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1 December 2010 Long-term Treatment of Chronic Lymphocytic Leukemia in a Green-winged Macaw (Ara chloroptera)
Elizabeth E. Hammond, David Sanchez-Migallon Guzman, Michael M. Garner, Glenna Mauldin, David Martinez-Jimenez, Matti Kiupel, Roberto F. Aguilar
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Abstract

A 32-year-old green-winged macaw (Ara chloroptera) was diagnosed with chronic lymphocytic leukemia based on progressive lymphocytosis and the presence of a monomorphic population of well-differentiated lymphocytes in the bone marrow of a clinically normal bird. Chemotherapy was initiated because of rapidly increasing peripheral lymphocyte counts. In addition to oral prednisone (1 mg/kg once daily), oral chlorambucil (1 mg/kg twice weekly) was initiated but was discontinued after 6 weeks because of thrombocytopenia. The leukocyte count was stabilized for 29 weeks with the concurrent use of oral cyclophosphamide (5 mg/kg 4 d/wk) and daily prednisone, and the bird exhibited a good quality of life. The bird died shortly after the chemotherapy was inadvertently discontinued. The neoplastic cells from this macaw stained positive for CD-3 antibody and negative for Bla.36, suggesting the leukemia was of T-cell origin. This is the first report of long-term treatment of a macaw with cyclophosphamide and documents thrombocytopenia in a macaw secondary to chlorambucil treatment.

Elizabeth E. Hammond, David Sanchez-Migallon Guzman, Michael M. Garner, Glenna Mauldin, David Martinez-Jimenez, Matti Kiupel, and Roberto F. Aguilar "Long-term Treatment of Chronic Lymphocytic Leukemia in a Green-winged Macaw (Ara chloroptera)," Journal of Avian Medicine and Surgery 24(4), 330-338, (1 December 2010). https://doi.org/10.1647/2009-001.1
Published: 1 December 2010
KEYWORDS
Ara chloroptera
Avian
chemotherapy
chlorambucil
chronic lymphocytic leukemia
cyclophosphamide
green-winged macaw
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