An 8-year-old MN Chow Chow mix was presented for anorexia and weight loss. On physical examination, multiple petechiae on gums and abdomen were evident. Abnormalities on CBC were anemia, neutrophilia, eosinopenia, thrombocytopenia, and mild leukocytosis. The patient was treated with IV fluids, Flagyl, famotidine, doxycycline, sucralfate, and prednisone. The patient was discharged 24-hours later, and owner was advised to follow-up with rDVM within two days. A month later, the patient was presented due to a distended abdomen and fluctuating CBC values.
An 8-year-old MN Chow Chow mix was presented for anorexia and weight loss. On physical examination, multiple petechiae on gums and abdomen were evident. Abnormalities on CBC were anemia, neutrophilia, eosinopenia, thrombocytopenia, and mild leukocytosis. The patient was treated with IV fluids, Flagyl, famotidine, doxycycline, sucralfate, and prednisone. The patient was discharged 24-hours later, and owner was advised to follow-up with rDVM within two days. A month later, the patient was presented due to a distended abdomen and fluctuating CBC values. The patient had a recent history of starting azathioprine treatment. Physical examination found the patient bright, alert and responsive, with visible muscle wasting, slightly tacky pink mucous membranes, no petechia present, and a distended abdomen with a palpable fluid wave. PCV/TP was 36/5.3. A cursory ultrasound showed extensive free fluid in the abdomen with extensive fibrin deposits. Radiographs showed decreased detail/fluid in the abdomen and no visible thoracic masses.