Barium impregnated polyethylene spheres (BIPS) are used in small animal medicine as an alternative to barium sulfate for radiographic studies of the gastrointestinal tract. To determine the usefulness of BIPS as an alternative to barium suspension in measuring gastrointestinal (GI) transit time for avian species, ventrodorsal radiographs were used to follow the passage of BIPS and 30% barium sulfate suspension through the GI tracts of domestic pigeons (Columba livia). Gastrointestinal transit times of thirty 1.5-mm BIPS administered in moistened gelatin capsules and 30% barium sulfate suspension gavaged into the crop were compared in 6 pigeons. Although the barium suspension passed out of the GI tract of all pigeons within 24 hours, the 1.5-mm BIPS remained in the ventriculus for 368.0 ± 176.8 hours and did not clear the GI tract for 424.0 ± 204.6 hours. Although the times for passage of BIPS and 30% barium sulfate suspension from the crop into the ventriculus were not significantly different (P  =  .14), the times for passage of BIPS from the ventriculus into the large intestine-cloaca and for clearance from the GI tract of the pigeons were significantly longer (P < .001) than for the 30% barium sulfate suspension. From the results of this study, we conclude that BIPS are not useful for radiographically evaluating GI transit times in pigeons and are unlikely to be useful in other avian species that have a muscular ventriculus. BIPS may or may not be useful for evaluating GI transit times in species that lack a muscular ventriculus.

To provide novel information on psittacine diets, we analyzed the texture, crude protein, crude fat, Ca, P (total), Mg, K, Na, S, Cu, Fe, and Zn concentrations of crop contents from 10 free-living scarlet macaw (Ara macao) chicks from lowland forests of southeastern Peru. We compared our results with nutrient concentrations of known wild parrot foods and published psittacine dietary recommendations to highlight similarities and differences and suggest future avenues of research. The diets were much coarser textured than those recommended for hand feeding. Soil in the diet provided an important source of Na, but Na levels were still lower than all recommendations. Concentrations of protein, Zn, K, Cu, and P (total) were near to or within the range of recommendations for captive psittacine birds. Fat, Ca, and Mg concentrations were greater in crop contents than in the average food plants and greater than published recommendations. The Na∶K ratios were only one-twentieth of those recommended for young poultry. Future analyses should investigate the bioavailability of Fe, Ca, and Zn in these diets and the effects of varying concentrations of fat, Na, Ca, Mg, and Na∶K ratio on psittacine growth and development.

Surgical procedures of the wing are commonly performed in companion, captive, and wild avian species. To develop a clinically applicable brachial plexus nerve block technique for perioperative analgesia in birds, 8 adult female mallard ducks (Anas platyrhynchos) were anesthetized and used in several local anesthetic trials with bupivacaine (2 or 8 mg/kg) or a combination of lidocaine (15 mg/kg) and epinephrine (3.8 µg/kg) perineurally; equal volumes of saline were administered as control treatments. Both axillary and dorsal approaches to the brachial plexus were evaluated. With the axillary approach, radial and ulnar compound nerve action potentials (CNAP), sensory nerve conduction velocities (SNCVs), and cord dorsum potentials (CDPs) were recorded after distal sensory nerve stimulation. Values were recorded before and at 5, 30, and 60 minutes after injection of local anesthetic or saline. Birds were monitored for the presence of a wing droop and a change in motor function on recovery from anesthesia. Results were highly variable for all techniques. No technique significantly decreased CDPs or resulted in consistent wing droop. Radial and ulnar CNAPs, SNCVs, and CDPs were consistently recorded in all birds. Variable results might indicate that the treatment, concentration, or volume of local anesthetic used was ineffective in producing local anesthesia. Electrodiagnostic methods used in these ducks to assess loss of sensory nerve conduction might not be sensitive enough to assess the effects of local anesthesia. Further research is needed to identify methods for assessing the efficacy of brachial plexus nerve blockade in birds.

To determine the efficacy of 21-day therapy with azithromycin and doxycycline in the treatment of experimental infection with Chlamydophila psittaci in cockatiels (Nymphicus hollandicus), 30 birds randomly assigned to 3 treatment groups and 1 control group were inoculated with C psittaci by combined intranasal and ocular routes. Morbidity, mortality, and results of polymerase chain reaction testing confirmed that infection was successful. Birds in group 1 (n  =  8) received azithromycin at 40 mg/kg PO q48h for 21 days; in group 2 (n  =  8), doxycycline at 35 mg/kg PO q24h for 21 days; in group 3 (n  =  8), doxycycline at 35 mg/kg PO q24h for 45 days; and, in group 4 (controls; n  =  6), no treatment. Six birds died either before or within 2 days of initiating treatment: 4 in the 3 treatment groups and 2 in the control group. Clinical signs resolved and mortality ceased 2–6 days after treatment was initiated in all treatment groups, whereas birds in the control group exhibited clinical signs for the duration of the study. Plasma doxycycline concentrations were measured during the treatment period and exceeded 1 µg/mL at all time points. The absence of clinical signs and mortality in the treatment groups, even after inducing an immunocompromised state with dexamethasone (3 mg/kg IM q24h for 5 days), starting on day 70 postinoculation, suggested that treatment resulted in elimination of the pathogen. After euthanasia of the remaining 24 birds, 23 of the carcasses were submitted for necropsy. Spleen and liver samples from the birds in all treatment and control groups were polymerase chain reaction negative for C psittaci nucleic acid, and organisms were not detected by Gimenez stain. No gross or histologic differences were observed in the livers and spleens of treated and untreated infected birds. Lesions consistent with avian chlamydiosis (hystiocytosis) were seen in all birds and were considered residual. In this study, a 21-day course of either doxycycline or azithromycin was effective in eliminating C psittaci infection in experimentally inoculated cockatiels. Additional studies are necessary to evaluate the efficacy of these treatments in naturally infected cockatiels as well as other species of birds.

A 37-year-old yellow-crowned Amazon parrot (Amazona ochrocephala) and a 20-year-old red-lored Amazon parrot (Amazona autumnalis) each presented with a large mass localized on the lateral neck. With the first bird, there was no evidence of signs of pain or discomfort, and the bird prehended and swallowed food normally. The second bird showed signs of mild upper-gastrointestinal discomfort. Results of an ultrasound examination and aspiration of the mass on each bird revealed a cystic structure. A computed tomography performed on the second bird revealed a large polycystic mass connected to the pharynx by a lateral tract. During surgical resection, both masses were found to originate from the subpharyngeal area. Based on topography and the histopathologic and immunohistochemical results, the masses were determined to be a second branchial cleft cyst for the first case and a second branchial pouch cyst for the second case. In addition, a carcinoma was present in situ within the epithelium of case 1, and the cyst in case 2 was secondarily infected. Branchial cysts are uncommonly diagnosed in veterinary and human medicine. These 2 cases are the first documented in parrots and appear similar to second branchial cysts reported in adult humans.

A 1-year-old female yellow-eyed penguin (Megadyptes antipodes) was diagnosed with chronic discospondylitis on the basis of clinical signs and results of hematologic tests, radiography, and computed tomography. Despite significant destruction of the affected vertebral bodies and gross malformation of the spine, neurologic function was unaffected. Treatment with antibiotics, antifungals, and swimming physiotherapy was attempted, but the bird died after 40 days of hospitalization. Histopathologic lesions observed at necropsy were severe chronic discospondylitis, chronic granulomatous tracheitis, proventricular ulceration, and adrenal hemorrhage. The suspected inciting cause of the discospondylitis was a reported population-wide oral stomatitis that affects yellow-eyed penguin chicks.

A juvenile golden eagle (Aquila chrysaetos) was presented with proliferative epithelial lesions, consistent with avian poxvirus infection, around the eyes, on commissures of the beak, and on both feet. Despite treatment, the eagle declined clinically, and, 15 days after presentation, the eagle began seizuring and was euthanatized because of a poor prognosis. On postmortem examination, avian poxvirus infection was confirmed in the nodular skin lesions, and Candida albicans was cultured from the skin, lungs, and brain. Breaks in the skin barrier from poxvirus infection likely led to secondary infection with C albicans. Systemic vascular dissemination of C albicans to the brain resulted in thrombosis, hemorrhage, local hypoxia, and the clinically observed seizures. The combination of the breach in the primary immune system, immunosuppression, and a prolonged course of antibiotics were contributory factors to the opportunistic fungal infection in this eagle. Candida albicans should be considered as a differential diagnosis for encephalitis in an immunocompromised avian patient.

Although veterinary students these days are routinely taught about pain management in dogs and cats, they receive little instruction regarding pain management in exotic animal species, and, although much research has been performed to understand how dogs and cats feel pain, very limited studies exist on pain perception in commonly kept exotic animal species, including birds and reptiles. In addition to the lack of scientific information regarding pain perception in exotic species, very little discussion exists about the ethical issues that surround pain management in these species. Although dog and cat owners are generally more than happy to spend money on analgesics to help ensure that their beloved pets are not uncomfortable, many exotic pet owners may be less sensitive to indications of pain in their pets and more conscious of cost when it comes to spending additional funds on medication. It is up to us, as veterinarians and veterinary technicians, to educate exotic pet owners about their pets' need for pain relief in certain circumstances. It is also up to us to make each other aware of the necessity for pain management in all exotic species. As a result, I have invited 6 veterinarians from different states across the United States to share their experiences regarding the ethics of pain management in exotic pets. The participants are Michael A. Dutton, DVM, Dipl ABVP (Avian), Dipl ABVP (Canine/Feline), Exotic and Bird Clinic of New Hampshire, Weare, NH, USA; Peter Helmer, DVM, Dipl ABVP (Avian), North Bay Animal and Bird Hospital, Tampa, FL, USA; Christine Kolmstetter, DVM, Cheyenne West Animal Hospital, Las Vegas, NV, USA; Frank Lavac, DVM, Dipl ABVP (Avian), VCA Wilshire Animal Hospital, Santa Monica, CA, USA; Christina Mackensen, DVM, Animal Hospital of Warwick, Jamison, PA, USA; and Connie Orcutt, DVM, Dipl ABVP (Avian), Dipl ABVP (Exotic Companion Mammal), Angell Animal Medical Center, Boston, MA, USA. I hope that hearing their experiences will prompt all of us to be more attuned to both the need for pain control in exotic animals and the ethical treatment of these animals in general.