Border Collie x Springer Spaniel
Normally fit and well bouncy dog. Became dull and depressed.
Pyrexia and Jaundice. After blood sampling at the site of standard jugular blood sampling - severe bruising and bleeding all the way down her neck and chest, and the tops of her legs.
Markedly increased liver parameters and bilirubin, off the scale clotting times.
9 units of FFP over three days until coagulation times normalised. Two units of PRBC to treat anaemia. Antibiotics and steroids.
Inflammatory cholangiohepatitis diagnosed from liver biopsy.
No specific causal agent identified. Paired titres for multiple serovars of leptospirosis did not implicate leptospirosis.
Weaned off medication two months post diagnosis, liver parameters normalised. Fit and well at follow up 12 months later.
As featured in Veterinary Times