Written by:
Laurinda Morris, DVM
Danville Veterinary Clinic
Danville , Ohio
This week I had the first case in history of raisin toxicity ever seen at
MedVet. My patient was a 56-pound, 5 yr old male neutered lab mix that ate
half a canister of raisins sometime between 7:30 AM and 4:30 PM on
Tuesday. He started with vomiting, diarrhea and shaking about 1AM on
Wednesday but the owner didn't call my emergency service until 7AM.
I had heard somewhere about raisins AND grapes causing acute Renal failure
but hadn't seen any formal paper on the
subject. We had her
bring the dog in immediately. In the meantime, I called the ER service at
MedVet, and the doctor there was like me - had heard something about it,
but....
Anyway, we contacted the ASPCA
National Animal Poison Control Center and they said to give IV fluids at 1
times maintenance and watch the kidney values for the next 48-72 hours.
The dog's BUN (blood urea nitrogen level) was already at 32 (normal less
than 27) and creatinine over 5 (1.9 is the high end of normal). Both are
monitors of kidney
function in the bloodstream. We placed an IV catheter and started the
fluids. Rechecked the renal values at 5 PM and the BUN was over 40 and
creatinine over 7 with no urine production after a liter of fluids. At the
point I felt the dog was in acute renal failure and sent him on to MedVet
for a urinary catheter to monitor urine output overnight as well as
overnight care.
He started vomiting again overnight at MedVet and his renal values have
continued to incr ease daily. He produced urine when given lasix as a
diuretic. He was on 3 different anti-vomiting medications and they still
couldn't control his vomiting. Today his urine output decreased again, his
BUN was over 120, his creatinine was at 10, his phosphorus was very
elevated and his blood pressure, which had been staying around 150,
skyrocketed to 220.. He continued to vomit and the owners elected to
euthanize.
This is a very sad case - great dog, great owners who had no idea raisins
could be a toxin. Please alert everyone you know who has a dog of this
very serious risk.
Poison control said as few as 7 raisins or grapes could be toxic. Many
people I know give their dogs grapes or raisins as treats including our
ex-handler's. Any exposure should give rise to immediate concern.
Laurinda Morris, DVM
Danville Veterinary Clinic
Danville , Ohio
Even if you don't
have a dog, you might have friends who do. This is worth passing on to
them.