Page 9 - Winter 13

Poisoning with Metaldehyd – (slug pellets) by Dr. Albert Hellmeier, Germany
“Elba”, terrier-mix, female neutered, born in 2006.
June 18th, 2013
12:00 pm – dog is suddently not able to go downstairs, is shivering, cramping, panting, sensitive to touch. Dramatic worsening while driving to my practice.
12:30 pm – involuntary stool and urination while being carried to my practice. Stool is garish green. Entering the entrance the dog is already lifeless and the owner is crying: Elba has died!
Symptoms
Opisthotonus, pulse weak and extremely slow (about 25/min.), pupils dilated and angular, temperature 41,5oC, gasping for breath, clonic con- vulsions. Faeces garish green caused by eating slug pellets yesterday or the day before.
Therapy
• Acupuncture LG26 Renzhong
• Intravenous infusion Sterofundin VG5
• Diazepam 30mg i.v. (no effect)
• Belladonna XM (split dose, every 5 min.: no effect)
• Tabacum XM (split dose, every 5 min.: no effect)
• Repertorisation: Veratrum viride XM (split dose, every 5 min.:
no effect)
verat-v pyrog. pic-ac. bapt.
generals, pulse, discordant with 1 3 1 1
Referral to another clinic for further observation and therapy with the order to give Opium every hour until evening.
17:00 pm: Elba gets a gastric and colonic lavage, because the owner recognises, that her dog has eaten slug pellets today too.
June 19h, 2013
Elba gets her Opium still 3 times a day and in addition Metaldehyd D10 once a day.
June 20th, 2013
Discharge from clinic
June 21th, 2013
General condition is well, she eats well, legs are still atactic, rectum is bright red, tongue bluish.
Opium is stopped, Metaldehyd continued once a day for one week.
June 28th, 2013
Elba has completely recovered.
temperaturefever, intense heat 1 3 generals, convulsions 1 1
eye, pupils dilated 1
• Narcoren (Pentobarbital) 0,7ml i.v. (no effect, still convulsions)
• Repertorisation: Opium CM (split dose, every 5 min.)
op. verat-v. chinin-s. nat-m.
generals, pulse, discordant with 1
temperature
fever, intense heat 2 123 generals, convulsions 3 122 eye, pupils dilated, insensible to light 1
respiration, slow, convulsions, during 3
generals, pulse, slow, fever, with 1 11
In the meantime it is 14:00 pm, when the dog gets the first dose of Opium. At 14:30 pm the temperature has fallen to 39,2oC, pupils con- tracted, respiration normal, convulsions decreasing, dog is sleeping.
1 1 1