Congenital renal hypoplasia and contralateral kidney failure in a giant otter (Pteronura brasiliensis) ex situ in Southeastern Brazil

Renal hypoplasia is incomplete development of the kidneys, in which fewer than normal numbers of nephrons are present at birth. This report is the first of these conditions in mustelids. A female adult giant otter (Pteronura brasiliensis), ex situ, presented clinically an unusual behavior with prostration, anorexia, hiding in the shelter, ataxia, paraparesis, and death in a clinical course of one day. At the postmortem exam, the left kidney was markedly enlarged and pale and the right kidney was severely reduced and had mild to moderate capsular thickening. Histologically, the left kidney had mineralization, proliferation of fibrous connective tissue and a mild neutrophilic infiltrate. The right kidney presented a reduced number of glomeruli, tubular atrophy and an increase in fibrous connective tissue, which were findings compatible with congenital kidney hypoplasia. Due the clinical condition of the animal, gross and microscopic findings, the cause of death was established as kidney failure induced by renal hypoplasia.(AU)

Megaureter gigante por ectopia ureteral intramural em cadela / Giant megaureter by intramural ureteral etopia in a bitch

Background: The urinary tract is composed by kidneys, urinary bladder and urethra. The kidneys produce urine that achieve urinary bladder by ureters. These have the origin in the renal pelvis, run through the retroperitoneum, end up at the dorsolateral superficies of the urinary bladder, and empty at the trigone. Ureters abnormalities are the rarest congenital defects in the canine urinary tract and ureteroceles are cystic dilatations of the distal segment of the ureter that could be associated to partial or complete urinary obstructions and could lead to megaureter and hydronephrosis. So, the aim of the present study was to describe a case of megaureter by intramural ureteral ectopia in a bitch. Case: A 1-year-old-and-8-month bitch Akita, weighing 18 kg, was referred to the Uniube Veterinary Hospital with vaginal secretion, prostration, hypodipsia, hyporexia and pyrexia related by the tutor. On physical examination, an increase in vulva volume and a vaginal discharge were observed. Nevertheless, others physical exams, blood count and biochemical tests were considered to be within normal parameters. Urinalysis showed cloudy aspect, proteinuria, occult blood, erythrocytes, pyuria, leucocytes, and discreet presence of bacteria. Abdominal ultrasonography revealed a megaureter with right uterocele and excretory urography showed absence of glomerular filtration by right kidney. The patient was submitted to surgery for right kidney and ureter exeresis. Histopathology evaluation showed intense dilation of the ureter and severe multifocal renal fibrosis. The surgery was well succeeded, and the patient recovered completely. Discussion: Once megaureter are associated with congenital abnormalities like ectopic ureter and ureterocele, it is usually diagnosed in young patients with medium age of 10 months, which is below the age of the patient in this case report. Additionally, in the patient here reported, the unilateral alteration could explain the absence of kidney fail symptoms. In more than 90% of the cases, the ureteral ectopia was associated with multiple anomalies in the urinary tract, as was observed in this patient, that presented besides ectopic ureter, ureterocele, megaureter and renal dystrophy. All these morphological alterations made impossible the complete urine elimination, which predispose to urinary tract infection, that was observed in this report. According to literature, urinary tract anomalies are associated with infection in 64 to 85% and 50% of the cases also present hydronephrosis and hydroureter. It was also described that ureteral ectopia is diagnosed by visualization of hydroureter in abdominal ultrasonography. The findings present in this report differs a little, once the right kidney was atrophic possibly by malformation or even so by a chronic renal lesion due to the difficulty in urine flow. The excretory urography showed no filtration in the right kidney, indicating non-functionality that was confirmed by histopathology, in which was observed small glomerulus and large amount of connective tissue deposition. In cases of unilateral megaureter with ipsilateral kidney commitment, there is indication of nephroureterectomy, that was performed in the patient of the present report. As far as we know, this is the first report of megaureter, ureterocele and ectopia ureteral together in the same patient. In conclusion, the procedure was secure, efficient and promote a better quality of life for the patient and prevent the recurrence of urinary tract infections.

Pelve extrarrenal em uma gata - diagnóstico por cintilografia / Extrarenal pelvis in a cat - diagnosis by scintigraphy

Background: In people, extrarenal pelvis is a normal anatomical variant, characterized by the protusion of the pelvis out of the renal hilum, which can be associated with other anomalies, or predispose to stasis or infection. While other diagnostic imaging methods provide anatomical and morphological information about the kidney, scintigraphy allows to determine the renal function and has greater sensitivity in the detection of functional alterations. The aim of this work is to report the case of an asymptomatic cat diagnosed with extrarenal pelvis detected by scintigraphy, which presented alterations in laboratory and renal imaging tests, and absence of associated obstructive process. Case: A 7-year-old mixed-breed female cat was evaluated for a routine health assessment at the Veterinary Teaching Hospital of the Federal University of Rio Grande do Sul (HCV-UFRGS). When performing the imaging and laboratory tests, renal alterations compatible with chronic kidney disease were found in the abdominal ultrasonography examination and in serum creatinine levels. Therefore, it was decided to perform scintigraphy evaluation to better assess renal function. Dynamic renal scintigraphy with 99mTcDTPA revealed an evident concentration of the radiotracer in the left kidney with effective elimination only after the diuretic stimulus. The right kidney exhibited less concentration of the radiotracer but showed effective elimination before the diuretic stimulus. Image analysis suggested the presence of an extrarenal pelvis on the left side. The relative renal uptake was 68% for the left kidney and 32% for the right kidney. The glomerular filtration rate was 1.65 mL/min/kg. Static renal scintigraphy with 99mTcDMSA revealed irregularity in the distribution of the radiotracer in both kidneys, showing less activity in the caudal pole of the left kidney. The right kidney was apparently reduced and with less activity, especially in the medial portion. The relative renal uptake was 65% for the left kidney and 35% for right kidney, while the absolute renal uptake of the left kidney was 33% and that of the right kidney was 17%. The alteration described in the left kidney, in correlation with dynamic renal scintigraphy, suggested an aspect of lower activity in the caudal pole due to the presence of activity in the extrarenal pelvis. The left kidney was classified as presenting normal renal function and there was moderate to severe deficit of renal function on the right side. Discussion: Chronic kidney disease may be present before clinical signs and biochemical abnormalities are identified. In this report, the animal was referred for a routine evaluation and showed no clinical signs nor alterations on physical examination. However, as renal morphological alterations were seen on ultrasonography and the cat presented mild azotemia, it was decided to perform two renal scintigraphy exams. Despite the radiotracer elimination from the left kidney was seen only after the diuretic stimulus, dynamic renal scintigraphy did not show any obstructive process. This delay on elimination was probably a result of the anatomical variant called extrarenal pelvis. In the static renal scintigraphy, it was possible to evaluate morphological changes in the kidneys and suggest less activity in the caudal pole of the left kidney, due to the presence of activity in the extrarenal pelvis, apparently causing the mentioned defect. The correct diagnosis of morphological changes is essential and for this purpose the best combination of imaging tests is necessary. Renal scintigraphy was fundamental, in this case, for the diagnosis of extrarenal pelvis in one of the kidneys, an abnormality not reported in the feline species within the literature researched by the authors. In addition, renal scintigraphy helped to guide the clinical management of the patient described in this report.

Uso do Bypass Ureteral Subcutâneo no manejo das obstruções ureterais em gatos: revisão de literatura / Use of Subcutaneous Ureteral Bypass in the management of ureteral obstructions in cats - literature review

A obstrução ureteral em felinos é uma afecção, potencialmente fatal e comum na clínica de pequenos animais por levar à restrição do fluxo normal de urina. As principais causas dessa obstrução são ureterólitos (cálculos) que podem ser classificados como simples, mistos ou compostos. Os sinais clínicos da obstrução ureteral não são muito evidentes até que a obstrução seja completa, bilateral ou que haja disfunção do rim contralateral. O diagnóstico da doença é firmado com base nos sinais clínicos, exames complementares como hemograma, bioquímico, radiografia, ultrassonografia abdominal, urinálise e urocultura, uretropielografia retrógrada, pielografia anterógrada, tomografia computadorizada e estudo da taxa de filtração glomerular ureteral. A obstrução ureteral é uma enfermidade que deve ser tratada com emergência, o tratamento deve ser determinado com base no tipo de cálculo presente, os casos mais severos necessitam de intervenção cirúrgica como a técnica bypass para descompressão. O presente artigo é uma revisão sobre a eficácia do emprego do bypass para o tratamento na obstrução ureteral.(AU)

Ureteral obstruction in felines is a potentially fatal and common condition in small animal clinics, as it leads to restriction of the normal flow of urine. The main causes of this obstruction are urolithiasis (renal calculi) which can be classified as: simple, mixed or compound. Clinical signs are not very evident until the obstruction is complete, bilateral, or when occurs a contralateral edge dysfunction. The diagnosis of the disease was settled with the association of clinical signs and the results of complementary tests such as blood count, biochemistry, radiography, abdominal ultrasonography, urinalysis and urine culture, retrograde urethropielography, antegrade pyelography, computed tomography and study of the ureteral glomerular filtration rate. It is an illness that must be treated with emergency, the treatment must be determined based on the type of calculus present, in the most severe cases it must be performed a of surgical intervention such as a bypass technique for decompression. This article is a review of the avaiable information about the effectiveness of bypass usage for treatment of ureteral obstruction in felines.(AU)

Agenesia renal unilateral em gatinha / Unilateral renal agenesis in kitten

Background: The kidneys are a pair of organs that maintain homeostasis, and perform hormonal and excretory functions; the functional unit of the kidney is the nephron. Approximately 2% of cats are born with some structural or functional anomaly, which occurs during fetal development. Unilateral renal agenesis is a rare congenital anomaly in felines, where the cat has only one kidney. This can lead to a series of dysfunctions, with clinical signs, especially when the contralateral organ does not adequately compensate, since there is more than one concomitant congenital disease like kidney dysplasia, which is the abnormal formation of the kidney structures. This study aimed to report the case of a kitten diagnosed with unilateral renal agenesis; the clinical signs, diagnosis, and treatment. Case: A 2-month-old mixed breed female kitten, weighing 0.5 kg, was attended in a veterinary clinic with emesis, hyporexia, hypodipsia, normuria, and diarrhea. Upon physical examination, dehydration, hyperthermia, and renomegaly by abdominal palpation were observed. Complementary examinations such as serum urea and creatinine estimation, abdominal ultrasound, and excretory urography, were requested, and the results include hemoglobin (9 g/dL), mean corpuscular volume (26%), normocytic normochromic anemia, urea (312 mg/dL), and creatinine (3.5 mg/dL). The abdominal ultrasound showed renomegaly on the left kidney and the absence of the right kidney. The above results and excretory urography help to confirm the diagnosis of unilateral renal agenesis and suggested renal dysplasia. The patient was hospitalized to stabilize her condition. The treatment is symptomatic and supportive and aims to increase the patient’s quality of life. Treatment with metoclopramide, erythropoietin, fluid therapy with ringer’s lactate solution, and renal therapeutic feed was prescribed. After 4 days of hospitalization and treatment, the serum creatinine was within normal...

Bio-efficacy of iron and zinc fortified wheat flour along with bio-assessment of its hepatic and renal toxic potential / Bioeficácia da farinha de trigo fortificada com ferro e zinco e bioavaliação do seu potencial tóxico hepático e renal

Study was planned to assess the bio-efficiency along with toxicity of iron and zinc fortified whole wheat flour in Sprague dawley albino rats. Whole wheat flour was fortified with different dosage of sodium iron EDTA (NaFeEDTA), ferrous sulphate (FeSO4), zinc oxide (ZnO) and zinc sulphate (ZnSO4). The rats (n=3) in each group were fed on fortified wheat flour for 2 months. Liver biomarkers including alkaline phosphatase (ALP), alanine transaminase (ALT), aspartate aminotransferase (AST) and bilirubin were recorded from serum samples. Increased concentration of ZnSO4 affected the liver biomarkers to be highest among all whereas, bilirubin levels were less than the rats fed on control diet. The above mentioned fortificants have negligible effect on renal biomarkers including creatinine and urea. Moreover, hematological parameters were also checked and reportedly, sodium iron EDTA fed rats presented highest amount of hemoglobin, iron and total iron binding capacity. Highest zinc level was observed in rats fed on whole wheat flour fortified with 60mg/Kg Zinc oxide. Microscopic observation of liver tissue depicted that rats fed on iron and zinc fortified wheat flour have more toxic effects whereas, histopathology presentation of kidney tissue has least toxic impact. It has been concluded that mandatory fortification of wheat flour with iron and zinc may cause increased serum biomarkers along with toxicity of vital organs like liver, hence fraction of wheat flour may be fortified to fulfill the requirements of deprived and vulnerable group.

O estudo foi planejado para avaliar a bioeficiência juntamente com a toxicidade da farinha de trigo integral fortificada com ferro e zinco em ratos albinos Sprague dawley. A farinha de trigo integral foi fortificada com diferentes dosagens de ferro sódico EDTA (NaFeEDTA), sulfato ferroso (FeSO4), óxido de zinco (ZnO) e sulfato de zinco (ZnSO4). Os ratos (n = 3) de cada grupo foram alimentados com farinha de trigo fortificada por 2 meses. Biomarcadores hepáticos incluindo fosfatase alcalina (ALP), alanina transaminase (ALT), aspartato aminotransferase (AST) e bilirrubina foram registrados a partir de amostras de soro. O aumento da concentração de ZnSO4 afetou os biomarcadores hepáticos como sendo os mais altos entre todos, enquanto os níveis de bilirrubina foram menores do que os ratos alimentados com dieta controle. Os fortificantes mencionados acima têm efeito insignificante nos biomarcadores renais, incluindo creatinina e ureia. Além disso, os parâmetros hematológicos também foram verificados e, segundo relatos, os ratos alimentados com EDTA de sódio e ferro apresentaram maior quantidade de hemoglobina, ferro e capacidade total de ligação de ferro. O maior nível de zinco foi observado em ratos alimentados com farinha de trigo integral fortificada com 60 mg/Kg de óxido de zinco. A observação microscópica do tecido hepático mostrou que ratos alimentados com farinha de trigo fortificada com ferro e zinco têm mais efeitos tóxicos, enquanto a apresentação histopatológica do tecido renal tem menos impacto tóxico. Concluiu-se que a fortificação obrigatória da farinha de trigo com ferro e zinco pode causar aumento dos biomarcadores séricos juntamente com toxicidade de órgãos vitais como o fígado, portanto a fração da farinha de trigo pode ser fortificada para atender os requisitos do grupo carente e vulnerável.

Artéria subclávia direita aberrante em cão - aspectos clínicos e de imagem / Aberrant right subclavian artery in a dog - clinical and imaging aspects

Background: Aberrant right subclavian artery is only rarely observed in veterinary medicine. Some animals may present postprandial regurgitation and progressive weight loss, which is considered an incidental finding unrelated to clinical alterations. Advanced imaging techniques such as thoracic CT scan, magnetic resonance imaging (MRI) and contrast angiography are used for the accurate detection of lesions, anatomical changes and specific information about vascular rings. This paper describes the clinical changes, imaging exams and therapeutic approach in a female dog with megaesophagus induced by an aberrant right subclavian artery. Case: A 2-month-old female bull terrier, weighing 1.6 kg, with a history of regurgitation immediately or a few minutes after a meal, diarrhea, polyphagia, progressive emaciation and apathy for 45 days, was treated at a University Veterinary Hospital. The dog's physical examination revealed 7% dehydration and body condition score 1 (scale 1 to 5), but no cardiac or pulmonary alterations upon auscultation. The hematological analysis and renal and hepatic serum enzymes were within the normal range for the species. In view of the presumptive clinical diagnosis of vascular anomaly, suggested by the contrast X-ray examination, a chest tomography was performed, which revealed altered aortic arch shape and contours, and a posterior aneurysm in the area of abnormal connection of the right subclavian artery. The patient was released with a prescription for conservative dietary management for megaesophagus. Within two weeks, the patient returned with a report of a good response to the prescribed therapy, absence of vomiting and diarrhea, and an increase in body weight. Surgical correction was recommended, but has not been performed so far, but conservative treatment for megaesophagus was continued. No further episodes of regurgitation were identified during the nine-month follow-up period. Discussion: In the case reported here, the right subclavian artery is considered anatomically atypical because it arises directly from the aortic arch. This vascular anomaly passes on to the right pectoral limb, dorsal to the esophagus, contracting it in its dorsal aspect. It tends to affect purebred dogs, occurring more frequently in Irish setters, German shepherds and Labrador retrievers, although it has been described in other breeds such as the bull terrier documented here and mixed breed dogs. Vascular ring anomalies may not cause clinical changes in animals and represent only incidental findings, or they may lead to gastrointestinal changes resulting from esophageal stricture, contributing to megaesophagus and clinical signs of esophageal obstruction, especially in recently weaned puppies. Such alterations were observed in this case, with the dog presenting regurgitation, immediately or a few minutes after a meal, megaesophagus, diarrhea and progressive weight loss. A CT scan was performed to confirm the type and location of the vascular anomaly and diagnostic accuracy, as recommended in the literature. Dietary therapy is one of the approaches adopted for patients presenting with regurgitation resulting from megaesophagus secondary to vascular anomalies. The dog in this report responded well to the medical therapy; nevertheless, the treatment of choice to correct the esophageal obstruction caused by this anomaly is surgical sectioning of the aberrant vessel by right intercostal thoracotomy, given that the degree of esophageal dilation and dysfunction tends to increase over time. However, at this time, the animal's owner decided to suspend the recommended surgical procedure.

Hipoplasia renal bilateral em felino / Bilateral renal hypoplasia in feline

A hipoplasia renal ocorre quando há o desenvolvimento incompleto do rim, resultando em um menor número de néfrons, lóbulos e cálices ao nascimento do animal. A gravidade dessa anomalia depende do nível de acometimento. Quando unilateral, ocorre a hipertrofia compensatória do rim saudável e, em casos bilaterais, é frequente a ocorrência de insuficiência renal e infecções. Foi retratada como uma afecção hereditária em algumas raças puras ou mestiças de suínos, potros, caprinos, bovinos e cães, contudo, é incomum em felinos. O presente trabalho tem como objetivo relatar o caso de uma felina, sem raça definida, de dois meses de idade, com queixa de apatia, anorexia e êmes por três dias. No exame físico, foi observada desidratação estimada em 10%, tempo de preenchimento capilar de três segundos, hipotermia, hipoglicemia e letargia. Frente a essas alterações, foram solicitados exames complementares para melhor elucidação do quadro. Os exames bioquímicos revelaram azotemia e hiperfosfatemia grave, bem como hipercalcemia e hipercalemia leve. Já a urinálise, indicou redução da densidade urinária associada à presença de cilindros hialinos e céreos. A ultrassonografia abdominal evidenciou perda de diferenciação córtico-medular e diminuição de ambos os rins, alterações essas compatíveis com nefropatia. Instituiu-se tratamento paliativo visando minimizar complicações secundárias da injúria renal aguda, contudo, a paciente veio a óbito. Na necropsia, os rins apresentavam tamanho reduzido bilateralmente e o exame histopatológico revelou a presença de moderados glomérulos primitivos multifocais associados à distensão do espaço glomerular. A avaliação clínica e as lesões histopatológicas foram consistentes com o diagnóstico de hipoplasia renal congênita.

Renal hypoplasia occurs when there is incomplete development of the kidney, resulting in fewer nephrons, lobes and calyces at birth. The severity of this anomaly depends on the level of involvement. When unilateral, compensatory hypertrophy of the healthy kidney occurs and, in bilateral cases, renal failure and infections are frequent. It has been portrayed as an inherited condition in some pure or mixed breeds of pigs, foals, goats, cattle and dogs, however, it is uncommon in felines. This paper aims to report the case of a feline, mixed breed, two months old, with complaints of apathy, anorexia and emesis for three days. Physical examination showed an estimated dehydration of 10%, capillary refilling time of three seconds, hypothermia, hypoglycemia and lethargy. In view of these changes, complementary exams were requested to better clarify the condition. Biochemical examinations revealed severe azotemia and hyperphosphatemia, as well as hypercalcemia and mild hyperkalemia. Urinalysis, on the other hand, indicated a reduction in urinary density associated with the presence of hyaline and brain cylinders. Abdominal ultrasound showed a loss of corticomedullary differentiation and a decrease in both kidneys, changes compatible with nephropathy. Palliative treatment was instituted in order to minimize secondary complications of acute kidney injury, however, the patient died. At necropsy, the kidneys were bilaterally reduced in size and histopathological examination revealed the presence of moderate multifocal primitive glomeruli associated with distention of the glomerular space. Clinical evaluation and histopathological lesions were consistent with the diagnosis of congenital renal hypoplasia.

Diaphragmatic hernia and unilateral renal agenesis in a crab-eating fox (Cerdocyon thous)

An approximately 3-month-old crab-eating fox (Cerdocyon thous) was found by environmental authorities in the State of Paraiba, Northeastern Brazil and referred to a wildlife care center. The fox was presenting respiratory distress and it was referred to the Veterinary Hospital of the Federal University of Paraiba (UFPB) for ancillary testing. Abdominal and thoracic ultrasound and radiographies were performed. These imaging tests indicated the fox had a possible diaphragmatic hernia and ectopic kidney. The imageology results were confirmed on necropsy, which revealed a postero-lateral focal discontinuity of the dorsal aspect of the diaphragmatic muscle with protrusion of the gastrointestinal tract into the thoracic cavity. The stomach and intestinal loops were filled with gas and obliterated the visualization of the heart and lungs. Additionally, only the right kidney was found, and no vestigial left kidney was identified. Congenital diaphragmatic hernias are not commonly observed in wildlife but should be considered as a potential differential diagnosis for acute onset of respiratory distress in young carnivores.(AU)

Diaphragmatic hernia and unilateral renal agenesis in a crab-eating fox (Cerdocyon thous)

An approximately 3-month-old crab-eating fox (Cerdocyon thous) was found by environmental authorities in the State of Paraiba, Northeastern Brazil and referred to a wildlife care center. The fox was presenting respiratory distress and it was referred to the Veterinary Hospital of the Federal University of Paraiba (UFPB) for ancillary testing. Abdominal and thoracic ultrasound and radiographies were performed. These imaging tests indicated the fox had a possible diaphragmatic hernia and ectopic kidney. The imageology results were confirmed on necropsy, which revealed a postero-lateral focal discontinuity of the dorsal aspect of the diaphragmatic muscle with protrusion of the gastrointestinal tract into the thoracic cavity. The stomach and intestinal loops were filled with gas and obliterated the visualization of the heart and lungs. Additionally, only the right kidney was found, and no vestigial left kidney was identified. Congenital diaphragmatic hernias are not commonly observed in wildlife but should be considered as a potential differential diagnosis for acute onset of respiratory distress in young carnivores.

Displasia renal em filhote de tamanduá bandeira (Myrmecophaga trydactila) de vida livre - aspectos ultrassonográficos e tomográficos / Renal dysplasia in a free-living giant anteater cub (Myrmecophaga tridactyla) - ultrasonographic and tomographic aspects

Background: Renal dysplasia is a congenital disorder that occurs during differentiation of the renal parenchyma or as aconsequence of a functional and/or structural obstruction of the lower urinary tract. In wild animals, this pathology has beenreported in cynomolgus monkeys (Macaca fascicularis), golden hamsters (Mesocricetus auratus) and African elephants(Loxodanta africana). However, there are no reports of the disease in the giant anteater (Myrmecophaga tridactyla). Thus,this paper describes a case of renal dysplasia in a free-living giant anteater cub, which was sent to the wild animal clinicof the Federal University of Mato Grosso (UFMT) in Cuiabá, MT, Brazil.Case: The rescued animal had a good body condition score and clinical parameters within the normal range for the species.After a routine clinical evaluation, the anteater cub was subjected to radiography and ultrasound tests. Blood tests, serumtests for hepatic and renal profiles, urinalysis, urinary protein creatinine ratio, and chest X-rays did not reveal significantchanges. However, the abdominal ultrasound examination revealed a volumetric loss of about 1.17 cm in length in theleft kidney, and a renal length to aortic artery diameter ratio of approximately 2.8. This kidney showed irregular contours,loss of corticomedullary demarcation, with preserved echogenicity and cortical echotexture. The right kidney showedthe standard size of the species, with a length of approximately 3.08 cm. In view of the suspicion of renal dysplasia, acontrast-enhanced CT scan was performed in order to assess the dynamics of uptake and excretion of the contrast mediumin the affected kidney and in the ipsilateral collecting system. An examination of the tomographic images indicated thatthe volume of the left kidney was reduced, isodense in relation to the right kidney, with discrete and homogeneous uptakein all phases after administration of the contrast medium, no occurrence of nephrogram...

Displasia renal em filhote de tamanduá bandeira (Myrmecophaga trydactila) de vida livre - aspectos ultrassonográficos e tomográficos / Renal dysplasia in a free-living giant anteater cub (Myrmecophaga tridactyla) - ultrasonographic and tomographic aspects

Background: Renal dysplasia is a congenital disorder that occurs during differentiation of the renal parenchyma or as aconsequence of a functional and/or structural obstruction of the lower urinary tract. In wild animals, this pathology has beenreported in cynomolgus monkeys (Macaca fascicularis), golden hamsters (Mesocricetus auratus) and African elephants(Loxodanta africana). However, there are no reports of the disease in the giant anteater (Myrmecophaga tridactyla). Thus,this paper describes a case of renal dysplasia in a free-living giant anteater cub, which was sent to the wild animal clinicof the Federal University of Mato Grosso (UFMT) in Cuiabá, MT, Brazil.Case: The rescued animal had a good body condition score and clinical parameters within the normal range for the species.After a routine clinical evaluation, the anteater cub was subjected to radiography and ultrasound tests. Blood tests, serumtests for hepatic and renal profiles, urinalysis, urinary protein creatinine ratio, and chest X-rays did not reveal significantchanges. However, the abdominal ultrasound examination revealed a volumetric loss of about 1.17 cm in length in theleft kidney, and a renal length to aortic artery diameter ratio of approximately 2.8. This kidney showed irregular contours,loss of corticomedullary demarcation, with preserved echogenicity and cortical echotexture. The right kidney showedthe standard size of the species, with a length of approximately 3.08 cm. In view of the suspicion of renal dysplasia, acontrast-enhanced CT scan was performed in order to assess the dynamics of uptake and excretion of the contrast mediumin the affected kidney and in the ipsilateral collecting system. An examination of the tomographic images indicated thatthe volume of the left kidney was reduced, isodense in relation to the right kidney, with discrete and homogeneous uptakein all phases after administration of the contrast medium, no occurrence of nephrogram...(AU)

Ultrasonographic detection of interstitial nephritis in a canine fetus

Background: A detailed ultrasound examination of the fetal urinary tract as part of prenatal care is important to detect possibleabnormalities. Early diagnosis can prevent more serious damage such as loss of kidney function. Interstitial nephritis cancompromise renal functionality. Also, acute interstitial nephritis is a frequent cause of acute kidney injury and can becomechronic if not treated. Besides, a renal biopsy can help in the diagnosis and at the staging of the disease. Therefore, thisreport aims to describe the ultrasonographic findings of the renal tissues in a canine fetus affected by interstitial nephritis.Case: Gestational ultrasound evaluations were performed in a female Pug, at the 25th, 45th, and 58th gestational days.Ultrasound examination was performed with a 9.0 MHz linear transducer and a high-resolution digital transducer with afrequency standardized at 17.0 MHz. During the first evaluation, embryonic vesicles were detected and were compatible withthe gestational period. At 45 days of gestation, some abnormalities were observed in the kidneys of one of the fetuses, suchas increased cortical echogenicity, cortical thickening, loss of corticomedullary ratio (1:1), renal pelvis and ureter dilatationby echogenic content. Biparietal and abdominal diameters were also lower than that from the other fetuses, which did notshow abnormalities, being compatible with the estimated gestational age. However, the heart rate was similar among allfetuses. On the 58th day, we observed in the underdeveloped fetus that both kidneys still presented the abnormalities seenpreviously, in addition to the presence of a cystic structure in the right kidney, in the cranial...

Ultrasonographic detection of interstitial nephritis in a canine fetus

Background: A detailed ultrasound examination of the fetal urinary tract as part of prenatal care is important to detect possibleabnormalities. Early diagnosis can prevent more serious damage such as loss of kidney function. Interstitial nephritis cancompromise renal functionality. Also, acute interstitial nephritis is a frequent cause of acute kidney injury and can becomechronic if not treated. Besides, a renal biopsy can help in the diagnosis and at the staging of the disease. Therefore, thisreport aims to describe the ultrasonographic findings of the renal tissues in a canine fetus affected by interstitial nephritis.Case: Gestational ultrasound evaluations were performed in a female Pug, at the 25th, 45th, and 58th gestational days.Ultrasound examination was performed with a 9.0 MHz linear transducer and a high-resolution digital transducer with afrequency standardized at 17.0 MHz. During the first evaluation, embryonic vesicles were detected and were compatible withthe gestational period. At 45 days of gestation, some abnormalities were observed in the kidneys of one of the fetuses, suchas increased cortical echogenicity, cortical thickening, loss of corticomedullary ratio (1:1), renal pelvis and ureter dilatationby echogenic content. Biparietal and abdominal diameters were also lower than that from the other fetuses, which did notshow abnormalities, being compatible with the estimated gestational age. However, the heart rate was similar among allfetuses. On the 58th day, we observed in the underdeveloped fetus that both kidneys still presented the abnormalities seenpreviously, in addition to the presence of a cystic structure in the right kidney, in the cranial...(AU)

Ultrasonographic and radiographic diagnosis of ectopic ureter in a dog

Background: Ureteral ectopia (or ectopic ureter) is a congenital anomaly of the urinary system in which the ureter insertsanywhere other than the vesical trigone. This anatomical change may have unilateral or bilateral involvement. The mostevident clinical sign, occurring mostly in females, is urinary incontinence, however in some cases the condition may progressto nephritis and dilation of the renal pelvis. The diagnosis is established through imaging, and definitive treatment requiressurgical approach. The present study reports a case of ureteral ectopia in a dog which was diagnosed by ultrasound andcontrast radiography (excretory urography) and successfully treated by neoureterostomy.Case: A 10-month-old female American Pit Bull Terrier was attended at the Veterinary Hospital of the Federal Rural University of the Semi-Arid (UFERSA), in Mossoró, RN. Her owner reported incontinence of dark, malodorous urine sincebirth as the chief complaint. After clinical examination, cystitis was suspected, and a complete blood count, urinalysis,and abdominal ultrasound was requested. The blood count and creatinine were within the reference values. The presenceof struvite crystals were found on urinalysis. Ultrasound examination revealed a tortuous, dilated right ureter from therenal pelvis to the urinary bladder; no uroliths were identified as a cause of potential obstruction, but the ipsilateral kidneyshowed increased cortical echogenicity, loss of corticomedullary definition, and moderate pelvic dilation. These findingssupported a presumptive diagnosis of ectopic ureter. For the purpose of confirming this suspicion, excretory urography wasperformed, revealing unilateral ureteral dilation and radiopaque contrast uptake following the path of the urethra. Once thediagnosis was confirmed, surgery was performed to correct the ureteral ectopia using the standard...

Ultrasonographic and radiographic diagnosis of ectopic ureter in a dog

Background: Ureteral ectopia (or ectopic ureter) is a congenital anomaly of the urinary system in which the ureter insertsanywhere other than the vesical trigone. This anatomical change may have unilateral or bilateral involvement. The mostevident clinical sign, occurring mostly in females, is urinary incontinence, however in some cases the condition may progressto nephritis and dilation of the renal pelvis. The diagnosis is established through imaging, and definitive treatment requiressurgical approach. The present study reports a case of ureteral ectopia in a dog which was diagnosed by ultrasound andcontrast radiography (excretory urography) and successfully treated by neoureterostomy.Case: A 10-month-old female American Pit Bull Terrier was attended at the Veterinary Hospital of the Federal Rural University of the Semi-Arid (UFERSA), in Mossoró, RN. Her owner reported incontinence of dark, malodorous urine sincebirth as the chief complaint. After clinical examination, cystitis was suspected, and a complete blood count, urinalysis,and abdominal ultrasound was requested. The blood count and creatinine were within the reference values. The presenceof struvite crystals were found on urinalysis. Ultrasound examination revealed a tortuous, dilated right ureter from therenal pelvis to the urinary bladder; no uroliths were identified as a cause of potential obstruction, but the ipsilateral kidneyshowed increased cortical echogenicity, loss of corticomedullary definition, and moderate pelvic dilation. These findingssupported a presumptive diagnosis of ectopic ureter. For the purpose of confirming this suspicion, excretory urography wasperformed, revealing unilateral ureteral dilation and radiopaque contrast uptake following the path of the urethra. Once thediagnosis was confirmed, surgery was performed to correct the ureteral ectopia using the standard...(AU)

Histopathological alterations in gills, liver, kidney and muscles of Ictalurus punctatus collected from pollutes areas of river / Alterações histopatológicas em brânquias, fígado, rim e músculos de Ictalurus punctatus coletados em áreas poluídas do rio

Untreated sewage and industrial wastes from Faisalabad city are disposed to River Chenab through Chakbandi Main Drain (CMD). The present project is planned to investigate the effects of this freshwater pollution on the body of fish Ictalurus punctatus. The specimens of this fish species were collected upstream and downstream of the entrance of CMD into River Chenab. Fish gills, liver, kidney and muscles from dorsolateral regions of fish were subjected to histopathology. Farmed fish and fish from upstream areas were used as control. Fish collected from polluted experimental sites showed significant damage in selected organs. Gill tissues showed an abnormality in the form of an uplifting of the primary epithelium, fusion, vacuolation, hypertrophy, and necrosis. While liver tissues subjected to hepatocytes degeneration, necrosis, mitochondrial granular hepatocyte, and sinusoids dilation. Kidney tissues indicated increased bowmen space and constricted glomerulus and degenerated nephrons. Edema, necrosis, and atrophy were observed in muscle tissues of fish from polluted areas. Fish from the upstream area showed fused gill lamellae, inflammatory cell infiltration, hypertrophy and vacuolation in hepatocytes. Kidney tissues indicated the presence of nuclear tubular cells, destructive renal tubules, hemorrhage, and necrosis at tubular epithelium. Intra myofibril spaces were also observed in muscles. Specimens of control fish indicated no variation in gills, liver, kidney, and muscles. The present study revealed a strong correlation between the degree of tissue damage and environmental contamination. Present findings also compel global warnings to protect our water bodies and fish to rescue the human population.(AU)

O esgoto não tratado e os resíduos industriais da cidade de Faisalabad, no Paquistão, são descartados no Rio Chenab através do dreno principal de Chakbandi (CMD). O presente projeto busca investigar os efeitos dessa poluição de água doce no corpo de peixes Ictalurus punctatus. Os espécimes deste peixe foram coletados a montante e a jusante da entrada do CMD no Rio Chenab. Brânquias, fígado, rim e músculos das regiões dorsolaterais dos peixes foram submetidos à histopatologia. Peixes de criação e peixes de áreas a montante foram utilizados como controle. Peixes coletados em locais experimentais poluídos mostraram danos significativos em órgãos selecionados. Os tecidos branquiais mostraram uma anormalidade na forma de elevação do epitélio primário, fusão, vacuolação, hipertrofia e necrose. Observou-se que os tecidos hepáticos estão sujeitos a degeneração de hepatócitos, necrose, hepatócitos mitocondriais granulares e dilatação de sinusoides. Os tecidos renais indicaram aumento do espaço dos arqueiros, glomérulos contraídos e néfrons degenerados. Edema, necrose e atrofia foram observados nos tecidos musculares de peixes de áreas poluídas. Peixes da área a montante apresentaram lamelas branquiais fundidas, infiltração de células inflamatórias, hipertrofia e vacuolização em hepatócitos. Os tecidos renais indicaram a presença de células tubulares nucleares, túbulos renais destrutivos, hemorragia e necrose no epitélio tubular. Os espaços intramiofibrilas também foram observados nos músculos. Amostras de peixes controle não indicaram variação em brânquias, fígado, rim e músculos. O presente estudo revelou uma forte correlação entre o grau de dano tecidual e a contaminação ambiental. As descobertas atuais também constituem avisos globais para proteger nossos corpos d'água e peixes para resguardar a população humana.(AU)

Chronic kidney disease in a dog of the Teckel breed: case report / Doença renal crônica em cão da raça Teckel: relato de caso

Chronic kidney disease (CKD) is a disease characterized by the gradual and functional loss of renal mass, affecting its physiology leading to clinical manifestations. The CKD reaches dogs of several breeds causing important clinical alterations. Some laboratory tests are determinant for the correct diagnosis and thus for the implementation of the most appropriate treatment. The urinalysis, urinary protein-creatinine ratio (UPC) evaluation, urea, and creatinine dosage together with the symmetric dimethylarginine dosage (SDMA), urinary tract ultrasonography and blood pressure monitoring, are the main methods used for diagnosis. In this way, this work aimed to report a case of CKD in a Teckel dog attended at the Veterinary Hospital of the Federal University of Jataí (UFJ), discussing the main clinical manifestations, laboratory, and image alterations, as well as the correct staging according to IRIS (Interest Renal International Society), from which the best treatment option to be adopted is determined.

A doença renal crônica (DRC) é uma enfermidade caracterizada pela perda gradual e funcional da massa renal, afetando sua fisiologia levando àmanifestações clínicas. A DRC atinge cães de diversas raças causando alterações clínicas importantes. Alguns exames laboratoriais têm se mostrado determinantes para o diagnóstico correto e assim, para implementação do tratamento mais adequado. A urinálise, avaliação da relação proteína-creatinina urinária (UPC), dosagem de ureia e creatinina juntamente com a dosagem de dimetilarginina simétrica (SDMA), ultrassonografia do trato urinário e monitoração da pressão arterial, constituem os principais métodos utilizados para diagnóstico. Sendo assim, este trabalho teve como objetivo relatar um caso de DRC em um cão da raça Teckel atendido no Hospital Veterinário da Universidade Federal de Jataí (UFJ), discutindo as principais manifestações clínicas, alterações laboratoriais e de imagem, assim como o correto estadiamento de acordo com a IRIS (Interest Renal International Society), a partir do qual se determina a melhor opção de tratamento a ser adotada.

Chronic kidney disease in a dog of the Teckel breed: case report / Doença renal crônica em cão da raça Teckel: relato de caso

Chronic kidney disease (CKD) is a disease characterized by the gradual and functional loss of renal mass, affecting its physiology leading to clinical manifestations. The CKD reaches dogs of several breeds causing important clinical alterations. Some laboratory tests are determinant for the correct diagnosis and thus for the implementation of the most appropriate treatment. The urinalysis, urinary protein-creatinine ratio (UPC) evaluation, urea, and creatinine dosage together with the symmetric dimethylarginine dosage (SDMA), urinary tract ultrasonography and blood pressure monitoring, are the main methods used for diagnosis. In this way, this work aimed to report a case of CKD in a Teckel dog attended at the Veterinary Hospital of the Federal University of Jataí (UFJ), discussing the main clinical manifestations, laboratory, and image alterations, as well as the correct staging according to IRIS (Interest Renal International Society), from which the best treatment option to be adopted is determined.

A doença renal crônica (DRC) é uma enfermidade caracterizada pela perda gradual e funcional da massa renal, afetando sua fisiologia levando àmanifestações clínicas. A DRC atinge cães de diversas raças causando alterações clínicas importantes. Alguns exames laboratoriais têm se mostrado determinantes para o diagnóstico correto e assim, para implementação do tratamento mais adequado. A urinálise, avaliação da relação proteína-creatinina urinária (UPC), dosagem de ureia e creatinina juntamente com a dosagem de dimetilarginina simétrica (SDMA), ultrassonografia do trato urinário e monitoração da pressão arterial, constituem os principais métodos utilizados para diagnóstico. Sendo assim, este trabalho teve como objetivo relatar um caso de DRC em um cão da raça Teckel atendido no Hospital Veterinário da Universidade Federal de Jataí (UFJ), discutindo as principais manifestações clínicas, alterações laboratoriais e de imagem, assim como o correto estadiamento de acordo com a IRIS (Interest Renal International Society), a partir do qual se determina a melhor opção de tratamento a ser adotada.(AU)

Polimiopatia hipocalêmica e hipertensão secundária a hiperaldosteronismo primário felino / Hypokalemic polymyopathy and secondary hypertension to feline primary hyperaldosteronism

O hiperaldosteronismo se define pela hipersecreção de aldosterona pelas suprarrenais, resultando em excesso de sódio e redução de potássio sanguíneo. Esta hipersecreção deve-se à síntese autônoma de aldosterona por células adrenais hiperplásicas ou neoplásicas, que agem independentemente da estimulação pelo sistema renina-angiotensina. A doença acomete felinos de adultos maduros a idosos. O excesso de aldosterona culmina em hipertensão sistêmica e/ou hipocalemia, que levam à fraqueza muscular e alterações oculares. O diagnóstico é baseado em exames laboratoriais e de imagem, e o tratamento pode ser clínico ou cirúrgico. O prognóstico é considerado favorável quando as medicações são capazes de melhorar as manifestações clínicas ou quando é possível realizar o procedimento cirúrgico. O presente trabalho visa relatar o caso de um felino macho de 13 anos, castrado, sem raça definida, com hipocalemia persistente secundária a um presuntivo tumor adrenal.

Hyperaldosteronism is defined by the hypersecretion of aldosterone by the adrenal glands resulting in excess sodium and reduced blood potassium. This hypersecretion is due to the autonomous synthesis of aldosterone by hyperplastic or neoplastic adrenal cells, which act independently of stimulation by the renin-angiotensin system. The disease affects felines in the age group from mature adults to the elderly. The excess of aldosterone culminates in systemic hypertension and/or hypokalemia, which leads to muscle weakness and ocular changes. The diagnosis is based on laboratory and imaging tests and treatment can be clinical or surgical. The prognosis is considered favorable when the medications are able to improve the clinical manifestations or when it is possible to perform the surgical procedure. The present paper aims to report the case of a 13-year-old male cat, castrated, crossbred, with persistent hypokalemia secondary to a presumptive adrenal tumor.