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Evaluation of Methods to Improve the Diagnosis of Systemic Inflammation in Alpacas

Background The stoic nature of alpacas and limitations of current diagnostic tests make early recognition of inflammatory diseases in this species challenging. Objectives In a model of mild systemic inflammation, this study evaluated the utility of different clinical and clinicopathologic variables...

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Published in:Journal of veterinary internal medicine 2013-07, Vol.27 (4), p.970-976
Main Authors: Passler, T., Chamorro, M.F., Riddell, K.P., Edmondson, M.A., van Santen, E., Cray, C., Maxwell, H.S., Walz, P.H.
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container_title Journal of veterinary internal medicine
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creator Passler, T.
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description Background The stoic nature of alpacas and limitations of current diagnostic tests make early recognition of inflammatory diseases in this species challenging. Objectives In a model of mild systemic inflammation, this study evaluated the utility of different clinical and clinicopathologic variables as accurate predictors of inflammation in alpacas. Animals Twelve clinically healthy alpacas were randomly assigned to equal‐sized treatment (TG) and control (CG) groups. After collection of initial blood samples (0 hour), lipopolysaccharide (LPS; 20 μg/kg/24 h) or saline was administered by SC osmotic mini‐pumps (OMP) for 96 hours. Additional blood samples were collected at 12, 18, 24, 36, 48, 72, 96, 120, 144, and 240 hours and differential leukocyte counts and concentrations of globulin, albumin, iron, haptoglobin, and serum amyloid A were measured. Results Mild swelling was observed at OMP implantation sites in both groups. Other clinical signs of systemic inflammation were not observed. Total leukocytes, neutrophils, albumin, and globulin concentrations were not significantly different between groups. Compared with CG‐alpacas, TG‐alpacas had fewer lymphocytes (P = .0322), more band neutrophils (P = .0087), and higher neutrophil/lymphocyte ratios (P = .0295) during the first 96 hours of the study. During LPS administration, serum iron concentrations were significantly decreased in TG‐alpacas (P 
doi_str_mv 10.1111/jvim.12102
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Objectives In a model of mild systemic inflammation, this study evaluated the utility of different clinical and clinicopathologic variables as accurate predictors of inflammation in alpacas. Animals Twelve clinically healthy alpacas were randomly assigned to equal‐sized treatment (TG) and control (CG) groups. After collection of initial blood samples (0 hour), lipopolysaccharide (LPS; 20 μg/kg/24 h) or saline was administered by SC osmotic mini‐pumps (OMP) for 96 hours. Additional blood samples were collected at 12, 18, 24, 36, 48, 72, 96, 120, 144, and 240 hours and differential leukocyte counts and concentrations of globulin, albumin, iron, haptoglobin, and serum amyloid A were measured. Results Mild swelling was observed at OMP implantation sites in both groups. Other clinical signs of systemic inflammation were not observed. Total leukocytes, neutrophils, albumin, and globulin concentrations were not significantly different between groups. Compared with CG‐alpacas, TG‐alpacas had fewer lymphocytes (P = .0322), more band neutrophils (P = .0087), and higher neutrophil/lymphocyte ratios (P = .0295) during the first 96 hours of the study. During LPS administration, serum iron concentrations were significantly decreased in TG‐alpacas (P &lt; .0001). Haptoglobin concentrations of TG‐animals exceeded those of CG‐animals after removal of OMP (P = .0056). Serum amyloid A was not detectable in alpacas in this study. Conclusion and Clinical Importance These results indicated that neutrophil/lymphocyte ratios and serum iron concentrations are early indicators of inflammation in alpacas. Additional research is needed to evaluate the acute phase protein responses of alpacas.</description><identifier>ISSN: 0891-6640</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/jvim.12102</identifier><identifier>PMID: 23662652</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Acute phase proteins ; Acute-Phase Proteins - genetics ; Acute-Phase Proteins - metabolism ; Animals ; Blood Cell Count - veterinary ; Blood Chemical Analysis - veterinary ; Camelids ; Camelids, New World - blood ; Haptoglobin ; Inflammation ; Inflammation - blood ; Inflammation - diagnosis ; Inflammation - veterinary ; Internal medicine ; Iron - blood ; Lipopolysaccharides - toxicity ; Male ; New World camelid ; Osmotic mini-pump ; Plasma ; Proteins ; Serum amyloid A ; Serum iron concentration</subject><ispartof>Journal of veterinary internal medicine, 2013-07, Vol.27 (4), p.970-976</ispartof><rights>Copyright © 2013 by the American College of Veterinary Internal Medicine</rights><rights>Copyright © 2013 by the American College of Veterinary Internal Medicine.</rights><rights>2013. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). 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Objectives In a model of mild systemic inflammation, this study evaluated the utility of different clinical and clinicopathologic variables as accurate predictors of inflammation in alpacas. Animals Twelve clinically healthy alpacas were randomly assigned to equal‐sized treatment (TG) and control (CG) groups. After collection of initial blood samples (0 hour), lipopolysaccharide (LPS; 20 μg/kg/24 h) or saline was administered by SC osmotic mini‐pumps (OMP) for 96 hours. Additional blood samples were collected at 12, 18, 24, 36, 48, 72, 96, 120, 144, and 240 hours and differential leukocyte counts and concentrations of globulin, albumin, iron, haptoglobin, and serum amyloid A were measured. Results Mild swelling was observed at OMP implantation sites in both groups. Other clinical signs of systemic inflammation were not observed. Total leukocytes, neutrophils, albumin, and globulin concentrations were not significantly different between groups. Compared with CG‐alpacas, TG‐alpacas had fewer lymphocytes (P = .0322), more band neutrophils (P = .0087), and higher neutrophil/lymphocyte ratios (P = .0295) during the first 96 hours of the study. During LPS administration, serum iron concentrations were significantly decreased in TG‐alpacas (P &lt; .0001). Haptoglobin concentrations of TG‐animals exceeded those of CG‐animals after removal of OMP (P = .0056). Serum amyloid A was not detectable in alpacas in this study. Conclusion and Clinical Importance These results indicated that neutrophil/lymphocyte ratios and serum iron concentrations are early indicators of inflammation in alpacas. 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subjects Acute phase proteins
Acute-Phase Proteins - genetics
Acute-Phase Proteins - metabolism
Animals
Blood Cell Count - veterinary
Blood Chemical Analysis - veterinary
Camelids
Camelids, New World - blood
Haptoglobin
Inflammation
Inflammation - blood
Inflammation - diagnosis
Inflammation - veterinary
Internal medicine
Iron - blood
Lipopolysaccharides - toxicity
Male
New World camelid
Osmotic mini-pump
Plasma
Proteins
Serum amyloid A
Serum iron concentration
title Evaluation of Methods to Improve the Diagnosis of Systemic Inflammation in Alpacas
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