Pielonefritis bilateral e hidronefrosis grado l en riñón derecho en paciente hembra felino de origen traumático en la Clínica Veterinaria Perros y Gatos: estudio de caso.

Abstract

Sophie, a 2-year-old spayed mixed-breed cat, with a body condition score of 2/5, was admitted to the Perros y Gatos Veterinary Clinic after presenting with depression, loss of appetite, and vomiting episodes. As a previous history, two months prior, the patient had a traumatic incident where she suffered a fracture of the soft palate symphysis. During the clinical examination, fever and abdominal pain upon palpation were detected. Complementary tests including a complete blood count, BUN and creatinine, albumin, ALT, AST, and glucose were performed. Leukocytosis due to granulocytosis, increased BUN and creatinine levels were found, while ALT, AST, and glucose tests were within normal ranges. Additionally, her blood pressure (hypertensive) and urine volume production were continuously monitored. Abdominal radiographs (lateral-lateral and ventro-dorsal projections) and an abdominal ultrasound were performed, revealing an enlargement of the right kidney, empty bladder, bilateral ureteral dilation, and peritoneal reactivity. Based on these findings, a diagnosis of bilateral pyelonephritis and grade l hydronephrosis in the right kidney associated with trauma was made, and intrahospital treatment was initiated with antibiotics, glucocorticoids, and the use of prazosin as an antihypertensive. After the patient showed a favorable progress, she was discharged with prescribed treatment and a renal diet.