Acute Renal Failure

History

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.

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):

Outcome

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

Video

Patient Information

Age : 10 Months
Gender : Male, Intact
Species : Canine
Status : Complete

Images

COM_1203_02COM_1203_05

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