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Also known as: '''''Exudative Cholangitis — Cholangiohepatitis —Suppurative Cholangitis'''''
 
Also known as: '''''Exudative Cholangitis — Cholangiohepatitis —Suppurative Cholangitis'''''
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==Description==
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==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.
 
'''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.
 
Good prognosis provided the cats are treated early and appropriately.
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==Literature Search==
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{{Learning
[[File:CABI logo.jpg|left|90px]]
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|literature search = [http://www.cabdirect.org/search.html?q=title%3A%28Cholangitis%29+AND+title%3A%28Neutrophilic%29 Neutrophilic Cholangitis publications]
 
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Use these links to find recent scientific publications via CAB Abstracts (log in required unless accessing from a subscribing organisation).
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<br><br><br>
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[http://www.cabdirect.org/search.html?q=title%3A%28Cholangitis%29+AND+title%3A%28Neutrophilic%29 Neutrophilic Cholangitis publications]
      
==References==
 
==References==
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*Nelson, R.W. and Couto, C.G. (2009) '''Small Animal Internal Medicine (Fourth Edition)''' ''Mosby Elsevier''.
 
*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''.
 
*Marks, S.L. (2003). '''Update on the Diagnosis and Management of Feline Cholangiohepatitis''' ''Waltham Feline Medicine Symposium''.
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[[Category:Gall_Bladder_and_Tract_-_Pathology]]
 
[[Category:Gall_Bladder_and_Tract_-_Pathology]]
 
[[Category:Expert Review]]
 
[[Category:Expert Review]]
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