Hwang, Tae Sung
(Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
,
An, Soyon
(Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
,
Choi, Moonyeong
(Yangsan S animal Medical Center)
,
Song, Joong Hyun
(Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
,
Jung, Dong-in
(Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
,
Lee, Hee Chun
(Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
A 12-year-old intact female Pomeranian dog was presented with vulvar discharge, lethargy, polyuria, and polydipsia. A complete blood count revealed leukocytosis and anemia. The serum biochemical analyses showed elevated serum alkaline phosphatase activity and blood urea nitrogen. Survey abdominal ra...
A 12-year-old intact female Pomeranian dog was presented with vulvar discharge, lethargy, polyuria, and polydipsia. A complete blood count revealed leukocytosis and anemia. The serum biochemical analyses showed elevated serum alkaline phosphatase activity and blood urea nitrogen. Survey abdominal radiography revealed an enlarged left kidney. Abdominal ultrasonography identified multiple rounded hypoechoic subcapsular lesions in the left kidney. The bilateral uterine horn was enlarged, and contained echogenic fluid. Percutaneous ultrasonographic-guided aspiration of the renal subcapsular lesions was performed on the left kidney. Cytological examination revealed bacterial cocci, degenerated neutrophils, and suppurative inflammation. Bacterial culture produced growth of Escherchia coli. Left nephrectomy and ovariohysterectomy were performed. Dilated uterine fluid was also evaluated for bacterial culture, and showed growth of E. coli. Urine was examined by bacterial culture, and showed negative results. The treatment consisted of antibiotic therapy according to the antibiotic sensitivity test. Based on these findings, the diagnosis was renal subcapsular abscess associated with pyometra. This study suggests that pyometra should be considered as the cause of renal abscess.
A 12-year-old intact female Pomeranian dog was presented with vulvar discharge, lethargy, polyuria, and polydipsia. A complete blood count revealed leukocytosis and anemia. The serum biochemical analyses showed elevated serum alkaline phosphatase activity and blood urea nitrogen. Survey abdominal radiography revealed an enlarged left kidney. Abdominal ultrasonography identified multiple rounded hypoechoic subcapsular lesions in the left kidney. The bilateral uterine horn was enlarged, and contained echogenic fluid. Percutaneous ultrasonographic-guided aspiration of the renal subcapsular lesions was performed on the left kidney. Cytological examination revealed bacterial cocci, degenerated neutrophils, and suppurative inflammation. Bacterial culture produced growth of Escherchia coli. Left nephrectomy and ovariohysterectomy were performed. Dilated uterine fluid was also evaluated for bacterial culture, and showed growth of E. coli. Urine was examined by bacterial culture, and showed negative results. The treatment consisted of antibiotic therapy according to the antibiotic sensitivity test. Based on these findings, the diagnosis was renal subcapsular abscess associated with pyometra. This study suggests that pyometra should be considered as the cause of renal abscess.
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문제 정의
This report describes the rare case of treatment using unilateral nephrectomy and ovariohysterectomy, to treat RSA and pyometra in a dog.
제안 방법
">surgery. The treatment consisted of amoxicillin-clavulanic acid (12.5㎎/㎏, IV, twice a day) according to the antibiotic sensitivity test for 10 days. After 10 days, the dog got well and discharged from hospital at the client’s request.
대상 데이터
A 12-year-old intact female Pomeranian dog, weighing 3 kg, was examined for signs of vulvar discharge, lethargy, polyuria, and polydipsia. On physical examination, the respiratory rate was 30breaths/min, heart rate was 110beats/min, rectal temperature was 37.
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