Immune mediated haemolytic anemia pada anjing siberian husky
Abstract
Immune Mediated Haemolytic Anemia (IMHA) merupakan anemia yang muncul akibat hemolisis eritrosit di dalam pembuluh darah yang berhubungan dengan mediator sistem imun. Salah satu penyebab kondisi IMHA yaitu keberadaan parasit darah (Babesia sp.) dengan vektor caplak (Rhipicephalus sanguineus). Diagnosa IMHA yang disebabkan oleh infeksi Babesia sp pada anjing kasus ini terlihat melalui pemeriksaan sitologi dengan ditemukannya spherocyte dan terjadi hemolisis intravaskular sehingga masuk dalam kategori secondary IMHA. Pemeriksaan fisik di abdomen bagian kanan teraba adanya massa keras dan dilanjutkan pemeriksaan ultrasonografi dan radiografi. Hasil pemeriksaan ultrasonografi ditemukan adanya hepatomegali dan splenomegali. Hasil radiografi bagian thoraks tampak adanya tromboemboli di paru-paru, sedangkan pada bagian abdomen menunjukkan adanya internal bleeding. Berdasarkan hasil pemeriksaan darah menunjukkan rendahnya MCV dan MCHC (anemia mikrositik hipokromik oleh hemolisis), serta peningkatan RBC yang disebabkan oleh produksi RBC (eritrogenesis) khususnya retikulosit. Infeksi Babesia sp. pada anjing ini tampak pada tingginya persentase granulosit. Kejadian IMHA merupakan kondisi kronis, sehingga untuk mencegah IMHA diperlukan edukasi secara menyeluruh mengenai bahaya dampak infeksi ektoparasit (tick dan fleas) dalam jangka panjang dan cara mengendalikan ektoparasit.Downloads
References
Balch A, Mackin. 2007. Canine immune-mediated hemolytic anemia: patophysiology, clinical signs, and diagnosis. Compend Contin Educ Vet. 29(4):217-225.
Carr AP, Panciera DL, Kidd L. 2002. Prognostic factor for mortality and thromboembolism in canine immune-mediated hemolytic anemia: a retrospective study of 72 dogs. J Vet Intern Med. 16:504-509.
Day MJ. 2012. Canine-immunomediated hemolytic anemia. NAVC Clinician’s Brief. October: 53-57.
Mackin A. 2014. Immune-mediated hemolytic anemia: pathophysiology and diagnosis. DVAVM: Mississippi University. http://www.delawarevalleyacademyvm.org/pdfs/oct14/Autoimmune.pdf
Sharp C, Kerl ME. 2008.Standard of Care Emergency and Critical Care Management: Immune Mediated-Hemolytic Anemia. 10(10): 1-6. http://studyres.com/doc/7841642/immune-mediated-hemolytic-anemia
Stone M. 2010. Ettinger: Textbook of Veterinary Internal Medicine-Immune Mediated Hemolytic Anemia and Immune Mediated Thrombocytopenia. 7th Ed. Saunders: Elsevier.
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