Complications of canine tonsillectomy by clamping technique combined with monopolar electrosurgery - a retrospective study of 39 cases.

BACKGROUND: Canine tonsillectomy is performed due to acute or chronic tonsillitis, neoplasia, trauma or occasionally brachycephalic obstructive airway syndrome. Several tonsillectomy techniques are used but information about surgical complications is scarce. This retrospective study of patient records at the University Animal Hospital aimed to investigate complications related to canine tonsillectomy performed by 20-min clamping combined with monopolar electrosurgery. Inclusion criteria were bilateral tonsillectomy performed with "20-min clamping technique combined with monopolar electrosurgery without suture or ligation". Exclusion criteria were unilateral tonsillectomy, tonsillar neoplasia, additional surgical procedures other than tonsillectomy, cases where sutures were used initially, and cases where unspecified or other methods of tonsillectomy were used. The search of the patient records of the University Animal Hospital included a 10-year period. Complications that required additional anaesthesia were defined as major complications. Minor complications were handled during surgery or after surgery without surgical intervention. RESULTS: Of 39 dogs that fulfilled the inclusion criteria, 11 dogs had complications and out of those 1 dog had two complications. Altogether, of the 12 complications, 2 were classified as major complications and 10 as minor. The most frequent complication was bleeding from the surgical site, in total 11 incidences; 10 dogs had an incidence of bleeding and out of those, 1 dog bled twice, both during and after surgery. Of these 10 dogs that bled, seven incidences of bleeding occurred during surgery and four incidences occurred after surgery. The two dogs with major complications were re-anaesthetized due to bleeding after surgery. No lethal complications occurred and all dogs survived to discharge. CONCLUSIONS: Bleeding during and after surgery was a common complication in dogs after bilateral tonsillectomy using "20-min clamping technique combined with monopolar electrocautery". Revision intervention was often needed, sometimes urgently. Although no comparison was made with another technique, the studied technique should be used with caution.

Tonsillitis in a weaner pig associated with Geotrichum candidum.

Geotrichum candidum was cultured from the tonsils of a free-ranging weaner pig that was presented with lethargy and inappetence. Histopathology indicated pyogranulomatous tonsillitis with intralesional fungal hyphae and arthrospores. Geotrichosis is a rare, opportunistic mycosis of immunocompromised hosts, usually human beings.

Proteomic and transcriptomic analyses of differential stress/inflammatory responses in mandibular lymph nodes and oropharyngeal tonsils of European wild boars naturally infected with Mycobacterium bovis.

Differential stress/inflammatory responses were characterized at the mRNA and protein levels in mandibular lymph nodes (MLN) and oropharyngeal tonsils of European wild boars (Sus scrofa), naturally infected with Mycobacterium bovis. Suppression-subtractive hybridization combined with immunohistochemistry and/or quantitative real-time RT-PCR were used to identify and characterize abundant stress/inflammatory gene sequences differentially expressed in tuberculous (TB+) wild boars. Genes identified in MLN and tonsils corresponded to serum amyloid A, arginase I, osteopontin, lysozyme, annexin I, and heat shock proteins, respectively. Global protein patterns in MLN and tonsils were compared between TB+ and nontuberculous (TB-) boars by 2-DE and MALDI-TOF MS. Five proteins, including stress/inflammatory proteins annexin V, serum albumin, and apolipoprotein A1 were found at lower levels in MLN of TB+ boars. Manganese superoxide dismutase was found up-regulated in MLN of TB+ boars. Five proteins, including creatine kinase and MHC class II antigens were found up-regulated in tonsils of TB+ boars. These results demonstrated differential stress/inflammatory responses in wild boars naturally infected with M. bovis and suggest possible markers of tuberculosis in this species that may prove useful for future studies of host-pathogen interactions and for diagnostics and vaccine development.

Tularemia in a dog.

A 13-month-old German shepherd dog was presented with acute onset of anorexia, pyrexia, lymphadenopathy, and tonsillitis. Tularemia was diagnosed based on a greater-than-fourfold increase in antiFrancisella tularensis antibody titers over a three-week period. The disease was self-limiting, and clinical signs resolved within five days with only supportive therapy.

Promethazine toxicity in a seven-month-old Doberman pinscher.

A 7-mo-old female Doberman Pinscher undergoing antibiotic treatment for tonsillitis was presented in near collapse with markedly low blood pressure, tachycardia, dilatation of pupils (non-responsive to light), and gastrointestinal distress. Since the owner could provide no history of significant toxin exposure, general supportive and non-specific toxicologic treatment protocols were initiated. Within 4 h marked improvement was observed. The owner's wife revealed that promethazine suppositories had been administered at a toxic level to control the vomition accompanying the tonsillitis.

Experimental Tonsillophilus suis granuloma in rats and guinea pigs.

Rats and guinea pigs were experimentally infected by intradermal and intraperitoneal inoculation of T. suis. These animals were observed for pathologic changes at various stages. Macroscopic observation disclosed visible grayish white soft nodules at the injection site in those inoculated intradermally and many grayish white nodules in the peritoneum of those inoculated intraperitoneally. Histopathological examination revealed the presence of characteristic microbial elements in the centre of the lesions. Various stages of the lesions were recognized; the early stage being abscess, the advanced stage being pus-forming granuloma and the final stage being residual granuloma. The microbial elements were composed of spores, thalli and multilocular tubers. Clubs were formed around microbial elements in rats inoculated intradermally and in guinea pigs inoculated intraperitoneally. The characteristic T. suis lesions in pigs were reproduced by experimental infection of this organisms in rats and guinea pigs, and thus the pathogenicity of T. suis was confirmed.

Pathology of infection caused by Dermatophilus-like organisms in porcine tonsils.

The authors investigated the occurrence of Dermatophilus-like organisms in sulphur granules of porcine tonsils. Light and electron microscopic studies, together with histochemical examination, were carried out to elucidate the mode of growth of the organism in the tonsils, the interaction between the organisms and host cells, and the nature of the radiating clubs around the organisms. Sulphur granules were found in about 15 and 70 per cent of market pigs and breeding pigs, respectively. Of the pigs having tonsillar granules, Dermatophilus-like organisms were observed in about 70 per cent of market pigs, and in nearly all breeding pigs. The organisms invaded tonsillar crypts to produce lesions resembling actinomycotic abscesses up to 5 mm in diameter. Dermatophilus-like organisms were demonstrated in various morphological forms ranging from filamentous to tuber-shaped or coccoid bodies. In the lesion, the bacterial cells adjacent to the host cell reaction showed distinct degenerative changes forming thick amorphous masses on the surface of the bacterial cells. The amorphous masses seemed to be derived from the bacterial cells but showed histochemical components different from those of the bacterial cells. These masses had numerous protrusions forming clubs. Phagocytic neutrophils close to the amorphous masses were presumed to play a role in deposition of the club material. Macrophages also appeared to participate in the inflammation leading to a granulomatous lesion. These findings suggested that the clubs might be formed by an interaction between the organisms and host cell reaction.

Surgery of the tonsils.

The palatine tonsils are paired aggregates of lymphoid tissue that are surgically removed as a result of primary tonsillar disease, or are extirpated in an effort to decrease upper airway resistance in conjunction with other procedures of the oropharynx. Complications from tonsillectomy can arise for three reasons: 1) the effects of tonsil disease on the function of the oropharyngeal regions; 2) surgical dissection in the region; or 3) postoperative complication of the insult to tissue. Thorough preoperative patient evaluation, gentle tissue handling plus meticulous hemostasis, and careful observation during the postoperative period are stressed in this discussion of problems in tonsillar surgery.

Tonsillar changes in pigs given pseudorabies (Aujeszky's disease) virus.

All of the eight 5-day-old pigs orally given pseudorabies (Aujeszky's disease) virus developed tonsillitis. The initial changes occurred in the subepithelial area between the lymphoid nodule and the crypt epithelium, showing a characteristic pattern of necrosis. The necrosis became more severe and gained access into the lymphoid nodule and crypt epithelium. Coincident with the histopathologic changes, numerous specific immunofluorescences were detected, first in the nucleus and in some parts of the cytoplasm of cells distributed in the subepithelial area. The fluorescence subsequently spread into adjacent lymphoid nodules and crypt epithelial cells. Ultrastructurally, many enveloped virus particles were detected in the center of the necrosis. Thereafter, the crypt epithelial cells also underwent degeneration, and a small number of virus particles were detected in the nucleus of the degenerating epithelial cells. In the more advanced stage, the enveloped virus particles were discharged into the crypt lumen.

Electron microscopy of radiating clubs in tonsillar crypts of swine.

Tonsils of 25 adult swine with inflamed crypts were screened for the presence of radiating clubs, and five were selected for electron microscopic study of pathogenesis of clubs. Radiating clubs in crypts were surrounded by an exudate which principally contained neutrophils. Clubs were present on the outer surface of bacterial microcolonies; they also were present on the outer surface of plant particles wedged in crypts or on the cell walls of these particles near bacterial microcolonies. The study demonstrated development of clubs from an amorphous material derived from bacterial and leukocytic cells and also from precipitated proteins. The amorphous material was shaped into clubs by a protracted phagocytic activity of numerous neutrophilic leukocytes. The lesions with radiating clubs within crypts were not surrounded by granulomatous inflammation due to the intact epithelial lining of crypts, and therefore they differ from the granulomas having clubs around microbial colonies. They could, however, serve as models of pathogenesis of radiating clubs in the purulent core of specific granulomas with radiating clubs.

Efficacy of lincomycin and spectinomycin on canine pathogens.

Lincomycin (L), spectinomycin (S), and both (L-S) were evaluated in vitro and vivo against canine pathogens. In vitro, a wider spectrum of antimicrobial activity was achieved with L-S than with either L or S. The therapeutic effects of the antibiotics were investigated in 36 dogs inoculated with a mixture of the microbal agents. Tonsillitis, conjunctivitis, laryngitis, abscess formation, and necropsy findings were measured. The L-S combination was effective for the treatment of tonsillitis, conjunctivitis, laryngitis, and pneumonia in dogs.

Tonsil abscesses of pigeons.

Histological examination of the soft palates of pigeons revealed tonsilar abscesses as the cause of white spots, which were observed grossly.