Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat

Rebecca G McQuitty,1 Erinne M Branter2 1Emergency and Critical Care Department, ACCESS Specialty Animal Hospital, Culver City, CA, USA; 2Interventional Radiology/Endoscopy Department, ACCESS Specialty Animal Hospital, Culver City, CA, USA Purpose: We describe a case of ureteral obstruction and funga...

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Autores principales:	McQuitty RG, Branter EM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	interventional radiology ureteral obstruction mycoses invasive fungal disease urinary tract infection Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/63238d92e44c44b6bccbe056d7aecf53
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spelling	oai:doaj.org-article:63238d92e44c44b6bccbe056d7aecf532021-12-02T06:00:43ZTreatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat2230-2034https://doaj.org/article/63238d92e44c44b6bccbe056d7aecf532018-11-01T00:00:00Zhttps://www.dovepress.com/treatment-of-fungal-pyelonephritis-and-ureterolithiasis-with-a-subcuta-peer-reviewed-article-VMRRhttps://doaj.org/toc/2230-2034Rebecca G McQuitty,1 Erinne M Branter2 1Emergency and Critical Care Department, ACCESS Specialty Animal Hospital, Culver City, CA, USA; 2Interventional Radiology/Endoscopy Department, ACCESS Specialty Animal Hospital, Culver City, CA, USA Purpose: We describe a case of ureteral obstruction and fungal pyelonephritis in a cat. The case was managed successfully with a subcutaneous ureteral bypass (SUB) device and systemic antifungal medication. Case summary: A 9-year-old, male, neutered, domestic shorthair cat was referred for severe azotemia, ureteral obstruction, and sonographically identified progressive pyelectasia of the left kidney. A SUB device was placed. Cytology of the left kidney subsequently identified fungal organisms, and the cat responded clinically to treatment with fluconazole and supportive care. The cat survived for 11 months with intermittent fluconazole treatment. Conclusion: Fungal pyelonephritis should be considered as a possible concurrent diagnosis in cats with ureteral obstruction. The successful clinical outcome in this case suggests that treatment with SUB placement, antifungal medication, and supportive care could be an effective treatment strategy. Keywords: interventional radiology, ureteral obstruction, mycoses, invasive fungal disease, urinary tract infectionMcQuitty RGBranter EMDove Medical Pressarticleinterventional radiologyureteral obstructionmycosesinvasive fungal diseaseurinary tract infectionVeterinary medicineSF600-1100ENVeterinary Medicine: Research and Reports, Vol Volume 9, Pp 73-78 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	interventional radiology ureteral obstruction mycoses invasive fungal disease urinary tract infection Veterinary medicine SF600-1100
spellingShingle	interventional radiology ureteral obstruction mycoses invasive fungal disease urinary tract infection Veterinary medicine SF600-1100 McQuitty RG Branter EM Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat
description	Rebecca G McQuitty,1 Erinne M Branter2 1Emergency and Critical Care Department, ACCESS Specialty Animal Hospital, Culver City, CA, USA; 2Interventional Radiology/Endoscopy Department, ACCESS Specialty Animal Hospital, Culver City, CA, USA Purpose: We describe a case of ureteral obstruction and fungal pyelonephritis in a cat. The case was managed successfully with a subcutaneous ureteral bypass (SUB) device and systemic antifungal medication. Case summary: A 9-year-old, male, neutered, domestic shorthair cat was referred for severe azotemia, ureteral obstruction, and sonographically identified progressive pyelectasia of the left kidney. A SUB device was placed. Cytology of the left kidney subsequently identified fungal organisms, and the cat responded clinically to treatment with fluconazole and supportive care. The cat survived for 11 months with intermittent fluconazole treatment. Conclusion: Fungal pyelonephritis should be considered as a possible concurrent diagnosis in cats with ureteral obstruction. The successful clinical outcome in this case suggests that treatment with SUB placement, antifungal medication, and supportive care could be an effective treatment strategy. Keywords: interventional radiology, ureteral obstruction, mycoses, invasive fungal disease, urinary tract infection
format	article
author	McQuitty RG Branter EM
author_facet	McQuitty RG Branter EM
author_sort	McQuitty RG
title	Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat
title_short	Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat
title_full	Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat
title_fullStr	Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat
title_full_unstemmed	Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat
title_sort	treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/63238d92e44c44b6bccbe056d7aecf53
work_keys_str_mv	AT mcquittyrg treatmentoffungalpyelonephritisandureterolithiasiswithasubcutaneousureteralbypasssystemandsystemicantifungalmedicationinacat AT branterem treatmentoffungalpyelonephritisandureterolithiasiswithasubcutaneousureteralbypasssystemandsystemicantifungalmedicationinacat
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Treatment of fungal pyelonephritis and ureterolithiasis with a subcutaneous ureteral bypass system and systemic antifungal medication in a cat

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