Heterologous Radioimmunoassay for Llama and Alpaca Luteinizing Hormone with a Monoclonal Antibody,an Equine Standard and a Human Tracer

A radioimmunoassay for llama and alpaca LH was developed using a human I¹²⁵LH tracer from a commercial kit, equine LH diluted in human LH free serum as standard, and a monoclonal antibody (518B7) specific for LH but with low species specificity. A 60-min delay in the addition of the tracer and overnight incubation gave a sensitivity of 0.8 μg L⁻¹. The intra-assay coefficient of variation was 37% at 1 μg L⁻¹, declined to 15% at 4 pg L⁻¹ and was below 6% for concentrations up to 32 μg L⁻¹. The inter-assay coefficients of variation for 3 control samples were 20% (2.8 μg L⁻¹), 16% (7.1 μg L⁻¹) and 9.8% (19 μg L⁻¹). In an attempt to increase sensitivity, all tubes were preincubated for 4 h at room temperature before adding the tracer, and the sample volume was increased from 50 μL to 100 μL· (in the standard curve the increased volume was compensated for by human LH free serum). With this protocol, the assay sensitivity was 0.5 μg L⁻¹. The assay was validated clinically and demonstrated increased concentrations of LH after mating in llamas and alpacas. Furthermore, the assay was used to monitor LH responses to a single dose of GnRH in llamas (adult males and females at different ages).     

Pemphigus Vulgaris in a Llama

Abstract— A case report of a three year old llama with a chronic seborrhoeic to vesiculobullous skin disease is presented. Skin biopsies showed an acantholytic vesicular dermatitis and immunofluorescence studies on the patient's skin and serum were positive in an intracellular pattern. The animal died before response to treatment could be determined.
Résumé— Le cas d'un lama de trois ans atteint d'une dermite séborrhéique chronique à vésicobulleuse est rapporté. Les biopsies cutanées ont révélé une dermite vésiculeuse acantholytique et l'examen en immunofluorescence de la peau et du sérum présente une fluorescence intracellulaire. L'animal est mort avant que la réponse au traitement ait pu être appréciée.
Zusammenfassung— Es wird ein Fallbericht über ein drei Jahre altes Lama mit einer chronischen, seborrhoischen bis vesikulobullösen Hauterkrankung vorgestellt. Die Hautbiopsien ergaben eine akantholytische, vesikuläre Dermatitis, die Immunofluoreszenzuntersuchungen der Haut und des Serums fielen positiv aus und zeigten ein intrazelluläres Verteilungsmuster. Das Tier starb bevor ein Ansprechen auf die Therapie festgestellt werden konnte.
Resumen  Se presenta el informe de un caso de un llama de tres anos de edad con una enfermedad seborreica crónica a vesiculobullosa en la piel. Biopsias de piel mostraron una dermatitis acantolítica y vesicular y estudios de inmunofluorescencia en la piel y suero del paciente fueron positivos en un patrón intracelular. El animal murió antes de que la respuesta al tratamiento pudiera ser determinada.     

Ketonuria in dairy cows

In 3337 dairy cows, urine was examined for ketone bodies by help of Bililabstix during the first and second phase of lactation and in the eighth to the ninth and a half month of pregnancy; at the same time needed supply of energetic nutrients in 175 summer and 308 winter feed rations was calculated. Intensity and frequency of ketonuria in lactating cows fed winter rations is significantly higher than in those fed green feeds; it decreases significantly with a phase of lactation and with milk production. On the contrary, cows in late pregnancy have higher intensity and frequency of ketonuria (32.9%) when fed green feeds than when fed winter rations (30.7%). In winter feed rations energy input was significantly lower, percentage of deficient feed rations at a relatively broader caloric-protein ratio was higher than in summer season. The highest deficits of energy and digestible nitrogen compounds were observed in cows in the first phase of lactation. Discussion concerns the causes and mechanisms of different ketonuria in groups of dairy cows in relation to deficit of energetic nutrients, caloric-protein ratio, to the level of glycaemia, non-esterified fatty acids in plasma, triglycerides of plasma and to the state of liver function.     

Unilateral Nephrectomy in a Juvenile Llama

Objective —The purpose of this study was to decribe the clinical presentation, diagnostic evaluation, and surgical management of a llama with an ectopic ureter.
Animals or Sample Population —Nine-month-old female llama.
Results —The diagnostic evaluation included the use of computed tomography and an excretory ureterogram to confirm and identify the location of the ectopic ureter. Surgical management involved a unilateral nephrectomy.
Conclusions and Clinical Relevance —Computed tomography is a valuable asset to diagnose the presence and terminal location of an ectopic ureter in llamas, and nephrectomy appears to be a viable procedure to resolve the subsequent urinary incontinence.     

Total Hip Replacement in an Alpaca Using a Cementless Implant

Objective— To report use of a cementless total hip prosthesis in an alpaca.
Study Design— Case report.
Animals— Alpaca (n=1) with chronic craniodorsal coxofemoral luxation.
Methods— A 2.5-year-old Suri alpaca, 3 months pregnant, was admitted for evaluation of acute onset severe left hind limb lameness (grade 4/5) of 6 weeks duration. After diagnosis of craniodorsal luxation of the left femoral head, total hip replacement (THR) using a cementless implant was performed because of the poor prognosis for reduction of a chronic luxation.
Results— A press-fit prosthesis was used and the alpaca delivered a live cria 8 months later. Persistent mild mechanical lameness remained after surgery, with moderate reduction in mobility of the coxofemoral joint. The prosthesis was stable and correctly positioned at 7 weeks and at 9 months. There was mild exostosis surrounding the proximal aspect of the femur at 9 months, and Steinmann pins used to repair the trochanteric osteotomy were removed because of migration. At 1 year, the alpaca has a slight gait abnormality, remains with the herd on pasture and has been re-bred.
Conclusion— Chronic coxofemoral luxation in an alpaca can be managed by THR.
Clinical Relevance— THR is a viable treatment option in alpacas with severe coxofemoral disease.     

Cementless Total Hip Replacement in an Alpaca

Objective— To report management of a chronic slipped capital femoral epiphysis (SCFE) in an alpaca using cementless total hip replacement (THR).
Study Design— Case report.
Animal— An 18-month-old, 47 kg alpaca male.
Methods— Cementless THR was performed in an alpaca with a chronic, right SCFE, and secondary osteoarthritis. Force plate gait analysis was performed before and 8 weeks after surgery. Outcome was determined through clinical evaluation, radiography, and force plate gait analysis.
Results— Cementless THR resulted in marked improvement in the alpaca's comfort level, degree of lameness, and range of motion. On preoperative force plate gait analysis there was decreased contact time ( P =.01) and vertical impulse ( P <.01) of the affected limb, whereas at 8 weeks postoperatively significant differences in gait analysis between pelvic limbs were not apparent.
Conclusion— THR using a BioMedtrix^® canine cementless modular prosthesis restored hip function in an alpaca with coxofemoral osteoarthritis from chronic SCFE.
Clinical Relevance— THR may be an appropriate treatment for selected traumatic and degenerative conditions of the coxofemoral joint in alpacas.     

Corneal epithelial inclusion cyst in a Llama

A 13-year-old, female Llama presented for evaluation of a limbal based corneal mass involving the OD of 4 months duration. The mass was excised en bloc by a nonpenetrating keratectomy, followed by placement of a conjunctival advancement flap covering the keratectomy site. The mass was submitted for histological evaluation. Histopathology identified the mass to be a corneal epithelial inclusion cyst filled with necrotic squamous and neutrophilic debris. Surgical excision was complete and considered curative with no signs of recurrence 3 months postoperatively. There was no known prior ocular trauma; however, a previously performed corneal biopsy for evaluation of recurrent epithelial erosions may have been an initiating cause.     

Successful Treatment of Pericarditis in a Pregnant Llama

Objective: To describe the diagnosis and treatment of a pregnanat llama with perticardlts.
Summary: A 2-year-old female llama presented for lethargy of several days' duration. Partinent physical examination findings included tachycardia. muffled heart sounds, tachpnea and lethargy. Electrocardiography revealed tachycardia, second-degree AV block and electrical alternans. Echocardiography confirmed the presence of pericardial effusion and cardiac compromise. Thoracic sonogram revealed pleural effusion. Treatment included intravenous fluids, systemic antimicrobials, systemic anti-inflammatories, thoracocentesis and eventual pericardiocentesis with daily drainage and lavage. No etiological agent was identified. The llama reponded well to therapy well to therapy and a 3.5-month and 2-year follow-up revealed no cardiac problems.
New information provided: This is the first case report of pericarditis in a llama with treatment and a favorable outcome.     

Anesthesia in the Llama

Anesthesia for llamas is similar to other domestic species, although adjustments in technique are required to allow for species variations. Xylazine (0.4-0.6 mg/kg) is well tolerated for sedation. The thiobarbiturates (8-10 mg/kg), ketamine (2.5-5.0 mg/kg), or combinations of guaifenesin and thiobarbiturates or guaifenesin and ketamine (to effect) can be used for induction of anesthesia. In juvenile or debilitated animals, anesthesia can be induced with halothane or isoflurane administered by mask. After tracheal intubation, anesthesia can be maintained with the inhalation agents, usually halothane or isoflurane. Supportive therapy and many anesthetic monitoring techniques used in domestic animals can be used in llamas. While under marginal planes of anesthesia, llamas can have more active physiologic responses to pain, including bradycardia and vasoconstriction, than domestic animals. Llamas are more prone to airway obstruction after tracheal extubation than domestic ruminants but otherwise recover as well from general anesthesia as domestic ruminants.     

Interventional Closure of a Patent Ductus Arteriosus Using an Amplatz Canine Duct Occluder in an Alpaca Cria

A 6‐month old female alpaca cria presented to The Ohio State University for evaluation of a cardiac murmur. Echocardiography revealed a left‐to‐right shunting patent ductus arteriosus, a restrictive left‐to‐right shunting perimembranous ventricular septal defect, and secondary moderate left atrial and ventricular dilation. Aortic root angiography demonstrated a type IIA patent ductus arteriosus (PDA). Interventional closure of the PDA was successfully performed, without complication, using an Amplatz canine duct occluder. This case report describes the materials and methods used for interventional closure of a PDA in an alpaca cria.     

Trochlear Block Recession in an Alpaca with Traumatic Lateral Patellar Luxation

Objective— To report surgical treatment of traumatic lateral patellar luxation using trochlear block recession in an alpaca.
Study Design— Clinical case report.
Animals— Five-year-old female alpaca.
Methods— Grade IV/IV lateral, left patella luxation and mild femoropatellar joint effusion was identified by palpation and visual assessment, and confirmed by ultrasonography and radiographs. Trochlear block recession combined with lateral retinacular release and medial imbrication to restore patella function.
Results— Progressive improvement in weight bearing occurred during hospitalization (6 days) and at 3.5 weeks, no lameness was observed; radiographically, the patella was in normal anatomic alignment. At 15 months, there were no signs of lameness with unrestricted exercise and the alpaca had given birth to another cria.
Conclusions— In this alpaca with traumatic origin of the lateral patellar luxation and normal femoro-tibial alignment, a combination of retinacular imbrication, contralateral release, and trochlear block recession were successful for long-term treatment of lateral patellar luxation.
Clinical Relevance— Although trochlear block recession is most commonly performed in small animals, this technique may be useful in treatment of traumatic patellar luxations in camelids.     

Atracurium as an Adjunct to Halothane-Oxygen Anesthesia in a Llama Undergoing Intraocular Surgery A Case Report

Atracurium (0.2 mg/kg intravenously [IV]) was administered to a llama anesthetized with halothane in oxygen, to insure immobilization of the globe during intraocular surgery. Recovery of neuromuscular function was facilitated by administration of edrophonium (0.5 mg/kg IV).     

Cutaneous Melanocytoma in a Llama (Lama glama)

Veterinary Research Communications -