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Peer-reviewed veterinary case report

Case report: Emphysematous cystitis due toinfection with the extension of gas into multiple locations in two non-diabetic dogs: a computed tomographic diagnosis and successful management.

Journal:
Frontiers in veterinary science
Year:
2023
Authors:
Lee, Eun-Ji et al.
Affiliation:
Department of Veterinary Internal Medicine · South Korea
Species:
dog

Plain-English summary

Two non-diabetic dogs were diagnosed with a rare urinary tract infection called emphysematous cystitis, which involves gas forming in the bladder due to certain bacteria. The first dog, a 7-year-old spayed female Pomeranian, had been experiencing blood in her urine and needing to urinate more often for three days. The second dog, a 9-year-old spayed female Jindo, had intermittent blood in her urine for four days. After using imaging tests and bacterial cultures to confirm the diagnosis, both dogs were treated with antibiotics tailored to the specific bacteria found. They both responded very well to the treatment, with all symptoms resolving completely within about a month, and there were no signs of the infection returning during follow-up.

Abstract

Emphysematous cystitis is an extremely rare, complicated urinary tract infection with the presence of gas in the bladder wall and lumen caused by gas-producing bacterial infections. A 7-year-old spayed female pomeranian dog was presented with a 3-day history of hematuria and pollakiuria (case 1), and a 9-year-old spayed female jindo dog was presented with a 4-day history of intermittent hematuria (case 2). Imaging modalities, including radiography, ultrasonography, and computed tomography, and bacterial culture tests were used for the diagnosis. Emphysematous cystitis due toinfection with the extension of gas into multiple locations was identified in both cases. Based on the results of antibiotic susceptibility testing, systemic antibiotics were initiated. Both animals had an excellent response to antibiotic treatment, and the clinical signs of the gas collection were completely resolved within ~1 month after treatment initiation. This response was sustained without recurrence in the follow-up period. This case report describes clinical details of extremely rare canine cases of emphysematous cystitis with the extension of gas into multiple locations and evaluates the clinical efficacy of antibiotic therapy.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/37519999/