Name:

Poppy Morrison

Age:

7 years

Breed:

Border Collie x Springer Spaniel

Sex:

Female neutered

History:

Normally fit and well bouncy dog. Became dull and depressed.

Physical Examination:

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.

Lab Results:

Markedly increased liver parameters and bilirubin, off the scale clotting times.

Treatment:

9 units of FFP over three days until coagulation times normalised. Two units of PRBC to treat anaemia. Antibiotics and steroids.

Diagnosis:

Inflammatory cholangiohepatitis diagnosed from liver biopsy.

No specific causal agent identified. Paired titres for multiple serovars of leptospirosis did not implicate leptospirosis.

Outcome:

Weaned off medication two months post diagnosis, liver parameters normalised. Fit and well at follow up 12 months later.

As featured in Veterinary Times