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Refeeding syndrome in a miniature donkey.

Lauren Bookbinder¹, Harold C Schott¹

¹Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, Michigan.

Journal of Veterinary Emergency and Critical Care (San Antonio, Tex. : 2001)

|July 14, 2021

Summary

Refeeding syndrome can occur in equids even without typical risk factors. This case highlights the need for broader recognition of risk factors and revised nutritional guidelines for critically ill horses.

Keywords:

Enteral nutrition equine critical care insulin dysregulation phosphate

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Area of Science:

Veterinary Medicine
Equine Critical Care
Animal Nutrition

Background:

Refeeding syndrome is a potentially fatal complication of nutritional support.
Recognized risk factors in equids include prolonged anorexia and malnutrition.
This case examines a scenario deviating from typical risk profiles.

Observation:

An aged miniature donkey gelding developed severe hypophosphatemia during treatment for enterocolitis.
Hypophosphatemia manifested as ileus and neuromuscular weakness.
The condition occurred despite a short period of hyporexia and adherence to standard nutritional protocols.

Findings:

The donkey experienced marked hypophosphatemia despite nasogastric enteral feeding with a commercial equine nutrition product.
Intravenous sodium phosphate administration was required to correct the hypophosphatemia.
This suggests that standard nutritional products may not meet the needs of all critically ill equids.

Implications:

Risk factors for refeeding syndrome in equids may be more diverse than previously understood.
Critically ill equids, particularly those with potential insulin dysregulation, may have unique nutritional needs.
There is a need for updated nutritional guidelines and improved supplementation strategies in equine critical care.