Acute Renal Failure

Case Of the Month

Case Of the Month

Acute Renal Failure

Acute Renal Failure & The Sonogram

Why are my miniature poodles dying of acute renal failure? Is it Leptospirosis? Is it a toxin? Jay Stefannacci DVM, DACVR of VCA Veterinary Emergency & Referral Associates, Norwalk, CT, USA sniffs out the underlying sono-pathology in the March, 2012, case of the month.

Sonogram (kidneys): Jaffe

Acute Renal Failure & The Sonogram

Why are my miniature poodles dying of acute renal failure? Is it Leptospirosis? Is it a toxin? Jay Stefannacci DVM, DACVR of VCA Veterinary Emergency & Referral Associates, Norwalk, CT, USA sniffs out the underlying sono-pathology in the March, 2012, case of the month.

Sonogram (kidneys): Jaffe

History: A 10- month-old intact male toy poodle was presented for evaluation of acute onset of vomiting. Initial lab work had shown azotemia (creatinine 3.3, BUN 95), which progressively increased over 3 days ( creatinine 9, BUN 151). Severe proteinuria was present on urinalysis.

Outcome

The patient was euthanized three days after presentation owing to non responsive acute renal failure.

Comments

Special thanks to Dr. Jay Stefanacci at VCA Veterinary Emergency & Referral Associates, Norwalk, CT, USA for the submission of this case.

Clinical Differential Diagnosis

(Remo Lobetti PhD, DECVIM):

Acute renal failure – toxins (ethylene glycol), sepsis, trauma
Congenital renal disease with acute decompensation
Addison’s disease

Sampling

Post mortem h istopathology revealed moderate, acute, diffuse nephrosis with intratubular oxalates.

Sonographic Differential Diagnosis

(Stefanacci VMD, DACVR): Ethylene glycol toxicosis, other toxin, infectious disease.

Image Interpretation

(Stefanacci VMD, DACVR):

Video

Patient Information

Gender : Male, Intact
Species : Canine
Status : Complete

Images

COM_1203_02COM_1203_05
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