Nephrosis with intratubular oxylates suggestive of antifreeze toxicity in a 10 month old MI miniature poodle

Case Study

Nephrosis with intratubular oxylates suggestive of antifreeze toxicity in a 10 month old MI miniature poodle

A 10-month-old intact male toy poodle dog 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.

A 10-month-old intact male toy poodle dog 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.

Sonographic Differential Diagnosis

Ethylene glycol toxicosis, other renal toxin, infectious disease (leptospirosis).

Image Interpretation

Both kidneys showed diffuse hyperechoic cortical changes and excessive cortex/medulla ratio.

DX

Nephrosis with intratubular oxylates, ethylene glycol toxicosis

Outcome

The patient was euthanized three days after presentation.

Clinical Differential Diagnosis

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

Sampling

Histopathology revealed moderate, acute, diffuse nephrosis with intratubular oxalates.

Patient Information

Patient Name : Jaffe B
Gender : Male, Intact
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 06_00081

Clinical Signs

  • Vomiting

Images

JAFFEE_BUTTERS_20110906124801_1302200_01292012025447JAFFEE_BUTTERS_RK_01292012025500

Blood Chemistry

  • Azotemia

Clinical Signs

  • Vomiting

Urinalysi

  • Protein Present