Address correspondence and reprint requests to: Nicole F. Beckel, DVM, New England Animal Medical Center, 595 West Center Street, West Bridgewater, MA. E-mail: firstname.lastname@example.org
Peritoneal dialysis in the management of acute renal failure in 5 dogs with leptospirosis
Version of Record online: 23 AUG 2005
Journal of Veterinary Emergency and Critical Care
Volume 15, Issue 3, pages 201–205, September 2005
How to Cite
Beckel, N. F., O'Toole, T. E., Rozanski, E. A. and Labato, M. A. (2005), Peritoneal dialysis in the management of acute renal failure in 5 dogs with leptospirosis. Journal of Veterinary Emergency and Critical Care, 15: 201–205. doi: 10.1111/j.1476-4431.2005.00142.x
- Issue online: 23 AUG 2005
- Version of Record online: 23 AUG 2005
- electrolyte imbalance;
Objective: To describe the use of peritoneal dialysis (PD) in the management of 5 dogs with acute renal failure (ARF) caused by leptospirosis.
Case Series Summary: All dogs were treated for leptospirosis with intravenous (IV) fluids and ampicillin prior to PD. Median age of dogs was 5 years (range 2–6 years). All dogs had positive titers for Leptospira bratislava. Median duration of PD was 4 days (range 3–16 days). PD resulted in a decrease in azotemia in all dogs. Median serum blood urea nitrogen at the start of PD was 192 mg/dL (range 140–235 mg/dL) and at the end of PD was 63 mg/dL (range 48–139 mg/dL). Median serum creatinine at the start of PD and the end was 12.8 mg/dL (range 7.7–16.9 mg/dL) and 3.4 mg/dL (range 1.4–11.1 mg/dL), respectively. Complications identified during PD included hypokalemia (n=3, 60%), hypoalbuminemia (n=2, 40%), hypomagnesemia (n=1, 20%), pelvic limb edema (n=2, 40%), central nervous system signs (n=2, 40%), dialysate retention (n=1, 20%), and leakage from the catheter site (n=1, 20%). Peritonitis was not identified in any of the dogs. Four dogs (80%) survived to discharge from the hospital. PD was effective for management of uremia in dogs with ARF caused by leptospirosis.