Fatal Garlic (Allium sativum) Toxicosis in a Dog: Gross and Histopathological Findings in a Rare Case of Systemic Hemolytic Injury

Garlic (Allium sativum) contains organosulfur compounds capable of inducing oxidative damage to erythrocytes in dogs, leading to hemolytic anemia and methemoglobinemia. Although Allium toxicosis is relatively common, fatal cases with detailed histopathological characterization are rarely reported. This case report describes a fatal episode of garlic toxicosis in a 3-year-old female mixed-breed dog. At necropsy, gastric contents included food material and raw garlic cloves (16 g). Gross findings included pulmonary hyperemia and thoracic hemorrhagic effusion. Histopathological examination revealed multifocal myocardial hemorrhages, diffuse pulmonary capillary congestion, hepatic sinusoidal dilation with hemorrhagic areas, splenic hemorrhage, and renal glomerular capillary dilation. These lesions were consistent with systemic hypoxic and vascular injury secondary to oxidative erythrocyte damage. The lower quantity of garlic recovered compared with reported toxic doses suggests possible individual susceptibility or incomplete recovery of ingested material. This case highlights the diagnostic value of histopathology in suspected Allium fatal toxicosis and contributes to increasing the limited literature describing these outcomes in dogs.