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

History

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.

Clinical Differential Diagnosis

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

DX

Nephrosis with intratubular oxylates, ethylene glycol toxicosis

Sampling

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

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.

Outcome

The patient was euthanized three days after presentation.

Video

Patient Information

Patient Name : Jaffe B
Age : 10 Months
Gender : Male, Intact
Species : Canine
Liz Wuz Here : Yes
Status : Complete
Code : 06_00081

Blood Chemistry

  • Azotemia

Clinical Signs

  • Vomiting

Urinalysi

  • Protein Present

Images

JAFFEE_BUTTERS_20110906124801_1302200_01292012025447JAFFEE_BUTTERS_RK_01292012025500

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