Difference between revisions of "Cholangitis, Neutrophilic"
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===Clinical Signs=== | ===Clinical Signs=== | ||
Acute presentation with pyrexia, abdominal pain, lethargy, jaundice. | Acute presentation with pyrexia, abdominal pain, lethargy, jaundice. | ||
| + | |||
| + | ===Haematology & Biochemistry=== | ||
| + | Increased segmented and band neutrophils. | ||
| + | Increased ALT and total bilirubin concentration | ||
| + | |||
| + | ===Imaaging=== | ||
| + | A coarse or nodular texture to the liver on ultrasonography. More chronic cases may have dilation of the biliary tract. | ||
| + | |||
| + | ===Cytology and Culture=== | ||
==Treatment== | ==Treatment== | ||
==Prognosis== | ==Prognosis== | ||
Revision as of 11:50, 6 August 2009
Also known as suppurative cholangitis, exudative cholangitis/cholangiohepatitis and acute cholangitis/cholangiohepatitis.
Signalment
More common in cats than in dogs. Cats of all breeds and ages can be affected, but often young to middle-aged cats. Male cats are more at risk.
Aetiology and Pathogenesis
Neutrophilic cholangitis/cholangiohepatitis results from asecending bacterial infection from the small intestines. Escherichia coli, Staphylococcus spp., Streptococcus spp., Clostridium spp., Bacillus, Actinomyces, Bacteroides and occasionally Salmonella spp. have been isolated. Concurrent biliary tract disease are common in cats, especially pancreatits and inflammatory bowel diesease. Other predisposing factors include bile duct obstruction, cholelithiasis, cholecystitis.
Diagnosis
Clinical Signs
Acute presentation with pyrexia, abdominal pain, lethargy, jaundice.
Haematology & Biochemistry
Increased segmented and band neutrophils. Increased ALT and total bilirubin concentration
Imaaging
A coarse or nodular texture to the liver on ultrasonography. More chronic cases may have dilation of the biliary tract.