Interesting Cases

"More than just a simple case of stomach upset."

Layla is a very energetic and active six-year-old Shar Pei. Her biggest problem these days seems to be trying to stay out of mischief. She has a life threatening disease, but you would never know it by meeting her.

Thanks to a diligent and loving family, Layla is well managed medically. The road to recovery for Layla was a difficult one.

Over two years ago, Layla came to River Heights Veterinary Clinic because she was vomiting, had blood in her stools, was unable to control her bladder, had muscle tremors, and had a very high heart rate.

A complete blood count, a blood chemistry profile, urinalysis, abdomen x-rays, fecal gram stain, and electrocardiogram where performed in order to access the severity of her condition as well as pin-point the underlying problem.

An IV catheter was placed in Layla by the technicians so IV fluids, electrolytes, and antibiotics could be given quickly.

When Layla's bloodwork came back, it was clear something was very wrong. Layla's blood calcium was 3.5 mg/dl where normal levels are between 7.9-12 mg/dl. There were six different possible causes for a calcium level that low. In addition, Layla had a secondary urinary tract infection and bacterial infection of her intestinal tract.

Layla needed immediate treatment for her life-threateningly low calcium. Among other things, calcium is needed for muscles to work. Before the cause of Layla's low calcium could be found, she needed calcium replacement and close monitoring. Too much calcium, and Layla could start calcifying her kidneys, which could cause her to die.

Tests would prove that Layla has a rare condition called hypoparathyroidism.

The parathyroid is located next to the thyroid gland in the neck. The parathyroid gland is responsible for making parathyroid hormone. This hormone in turn controls the amount of calcium in the blood and regulates the active form of vitamin D. Vitamin D is necessary for calcium metabolism. Layla's parathyroid was not functioning properly.

Happily, Layla and her family can expect her to lead a normal life as long as she receives her calcium and vitamin D supplements.

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