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Holiday bouquets can be toxic!

From: The Coloradoan By: Christie Long DVM

My friend and colleague, Dr. Christine Hardy, director of operations for the Animal Cancer Center at CSU, has one of the most harrowing animal plant toxicity stories I've ever heard.

A few years back when we still were in veterinary school and struggling with which way to put the stethoscope in our ears, Hardy's thoughtful husband bought her a lovely bouquet of flowers after a particularly confidence-stripping test. The bouquet was well-received, but it contained lilies. Even as a young veterinary student, Hardy knew lilies are extremely toxic to cat kidneys. She elected to take the bouquet to work and away from her three cats, especially Owen, the troublemaker.

No sooner had she pulled out of the driveway did she realize that she had left the bouquet in the mudroom. She quickly raced back into the house only to find Owen nuzzling up to the bouquet and in particular the lilies. Before he knew what hit him, Owen was out of the house and checked into the Critical Care Unit at Colorado State University for induction of vomiting followed by three days of fluid therapy to save his kidneys. At that time, he was rumored to be the only cat they had treated for lily toxicity that went home alive.

Ingestion of any part of a lily - stem, petals, stamen, even pollen - can cause rapid and severe kidney failure and death in cats. One study suggests that prognosis is extremely grave if treatment is not initiated within 18 hours of ingestion. Surely, one of the reasons Owen is with us today is because of Hardy's prompt response.

We don't know what's in the lily that makes it so toxic to cats, and not everything that's called a lily is toxic. Common varieties available at grocery stores and floral shops that we know are toxic include stargazer lily, rubrum lily, Easter lily, tiger lily and Japanese show lily. Peace lilies and lily-of-the-valley are not true lilies and therefore not toxic.

The first signs of lily poisoning are similar to those of many toxin ingestions - stumbling, dull mentation, vomiting, salivation and lethargy.

The key to successful treatment is getting the patient to the hospital before the damage is too severe. The best chance for survival occurs when someone witnesses the ingestion and takes the cat in immediately. Vomiting may be productive to clear the upper gastrointestinal tract of plant material, but it's likely that some absorption already has occurred. The cat still needs aggressive care to support the kidneys while they recover from the insult.

If you're a cat owner, the best thing you can do to prevent this tragedy is to keep lilies out of your house. Retail outlets selling lilies can do their part to make this a happier Valentine's Day by posting information warning cat owners of the danger of lilies and helping customers make other selections.

Just for future reference, I like roses.

Christie Long is a veterinarian at the VCA Fort Collins Animal Hospital. Reach her at (970) 204-4567. Once a month, she will answer questions from her readers regarding pet health issues. Send e-mail to thepetdoctor@gmail.com

Date Published: February 4, 2010