Caso clínico: Pancreatitis aguda y Diabetes Mellitus en un perro mestizo.

Abstract

Canine pancreatitis and diabetes mellitus are two diseases of an acute or chronic nature, infrequent in daily clinical practice, their prevalence has been increasing significantly, their etiology is not very clear, but various risk factors have been suggested such as food indiscretion, obesity, hypertriglyceridemia, endocrinopathies and drugs. The following report expresses the time corresponding to the professional internship in the business practice modality, carried out at the Los Andes Veterinary Clinical Center, where a case of acute pancreatitis and diabetes mellitus was presented in a male canine, without defined breed, with seven years of age, whose anamnesis was for a picture of emesis, liquid stools, with polydipsia, polyuria, polyphagia, anemia, abdominal pain and dehydration. During the consultation, no deworming was reported for more than six months, consuming salt food regularly. At the time of performing the complete blood count, the following results were found: leukocytosis, thrombocytosis and mild anemia. The following biomarkers were found to be altered in the biochemical profile: amylase, Alanine Aminotransferase (AST), Aspartate Aminotransferase (ALT), Alkaline Phosphatase (ALP), Cholesterol (CHOL), Glucose (GLU), Albumin (ALB), after which an abdominal ultrasonographic examination was carried out, showing a pancreas with a body and right lobe of reduced echogenicity, increased echogenicity of the pancreatic tissue; In addition, a urine test strip was performed, evidencing ketonuria and glycosuria. During his hospital management, glycemia curves were performed that provided a guide in the appropriate adjustments for insulin therapy. Finally, in the treatment of the patient, support and stabilization measures were given, his physiological constants were compensated with hydration, gastroprotective measures, analgesics such as the placement of a fentanyl patch, obtaining a favorable result, although it was withdrawn due to a persistence of drowsiness and inappetence on the part of the animal and antibiotic measures. Likewise, a favorable evolution in his condition was registered, therefore, the management was ambulatory, giving him a series of recommendations and sending him with Insulin formula at a dose of 0.3 IU/kg, subcutaneously, along with a diet, and exercise , which was subject to change according to the prescription of the veterinarian. Currently the patient is undergoing monthly controls to assess his condition.