WildLife Group
of the SAVA
Table 01: VENOUS SAMPLE
Patient ID: Caracal
ACID / BASE 37.0° C
pH 7.245 mmHg
pCO 2 39.6 mmHg
pO 2 78.0 mmol / L
HCO 3 act 16.8 mmol / L
HCO std 16.5 mmol / L
BE(B) -9.8 mmol / L
BE(ecf) -10.5 mmol / L
3
ctCO 2
mmol / L
CO-OXIMETRY
HcT 26 %
tHb 8.8 g / dL
OXYGEN STATUS 37.0° C
O 2 SAT
93.5
%
CORRECTED 37.0° C
pH(T) 7.245 pCO 2 (T) 39.6 mmHg
pO 2 (T) 78.0 mmHg
Na + 141.4 mmol / L
K 3.61 mmol / L
ELECTROLYTES
+
Ca
1.31 mmol / L
Ca ++ (7.4) 1.23 mmol / L
Cl - 117 mmol / L
AnGap 11.2 mmol / L
Lac 2.29 mmol / L
Temperature 37.0° C pAtm 658 mmHg
F 1 O 2 21.0 %
+
uL x 10^12/L and a total nucleated cell count of
74300 cells/uL. Further analysis of this highly cellular
fluid, revealed septic neutrophilic inflammation
with mixed bacterial population, including free
coccoid-like, rod-like and filamentous bacteria noted
to be free and phagocytosed in neutrophils and
macrophages. The presence of foreign material was
likely due to gastrointestinal tract leakage. There were
abnormally high numbers of squamous cells, which
originated from the oral cavity. These cells could be
differentiated from skin contamination, as they were
non-keratinized and still contained nuclei.
After the ultrasound, the caracal was re-anaesthetized
and taken to theater for abdominal lavage and
reassessment. Intra operatively, the abdomen was
found to be full of a whitish coloured fluid, with milk
remnants left within the stomach. Three, minute
perforations were found on the lesser curvature of
the stomach, which were visually imperceptible but
located by squeezing the stomach and observing the
leakage of milk (Fig 6). After these perforations were
closed, no further leakage was noted. Post-operative
treatment included: Cefazolin, Flagyl, Termgesic,
Ulsanic (0.5 g/PO before feeding) and Omeprazol (12
ml bolus IV and then 0,5 ml/hour) to assist in gastric
protection and healing. After the second surgery, Milo
was transferred onto tinned Hills AD food and kitten
pellets for about 2 weeks. His food was progressively
increased, according to his body weight and slowly
moved to a more natural diet.
After 6 weeks, Milo was well, but developed a 3 cm
hernia at the surgical site (Fig 7). This was surgically
corrected, without any further complications.
METABOLITES
Figure 5
8