[Felvtalk] Annie

[Amani Oakley]

I don't have a lot to go on, but based on the results, and the physical finding of a painful kidney, it might be a kidney infection gone septic. The total white cell count is low, which may occur when the white cells migrate out of blood circulation to move towards an area of infection in the tissues. You have given a low neutrophil count, but I would also be interested in what is the percentage of neutrophils. If it is a bacterial infection, I would expect a higher than normal percentage of neutrophils. Also, I would be looking for a left shift in the neutrophils. Did they report any immature neutrophils like band cells? Any other neutrophil abnormalities such as toxic granulation? 

The first thing I would focus on is ensuring sufficient hydration. Keep up with the subcutaneous fluids at home. Also, oxygen would help since you want to keep the cells well-perfused and with the dehydration and drop of red cells (though they aren't too low), and oxygen needed at the clinic, you should give her some more if you have a source of it at home. I am concerned that she isn't already on doxycycline. I would perhaps ask the vet to consider intravenous antibiotics, to get the antibiotics levels to go up faster than orally, and then you can give her the oral antibiotics. If it is a kidney infection, fluid replacement and antibiotic therapy is likely far more important than food intake right now.

It isn't clear that this is an infection, but it might be. Was she tested for vital signs? Did she have temperature, and possibly elevated heart rate. It seems that she certainly would have had a reduced blood pressure, which again is consistent with sepsis from an infection, but isn't the only thing that might cause that.

I don't think this is a Winstrol situation just yet. I think instead that a combination of broad spectrum antibiotics along with some prednisone/prednisolone might be the better approach.

However, given that there is no definitive diagnosis yet, you need to watch her closely. If there isn't an improvement fairly quickly on the antibiotics, your vet will probably be considering other explanations.

Amani

-----Original Message-----
From: Felvtalk [mailto:felvtalk-bounces at felineleukemia.org] On Behalf Of dlgegg at windstream.net
Sent: May-31-17 5:52 PM
To: felv
Subject: [Felvtalk] Annie

We just got back from the vet and Annie is not in good shape.  She stopped eating this am.  I did get some broth from Mackeral down her, but no soloids.  The vet has ordered Doxy formulated so it will be liquid.  She will get it 2 times daily.  I have told her about Winstrol and she read up on it and is willing to get it for us is needed.  She had to try 3 times for blood.  It came out so slowely and started clotting too fast to to the tests.  She is also dehydrated so gave sub q fluids and gave me more to bring home.  She also had to give her some oxygen for 5 minutes, her brain was not getting enough.  After 5 min, she bounced back.  Dr. Said she was stressed by the exam.  
Bloodwork:  RBC  - LOW 4.78
                   HCT - LOW  23.7
                   HGB - LOW  8.4
                   RETC HIGH  62.7
                   WBC LOW  4.54
                   NEU LOW  2.41
                   
                  BUN HIGH  59
                  ALKP  LOW  10
                  TBIL  HIGH  1.5
EVERYTHING ELSE IS IN NORMAL RANGE.  
sHE ALSO SAID ONE KIDNY SEEMS ENLARGED AND SLIGHTLY FIRM AND SHE CRIED WHEN SHE APPLIED PRESSURE TO THAT AREA.
sHE HAS ALSO LOST WEIGHT, DOWN FROM 6.6 LAST VISIT.  wE HAD STARTED HER ON KITTNE FOOD TO BRING HER WEIGHT UP AND SHE HAD BEEN EATING UNTIL THIS AM.  i JUST RECEIVED A SHIPMENT OF BLUE BUFFALO CANNED FOOD AND I PLAN TO START HER ON THAT MIXED WITH WARM WATER.  AT LEAST SHE GETS SOME NOURISHMENT FROM THE LIQUID.  i ALSO HAVE A TANK OF OXYGEN LEFT FROM MY FATHER THAT i CAN GIVE HER SOME IS SHE NEEDS IT.  

aNY SUGGESTIONS?  SHE WILL GO ALONG WITH ANY RECOMMENDATIONS.  sO NICE TO HAVE A VET LIKE THAT.



_______________________________________________
Felvtalk mailing list
Felvtalk at felineleukemia.org
http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org