Acute kidney injury due to Leptospira interrogans in 4 foals and use of renal replacement therapy with intermittent hemodiafiltration in 1 foal

Journal of Veterinary Internal Medicine

Ariane Schweighauser¹  Thierry Francey¹  Claudia Graubner²  Simone Lanz²  Nathalie Fouché²  Vinzenz Gerber² 

[1] Small Animal Internal Medicine, Department of Clinical Veterinary Medicine, Vetsuisse Faculty University of Bern Bern Switzerland;Swiss Institute of Equine Medicine, University of Bern, and Agroscope Bern Switzerland;

关键词: horse;    infection;    leptospirosis;    renal failure;   

DOI  :  10.1111/jvim.15713

来源: DOAJ

【 摘 要 】

Abstract Four 2‐month‐old foals were presented to an equine hospital with acute kidney injury caused by Leptospira interrogans infection. Clinical signs were nonspecific and included lethargy, fever, and unwillingness to nurse. The most important hematologic and clinicopathologic findings were azotemia, anemia, thrombocytopenia, hyponatremia, and hypochloremia. The diagnosis was based on urinary real‐time PCR, serology using a microscopic agglutination test, or both. The most important serovars involved were L. interrogans serogroup australis serovar Bratislava and Australis. Treatment consisted of IV fluid therapy and antimicrobial treatment. Renal replacement therapy with hemodiafiltration was performed in 1 of the foals. All foals survived to discharge. This report highlights the importance of early diagnosis and treatment in foals with acute kidney injury caused by L. interrogans infection.

【 授权许可】

Unknown