AVP Vol 52 Issue 1 March 2022 - Flipbook - Page 7
Table 1: Serum biochemistry analysis (showing only abnormal results)
hydrochloride 2%/timolol maleate 0.5%
(Cosopt, Merck Sharp & Dohme Pty Ltd,
South Granville, NSW) 8-hourly OD and
chloramphenicol/polymycin B sulphate
(Opticin; Troy Lab Pty Ltd, Glendenning, NSW)
8-hourly OU were commenced.
Cytology of the aqueocentesis samples
revealed bacterial rods and coccobacilli.
Degenerate neutrophils, some of which had
coccobacilli within their cytoplasm, were also
seen (Figure 4). Unfortunately, cultures could
not be performed as the sample was lost.
A complete blood count showed marked
leukocytosis, marked neutrophilia with a left
shift, and monocytosis. Lymphopenia was
also evident. Serum biochemistry analysis
revealed mild azotaemia, hypokalaemia, and
mild increase in hepatocellular enzymes,
creatine kinase, cholesterol and triglyceride
(Table 1). Urinalysis from a cystocentesis
sample revealed large numbers of leukocytes,
erythrocytes and bacteria (Figure 5). The urine
specific gravity was 1.014.
On Day 2 of hospitalisation, blood samples
were collected for aerobic and anaerobic
bacteriologic cultures. Cephazolin (Cephazolin
Alphapharm, Alphapharm Pty Ltd, Millers
Point, NSW) 22 mg/kg every 8 hours for 3
days, was commenced.
An abdominal ultrasound revealed marked
hydronephrosis in the left kidney with