C. De Voogt, G. Mampaey, G. Schils, P. Smets, L. Stammeleer
{"title":"Septic pericarditis in a complicated case of non-associated immune-mediated hemolytic anemia in a Jack Russel terrier","authors":"C. De Voogt, G. Mampaey, G. Schils, P. Smets, L. Stammeleer","doi":"10.21825/vdt.87484","DOIUrl":null,"url":null,"abstract":"A three-year-old, male, intact Jack Russel terrier was referred for severe regenerative anemia and was diagnosed with non-associated immune-mediated hemolytic anemia. Treatment was implemented according to the ACVIM guidelines (Swann et al., 2019). As no response was seen eleven days later despite two immunosuppressive drugs, intravenous immunoglobulins (IVIG, 1 g/kg) were administered. Three days later, septic shock and diffuse intravascular coagulation (DIC) developed. Echocardiography revealed pericardial effusion with cardiac tamponade and thrombus in the right atrium. Fluid analysis confirmed septic pericarditis. A pericardial drain was placed following immediate reoccurrence of the pericardial effusion. Despite a stable hematocrit for several days following IVIG administration, a decrease in hematocrit was subsequently noted and splenectomy was performed. In total, six blood transfusions were given. Two years after presentation and intensive follow-up, immunosuppressive therapy was tapered, and the dog had excellent quality of life.","PeriodicalId":23487,"journal":{"name":"Vlaams Diergeneeskundig Tijdschrift","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vlaams Diergeneeskundig Tijdschrift","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.21825/vdt.87484","RegionNum":4,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
A three-year-old, male, intact Jack Russel terrier was referred for severe regenerative anemia and was diagnosed with non-associated immune-mediated hemolytic anemia. Treatment was implemented according to the ACVIM guidelines (Swann et al., 2019). As no response was seen eleven days later despite two immunosuppressive drugs, intravenous immunoglobulins (IVIG, 1 g/kg) were administered. Three days later, septic shock and diffuse intravascular coagulation (DIC) developed. Echocardiography revealed pericardial effusion with cardiac tamponade and thrombus in the right atrium. Fluid analysis confirmed septic pericarditis. A pericardial drain was placed following immediate reoccurrence of the pericardial effusion. Despite a stable hematocrit for several days following IVIG administration, a decrease in hematocrit was subsequently noted and splenectomy was performed. In total, six blood transfusions were given. Two years after presentation and intensive follow-up, immunosuppressive therapy was tapered, and the dog had excellent quality of life.
期刊介绍:
The Vlaams Diergeneeskundig Tijdschrift (ISSN 0303-9021) is a scientific journal that is published bimonthly (six issues per year). It presents mainly clinical topics and addresses itself to two very different readerships: the local Dutch speaking veterinarians in Belgium and the Netherlands, and the international veterinary and biomedical research community. Each issue contains scientific papers either in English, or in Dutch with an English abstract.