My colleague was presented with a 5 yo intact female Pug x that had vomiting and diarrhea for 5 days. Dog had been eating the chicken jerky treats from China… When it presented it was dehydrated, and had bloodwork consistent with severe renal failure. There were amorphous crystals seen in the urine (tech couldn’t make it fit the appearance of melamine crystals). Radiographs were non-specific. No pyometra present.

My colleague was presented with a 5 yo intact female Pug x that had vomiting and diarrhea for 5 days. Dog had been eating the chicken jerky treats from China… When it presented it was dehydrated, and had bloodwork consistent with severe renal failure. There were amorphous crystals seen in the urine (tech couldn’t make it fit the appearance of melamine crystals). Radiographs were non-specific. No pyometra present.

Ultrasound of kidneys below – dog had a very prominent medullary rim sign and I did note upon ultrasounding the RK that the liver appeared a bit hypoechoic. Otherwise, I didn’t feel there was much change. Owners had not given permission for a full abdominal scan (just genitourinary).

I know that the MRS is found in normal patients, but given this dog has c/s of renal disease I figured it’s relevant?

Main ddx – lepto, acute tubular necrosis, or chronic interstitial nephritis? Any others?

We haven’t seen lepto in our area before, but have started tx to target it just in case….

Any comments on this case would be GREATLY appreciated!

Thanks

Jennifer