Help! Second case of thrombocytopaenia this week

Re: Help! Second case of thrombocytopaenia this week

Martin Atkinson — Thu, 08 Jan 2015 11:55:08 GMT

Well things tend to come in three's so expect another!

My take on case one is that it may have used all its platelets up when it bled (presumably from the catheter). Not sure about the second but it is more likely you have two cats with idiopathic immune mediated thrombocytopaenia than that both suffered a drug reaction. Your (apparent) renal disease may be pre-renal from internal bleeding.

Nonetheless route one would be blood transfusions and manage the renal disease but I appreciate this may be impractical. However if they truly do have renal failure unrelated to IMTP then you have little to lose by giving corticosteroids or even some vincristine because they will die of their anemia before their renal disease.

Re: Help! Second case of thrombocytopaenia this week

Hannah Wynne Richards — Thu, 08 Jan 2015 11:50:00 GMT

In that case, I'm stuck.

Wynne

Re: Help! Second case of thrombocytopaenia this week

Kara Gibson — Thu, 08 Jan 2015 11:23:19 GMT

I thought about this but both indoor cats in flats in Hong Kong with no access to eat poison, also the thrombocytopaenia seems to have progressed in the hospital and neither presented with clinical signs of bleeding.

I also wondered about drug reactions but both did have mild thrombocytopaenia on their initial bloods.

Re: Help! Second case of thrombocytopaenia this week

Hannah Wynne Richards — Thu, 08 Jan 2015 11:14:29 GMT

Same geographical area ? rodenticide?

Wynne