The photo can be enlarged clicking on the image itself.
A grape fruit shape like group of bacteria can be seen, the rest of granules inside the epithelial cells are melanin granules.
A dog came with rotated head and pain in the neck during the physical exam.
NMR under general anaesthesia was performed and the following image was seen:
There’s a fluid like round mass localised in one of the brain hemispheres.
The mass (cyst, neoplasia or inflammation) is causing a compression of the central spinal channel, which is supposed to be obstructing the cerebro-spinal fluid (CSF) flow causing a third ventricle enlargement in the brain.
- Omeprazole to decrease the CSF production and release the increased pressure and pain. For those who are thinking WTF has Omeprazole to do with CSF (although the action mechanism is still unknown!): http://www.ncbi.nlm.nih.gov/pubmed/?term=reduction+CSF+production+omeprazole
- Pain medication.
Possible further analysis: biopsy of the brain mass.
P.D. My understanding of Dutch is horrible, so there might be several mistakes in this informal short-mini case report.
Provided information: “A dog (Bouvier), almost 2 years old. Was anorectic, vomiting, lethargic, for 2 days. Conservative therapie was used. A couple of days later she could not stand up any more and she had ileus and palpation of belly was painfull. Ultrasound showed renomegalie and lymfadenopathie (mesenteriale lnn), bloodwork showed increased kidney and liver enzymes. They changed the treatment but she died the next day anyway. Autopsie reveals general lymfadenopathie, bilateral nefritis, mild hepatomegalie and macerated foeti, a mild enteritis and focal bleeding in the muscles.”
“A condition caused by the intrauterine death of a gestational product, with retention of a foetus for > 48 hours—missed labor—occurring after the 20thtian xiao cheng week of pregnancy.”
The differential diagnosis has to be set up for causes of abortion and maceration in dogs.
More valuable info for the case resolution!!!
Idiopathic renal unilateral hematuria has been diagnosed in that a dog.
And here’s a solution for it:
Idiopathic renal hematuria in a dog; the usefulness of a method of partial occlusion of the renal artery → http://europepmc.org/abstract/MED/9152940