Peer-reviewed veterinary case report
Use of continuous-flow peritoneal dialysis for the treatment of acute renal failure in an adult horse.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2005
- Authors:
- Gallatin, Laurie L et al.
- Affiliation:
- Department of Veterinary Clinical Sciences · United States
- Species:
- horse
Plain-English summary
A 15-year-old Paso Fino gelding was having serious kidney problems after a bout of muscle damage from exercise. He was not improving with standard treatments and intermittent dialysis, which is a method to help filter toxins from the blood. After starting a continuous-flow peritoneal dialysis (CFPD) treatment on the seventh day, the horse showed significant improvement in his mood and kidney function within just 24 hours. He stayed in the hospital for 23 days, and within three months after going home, his kidney values returned to normal and he was back to his usual activities. This case suggests that CFPD can be an effective treatment for acute kidney failure in horses that don't respond to regular treatments.
Abstract
A 15-year-old Paso Fino gelding was evaluated because of acute renal failure following an episode of exertional rhabdomyolysis. The horse was azotemic and treated conservatively at another referral practice with no improvement in the azotemia. With conservative treatment and intermittent peritoneal dialysis, the horse had minimal improvement. Continuous-flow peritoneal dialysis (CFPD) was instituted on day 7 and continued for 3 consecutive days. Dramatic changes in the horse's attitude and serum creatinine concentration were detected within the first 24 hours of CFPD treatment. The horse remained hospitalized for 23 days; within 3 months of discharge, serum BUN and creatinine concentrations had returned to within the reference ranges and the horse had resumed normal activity. In adult horses, it appears that CFPD can be used to successfully treat acute renal failure that is refractory to conventional treatments.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/15776949/