Case of the Month - Alfie-Jack (AJ)
Alfie-Jack (alias “AJ”) was referred as an emergency to our Small Animal Internal Medicine Specialist Emma Roberts, as his owners had noted he had developed epistaxis (a nose bleed).Investigations into this detected that the cause of his nose bleed was due to thrombocytopenia (low platelet count), which was due to an aberrant response by his immune system.
Due to his very low platelet count, AJ started to bleed into this intestines and urinary tract and he became very anaemic. AJ required several blood transfusions due to his anaemia and was started on medication to suppress his immune system and stop it destroying his platelets.
Although it was touch and go for a few days, AJ's platelet count started to slowly increase and his bleeding resolved. After being in hospital with us for 7 days (and making lots of friends with all the staff!), AJ was able to be discharged home.
He came back in for a recheck one week later and we are glad to report his platelet count had normalised and his anaemia had fully resolved.
AJ will need to have regular checks to ensure his platelet count remains normal and his dose of medications will be slowly weaned.
AJ in the hospital
AJ with his owner
AJ with his feline friend