ArticleOpen veterinary journal2025
Nonsurgical resolution of renal cortical abscesses in a dog with multidrug-resistant
Article in Open veterinary journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Urinary tract infections caused by Case Description: A 3-year-old female Shih-Tzu was referred to the intensive care unit of a teaching hospital in Brazil. The patient exhibited anorexia, vomiting, pale mucous membranes, jaundice, halitosis, hyperthermia, hypoglycemia, and hypotension. Stabilization included the administration of fluid resuscitation, vasopressor, antipyretic, and glucose. Laboratory findings included anemia, neutrophilic leukocytosis, thrombocytopenia, hyperfibrinogenemia, and elevated serum concentrations of creatinine, urea, phosphorus, alanine aminotransferase, alkaline phosphatase, and total and fractionated bilirubin. Abdominal ultrasonography revealed images compatible with chronic kidney disease (CKD) and renal abscesses. Empirical antibiotic therapy was initiated with enrofloxacin (5 mg/kg IV q 24 hours) and ceftriaxone (30 mg/kg IV q 12 hours), followed by a switch to meropenem (8.5 mg/kg SC q 12 hours for 10 days) based on positive urine culture results for Conclusion: Conservative clinical management with antibiotic therapy proved effective in resolving urosepsis and abscesses located in the renal cortex, measuring approximately 4-5 cm, without the need for percutaneous drainage or surgical intervention. This finding highlights the need for further research into the efficacy of different therapeutic strategies based on the anatomical location of renal abscesses.
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