생후 1개월령의 0.9 kg수컷 삽살개가 식욕부진, 배뇨곤란, 기립곤란, 침울을 주증으로 병원에 내원하였다. 신체검사에서는 빈맥, 저체온증, 점막창백 소견을 보였다. 혈액검사에서는 백혈구증가증과 빈혈소견이 있었고, 혈청생화학검사에서는 BUN (57.3 mg/dl)과 $NH_3$ ($584\;{\mu}g/dl$)의 증가, 알부민과 나트륨 및 칼륨의 저하소견을 보였다. 뇨검사에서는 혈뇨, 단백뇨, 당뇨, 세균뇨(Staphylococcus spp.)와 인산암모늄마그네슘결정뇨의 소견을 보였다. 방사선 검사에서는 확장된 방광과 요도내 2 mm크기의 결석을 발견할 수 있었다. 요도절개술로 요도내 결석을 제거하였고, 수술 후 환자는 정상적으로 회복되었다. 본 케이스는 요소분해효소 생산 세균의 감염과 고암모니아증을 동반한 어린 삽살개에서 스트루바이트 결석증 발생하였음을 보고한다.
생후 1개월령의 0.9 kg수컷 삽살개가 식욕부진, 배뇨곤란, 기립곤란, 침울을 주증으로 병원에 내원하였다. 신체검사에서는 빈맥, 저체온증, 점막창백 소견을 보였다. 혈액검사에서는 백혈구증가증과 빈혈소견이 있었고, 혈청생화학검사에서는 BUN (57.3 mg/dl)과 $NH_3$ ($584\;{\mu}g/dl$)의 증가, 알부민과 나트륨 및 칼륨의 저하소견을 보였다. 뇨검사에서는 혈뇨, 단백뇨, 당뇨, 세균뇨(Staphylococcus spp.)와 인산암모늄마그네슘결정뇨의 소견을 보였다. 방사선 검사에서는 확장된 방광과 요도내 2 mm크기의 결석을 발견할 수 있었다. 요도절개술로 요도내 결석을 제거하였고, 수술 후 환자는 정상적으로 회복되었다. 본 케이스는 요소분해효소 생산 세균의 감염과 고암모니아증을 동반한 어린 삽살개에서 스트루바이트 결석증 발생하였음을 보고한다.
A one-month-old, 0.9 kg BW, male Korean Sapsal dog with anorexia, anuria, ataxia and depression was referred. On physical examination, the dog was showed tachycardia, hypothermia and pale mucous membrane. Hematologic values showed leukocytosis and mild anemia. Serum chemistry profile results reveale...
A one-month-old, 0.9 kg BW, male Korean Sapsal dog with anorexia, anuria, ataxia and depression was referred. On physical examination, the dog was showed tachycardia, hypothermia and pale mucous membrane. Hematologic values showed leukocytosis and mild anemia. Serum chemistry profile results revealed increased BUN (57.3 mg/dl) and $NH_3$ ($584\;{\mu}g/dl$), decreased albumin, sodium and potassium. Urinalysis showed hematuria, proteinuria, glucosuria, bacteriuria (Staphylococcus spp.) and magnesium ammonium phosphate crystalluria. On radiographic finding, urinary bladder was enlarged and 2 mm diameter radiopaque urolith was showed between os penis and prescrotal region. Urolithiasis was surgically corrected by urethrostomy.
A one-month-old, 0.9 kg BW, male Korean Sapsal dog with anorexia, anuria, ataxia and depression was referred. On physical examination, the dog was showed tachycardia, hypothermia and pale mucous membrane. Hematologic values showed leukocytosis and mild anemia. Serum chemistry profile results revealed increased BUN (57.3 mg/dl) and $NH_3$ ($584\;{\mu}g/dl$), decreased albumin, sodium and potassium. Urinalysis showed hematuria, proteinuria, glucosuria, bacteriuria (Staphylococcus spp.) and magnesium ammonium phosphate crystalluria. On radiographic finding, urinary bladder was enlarged and 2 mm diameter radiopaque urolith was showed between os penis and prescrotal region. Urolithiasis was surgically corrected by urethrostomy.
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문제 정의
As this patient have a urinary stone in young age, urinary tract infection and hyperammonemia are the causes of struvite uroliths formation in this patient, however breed predilection in Korean Sapsal dog should be studied in the future. This report documents struvite urolithiasis can be formed in a very young Korean Sapsal dog with predisposition of infection with urease-producing bacteria and hyperammonemia.
제안 방법
One study reported a 12-week-old female miniature dachshund with a sterile struvite urocystolith (12). Here the authors present a case report of struvite urolithiasis in a one-month-old Korean Sapsal dog, and provide a comprehensive explanation of the diagnosis including blood tests, urinalysis and radiography, and treatment including surgery and dietary management.
Fig 2. Ventrodorsal survey abdominal radiograph of a one-monthold male Korean Sapsal dog with one radiopaque urethrolith (arrow) located between os penis and prescrotal region.
대상 데이터
A one-month-old, 0.9 kg BW, male Korean Sapsal dog due to anorexia, anuria, ataxia and depression was referred to the Hwang-Gum Animal Hospital. The patient had tachycardia (HR:186/min), hypothermia (37.
Generally, urinary obstruction on lower urinary tract especially on urethra in male is considered emergency state. This patient was showed anorexia, anuria, ataxia, tachycardia, hypothermia and pale mucous membrane. The causes of emergency state in this patient are presumed that leukocytosis, mild anemia, azotemia, hyperammonemia, hypoalbuminemia and electrolyte imbalances (Table 1).
참고문헌 (13)
Bartges JW, Osborne CA, Lulich JP, Kirk C, Allen TA, Brown C. Methods for evaluating treatment of uroliths. Vet Clin North Am Small Anim Pract 1999; 29: 45-57.
Klausner JS, Osborne CA, O'Leary TP, Gebhart RN, Griffith DP. Struvite urolithiasis in a litter of miniature schnauzer dogs. Am J Vet Res 1980; 41: 712-719.
Osborne CA, Lulich JP, Forrester D, Albasan H. Paradigm changes in the role of nutrition for the management of canine and feline urolithiasis. Vet Clin North Am Small Anim Pract 2009; 39: 127-141.
Osborne CA, Polzin DJ, Kruger JM, Abdullahi SU, Leininger JR, Griffith DP. Medical dissolution of canine struvite uroliths. Vet Clin North Am Small Anim Pract 1986; 16: 349-374.
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