation. Additionally, a free-ranging bald eagle (Haliaeetus leucocephalus) was found weak and depressed near a municipal landfill after presumptive ingestion of pentobarbital. Both birds were treated with ILE therapy for potential intoxication without any adverse events. The macaw was clinically normal after 3 days of hospitalization and at a 1-week reevaluation. The eagle was transferred to a rehabilitation center after markedly improved mentation and strength and was released 7 days later. Clinicians should consider ILE therapy for the treatment of lipophilic toxicities; however, monitoring is recommended for persistent lipemia and other adverse effects that have been reported in the veterinary literature.

Lauren K. Schmidt, Krista A. Keller, Caroline Tonozzi, João Brandão, Jane Christman, Adam W. Stern, Ashley E. Allen-Durrance, and Amy B. Alexander "Intralipid Emulsion Therapy for the Treatment of Suspected Toxicity in 2 Avian Species," Journal of Avian Medicine and Surgery 36(4), 394-399, (13 March 2023). https://doi.org/10.1647/21-00057
Published: 13 March 2023
KEYWORDS
Ara ararauna
Avian
Bald Eagle
blue-and-gold macaw
bromethalin
Haliaeetus leucocephalus
intralipid
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