Application of Various Diagnostic and Therapeutic Approaches for Detection of a Hemorrhagic Cystitis in a Persian Cat
Application of Various Diagnostic and Therapeutic Approaches for Detection of a Hemorrhagic Cystitis in a Persian Cat
Monira Sultana1, Md. Shohel Al Faruk2*
ABSTRACT
Billu, a 3 year old male Persian cat weighing approximately 4.9 kg, was presented to the Teaching and Training Pet Hospital and Research Center, Purbachal, Dhaka. Having the complaints of difficulty in urination, hematuria, straining to urinate when peeing, inability to pee about 4 days. Also have weakness, loss of appetite and abnormal body posture. There was no deworming, only rabies vaccination was given. Physical exam revealed that body temperature was 101.2 with mild dehydration. Because of a suspicion of hemorrhagic cystitis, a blood sample was taken and sent to the lab for evaluation of hematological profiles like WBC, platelets etc., as well as biochemical profiles like phosphorus, albumin, BUN, total protein, serum creatinine etc. A urine sample was also taken in order to determine the pH, specific gravity, blood, and whether or not hematuria (red urine) was present. Analysis of the urine reveals pH (7.9), specific gravity (1.01), ketone (-), bilirubin (-), blood (+) report shows that dark color urine have strong odor and blood found in urine. Peripheral lymp-nodes were normal. Ultrasound revealed the thickness of the wall of urinary bladder and increase hyper-tonic contents. In X-ray (Figure 4) it was seen distended urinary bladder, ureteral obstruction and vesicoureteral reflux were seen. Biochemical report (Table 2) was shows that increase the level of blood urea nitrogen (39 mg/dl) and serum creatinine (1.9 mg/dl) level. Phosphorus (6.7 mg/dl), total protein (7.9 g/dl), albumin level (3.71 g/dl) remain normal. Analysis of urine reveal pH and phosphorus, albumin, creatinine and bilirubin level remain normal. After confirmation of hemorrhagic cystitis treatment was given for this condition were flushing out urine with normal saline. Fluid therapy used as dextrose normal saline (DNS) for maintenance of fluid volume of the body. It can be concluded that hemorrhagic cystitis can be a serious condition requiring prompt veterinary attention to prevent complications like urinary blockage or long-term kidney damage.
Keywords | Hemorrhagic cystitis, Hematuria,Vesicoureteral reflux, Clinical sign, Diagnosis
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