4th International Conference of Food, Agriculture, and Veterinary Sciences, Van, Türkiye, 27 - 28 Mayıs 2022, ss.194-195
Respiratory
distress syndrome (RDS) is a syndrome characterized by respiratory distress
caused by insufficient development of the lungs and surfactant deficiency. The
purpose of this case report is to establish the presence of congestive heart
failure detected in a calf with RDS. A 20-day-old male Simmental calf was
brought to our clinic with complaints of premature birth, weakness, reluctance
to move, constant recumbency and growth retardation since birth, cough,
breathlessness when moving and syncope afterwards. The physical examination revealed a rectal
temperature of 35.6 °C, heart rate of 104 beats per minute, respiratory rate of
48 breaths per minute and capillary refill time of 5 seconds, dyspnea and
cyanotic mucous membranes. On thoracic auscultation wheezing and systolic
murmur were present. Thoracic radiographs revealed reduced lung volume and
inflammation in the lungs and cardiomegaly, affecting the right side.
Echocardiography showed tricuspid valve regurgitation and right atrial
dilatation. Neutrophilic leukocytosis was detected in the hemogram findings. Blood gas analysis revealed a reduction in venous blood pH, pO2 and sO2 levels, and an increase in
pCO2 levels, consistent with dyspnea and hypoxia. In biochemical
findings, a significant increase was detected in cTnI, CK-MB, CK, AST and LDH activities. The owner refused the treatment
and after a day he reported the death of his calf. As a result, congestive
heart failure and secondary lung infection caused life-threatening hypoxia in
this calf with RDS. Tricuspid valve regurgitation and atrial dilatation could
be due to congenital origin or pulmonary circulation pressure which has been
reported to be increased in RDS. This case report highlights that cardiac
damage may occur in calves with RDS and cTnI, CK-MB, CK, AST and LDH parameters
can be used in the evaluation of this damage and the value of echocardiography
for antemortem diagnosis.