Thursday, June 19, 2014

1384. Myanmar travel stories - pyometra, dermatosis, distemper at Royal Asia Veterinary Surgery

Jun 20, 2014  Diamond Crown Hotel, Room 711 (better unobstructed city view)

Yesterday I dropped by Royal Asia Veterinary Surgery for an hour after my visit to the rural areas of Dagon, saw Dagon and Eco-Universites. My host brought me to visit an orphanage for HIV positive orphans. Donations can be sent to the Happy Haven Humanitarian Project (set up in 2005 for children up to 15 years old),  979-982 Tabinshwehtee Road, East Dagon, Ward No. 11, Yangon, Myanmar. 

At the Royal Asia Veterinary Surgery, I saw 3 interesting veterinary cases.

1. Closed pyometra in a cat spayed by Dr Aung. Pyometra is much more common in Yangon than in Singapore as the female cat and the dog are given anti-estrus hormonal injections to prevent heat. It could be due to the culture.  In Singapore, many cats are spayed because they caterwaul, making so much noise that neighbours may not be happy.  No anti-estrus hormonal injections are given by all vets and so I don't see any case of closed pyometra in the female pet cat over 40 years of practice! In Yangon, pyometra is very common, according to Dr Aung and I actually saw one in the cat being operated by him.

2.  Canine distemper in a Cocker Spaniel, around 2 months old. The puppy was said to be imported from Taiwan. He had rapid respiration and was not eating. He had been treated by another vet for around one month. The thin puppy was on an IV drip and still active and had an appetite for the canned food.  Positive test for CDV antigen test kit. I advised a blood test for lymphopaenia. The worse the lymphopaenia, the poorer the prognosis.  Presently, no nervous signs of the disease.

3. An intact male 8-year-old Pom X has original hairs only in the head and four limbs. What is the cure? Dr Aung has to differentiate between hypothyrodism, Cushing syndrome and Sex Hormone Dermatosis in intact male dogs. Blood test for thyroid hormones and check for demodectic mites would be done. The first vet had given ivermectin injections without the outcome desired by the owner.

No polyphagia or polydipsia, according to the owner. But the dog "peed" a lot. Four times a day is a lot. This could be "urine marking" by male dogs. Testicles are normal in size and feel.    

The skin is not thinned nor the abdomen bloated as in Cushing's syndrome. So Cushing's syndrome was ruled out. Hypothyroidsim or demodecosis? Blood test for thyroxine. No demodex on skin scraping. 

Most likely a Sex Hormone Dermatosis. The owner would return for neuter of the dog.


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