6 year old intact queen with pyometra and severe anaemia

RE: 6 year old intact queen with pyometra and severe anaemia

Kate Richardson — Thu, 30 Jun 2016 10:34:43 GMT

[quote user="Rob Davis"]

[quote user="Tim Charlesworth"]or even canine blood can be given in an emergency.[/quote]

Can you really do that?!

[/quote]

Yes, if no other options available. I was also quite amazed when I learnt this too!

RE: 6 year old intact queen with pyometra and severe anaemia

Lucy Fleming — Thu, 30 Jun 2016 10:33:52 GMT

[quote user="Rob Davis"]

[quote user="Tim Charlesworth"]or even canine blood can be given in an emergency.[/quote]

Can you really do that?!

[/quote]

Yep...one of my classmates from uni recently made a minor media stir by doing just that...

http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11111555

RE: 6 year old intact queen with pyometra and severe anaemia

Rob Davis — Thu, 30 Jun 2016 09:15:32 GMT

[quote user="Tim Charlesworth"]oxyglobin[/quote]

Is that available again? I thought it had been withdrawn

[quote user="Tim Charlesworth"]or even canine blood can be given in an emergency.[/quote]

Can you really do that?!

RE: 6 year old intact queen with pyometra and severe anaemia

Tim Charlesworth — Wed, 29 Jun 2016 17:02:11 GMT

The cat could easily be in IMHA secondary to the pyo acting as a septic focus. I'd check haematology for evidence of immunological injury and if confirmed, transfuse + spay. Matched cat blood would be ideal, oxyglobin or even canine blood can be given in an emergency.

Tim

RE: 6 year old intact queen with pyometra and severe anaemia

Anthony Todd — Tue, 28 Jun 2016 16:59:08 GMT

[quote user="Martin Atkinson"]Plan to continue oral antibiotics[/quote]

What, without a Culture & Sens.....?

Aren't most of these sterile anyway??

RE: 6 year old intact queen with pyometra and severe anaemia

Martin Atkinson — Tue, 28 Jun 2016 16:44:11 GMT

[quote user="shanley barber"]Plan to continue oral antibiotics until the bloods improve, and we are brave enough to spay her! [/quote]I would get on spay her. If she's that bright and you manage the anesthetic well with fluids, if you're a half decent surgeon, it should be virtually bloodless so her PCV won't get worse. She's not going to get better if you don't do it and they can't afford blood typing/transfusions so what's to lose?

RE: 6 year old intact queen with pyometra and severe anaemia

shanley barber — Mon, 27 Jun 2016 16:41:45 GMT

Just an update: the queen was seen over the weekend to recheck PCV, it has increased to 10% She's much brighter in herself, but still thick, purulent vaginal discharge. Plan to continue oral antibiotics until the bloods improve, and we are brave enough to spay her!

RE: 6 year old intact queen with pyometra and severe anaemia

Lucy Fleming — Mon, 27 Jun 2016 08:45:43 GMT

[quote user="Virginia Campbell"]Is Alizin as an adjunct to the antibiotics safe and effective, does anyone know? [/quote]

I used it in one cat with an open pyo as the owner was short of funds and couldn't afford the surgery fee. Alizin ended up being more expensive overall (which she knew from the start and still keen to go ahead with) but it worked well (n=1, of course!)

RE: 6 year old intact queen with pyometra and severe anaemia

niamhjl — Sat, 25 Jun 2016 08:20:06 GMT

It wasn't a cat, but I have seen a dog present with IMHA and when we went looking for underlying cause, found a closed pyo - so could this be secondary haemolysis from the inflammatory process? I think we started that one on steroids (scary!) to get its PCV up a bit and then spayed it as soon as we could, and it did very well - But it was a few years ago so can't remember all the details!

RE: 6 year old intact queen with pyometra and severe anaemia

shanley barber — Sat, 25 Jun 2016 08:07:16 GMT

Yep Felv/FIV negative

RE: 6 year old intact queen with pyometra and severe anaemia

serena holmes — Sat, 25 Jun 2016 07:54:39 GMT

Blood type and transfusion preop or oxyglobin?

RE: 6 year old intact queen with pyometra and severe anaemia

Aine Seavers — Sat, 25 Jun 2016 04:54:24 GMT

Can you have the pcv redone at a lab using both manual and machine count as this cat not fitting the picture of an 8% pcv cat-?so redo it,

in interim get cat on abts-we find the cephalexins do very well in these once draining-

but don't get caught out by a vaginal lesion doing all of this so good exam there as well-

and any chance you could get an xray if u/s not available-I had a perinephric cyst and a pyelonephritis cause all sorts of issues mimicking a pyometra.

And are you sure she is entire-ie owner has had since kitten-she has had litters etc-because to have a non spay 6yr old cat if the owner is not a breeder does seem a tad odd-but maybe that is still common in UK.

RE: 6 year old intact queen with pyometra and severe anaemia

Virginia Campbell — Fri, 24 Jun 2016 21:18:18 GMT

Is Alizin as an adjunct to the antibiotics safe and effective, does anyone know?

RE: 6 year old intact queen with pyometra and severe anaemia

Gillian Mostyn — Fri, 24 Jun 2016 20:05:14 GMT

Probably obvious, and you've already done it, but check for felv/fiv first!

RE: 6 year old intact queen with pyometra and severe anaemia

David Mills — Fri, 24 Jun 2016 18:58:07 GMT

We see a fair few, and it's my impression that cats tend to have them for longer and be less severely affected than dogs, so I think you've time to play with. Was this manual PCV or machine HCT? Is the anaemia regenerative? This would give some clue about the cause.

With a PCV of that, I wouldn't be rushing to surgery; I'd be looking at treating with abx (amoxiclav, or convenia if not tabeltable - importance here is on a decent, guaranteed length course) and retesting PCV in a week or so. If its anaemia of chronic disease then treating the infection should help resolve this to some extent. I'd probably cut once it reaches 20% or high teens, mindful that surgery in itself is going to be the best treatment for the disease process.

Not heard of oestrogen toxicity - having said that, a delvosterone shot is unlikely to do any harm.