Sudden onset of anaemia

RE: Sudden onset of anaemia

Madhu Vet — Wed, 29 May 2019 04:05:06 GMT

PCR results came positive for Babesiosis and no haemo abdomen, Started treatment for Babesiosis, Thank alot for your valuable inputs..

RE: Sudden onset of anaemia

Lucy Fleming — Tue, 28 May 2019 14:17:10 GMT

Tend to agree with the others - haemorrhage (splenic mass, given the breed?), IMHA, or something like babesiosis or other vector-borne anaemia would be high on the list.

Slide agglutination and a smear could be useful if you have access to a microscope, and as mentioned an abdo tap to look for haemoabdomen.

RE: Sudden onset of anaemia

Jill Butterworth — Tue, 28 May 2019 12:20:47 GMT

Ultrasound tomorrow might be too late. I would want to rule in/out blood in the abdomen perhaps from a splenic mass or rupture, in case she needs emergency surgery.

Can you do a sterile abdominocentesis to see if there is blood in the abdomen? If available to you, you could radiograph the abdomen to look for loss of serosal detail, also indicating fluid (ie possibly blood) in the abdomen.

RE: Sudden onset of anaemia

Rob Davis — Tue, 28 May 2019 12:17:08 GMT

Have you done a slide agglutination test? High wbc count would make me suspicious of IMHA, but need to rule out haemorrhage first.

RE: Sudden onset of anaemia

Madhu Vet — Tue, 28 May 2019 11:44:19 GMT

CBC shows increased MCV and decreased MCHC, platelets normal so assuming regenerative anaemia.. sending the sample for PCR to rule out Babesiosis..I appreciate your immediate response and concern,Thank you..

RE: Sudden onset of anaemia

Bob Russell — Tue, 28 May 2019 11:33:39 GMT

Bleeding eg splenic bleed would be high on my list of differentials.

A full haematology including smear examination to check platelets etc and to decide if regenerative or non-regenerative would be high on my to do list. Has this been done?

I see you are based in India so there may be plenty of more exotic (to most of us!) causes of anaemia.

Full detailed haematology would be useful including cytologist comments if possible!!!

Sorry to be unhelpful but sometimes you have to go back to basics, loss of blood, early destruction of red cells, failure to produce red cells etc.

RE: Sudden on set of anaemia

Madhu Vet — Tue, 28 May 2019 11:02:35 GMT

Bilirubin is not included,ALT is normal..

RE: Sudden on set of anaemia

Lucy Fleming — Tue, 28 May 2019 10:47:08 GMT

Any idea whether this is a non-regenerative or regenerative anaemia? Was bilirubin included in the biochemistry?