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CASE #14

CASE #14. LEPTOSPIROSIS. PATIENT PRESENTATION. PATIENT PRESENTATION. SIGNALMENT: 2 yr old, neutered male, Shepherd mix Hx: Dog goes with his owner camping and hunting twice a month. Dog is current on DHPP vaccination, Rabies, HW & Flea prevention.

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CASE #14

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  1. CASE #14 LEPTOSPIROSIS

  2. PATIENT PRESENTATION

  3. PATIENT PRESENTATION • SIGNALMENT: 2 yr old, neutered male, Shepherd mix • Hx: Dog goes with his owner camping and hunting twice a month. Dog is current on DHPP vaccination, Rabies, HW & Flea prevention. • Presenting complaint: dog is lethargic, vomiting, and seems very thirsty.

  4. PATIENT PRESENTATION • PHYSICAL EXAM FINDINGS: • ~8% dehydrated • Temp: 103.9, HR: 100, RR:36 • Mm: icteric, CRT:2.5 sec • DIAGNOSTIC TESTS: • CBC: leukocytosis, thrombocytopenia • SERUM CHEMISTRIES: increased kidney and liver enzymes

  5. PATIENT PRESENTATION • Vet suspects an infectious disease causing acute renal and liver failure such as leptospirosis. • FURTHER DIAGNOSTICS: • URINALYSIS: low urine specific gravity • Increase in serum titers • Fluorescent antibody • PCR

  6. LEPTOSPIROSIS • TREATMENT • Hospitalization • IV Fluid therapy • Antibiotics: Penicillin, Doxycycine • Antibiotics • Leptospirosis is caused by the bacteria Leptospira interrogans, a spirochete bacteria • There are many serovars of this organism: • Canicola • Icterohemorrhagica • Pomona • Grippotyphosa • bratislavia

  7. LEPTOSPIROSIS • The natural hosts of Leptospirosis are skunks, raccoons, opossums, & pigs. • Infection occurs through mucosal contact (even through aerosolization) with water or soil contaminated with urine from infected animals

  8. LEPTOSPIROSIS • CLIENT INFO • Animals with Leptospirosis are contagious to humans and other animals • Diagnosis and treatment are expensive • Vaccination is best for prevention of clinical disease, but infected animals can still shed the organisms in the urine. • Current vaccines do not protect against all serovars

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