A case of polytetrafluoroethylene poisoning in cockatiels accompanied by polymer fume fever in the owner

Environmental Toxic Exposures Using Companion Animals as an Indicator of Human Toxicity: A Case Report and Discussion

BACKGROUND

Hundreds of years ago, humans realized that animals could be used as surrogate indicators of toxic environmental exposures, as a tool to measure risk to human health. The classic example is coal miners bringing canaries into coal mines. The respiratory rate and metabolism of the animal resulted in toxic signs of injurious gases in the environment before humans were injured. Occasionally, modern diagnosis of cryptic toxic exposures can be aided by the discovery of such features in the history.

OBJECTIVES

We introduce this review using a case of inhalational mercury toxicity involving humans and companion animals-household dogs and cats. The death of exposed pets prior to the mounting of symptoms in the exposed humans was advance warning of the near-fatal presentation to come. Our objective was to review and characterize the state of the literature on companion animals as sentinel species.

DISCUSSION

We reviewed 748 articles, which resulted in 25 selected for inclusion in this narrative review. We detail examples of companion animals (household dogs, cats, and birds) affected by toxic exposures in acute and chronic ways-acting as harbingers of impending human toxicity in acute or chronic settings. Mercury, lead, Teflon, herbicide, and asbestos exposures present with predictable signs and symptoms in companion animals prior to presenting in humans. Identifying the toxidrome in a companion animal allows for subclinical identification of exposure and consequences in the human that permits early treatment and intervention.

CONCLUSIONS

Companion animals, when similarly exposed to toxic substances as humans regarding route, dose, and chronicity often mount symptoms and signs in advance of humans. This phenomenon allows the clinician to identify occult exposure, test, and treat while human disease is mild or still subclinical.

Surgically proven desquamative interstitial pneumonia induced by waterproofing spray

We herein describe the first case of desquamative interstitial pneumonia (DIP) induced by waterproofing spray, which was proven by a surgical lung biopsy. A 45-year-old male smoker heavily used a waterproofing spray gas, and presented with chills and fever that was followed by progressive dyspnea. Because steroid pulse therapy did not improve his symptoms, he was referred to our hospital. High-resolution chest CT showed diffuse pan-lobular ground-glass opacities in both lungs. A video-assisted thoracoscopic lung biopsy revealed a DIP pattern. Acute short-time exposure to waterproofing spray can thus be a potential cause of DIP.

Pet bird toxicity and related environmental concerns

Birds may be exposed to toxins through various sources in their everyday environment. Toxicity may occur through inhalation or oral or dermal exposures. Clinicians diagnose and treat these toxicities in an effort to correct the disease of the individual patient. Recognition of toxicity in the avian patient has further significance as it relates to the patient's environment, including the health of other animals, humans, and the ecosystem. While some toxicities, such as lead and zinc toxicosis, are well-documented in avian species, others are limited to anecdotal reports and extrapolation from other species. Continued research is needed in this area of avian medicine to expand our knowledge and improve our ability to diagnose and treat toxic conditions in birds.

Inhalation trauma due to overheating in a microwave oven

The microwave oven is a kitchen appliance that has become increasingly popular in recent years. In some instances the temperature in the microwave oven can become exceedingly high. A case is discussed of a patient with respiratory distress after inhalation of gas from an overheated microwave oven.

Avian toxicology

Owing to the unique physiology of birds, most toxicities are life-threatening and require prompt, well-informed action. It is often hard to ascertain which specific toxin or the amount of toxin to which the bird has been exposed. Therefore, the most important action is to treat the bird, not the poison. This article discusses the steps in diagnosing and treating toxicoses, from both natural and man-made toxins, that have been reported in avian species.