Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
CASE #14 LEPTOSPIROSIS PATIENT PRESENTATION PATIENT PRESENTATION • SIGNALMENT: 2 yr old, neutered male, Shepherd mix • Hx: Dog goes with his owner camping and hunting twice a month. Dog is current on DHPP vaccination, Rabies, HW & Flea prevention. • Presenting complaint: dog is lethargic, vomiting, and seems very thirsty. PATIENT PRESENTATION • PHYSICAL EXAM FINDINGS: • ~8% dehydrated • Temp: 103.9, HR: 100, RR:36 • Mm: icteric, CRT:2.5 sec • DIAGNOSTIC TESTS: • CBC: leukocytosis, thrombocytopenia • SERUM CHEMISTRIES: increased kidney and liver enzymes PATIENT PRESENTATION • Vet suspects an infectious disease causing acute renal and liver failure such as leptospirosis. • FURTHER DIAGNOSTICS: • URINALYSIS: low urine specific gravity • Increase in serum titers • Fluorescent antibody • PCR LEPTOSPIROSIS • TREATMENT • • • • Hospitalization IV Fluid therapy Antibiotics: Penicillin, Doxycycine Antibiotics • Leptospirosis is caused by the bacteria Leptospira interrogans, a spirochete bacteria • There are many serovars of this organism: • • • • • Canicola Icterohemorrhagica Pomona Grippotyphosa bratislavia LEPTOSPIROSIS • The natural hosts of Leptospirosis are skunks, raccoons, opossums, & pigs. • Infection occurs through mucosal contact (even through aerosolization) with water or soil contaminated with urine from infected animals LEPTOSPIROSIS • CLIENT INFO • Animals with Leptospirosis are contagious to humans and other animals • Diagnosis and treatment are expensive • Vaccination is best for prevention of clinical disease, but infected animals can still shed the organisms in the urine. • Current vaccines do not protect against all serovars