Question Details
Elevated Bile Acids And Lymphoid Leukemia In A Bird
by bunnydoc - March 20, 2017    View Case Report
Patient: 38 year old male (DNA) blue and gold macaw.
Clinical Signs:
- elevation and separation of the dorsal keratin layer of the rhamphotheca at the distal aspect of the beak. Negative fungal culture. Suspect abnormal beak due to severe liver disease and/or chronic lymphoid leukemia.
-edema of the feet.
Laboratory testing: Over the last 2.5 years, Rosita has had elevated white blood cells with predominantly lymphocytes present. The pathologist has consistently been concerned with lymphoid neoplasia. The bile acids have also been persistently elevated and steadily increasing.

This bird occasionally develops an upper respiratory tract infection which is likely secondary to immunosuppression and responds to antibiotics (enrofloxacin). He is on milk thistle.

Would you recommend anything else to help with the lymphoid leukemia and/or hepatic dysfunction?

Thanks!

Leticia
Replies
by naturevet
March 21, 2017
Hi Leticia,

There are a number of options here. I guess the first recommendation, since it theoretically covers both liver disease and lymphoma, is Chai Hu Jia Long Gu Mu Li Tang.

Check bile acids in a couple of weeks. If they pop up further, don't worry. We may just need to use a Blood tonic like Xiao Yao San for the liver instead. But if they stabilize, then let's persist with this strategy for a while and see what happens.

Steve
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