Feline Cystitis in Himalayan Cats : a Case Report

Abstract

Molly is male Himalayan’s cat with age 2 years old. He comes to Education Animal Clinic of Veterinary Medicine Faculty at University of Brawijaya Malang with owners. Molly comes with complaints of vomiting and previously with dysuria less 2 days and found blood in urine drops. Physical examination are present the temperature 37.6 o C, pulsus frequency 104/minute and respiration frequency 28/minute with the condition of mild dehydration. Abdominal palpation shows distention on vesica urinary. Hematology and blood chemistry examination show thrombocytopenia (89.0 x10 3 /μL, range 300-800x10 3 /μL), increase levels of SGPT (172.3 U/L, range 8.3-52.5 U/L), SGOT (95.8 U/L, range9.2-39.5U/L) and uremia (50.0 mg/dL, range 20.030.0 mg/dL).Urinalysis examination (Verity ®) show pH 9.0 (range 6.0-7.5), leukocytes (+), nitrite (-), urobilinogen (-), protein 100 (range 15-30 mg/dL), blood (+), specific gravity 1.01 (range 1.036-1.060), ketone (-), bilirubin (-) and glucose (-). Macroscopic examination of urine shows red color (hematuria), dense and cloudy. Microscopic examination of urine with crystals of struvite types found in moderate. Radiography examination shows full of vesica urinaria. The examination of ultrasonography on vesica urinaria showed thickening of the wall vesica urinaria and sedimentation of crystals are hyperechoic. Treatment of cystitis use catheterization and flushing with NS of vesica urinaria, fluid therapy use Ringer's Lactate, antivomiting agent (Ranitidine, 2.5 mg/kg i.m. q24h), analgesics (Ketoprofen, 2 mg/kg i.m. q24h) and growth booster and increase durability of the body, i.e. Hematopan ® and Biodin ® each 0.15 mL i.m. q24h. Daily therapy uses antibiotic (Doxycycline, 10 mg/kg p.o. q12h), wrecked crystal agent (Keji Beling ® , 1⁄2 capsul/day p.o.) and vitamin A (10.000 IU/day p.o.), injection of analgesic (Ketoprofen, 2 mg/kg i.m. q12h) and growth boosters and increase durability of the body (Hematopan ® and Biodin ® i.m. q24h) as well as diet feeding Royal Canine Urinary s/o ® for cat. Treatments for 7 days showed significant changes, that is normal urinary and does not hematuria