Name:

Biff Kennedy

Age:

19 weeks

Breed:

Maltese Terrier

Sex:

Male entire

History:

Presented with a large swelling, thought to be a haematoma. This had developed between the scapulae following microchip implantation. Biff was lethargic with vomiting and diarrhoea

Physical Examination:

Biff was fairly collapsed, tachycardic with weak peripheral pulses and very pale mucous membranes. A systolic murmur, likely to be haemic, was audible on both sides of the thorax. A large swelling (approximately 10 x 8cm) was present between the scapulae and extending down the right side of the thorax. A smaller subcutaneous swelling was present on the ventral thoracic wall

Lab Results:

PCV confirmed severe anaemia (PCV=10%). Prothrombin time and activated partial thromboplastin time were markedly prolonged. Biff's blood type was determined to be DEA 1.1 Positive - factor VIII was 0%

Treatment:

2 units of Packed Red Blood Cells (PRBC) and 2 units of Fresh Frozen Plasma (FFP) were administered over a 3 day period. Biff gradually improved and the haematomas resolved although his clotting times never fully normalised

Diagnosis:

Haemophilia A (factor VIII deficiency)

Outcome:

Biff on follow up has remained welll with no further major incidents of bleeding since diagnosis. His owner and vets are very aware of his condition and are now prepared with readily available plasma products should Biff suffer any trauma or require any surgical intervention