Dane, 6 mo MI, presenting for vomiting. Renal azotemia, anemia and thrombocytopenia w/ hematuria and proteinuria (orange color to urine). Ultrasound – loss of C-M distinction w/ appearance of debris is medulla. Inc. echogenicity/patchy compared w/ spleen. Normal liver and GI. Plump lymph nodes, 9.5 mm. Suspecting infection/Lepto or toxin. Lepto urine PCR pending. Would you agree that Lepto should be high on the list?
Dane, 6 mo MI, presenting for vomiting. Renal azotemia, anemia and thrombocytopenia w/ hematuria and proteinuria (orange color to urine). Ultrasound – loss of C-M distinction w/ appearance of debris is medulla. Inc. echogenicity/patchy compared w/ spleen. Normal liver and GI. Plump lymph nodes, 9.5 mm. Suspecting infection/Lepto or toxin. Lepto urine PCR pending. Would you agree that Lepto should be high on the list?
2 responses to “Azotemic 6 month old Dane, possible Leptospirosis?”
Other than minor pyelectasia
Other than minor pyelectasia and slight cortical thickening nsf which means ARF… lepto/infectious, toxin, addisons.. not likely congential dysplasia as architecture is pretty solid
Thanks much!
Thanks much!