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与雌性犬下尿路症状相关的小前庭尿道周围腺体样炎症。

Lesser vestibular periurethral gland-like inflammation associated with lower urinary tract signs in a female dog.

机构信息

North Carolina State University, Raleigh, North Carolina, USA.

Department of Clinical Sciences, North Carolina State University, Raleigh, North Carolina, USA.

出版信息

J Vet Intern Med. 2023 Nov-Dec;37(6):2488-2491. doi: 10.1111/jvim.16889. Epub 2023 Sep 29.

Abstract

CASE DESCRIPTION

A 4-year-old female spayed mixed breed dog presented with a 2-year history of painful urination and recurrent hematuria.

CLINICAL FINDINGS

The dog had a large sensitive bladder, palpation of which was followed by painful urination. Pollakiuria accompanied by vocalization were noted during observation of voiding.

DIAGNOSTICS

Cystoscopy identified a focal, rounded expansion of epithelial tissue in the right lateral aspect of the urethral papilla containing purulent material consistent with an abscess. A sample submitted for culture yielded growth of Staphylococcus pseudintermedius and Proteus mirabilis.

TREATMENT AND OUTCOME

Purulent material was expelled by manual pressure during cystourethroscopy. Enrofloxacin (10 mg/kg PO q24h for 42 days) and carprofen (4.4 mg/kg PO q24h for 14 days) were initiated. Clinical signs resolved within 2 days.

CLINICAL RELEVANCE

Inflammation in the region of the lesser vestibular paraurethral glands should be considered as a differential for female dogs presenting with chronic dysuria.

摘要

病例描述

一只 4 岁已绝育的雌性混种犬,表现出 2 年的尿痛和复发性血尿病史。

临床发现

该犬膀胱大且敏感,触诊后出现尿痛。在观察排尿过程中,出现多尿伴发声。

诊断

膀胱镜检查发现尿道乳头右侧有一个局灶性、圆形的上皮组织扩张,其中含有脓性物质,符合脓肿的表现。提交进行培养的样本中生长出中间葡萄球菌和奇异变形杆菌。

治疗和预后

在膀胱尿道镜检查过程中,通过手动施压排出脓性物质。开始使用恩诺沙星(10mg/kg,口服,每 24 小时 1 次,共 42 天)和卡洛芬(4.4mg/kg,口服,每 24 小时 1 次,共 14 天)。临床症状在 2 天内得到缓解。

临床意义

对于出现慢性排尿困难的雌性犬,应考虑到小阴唇旁尿道腺区域的炎症作为鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c8a/10658558/a26c1807a5c9/JVIM-37-2488-g002.jpg

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