Clinical臨床病 Somali索馬里10months10個母History

3weeksago,severalkittensinthedevelopedparvovirosisthedayvaccination(some3周之前，注 之后的一天，一窩的幾只小貓現(xiàn)細(xì)DeltaherselfhadvomitingandDelta 和發(fā)since3weeks:continuouslossof自從3周：持續(xù)的體重減since4days:depressed,apathetic,fever自從4天：沉郁，淡漠，發(fā)熱（40.3攝氏度generalpractitionerdiagnosed全科醫(yī)生診斷高膽紅素血pretreatment:antibiotics,pain之前治療：抗生素，止疼

bearing:breedinganimal,accesstoanoutdoorforeigncountry:breedingexhibitioninAustria,CzechRepublic,Switzerland(EuropeanChampion!) 的貓展（歐洲冠軍lastheat:2weeksago,sofarno上一 ：2周之前，目前為止沒vaccination:免疫：RCPinweek8,12,16FeLVinweek12,16Physicalexaminationbodytemperature:39,5bodycondition:tense,distendedotherwiseReferenceredbloodcells紅細(xì)x5-5.5-0.30–x200–x5–x0–-x1.5–-banded-桿狀核粒細(xì)x0–-seg.-分葉核粒細(xì)x3–-0x0–0x0–remarks備0-0-0-AP00--0-2300-0-0-0-0-ReferenceBilirubin膽紅0-NH30-SBA膽汁0-Cholesterol膽固1.8–甘油三0.57–55-Albumin白蛋25-Urea5-Creatinine肌0-Glucose葡萄4-Fructosamine果糖0-Remarks備P1.0–110–145–K3.5–2.1–12.5–0.7–urinalysis尿ReferenceSample樣--55---Glucose----------+-spec.尿1.001–SedimentErys0-furtherdiagnostics進(jìn)一步診severeascites(infiltratedwithhypoechogeniccorpuscularhyperechogenicregionsinthegeneral整個腹部有高回聲區(qū)域（腸系膜 seemstobehighlyenlargedlymphnodesinthemiddleregionof 抽吸/腹Referencespec.Leucocytes白細(xì)xErythrocytes紅胞xLDH乳酸脫酶Glucose葡萄Creatinine肌Cholesterol膽固甘油三totalprotein總蛋AlbuminBilirubin膽紅furtherdiagnostics進(jìn)一步診cytologieoftheascites腹水細(xì)胞manynuclearcellsrationeutrophils:macrophages=about-中性粒細(xì)胞：巨噬細(xì)胞=大約someneutrophilswithdegenerated-一些中性粒細(xì)胞有退行性變化alotofactivated-很多活化的巨噬occasionallyeosinophils,smalllymphocytesandmast-偶爾有嗜酸性粒細(xì)胞，小淋巴細(xì)胞和肥=>exsudate,pyogranulomatousfurtherdiagnostics進(jìn)一步診Rivalta‘stestof furtherdiagnostics進(jìn)一步診immunofluorescenceofthe腹水免疫熒光染 -antigeninmacrophages: furtherdiagnostics進(jìn)一步診 clear,yellowfluidenlargedliverwithspottedresiduesontheslightlymodifiededematousextremlyenlargedintestinallymph furtherdiagnostics進(jìn)一步診cytologyofthesurfaceoftheliver:notintestinallymphnodes:not ：沒有特異furtherdiagnostics進(jìn)一步診Histology :highly腹膜：變異很liver:multifocalfibrinous-purulentmultifocal肝臟：多灶纖維-化膿 ，多灶性中性粒細(xì)胞-粒細(xì)胞浸潤，多灶壞pancreas:multifocallymphocyticnumerousintravascular胰腺：多灶性淋巴細(xì)胞浸潤，大量血管內(nèi)嗜中性粒細(xì)spleen:purulent脾臟：化膿性脾intestinallymphnodes:severereactive腸道 ：嚴(yán)重的反應(yīng)性增furtherdiagnostics進(jìn)一步診immunhistochemistry(different antigeninmacrophages: 抗原furtherdiagnostics進(jìn)一步診bacterialcultureoftheE.coli,enterococcussusceptibilitytestingsubmittedfurtherdiagnostics進(jìn)一步診susceptibilityAmoxicillin/clavulanicacid=>阿莫西林克拉維酸鉀=>敏during術(shù)peritoneallavageoftheabdomenwithwarm用溫?zé)岬腘aCl進(jìn)double-antibiotics(amoxicillin/clavulanicacid,after14days14discharged(withAmoxicillin/