Kalogianni Lamprini, Pardali Dimitra, Garcia-Gonzalez Beatriz, Konstantinidis O Alexandros, Psaralexi Evanthia, Patsikas Michael, Papazoglou Lysimachos, Adamama-Moraitou K Katerina
Department of Internal Medicine, Companion Animal Clinic (Unit of Medicine), School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.
Assistant Professor, Diagnostic Laboratory, School of Veterinary Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.
Top Companion Anim Med. 2022 Jan-Feb;46:100593. doi: 10.1016/j.tcam.2021.100593. Epub 2021 Oct 23.
A 10-year-old, male intact, mixed breed dog was admitted with a history of intermittent lower urinary tract signs of 18-months duration. Dysuria, stranguria, pollakiuria and overflow incontinence developed 2 weeks prior to presentation, while vomiting, polydipsia and anorexia were seen a few days prior to admission. Physical examination revealed prostatomegaly. Biochemistry results were compatible with postrenal azotemia. Abdominal imaging confirmed prostatomegaly with consequent urethral obstruction, and ultrasound-guided fine needle aspiration cytology of the prostate gland was consistent with granulomatous inflammation. The dog was hospitalized, urethral patency was preserved and upon laparotomy a cystostomy tube was placed, and prostatic biopsy was obtained. Orchiectomy was also performed. Urine culture performed 2 days prior to the surgery was negative. Prostatic histopathology revealed mild to moderate lymphoplasmacytic prostatitis. Three months postoperatively, clinical signs had resolved completely and urinations remained normal while the dog is still in good health 3 years after diagnosis. This is the first case of canine lymphoplasmacytic prostatitis in which clinical signs, diagnostic evaluation, management and long-term follow up are available.
一只10岁、未绝育的雄性混血犬因持续18个月的间歇性下尿路症状病史入院。在就诊前2周出现排尿困难、尿频、尿急和充溢性尿失禁，而在入院前几天出现呕吐、多饮和厌食。体格检查发现前列腺肿大。生化检查结果与肾后性氮质血症相符。腹部影像学检查证实前列腺肿大并导致尿道梗阻，前列腺超声引导下细针穿刺细胞学检查结果与肉芽肿性炎症一致。该犬住院治疗，保留尿道通畅，剖腹探查时放置了膀胱造瘘管，并进行了前列腺活检。还实施了去势手术。术前2天进行的尿培养结果为阴性。前列腺组织病理学检查显示轻度至中度淋巴细胞性前列腺炎。术后3个月，临床症状完全消失，排尿保持正常，诊断3年后该犬仍健康良好。这是第一例有临床症状、诊断评估、治疗及长期随访情况的犬淋巴细胞性前列腺炎病例。
