Warm fuzzies coming her way from San Diego and Wyoming!
post #31 of 78
6/12/03 at 6:54pm
|Originally posted by hissy
I just was in touch with my vet tech friend and this is what she has to say:
MA, are you sure about the ALT? Thats off the reference range completely, but not surprising, it's probably intra/extravascular hemolysis affecting the liver and spleen.
First, rule out cytauxzoonosis, this is a fatal tick disease in cats and can cause AIHA faster than you can spell it, may need a titer for that, but unfortunately, not many cats survive cytauxzoonosis, vet needs to speak to a vet university immunology dept about that ASAP. If a titer is going to be sent out, also opt for coombs, hemobart, feline infectious disease and other viral agents, can all be done with one blood sample. Other than this, rule out toxicity such as acetominophin, propylene glycol, etc.
Do you have a CBC report? If so, any comments about regenerative anemia by the vet including potential DIC would be helpful, but I'm sure the vet has his suspicions and may have a handle on it. Just doesn't seem appropriate with the chemical analysis that kitty has been released.....home care is not sufficient in AIHA. (don't know what vet thinks or when this treatment and release actually occured)....If the PCV isn't stable, then hospitalization with IV's, potential blood transfusion, corticosteroid approach and aggressive care are warranted.