Thur 17 Sep 2020. Follow up on last Thursday case.
The dog came for blood in the urine again some 2 weeks ago. Blood and liver test on 6 Sep 20 show bacteraemia and liver disease indicated by high liver enzymes and ketones in the urine.
BLOOD TEST on 6 Sep 2020
SGOT/ AST 259 U/L (less than 81)
Neutrophils 96.1% (60-70%) Absolute 27.9 x 10*9/L (3-11.5)
3. Urea and creatinine within normal units. No kidney failure.
URINE TEST on 6 Sep 2020
pH = 7 (5-8)
SG 1.020 (1.005-1.030)
Protein 4+ (Negative)
Ketones 2+ (Negative)
Blood 4+ (Negative)
White blood cells over 900 (/uL)
Red blood cells over 1800 (/uL)
No casts or crystals.
1. Bacteraemia. No vomiting or polydipsia and polyuria.
Fever due to bacteraemia. Infections could be from the liver and urinary tract infections.
The 14-year-old labrador retriever has high liver enzymes. No jaundice. Vet prescribed Zentonil and antibiotics for haematuria. Sent the dog home with antibiotics and Zentonil. Is this sufficient for the dog?
In the meantime, the owner must be educated to give a therapeutic diet for liver disease. Based on the dog's weight of around 27 kg, the daily intake should be at least 313g. Switch over to new food by the 7th day and do not give other food or treats for 3 months. A blood test and urine test in 3 months.