Bonnie, 8 year Staffordshire American Bull Terrier from San Raphael, Bulacan was hit by a two car in the middle of the day on 10th of February 2022.
A broken rib, intact forearm bones shows in the x-ray. But severe wound in the left arm make it impossible to close it. Initial surgery was done in Bulacan, but after few days. The surgery failed leading to necrotizing wound and wound infection.
(Image 1) Arm upon receiving Bonnie in the clinic
(Image. 2) Other parts of the body with wounds
Series of laboratory are done to verify Bonnie’s status. Complete blood count reveal, normal level of blood with high infection Due to the wound. Blood chemistry analysis gave a high value on liver enzymes.
As protocol, a central line was given to Bonnie and treat her wound for the mean time while stabilizing her body.
After few days when the liver enzymes are stable and back to normal, a tissue implant from her own skin was implanted into her arm. Few days to go, while waiting for the body not to reject the implant a sudden problem came up.
Another wave of problem: Receding hematocrit leading to blood loss due to NSAIDs.
Signs: Inappetence, black vomit and black stool with hematocrit going low level.
Laboratory are done again, the kidney and liver are doing fine. The blood hematocrit goes low from 38% to 30% to shocking 24% down on just 3 days.
Treatment plan: Proper time of feeding, antacids, vitamin B complex with iron and Blood Transfusion.
(Image 3) 450 mL blood from her sister, Ally 28kg Labrador
(Image 4) During transfusion process
Blood has been transfused to our patient, no signs of rejection was observed upon the day of transfusion, Thank you Doc Robin!
RECOVERY: From Blood loss and wpund healing updates
(IMAGE 5) Post transfusion, Bonnie was feeling a little dizzy
After 3 days from transfusion and management of antacid and dietary change. A big improvement was observable. Bonnie now finally eat on her own, can walk and drinks alot of water. A significant increase in hematocrit level and behavioral change is evident.
CASE CLOSED!
(IMAGE 6) Wound already healed and closed.
POST CONFINEMENT CARE
Mr. Davis, Bonnie and Dr. Lazatin in one photo after the last visit for post treatment follow up check. Bonnie’s happy now with her life, can walk and play like she was before. A big part of her injury was the trauma with the sounds of every car. But, hats off for his owner who never gives up on her and fight for her life.
Thank you, Bonnie and Mr. Shaun!
Ciao!