Acute hepatic encephalopathy due to mushroom toxicity in a 14-month-old Miniature Australian Shepherd dog: Our January 2016 Case Of the Month
Everyone loves a great mushroom... unless it's the poisonous kind of Amanita of course. Ever wonder how mushroom toxicity presents clinically and sonographically? Well, Animal Sounds Northwest's (Eugene, Oregon http://www.animalsoundsnw.com/ ) rock star sonographer Amanda Lacey imaged this young Aussie that presented for fulminant liver failure. See what the probe and needle showed on this transcontinental community effort to save this dog, and what happened between Amanda's probe at Dr. Eric Glaze's & Dr. Ken Fletcher's Albany Animal Hospital in Oregon, Lindquist's diagnosis and direction from Sparta, NJ in real-time, Oregon State's tempestive same day medical intervention in Corvallis, Oregon, and the will of this young Aussie dog to overcome those mushrooms that he never should have eaten. This round mushroom was overcome by our "flat world" of technology and effort. (https://en.wikipedia.org/wiki/The_World_Is_Flat)
The patient is a 14 month old M Miniature Australian Shepherd dog who presented with an acute case of vomiting, lethargy and ataxia. The owner was unaware of any exposure to toxins or ingestion of obstructive material. Physical exam: 10% dehydrated; mm pink but tacky; abdomen tender on palpation; weight wnl. CBC/Chem: WBC 21,120, decreased cholesterol and protein; elevated CK, ALKP, ALT, BUN and ammonia. Lepto negative.