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Regression of Struvite Urolithiasis and Resolution of Hemorrhagic Cystitis in Persian Cats: Clinical and Ultrasonographic Evaluation Following Dietary and Medical Therapy | ||
| Archives of Razi Institute | ||
| مقالات آماده انتشار، پذیرفته شده، انتشار آنلاین از تاریخ 12 مهر 1405 اصل مقاله (609.24 K) | ||
| نوع مقاله: Case Study | ||
| شناسه دیجیتال (DOI): 10.66224/ari.2026.372277.4055 | ||
| نویسندگان | ||
| Wa Ode Santa S Monica* 1؛ Andi Rifqatul Ummah2؛ Muhammad Furqan Hidayat3؛ Muhammad Zulfadillah Sinusi4؛ Andi Tri Julyana Eka Astuty5؛ dian fatmawati5؛ Musdalifah Musdalifah5؛ Sarmin Sarmin6 | ||
| 1Department of Veterinary Internal Medicine, Study Program of Veterinary Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia | ||
| 2Department of Surgery and Radiology, Study Program Of Veterinary Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia | ||
| 3Study Program Of Veterinary Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia | ||
| 4Department of Veterinary Surgery and Radiology, Study Program Of Veterinary Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia | ||
| 5Departement of veterinary Internal Medicine, Study Program Of Veterinary Medicine, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia | ||
| 6Department Of Physiology Faculty Of Veterinary Medicine, universitas Gadjah Mada Yogyakarta Indonesia | ||
| چکیده | ||
| This case report describes the management and outcome of dissolution therapy in a 2-year-old female Persian cat diagnosed with Struvite Urolithiasis complicated by acute Hemorrhagic Cystitis. Clinical symptoms were characterized by severe stranguria and pollakiuria. Ultrasonography revealed thickening of the bladder wall and an initial urolith measuring 1.16 x 0.47 cm. Laboratory examination confirmed the diagnosis: slightly acidic urine pH (6.0), inflammatory leukogram, and the presence of Escherichia coli in urine culture, confirming the infection. Urine sediment microscopy revealed numerous erythrocytes and leukocytes, but few struvite crystals were found (low crystalluria). Treatment involved a multidimensional protocol: stabilization with intravenous fluids, the antibiotic ciprofloxacin (after initiation of amoxicillin) to eliminate E. coli, anti-inflammatory therapy with tolfenamic acid, and urolith intervention using a therapeutic urinary dissolution diet S/O wet food for 14 days and the diuretic herbal medicine Batugin. This intervention resulted in remarkably rapid clinical resolution. By day 14, the urolith had drastically regressed >50% from its initial stone size to 0.70 x 0.27 cm. Microscopic examination of the urine sediment demonstrated resolution of pyuria and hemorrhagic cystitis, characterized by the disappearance of red blood cells, white blood cells, and struvite crystals. The success of this case confirms that comprehensive medical dissolution therapy, combined with aggressive elimination of infection, should be the first choice for struvite urolithiasis with associated symptoms. | ||
| کلیدواژه‌ها | ||
| Dissolution Therapy؛ Escherichia coli؛ Hemorrhagic Cystitis؛ Persian Cat؛ Struvite Urolithiasis | ||
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