A 2-year old female DSH cat presents for weight loss, anorexia, dyspnea, and lethargy. She was previously treated with antibiotics but is still febrile on physical exam. You detect pleural effusion and notice that the abdomen is distended. On CBC there is a non-regenerative anemia, neutrophilia, and lymphopenia. On chemistry there is hyperproteinemia and a slight elevation in liver enzymes. What is your primary differential?
一只2岁雌性家养短毛猫由于体重减轻,厌食,呼吸困难和虚弱前来就诊。她之前接受过抗生素治疗但在体格检查时还是出现发烧的症状。你发现她还有胸水,并且腹围膨大。CBC提示非再生性贫血,嗜中性粒细胞增多以及淋巴细胞减少。生化显示高蛋白血症以及肝酶轻微升高。你的初步鉴别诊断是什么?