3158. Audit of case. Liver disease in a 7-year-old Shih Tzu - ALT enzymes

May 20, 2018
Audit of case

Ref: 45074

On Mar 18, 2017, this Shih tzu, MN, 7 yrs old, 7.7 kg,  much loved by Filipino couple living in Pasir Ris, came for annual check up and vaccination. 
The dog is fed on vegetarian diet. Health screening by using blood test showed elevated ALT.
Dog was fed new dog treats recently.

Mar 18, 2018, 7.7 kg
Liver profile
ALT  1275 U/L   (<59 p=""><121 81="" nbsp="" p="">


Given Zentonil and canned Prescription L/D. Dog was usually fed vegetarian diet. 
<59 p=""><81 p="">
Review with ultrasound. Weight not taken.
Apr 22, 2018
Liver profile is normal
ALT  40 U/L   (<59 p=""><121 81="" br="">
Ultrasound - liver is normal in appearance. Ultrasound does not rule out liver disease.
Back to his usual diet.

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History
May 1, 2014. Seen by me. Painful abdomen, bladder area. growls. Wt. 8.7 kg   38.1. Dipstick Protein +, no blood, pH 8  SG 1.005. UTI.

Oct 11, 2014. 8.5 kg. 37.5C
Fat lump 3 cm x 5 cm Subcut, above right hip excised
Histopath. Fat necrosis, organising granulation tissue and fibrosis.

Apr 29, 2015  8.9 kg  Overweight. Vaccination. To reduce weight by 1 kg.
Anal sac expressed.

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Conclusion. The dog did lose 1 kg of body weight. 
<59 p=""><81 p=""><59 p="">It is possible that the elevated ALT could be due to the new dog treats causing liver disorder. The dog is OK now.  Dog treats are sold very cheaply and their quality may be absent. Purchase good quality ones.