Kirsch M
I. Medizinischen Tierklinik, Ludwig-Maximilians-Universität München.
Tierarztl Prax Ausg K Kleintiere Heimtiere. 1998 Feb;26(1):32-6.
Bacterial cystitis is a problem often found among patients suffering from diabetes mellitus. Insulin management can be impaired by this condition. Diagnosis and therapy of a urinary tract infection are very important in regarding the possibility of bacteria ascending to the kidneys because in a great amount of diabetic patients the kidneys are already damaged by diabetic glomerular nephropathy. Compared to other patients of our clinic the frequency of cystitis among diabetic dogs (n = 158, cystitis diagnosed in 12.7%) and cats (n = 71, cystitis diagnosed in 9.9%) was already considerably higher when diabetes mellitus was diagnosed in these animals. In this retrospective study female animals were far more affected than males. The diagnosis of cystitis among cats and dogs was most frequent when patients had already been suffering from polydipsia and polyuria for more than four weeks. A division among the dogs depending on the etiology of diabetes mellitus led to the following result: especially patients suffering from Cushing's disease and bitches with progesterone-STH-induced diabetes mellitus--particularly when endometritis or pyometra was found--were running the highest risk of developing urinary infections. The bacterium most frequently isolated in the urine samples was E. coli.
细菌性膀胱炎是糖尿病患者中常见的问题。这种情况会损害胰岛素的管理。鉴于细菌上行至肾脏的可能性,尿路感染的诊断和治疗非常重要,因为大量糖尿病患者的肾脏已因糖尿病肾小球肾病而受损。与我们诊所的其他患者相比,当这些动物被诊断出患有糖尿病时,糖尿病犬(n = 158,膀胱炎诊断率为12.7%)和猫(n = 71,膀胱炎诊断率为9.9%)中膀胱炎的发生率已经相当高。在这项回顾性研究中,雌性动物比雄性动物受影响的程度要大得多。当猫和狗已经出现多饮多尿超过四周时,膀胱炎的诊断最为常见。根据糖尿病的病因对犬进行分类得出以下结果:特别是患有库欣病的患者以及患有孕酮-生长激素诱导型糖尿病的母犬——尤其是在发现子宫内膜炎或子宫蓄脓时——发生尿路感染的风险最高。尿液样本中最常分离出的细菌是大肠杆菌。