A 5-year-old MN DSH with history of untreated diabetes mellitus, was presented on emergency for collapse. Physical examination findings were weight loss, pale pink mucous membranes, normal heart and lungs sounds, 5% dehydrated, and a palpable cranial abdominal mass. Abnormalities on CBC and blood chemistry were leukocytosis, neutrophilia, anemia, marked hyperglycemia (>686 mg/dl), elevated ALT activity and BUN, and hyperbilirubinemia. FELV/FIV test was negative. The patient was treated with I.V. fluids, Ampicillin, Metronidazole, and Lantus insulin.
A 5-year-old MN DSH with history of untreated diabetes mellitus, was presented on emergency for collapse. Physical examination findings were weight loss, pale pink mucous membranes, normal heart and lungs sounds, 5% dehydrated, and a palpable cranial abdominal mass. Abnormalities on CBC and blood chemistry were leukocytosis, neutrophilia, anemia, marked hyperglycemia (>686 mg/dl), elevated ALT activity and BUN, and hyperbilirubinemia. FELV/FIV test was negative. The patient was treated with I.V. fluids, Ampicillin, Metronidazole, and Lantus insulin. Blood glucose 12 hours later was 383 mg/dl.