– 4 month old female Rotty-American Bulldog X with histroy of dysuria, stranguria and evidence of UTI on free flow sample diagnosed at another vet hospital
– had been treated twice in the past with antibitoics in which signs cleared; came to our hospital for 2nd opinion as pet seems lethargic, underweight – also has history of sock eating in which she usually vomits or passes them in her stool
– physical exam showed poor body condition, pyrexia, subtle tenderness is cranial abodmen; vulva conformation normal
– 4 month old female Rotty-American Bulldog X with histroy of dysuria, stranguria and evidence of UTI on free flow sample diagnosed at another vet hospital
– had been treated twice in the past with antibitoics in which signs cleared; came to our hospital for 2nd opinion as pet seems lethargic, underweight – also has history of sock eating in which she usually vomits or passes them in her stool
– physical exam showed poor body condition, pyrexia, subtle tenderness is cranial abodmen; vulva conformation normal
– bloodwork mild anemia, mild elevation in ALP, neutrophilia
– UA RBC’s WBC’s amorphous crystals SG 1.011; culture pending – very bad odour
– u/s revealed evidence of gastritis but no FB or obstructive patterns in the stomach or intestines
– severe pyelectasia of the R kidney with hyperechoic medulla, poor CM distinction and dilated proximal ureter which could not be followed distally – no ureterolith or mass seen; ureter not dilated at the trigone
– left kidney mild pyelectasia and corticees looks heteroechoic in places
– urinary bladder wall markedly thickened with hyperechoic mucosa; twinkle artifact in the ventral wall
– trace abdominal effusion and enlarged jejunal LN’s with normal S/L ratio (I have seen this in young dogs before so may be just normal?) no evidence peritonitis otherwise – LN’s may be reactive as well
So severe cystitis and pyelonephritis in which we are going to treat with a prolonged course of antibitoic. Any concern for renal dysplasia here as an underlying factor? There is no history of incontinence and I saw normal ureteral jets so I don’t believe ectopic ureters are the problem. Just strange to see such an infection in a 4 month old dog.
