old cat granulocytosis

Re: old cat granulocytosis

Virginia Campbell — Tue, 18 Sep 2012 11:57:28 GMT

Just an update/ round off. Prescapular mass popped up, FNA'd as carcinoma. Cat did OK for a little while then euthed yesterday as declining. She was a nice little thing, except when you were trying to do anything with her!

Re: old cat granulocytosis

Rajat — Thu, 23 Aug 2012 20:13:02 GMT

sorry for the random 'your'!

Re: old cat granulocytosis

Rajat — Thu, 23 Aug 2012 20:12:36 GMT

Hi Ginny

Sorry - CGL = Chronic granulocytic leukaemia. Your

Re the pyelo - yes if it is on abs already culture may be negative. An Ultrasound may be more sensitive to pick up pyelic dilatation and changes to the echogenicity of the pelvis etc to rule in or out pyelonephritis. In suspicious cases where sediment is inactive you can aspirate from the renal pelvis under US guidance directly, surprisingly easy if you have done US guided fnabs before and that should be more likely to culture positive if there is infection

.I'd do the same as you i.e. pursue imaging - screening rads +/- scan and cysto in this case - best of luck!

Best

Raj

Re: old cat granulocytosis

Virginia Campbell — Thu, 23 Aug 2012 18:29:31 GMT

[quote user="Mark Hedberg"]

That USG is still a bit lower than I'd like...surpised not more protein.

[/quote]

Yes, double checked the dipstick as i was surprised too. Suppose logical next step would be protein:creatinine ratio, but spun all the sample we had for sediment. Might get another free catch if O wants to do more.

[quote user="Rajat"]

I'm thinking it could still be a pyelonephritis- they can have normal wbcs and normal sediment exams too. We should expect higher globulins with FIP..and prob not such a marked neutrophilic response..

[/quote]

Yes, the few FIPs I have seen have had globulins closer to 70.

I guess should sedate for cysto and C+S to be complete for pyelonephritis, but as I understand it you can even get negative C+S so rather than winkle the stroppy cat away from the owner might have to be ab trial...ie swap from convenia to something else - don't know if could get non medicatable cat to take synulox drops/tabs or baytril though. [quote user="Rajat"]

Were other granulocytes increased? Thinking potentially CGL, but from memory cell counts should be higher ?and I think this is more likely chronic infection/inflammation..

[/quote]

What's CGL? Neutrophils 93% lymphocytes 3% monocytes3% eosinophils1%

Will keep you all updated if O decides he wants more done, in which case sedate, cysto and survey Xrays I think. Will talk to him again about potential for any kind of oral meds too.

Thanks,

Ginny

Re: old cat granulocytosis

Mark Hedberg — Wed, 22 Aug 2012 16:42:09 GMT

That USG is still a bit lower than I'd like...surpised not more protein.

Re: old cat granulocytosis

Rajat — Wed, 22 Aug 2012 15:32:49 GMT

[quote user="Virginia Campbell"]update- urine free catch at home, SG 1.018 but quiet looking, hardly any sediment on 5ml spun sample with only a very few scattered epithelial cells and the odd wbc and vv few cossi. no casts. no blood on dipstick or sediment. trace protein.[/quote]

Were other granulocytes increased? Thinking potentially CGL, but from memory cell counts should be higher ?and I think this is more likely chronic infection/inflammation..

Re: old cat granulocytosis

Virginia Campbell — Wed, 22 Aug 2012 14:06:24 GMT

update- urine free catch at home, SG 1.018 but quiet looking, hardly any sediment on 5ml spun sample with only a very few scattered epithelial cells and the odd wbc and vv few cossi. no casts. no blood on dipstick or sediment. trace protein.

Owner not keen to do much more, weight has stabilised and cat eating a little more so i topped up the convenia yesterday and we will sit tight.

Re: old cat granulocytosis

Busybee — Tue, 14 Aug 2012 22:30:54 GMT

Temperature? I would get a urine sample. Had one similar that was a (suspected) pyelonephritis. Improved on antibiotics then improved further once the bad teeth were dealt with and hasn't looked back since!