This is a 7 years old Cocker that presented icteric, has history of chronic pancreatitis
Liver is heterogenous with multiple ill defined hypoechoic nodules, distended CBD with no definitive mass or urolith seen and hypoechoic pancreas – body. All liver enzymes are markedly increased ( 6000 for ALT)
I suspected round cell neoplasia but couldn’t confirm with FNB. Would this presentation be suggestive of Lepto? Unfortunatelly patient was already started on antibiotics prior so testing not done
This is a 7 years old Cocker that presented icteric, has history of chronic pancreatitis
Liver is heterogenous with multiple ill defined hypoechoic nodules, distended CBD with no definitive mass or urolith seen and hypoechoic pancreas – body. All liver enzymes are markedly increased ( 6000 for ALT)
I suspected round cell neoplasia but couldn’t confirm with FNB. Would this presentation be suggestive of Lepto? Unfortunatelly patient was already started on antibiotics prior so testing not done
Comments
leptoi can look like
leptoi can look like anything…acute lepto will look like what the liver was before lepto came to town … but the clin path says acute liver insult. This pattern is more nodular hyperplasia to me very bland…
Thank you EL
Thank you EL
Just rough images off my
Just rough images off my phone but ran into this the other day screaming lepto presentation hepato renal and this is what i typically see in NJ wiht the retrorenal fluid and liver is really nsf sonographically.
Thank you. The PCR on our
Thank you. The PCR on our “lepto” dog came back negative.
So basically if there is fluid around the kidneys and +/- icteric we should consider Lepto as one of the DDX