I don't have enough experience to really offer advice, Amani seems to have some great suggestions for you! I just wanted to let you know we are here for you and rooting for a treatable condition and a full recovery for little Annie. Please keep us updated!
On Wed, May 31, 2017, 7:47 PM Amani Oakley <[email protected]> wrote: > 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:[email protected]] On Behalf Of > [email protected] > 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 > [email protected] > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org > > _______________________________________________ > Felvtalk mailing list > [email protected] > http://felineleukemia.org/mailman/listinfo/felvtalk_felineleukemia.org >
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