Treatment of fungal urinary tract disease in dogs and cats: a scoping review.

Abstract

Fungal urinary tract disease has been poorly studied in veterinary medicine. While it is an uncommon condition, identification of fungal cystitis or pyelonephritis raises many clinical questions about optimal management practices. To better understand optimal management approaches and inform guideline development, a scoping review was to identify available evidence pertaining to treatment of fungal urinary tract disease in dogs and cats. After de-duplication and relevance screening, 28 studies were included in the synthesis). Twenty-six (93 %) were single case reports and 2 (7.1 %) were case series' describing fungal infections in 16 (62 %) dogs and 10 (38 %) cats. Antifungal treatment of cystitis, pyelonephritis, funguria and fungal balls was described, with variable drugs and regimens. Varied treatment approaches and outcomes have been reported, but controlled trials are lacking. In lieu of that, larger and more structured multicentre observational studies are needed to better understand treatment approaches and inform evidence-based guidelines.