Hepatic lymph nodes

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Hepatic lymph nodes

  • 14 year old GSD X presented collapsed, dehydrated, pyrexic, 2 day history of inappetance, warm weather
  • Previous hx of Leishmaniasis and nodular liver on scan 3 years ago
  • Bloods show moderate liver enzyme elevation and mild anaemia
  • What do you make of these hepatic lymph nodes? Could this be related to recurrent leishmaniasis?

  • 14 year old GSD X presented collapsed, dehydrated, pyrexic, 2 day history of inappetance, warm weather
  • Previous hx of Leishmaniasis and nodular liver on scan 3 years ago
  • Bloods show moderate liver enzyme elevation and mild anaemia
  • What do you make of these hepatic lymph nodes? Could this be related to recurrent leishmaniasis?

Comments

EL

Porcelain GB and chronic

Porcelain GB and chronic lymphadenitis would fna drain and culture of accessible… leishmania in my limited experience with it can do anythign with LN so it wouldnt surprise me if related.

Remo is the infectious expert maybe he has some input?

rlobetti

Leishmania usually affects

Leishmania usually affects multiple lymph nodes so not convinced that it is playing a role here, unless there are other signs – other lymph nodes affected, polyclonal gammapathy, positive serology/PCR 

veteurope1

Thank you, very helpful.

Thank you, very helpful. Other LNs were normal. Globulin was still within normal range. Serology/PCR were going to be sent so hopefully will have results on those. 

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