An 8-month-old male greater flamingo (Phoenicopterus roseus) was presented in ventral recumbency after a sudden onset of bilateral nonambulatory pelvic limb paresis (day 1). There were no preceding abnormalities in demeanor, appetite, and gait. On physical examination, the flamingo weighed 2.32 kg (5.10 lb) and had a pectoral muscle condition score of 2.5/5. The flamingo had voluntary movement, normal superficial pain response, and normal conscious proprioception in both pelvic limbs. Paresis was considered the bird's only problem at this time.
Because infectious neurologic disease could not be ruled out, treatment for bacterial infection of the nervous system and supportive care were commenced. Meloxicama and enrofloxacinb (1:10 dilution to reduce the chance of muscular necrosis) were administered IM. Oral treatment with these drugs was initiated on day 2. Because there was no change in the flamingo's condition on day 3, IV fluid therapy with lactated Ringer solutionc was started; itraconazoled was also administered orally beginning on day 3 to prevent aspergillosis associated with prolonged antimicrobial treatment. Neurologic examination was repeated.
What is the problem? Where is the lesion? What are the most probable causes of this problem? What is your plan to establish a diagnosis? Please turn the page.
Metacam, Boehringer Ingelheim, Ridgefield, Conn.
Baytril, Bayer AG, Kaiser-Wilhelm-Allee, Leverkusen, Germany.
Baxter Healthcare Corp, Deerfield, Ill.
Sporanox Oral, Janssen-Ortho Inc, Toronto, ON, Canada.
Neurontin, Pfizer Inc, New York, NY.
Revolution ACT, GE Healthcare, Chicago, Ill.
Iso Flo, Abbot Laboratories, North Chicago, Ill.
Bactrim, F. Hoffmann-La Roche Ltd, Basel, Switzerland.
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