Prevalence and risk factors of Hypoglycemia in virulent Canine Babesiosis

Keller, Ninette, Jacobson, Linda S, Nel, Mirinda, de Clerq, Marizelle, Thompson, Peter N., and Schoeman, Johan P. (2004) Prevalence and risk factors of Hypoglycemia in virulent Canine Babesiosis. Journal of Veterinary Internal Medicine, 18 (3). pp. 265-270.

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Abstract

Hypoglycemia is a common complication of virulent canine babesiosis. A study was conducted to determine the prevalence of and potential risk factors for hypoglycemia in canine babesiosis from Babesia canis rossi. Plasma glucose concentration was measured at presentation in 250 dogs with babesiosis, of which 111 were admitted to hospital. The prevalence of hypoglycemia (<60 mg/ dL) was 9% (23/250). Twenty-two hypoglycemic dogs required admission, making the prevalence of hypoglycemia in admitted dogs 19.8%. Sixteen dogs had severe hypoglycemia (<40 mg/dL), of which 5 had glucose < 18 mg/dL. Hyperglycemia (>100 mg/dL) was present in 38 dogs, of which 21 were admitted. Risk factors for hypoglycemia identified by univariate analysis were collapsed state (P < .00001), severe anemia (P= .0002), icterus (P= .003), age <6 months (P= .02), and vomiting (P= .03). After logistic regression analysis, collapsed state (odds ratio [OR] = 18; 95% CI, 1.9–171; P= .01) and young age (OR = 2.8; 95% CI, 0.8–9.7; P = .1) remained significantly associated with hypoglycemia. Toy breeds and pregnant bitches were not at higher risk for hypoglycemia than other dogs. Blood glucose concentration should ideally be measured in all dogs requiring inpatient treatment for babesiosis but is mandatory in collapsed dogs; puppies; and dogs with severe anemia, vomiting, or icterus. Many dogs have probably been misdiagnosed with cerebral babesiosis in the past, and hypoglycemia should be suspected in any dog with coma or other neurological signs.

Item ID: 9903
Item Type: Article (Refereed Research - C1)
Keywords: anemia; Babesia; icterus; neurology; vomiting
ISSN: 1939-1676
Date Deposited: 24 Mar 2010 06:26
FoR Codes: 07 AGRICULTURAL AND VETERINARY SCIENCES > 0707 Veterinary Sciences > 070704 Veterinary Epidemiology @ 100%
SEO Codes: 86 MANUFACTURING > 8609 Veterinary Pharmaceutical Products > 860902 Veterinary Diagnostics @ 100%
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