Page 795 - Cote clinical veterinary advisor dogs and cats 4th

376.e4 Garbage Toxicosis

○ Cats: xylazine 0.44 mg/kg IM, or dexme- Nutrition/Diet Technician Tips
detomidine 7-40 mcg/kg IM and reverse Bland diet during recovery Advise clients not to feed human food to pets.
VetBooks.ir • Activated charcoal 1-2 g/kg PO (dose accord- Possible Complications Client Education
with atipamezole after emesis
ing to packaging label for commercially used
Discuss potentially zoonotic aspects of raw diets.
• Chronic diarrhea with clostridial enteritis
products)
• Fluid and electrolyte therapy, as appropriate • Pancreatitis, malabsorption syndromes with SUGGESTED READING
repeated episodes of garbage toxicosis
• Antibiotics • Hyperthermia due to tremors Beasley VR, et al: Garbage toxicosis–carrion toxicoses–
○ If a cat has known songbird fever, routine bacterial food poisoning. In Beasley VR, editor: A
antibiotics are not recommended because Recommended Monitoring systems affected approach to veterinary toxicology,
this tends to alter normal GI flora, allow- • Frequent monitoring of hydration status Urbana, 1999, University of Illinois, p 738.
ing colonization by Salmonella (body weight), temperature, heart rate,
○ Oral aminoglycosides (streptomycin respiratory rate and effort, and blood pressure ADDITIONAL SUGGESTED
5-10 mg/kg PO q 12h; or neomycin • Electrolytes, glucose READINGS
10-20 mg/kg PO q 8-12h) • CBC Greene CE: Salmonellosis. In Green CE, editor:
○ Injectable aminoglycosides generally con- Infectious diseases of the dog and cat, ed 4, St.
traindicated if the patient is hypovolemic PROGNOSIS & OUTCOME Louis, 2012, Elsevier, pp 383-389.
because of risk of nephrotoxicosis Lejeune JT, et al: Public health concerns associated
○ Metronidazole 25 mg/kg PO q 12h • Prognosis good provided shock does not with feeding raw meat diets to dogs. J Am Vet
(for a maximum of 5 days at this occur: guarded with endotoxemic shock. Med Assoc 219:1222-1225, 2001.
dosage) Moore LE: Diseases of the stomach. In Morgan RV,
• Gastrointestinal protectants: sucralfate 0.25 PEARLS & CONSIDERATIONS editor: Handbook of small animal practice, ed 5,
St. Louis, 2008, Saunders, p 339.
to 1 g/dose PO q 8h; omeprazole 0.7-1.5 mg/ Srisanga S, et al: Phenotypic and genotypic antimi-
kg PO q 12h; famotidine 0.5-1 mg/kg PO Comments crobial resistance and virulence genes of Salmonella
q 12h • Clinical signs generally resolve in 3-5 days. enterica isolated from pet dogs and cats. J Vet Sci
• Treatment for shock as needed (pp. 907 and • The term songbird fever arises from the source 18:273-281, 2017.
911) of intoxication: the decayed carcasses of
• Appropriate treatment if disseminated songbirds that cats eat. RELATED CLIENT EDUCATION
intravascular coagulation occurs (p. 269) • Consumption of decomposing organic SHEET
• Control tremors and seizures with methocar- material, moldy refrigerated foods, cottage
bamol 55-220 mg/kg IV, repeat as needed; cheese, cream cheese, or moldy walnuts can How to Manage Acute Gastrointestinal Upset
maximal dose 330 mg/kg/day, or diazepam cause tremors/seizures due to contamination at Home
0.5-2 mg/kg IV, prn for tremorgenic with the tremorgenic mycotoxins penitrem
mycotoxicosis A and roquefortine. AUTHOR: Sharon M. Gwaltney-Brant, DVM, PhD,
• Control profuse, persistent vomiting with DABVT, DABT
maropitant 1 mg/kg SQ q 24h and/or Prevention EDITOR: Tina Wismer, DVM, MS, DABVT, DABT
dolasetron 0.6 mg/kg IV q 24h, or meto- • Prevent roaming and scavenging.
clopramide 0.2-0.4 mg/kg IM or SQ q 8h. • Feed fresh, high-quality food.

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