Cholangitis, Neutrophilic - Revision history

Bara at 17:48, 5 July 2012

2012-07-05T17:48:59Z

Bara: Text replace - "[[Pancreatitis - Dog and Cat|" to "[[Pancreatitis|"

2011-03-25T19:18:02Z

Text replace - "[[Pancreatitis - Dog and Cat|" to "[[Pancreatitis|"

Bara: /* References */

2010-11-03T10:08:40Z

References

Bara: /* History and Clinical Signs */

2010-11-03T08:52:40Z

History and Clinical Signs

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2010-10-09T22:20:47Z

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Bara: /* Literature Search */

2010-09-27T09:49:02Z

Literature Search

Bara: Text replace - "==Literature Search== Use these links to find recent scientific publications via CABdirect (log in required unless accessing from a subscribing organisation)." to "==Literature Search== 90px Use these links to

2010-09-27T09:19:25Z

Text replace - "==Literature Search== Use these links to find recent scientific publications via CABdirect (log in required unless accessing from a subscribing organisation)." to "==Literature Search== left|90px Use these links to

Bara at 15:24, 14 September 2010

2010-09-14T15:24:59Z

Bara: Text replace - "[[Small Intestine - Anatomy & Physiology|" to "[[Small Intestine Overview - Anatomy & Physiology|"

2010-09-07T12:55:44Z

Text replace - "[[Small Intestine - Anatomy & Physiology|" to "[[Small Intestine Overview - Anatomy & Physiology|"

Bara at 10:50, 4 August 2010

2010-08-04T10:50:36Z

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-{{review}}
+{{OpenPagesTop}}
 Also known as: '''''Exudative Cholangitis — Cholangiohepatitis —Suppurative Cholangitis'''''
-==Description==
+==Introduction==
 '''Neutrophilic cholangiohepatitis''' is characterised by infiltration of large numbers of [[Neutrophils|neutrophils]] into portal areas of the [[Liver - Anatomy & Physiology|liver]] and into the [[Liver - Anatomy & Physiology #Hepatic Duct Systems|bile ducts]].  It results from ascending bacterial infection from the [[Small Intestine Overview - Anatomy & Physiology|small intestines]].  ''[[Escherichia coli]]'', [[:Category:Staphylococcus species|''Staphylococcus spp.'']], ''[[:Category:Streptococcus species|Streptococcus]] spp.'', ''[[:Category:Clostridium species|Clostridium spp.]]'', ''[[Bacillus species|Bacillus spp.]]'', ''[[:Category:Actinomyces|Actinomyces spp.]]'', ''Bacteroides spp'' and occasionally ''[[Salmonella|Salmonella spp.]]'' have been isolated.  Concurrent biliary tract disease are common in cats, especially [[Pancreatitis|pancreatitis]] and [[Inflammatory Bowel Disease|inflammatory bowel disease]].  Other predisposing factors include congenital or acquired abnormalities of the biliary system such as that of anatomic abnormalities of the [[Gall Bladder - Anatomy & Physiology|gall bladder]] or common bile duct, bile duct obstruction caused by inspissated bile, cholelithiasis and cholecystitis.
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 Good prognosis provided the cats are treated early and appropriately.
-==Literature Search==
+{{Learning
-[[File:CABI logo.jpg|left|90px]]
+|literature search = [http://www.cabdirect.org/search.html?q=title%3A%28Cholangitis%29+AND+title%3A%28Neutrophilic%29 Neutrophilic Cholangitis publications]
+}}
 ==References==
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 *Nelson, R.W. and Couto, C.G. (2009) '''Small Animal Internal Medicine (Fourth Edition)''' ''Mosby Elsevier''.
 *Marks, S.L. (2003). '''Update on the Diagnosis and Management of Feline Cholangiohepatitis''' ''Waltham Feline Medicine Symposium''.
 [[Category:Gall_Bladder_and_Tract_-_Pathology]]
 [[Category:Expert Review]]

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 ==Description==
-'''Neutrophilic cholangiohepatitis''' is characterised by infiltration of large numbers of [[Neutrophils|neutrophils]] into portal areas of the [[Liver - Anatomy & Physiology|liver]] and into the [[Liver - Anatomy & Physiology #Hepatic Duct Systems|bile ducts]].  It results from ascending bacterial infection from the [[Small Intestine Overview - Anatomy & Physiology|small intestines]].  ''[[Escherichia coli]]'', [[:Category:Staphylococcus species|''Staphylococcus spp.'']], ''[[:Category:Streptococcus species|Streptococcus]] spp.'', ''[[:Category:Clostridium species|Clostridium spp.]]'', ''[[Bacillus species|Bacillus spp.]]'', ''[[:Category:Actinomyces|Actinomyces spp.]]'', ''Bacteroides spp'' and occasionally ''[[Salmonella|Salmonella spp.]]'' have been isolated.  Concurrent biliary tract disease are common in cats, especially [[Pancreatitis - Dog and Cat|pancreatitis]] and [[Inflammatory Bowel Disease|inflammatory bowel disease]].  Other predisposing factors include congenital or acquired abnormalities of the biliary system such as that of anatomic abnormalities of the [[Gall Bladder - Anatomy & Physiology|gall bladder]] or common bile duct, bile duct obstruction caused by inspissated bile, cholelithiasis and cholecystitis.
+'''Neutrophilic cholangiohepatitis''' is characterised by infiltration of large numbers of [[Neutrophils|neutrophils]] into portal areas of the [[Liver - Anatomy & Physiology|liver]] and into the [[Liver - Anatomy & Physiology #Hepatic Duct Systems|bile ducts]].  It results from ascending bacterial infection from the [[Small Intestine Overview - Anatomy & Physiology|small intestines]].  ''[[Escherichia coli]]'', [[:Category:Staphylococcus species|''Staphylococcus spp.'']], ''[[:Category:Streptococcus species|Streptococcus]] spp.'', ''[[:Category:Clostridium species|Clostridium spp.]]'', ''[[Bacillus species|Bacillus spp.]]'', ''[[:Category:Actinomyces|Actinomyces spp.]]'', ''Bacteroides spp'' and occasionally ''[[Salmonella|Salmonella spp.]]'' have been isolated.  Concurrent biliary tract disease are common in cats, especially [[Pancreatitis|pancreatitis]] and [[Inflammatory Bowel Disease|inflammatory bowel disease]].  Other predisposing factors include congenital or acquired abnormalities of the biliary system such as that of anatomic abnormalities of the [[Gall Bladder - Anatomy & Physiology|gall bladder]] or common bile duct, bile duct obstruction caused by inspissated bile, cholelithiasis and cholecystitis.
 ==Signalment==

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 *Marks, S.L. (2003). '''Update on the Diagnosis and Management of Feline Cholangiohepatitis''' ''Waltham Feline Medicine Symposium''.
-[[Category:Gall_Bladder_and_Tract_-_Pathology]]]]
+[[Category:Gall_Bladder_and_Tract_-_Pathology]]
 [[Category:Expert Review]]

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 ==Diagnosis==
 ===History and Clinical Signs===
-Acute presentation with severe illness in contrast to cats with [[Cholangitis, Lymphocytic|Lymphocytic cholangitis]] who often do not appear ill. Signs include pyrexia, depression, lethargy, abdominal pain, [[Icterus|jaundice]] and dehydration.
+Acute presentation with severe illness in contrast to cats with [[Cholangitis, Lymphocytic|Lymphocytic cholangitis]] who often do not appear ill. Signs include pyrexia, depression, lethargy, abdominal pain, [[Icterus|jaundice]], dehydration ,anorexia and vomiting. If presented whilst the disease is chronic, signs will include episodic anorexia, vomiting, jaundice, weight loss and possibly hepatomegaly or ascites. Many cases will have concurrent [[IBD]].
 ===Laboratory Tests===

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 *Marks, S.L. (2003). '''Update on the Diagnosis and Management of Feline Cholangiohepatitis''' ''Waltham Feline Medicine Symposium''.
-[[Category:Gall_Bladder_and_Tract_-_Pathology]][[Category:To_Do_-_Caz]]
+[[Category:Gall_Bladder_and_Tract_-_Pathology]]]]
 [[Category:Expert Review]]

← Older revision		Revision as of 09:19, 27 September 2010
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	==Literature Search==		==Literature Search==
		+	[[File:CABI logo.jpg\|left\|90px]]
		+	Use these links to find recent scientific publications via CAB Abstracts (log in required unless accessing from a subscribing organisation).

−	~~Use these links to find recent scientific publications via CABdirect (log in required unless accessing from a subscribing organisation).~~

	[http://www.cabdirect.org/search.html?q=title%3A%28Cholangitis%29+AND+title%3A%28Neutrophilic%29 Neutrophilic Cholangitis publications]		[http://www.cabdirect.org/search.html?q=title%3A%28Cholangitis%29+AND+title%3A%28Neutrophilic%29 Neutrophilic Cholangitis publications]

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 ===Laboratory Tests===
 ====Haematology====
-Mild [[Changes in Inflammatory Cells Circulating in Blood - Pathology #Neutrophilia|neutrophilia]] with left shift
+Mild [[Neutrophilia|neutrophilia]] with left shift
 ====Biochemistry====