Two gun dogs presented with a combination of neuromuscular and autonomic signs following suspected exposure to stinging nettles (Urtica dioica) in the UK. Both dogs developed first clinical signs on the same day and had been working in the same area where the presence of stinging nettles had been reported. Clinical signs included urticaria, tachypnoea, hypersalivation, bilateral miosis, ambulatory tetraparesis, muscle fasciculations and myokymia and generalised decreased hyporeflexia. Complete blood count and acetylcholinesterase activity were within normal limits apart from the elevated creatine kinase levels. One dog had three toxic episodes over a period of three weeks and the second case had a single toxic insult. Both dogs made a complete recovery after supportive care including intravenous fluid therapy, antihistamines, proton pump inhibitors, analgesics, antibiotics and steroidal eye-drops. There was no report of any permanent clinical signs as a result of the exposure.
- serotonin syndrome
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, an indication of whether changes were made, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0
Statistics from Altmetric.com
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Data sharing statement No additional data available.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.