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Case report
Use of a modified thromboelastography assay for the detection of hyperfibrinolysis in a dog infected with Angiostrongylus vasorum
  1. Laura Cole,
  2. Dominic Barfield,
  3. Daniel L Chan and
  4. Stefano Cortellini
  1. Department of Clinical Science and Services, Royal Veterinary College, London, UK
  1. Correspondence to Dr Laura Cole; lcole3{at}


A dog presenting with scleral haemorrhage and neck pain was diagnosed with Angiostrongylus vasorum on direct faecal smear. Thromboelastography (with the addition of tissue plasminogen activator) revealed evidence of hypocoagulability and hyperfibrinolysis. The administration of fresh frozen plasma and tranexamic acid was associated with the resolution of a hypocoagulable and a hyperfibrinolytic state, as well as clinical improvement.

  • Angiostrongylus
  • coagulopathy
  • tranexamic acid
  • thromboelastography
  • hyperfibrinolysis
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  • Contributors All authors included have contributed substantially to the drafting and revision of this article, and final approval of the submitted article.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement All available data can be obtained by contacting the corresponding author.

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