Liver necrosis?

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MA
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Liver necrosis?

Post by MA »

Traci et al?

There is a member whose cat has been diagnosed with this. The cat is at the vets and the member is on holiday- but she wants to know about it and I know zip. I would tell her to come here, but she is not near a computer except sporadically-
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Traci
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Re: Liver necrosis?

Post by Traci »

MA, it would help to know the actual diagnosis....i.e., cholangiohepatitis, acute/chronic hepatitis, encephalopathy, or fibrosis.

How old is the kitty, and how was this diagnosed, was an ultrasound done, ultrasound-guided needle-biopsy or ? Was bile acids tested and was biliary obstruction noted? Anything further you can provide would really help.
..........Traci
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MA
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Re: Liver necrosis?

Post by MA »

I will do my best but the information is sketchy at most- and the person is in Kuala Lumpar so I am not sure what vet care is like there?

here is all I know:She was brought in to the vet for vomiting and weight loss and they found a lump. She was left at the vet for observation and boarding. She was given pain killer and laxative another x-ray was taken and the lump had moved a little bit. She was bloated with gas so the vet tried to make her comfortable and then here was the latest update.........


The vet says apart from what ever it was she swallowed she has developed some sort of infection that is melting the fat in her body.

What does this mean?

[I won't be able to check this thread for a couple of days maybe...]

The vet said she's now under agressive treatment to stop the infection from spreading. He mentioned something called nicosis? nikosis? not sure of the spelling.... He said it's quite common in cats. In the advanced stages the skin starts to fall off!


What a nightmare!

Does anyone have any info on what might be going on with our kitty?

That's it Traci-that is all I know-and as I said it is sketchy at best
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Traci
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Re: Liver necrosis?

Post by Traci »

Wish I may, wish I might, that emailers would provide more info!!

Ok, could be any of the following:

Acute hepatic necrosis: caused by drug toxicity or other toxin, infectious disease, chemicals, hypoxia (oxygen pressure in blood).....need to immediately rule out potential drugs and toxins.....treatment includes IV fluids, antiemetics, meds for hepatoencephalopathy, and blood transfusion if coagulation disorders lead to grave condition. Need to treat agressively.

Hepatitis (granulomatous): caused by bacterial infection, viral, parasitic, protozoal of fungal disease (may want to rule out FIP)....needle aspiration, ultrasound-guided biopsy and/or culture on fluid/tissue drawn to differentiate......treatment includes IV fluids + potassium, antiemetics....but this is a multi-systemic disease so complications can develop and must treat those complications agressively.

Hepatic abcess: caused by bacteria, usually from the GI tract, or other infection of other organs........need to rule out pancreatic abcess, intestinal perforation, biliary tract obstruction, trauma or diabetes-related condition......ultrasound and/or US-guided biopsy to help confirm, +/- blood culturing........treatment includes IV fluids, agressive antibiotics, antiemetics....surgical removal and drainage may be necessary. Need to treat agressively.

Leptospirosis: caused by bacterial, contaminated water, contaminated urine of infected animals, infected meat, exposure to rodents, wildlife, livestock......need to consider ELISA, blood or urine culture.....needle biopsy also potential diagnostic......Treatment includes IV fluids, agressive antibiotics, possible diuretics.

Keep in mind these are very brief tips, not knowing the actual diagnosis, current treatment approach, diagnostics approached, etc. In all diseases mentioned, agressive care is imperative, and most likely, an ultrasound and/or guided biopsy is going to be needed to confirm. (unless the vet already obtained an abdominocentisis and did a cytology on it or blood culture). Also, all the conditions can carry complications, so, with severe necrosis, coagulation disorders, septicemia, these can complicate the matter and prohibit worsening problems. Don't want to give false hope here, with the exception of abcess, these can be poor prognoses. Agressive treatment may help regenerate the liver, but need to find the underlying cause in order to treat the most effective.

The poster said kitty had swallowed something, was it a drug, pill or ? Also, where was the lump located, abdominally or elsewhere?

Of course, like you, not knowing the level of care, would advise to find the most experienced vet in the area, even a consult if necessary....time is going to be of the essense here, very agressive treatment approach!!
..........Traci
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