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Serum D-lactate concentrations in dogs with parvoviral enteritis.
Journal of Veterinary Internal Medicine ( IF 2.1 ) Pub Date : 2020-01-10 , DOI: 10.1111/jvim.15688
Emilee C Venn 1 , Alex J Barnes 1 , Ryan J Hansen 1 , Pedro L Boscan 1 , David C Twedt 1 , Lauren A Sullivan 1
Affiliation  

BACKGROUND Dogs infected with canine parvovirus (CPV) have compromised intestinal epithelial barrier integrity. Production of D-lactate by enteric bacteria may directly reflect disease severity or contribute to metabolic acid-base status in these dogs. HYPOTHESIS Serum D-lactate concentration will be increased in CPV dogs compared to healthy controls and correlate with markers of disease severity and acid-base status. ANIMALS Dogs with CPV undergoing treatment (n = 40) and healthy control dogs (n = 9). METHODS Prospective observational study. Dogs with CPV had a baseline and daily CBC, venous blood gas with serum electrolyte concentrations, composite clinical severity score, and serum D-lactate concentration performed. A single serum D-lactate measurement was obtained from healthy control dogs. RESULTS The CPV dogs had a higher D-lactate concentration (mean ± SD) of 469 ± 173 μM compared to controls, 306 ± 45 μM (P < .001). There was no difference in baseline D-lactate concentrations for CPV survivors (474 ± 28 μM), versus nonsurvivors (424 ± 116 μM; P = .70). D-lactate concentration decreased over the first 4 days of treatment (-9.6 μM/d; P = .46). Dogs hospitalized for <4 days had lower baseline D-lactate concentrations compared to those hospitalized ≥4 days (400 ± 178 μM versus 520 ± 152 μM; P = .03). No sustained correlation over time between serum D-lactate concentration and clinical severity score or recorded acid-base results. CONCLUSIONS AND CLINICAL IMPORTANCE Serum D-lactate concentrations are higher in dogs with CPV compared to healthy controls but do not appear to be clinically relevant. No relationship identified between serum D-lactate concentrations and markers of CPV disease severity, acid-base status, or outcome.

中文翻译:

细小病毒性肠炎犬的血清D-乳酸浓度。

背景技术被犬细小病毒(CPV)感染的狗已经损害了肠上皮屏障的完整性。肠细菌产生的D-乳酸可能直接反映疾病的严重性或有助于这些犬的代谢酸碱状态。假设与健康对照组相比,CPV狗的血清D-乳酸浓度会增加,并且与疾病严重程度和酸碱状态的标志物相关。动物接受CPV治疗的犬(n = 40)和健康对照犬(n = 9)。方法进行前瞻性观察研究。患有CPV的狗的基线和每日CBC,静脉血气,血清电解质浓度,综合临床严重程度评分和血清D-乳酸浓度均已执行。从健康对照犬获得单次血清D-乳酸盐测量。结果与对照组的306±45μM相比,CPV犬的D-乳酸浓度更高(平均值±SD)为469±173μM(P <.001)。CPV存活者的基线D-乳酸浓度(474±28μM)与非存活者的基线D-乳酸浓度(424±116μM; P = .70)没有差异。在治疗的前4天中,D-乳酸浓度降低(-9.6μM/ d; P = 0.46)。与住院≥4天的狗相比,住院<4天的狗的基线D-乳酸浓度较低(400±178μM对520±152μM; P = .03)。血清D-乳酸浓度与临床严重程度评分或记录的酸碱结果之间无持续相关性。结论和临床意义与健康对照组相比,CPV犬的血清D-乳酸浓度更高,但似乎与临床无关。
更新日期:2020-01-10
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