Small Animal Pyometra

J, Davidson; Black, D

doi:10.1002/9781118487181.ch42

Cited by 3 publications

(6 citation statements)

References 37 publications

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“…1 Clinical signs may include dehydration, anemia, polydipsia, polyuria, anorexia, vomiting, diarrhea, lethargy, tachycardia, tachypnea, purulent vaginal discharge (with an open cervix), and fever or hypothermia. [2][3][4][5][6] Signs of pyometra may be subtle at onset, and the disease can progress to an advanced stage by the time clinical signs are readily observed. In advanced stages of pyometra, bitches may suffer from sepsis, endotoxic shock, or systemic inflammatory response syndrome (SIRS), and the disease can be fatal.…”

mentioning

confidence: 99%

Findings and prognostic indicators of outcomes for bitches with pyometra treated surgically in a nonspecialized setting

Pailler

Slater

Lesnikowski

et al. 2022

javma

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OBJECTIVE To determine the rate of survival to hospital discharge and identify indicators associated with poor outcomes among female dogs (bitches) with pyometra treated with ovariohysterectomy (OHE) in a nonspecialized setting. ANIMALS 405 bitches diagnosed with pyometra at the American Society for the Prevention of Cruelty to Animals Animal Hospital from January 1, 2017, to February 8, 2019. PROCEDURES For this retrospective study, medical records were searched and data collected including patient history, clinical signs, serum biochemical analyses results, and outcome (survival to hospital discharge, length of hospital stay, and uterine rupture). Logistic regression models were used to assess multivariable associations and identify potential predictive variables. RESULTS The rate of survival to hospital discharge for bitches with pyometra treated with OHE was 97% (394/405); 44% (174/394) stayed in the hospital ≥ 2 nights, and 3% (11/390) had a ruptured uterus. Bitches with a high BUN concentration or heart murmur had greater odds of death after OHE; however, the model had low predictive power. Those with uterine rupture, inappetence, high concentrations of BUN or serum creatinine, low PCV, or dehydration had greater odds of hospitalization ≥ 2 nights. There were no significant predictors of uterine rupture. CLINICAL RELEVANCE The rate of survival to hospital discharge was high for bitches with pyometra treated with OHE in a nonspecialized setting; therefore, general practitioners could expect similar outcomes. With this important procedure widely available in general practices, more pets can receive treatment for this life-threatening disease.

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confidence: 99%

Findings and prognostic indicators of outcomes for bitches with pyometra treated surgically in a nonspecialized setting

Pailler

Slater

Lesnikowski

et al. 2022

javma

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“…Despite the pathogenesis of pyometra is not fully understood, it is accepted that it is a hormonal disease especially of the diestrus, when the progesterone values rise to critical levels for the development of infection (Santana and Santos 2021). Some of these risk factors are associated with canine pyometra: middle age to older intact female dogs, bitches 7-8 weeks post estrus, exogenous estrogen therapy, subclinical urinary tract infection, nulliparous female, breed predilection (Collie Shepherd, Rottweiler, Bernese Mountain dog, Golden Retriever), hypoadrenocorticism and diabetes mellitus and endotoxemia (Davidson and Black 2016). One of the main causes of pyometra in bitches is the use of contraceptives (Sala et al 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Clinically, the bitches may present depression, lethargy, lack of appetite, polydipsia/polyuria, vomiting, dehydration, and abdominal distension (Smith 2006;Davidson and Black 2016). Bitches with pyometra may present prerenal azotemia and signs of dehydration accompanied by hyperproteinemia and hyperglobulinemia.…”

Section: Introductionmentioning

confidence: 99%

“…Ovariohysterectomy is the most effective treatment because the source of bacterial infection is eliminated, and recurrence is prevented, besides, it is an elective surgery for female dogs in which there is no interest in reproduction (Davidson and Black 2016;Hagman 2018). However, determinations of C-reactive protein (CRP) are increasingly used in the evaluation of the postsurgical period in dogs, since it serves as a marker to determine the severity of inflammatory processes and therefore, enable early detection of complications in female dogs undergoing surgery (Devey 2013).…”

Section: Introductionmentioning

confidence: 99%

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Clinical-Surgical Management of Closed Cervix Canine Pyometra: Clinical Case Report

2023

Int J Vet Sci

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Pyometra is a bacterial infection with an accumulation of purulent exudate within the uterine lumen in intact female dogs. The diagnosis of this disease is made from the history, clinical and gynecological examinations, blood analyses, and ultrasonography of the abdomen. In this report, the clinical-surgical management of three cases of closed cervix pyometra is described. Three intact adult female dogs were presented to the veterinary emergency service because of general malaise, lack of appetite, and vomiting. The bitches showed estrus at least 3 weeks before the consultation, without vaginal discharge during this time. On clinical examination, the patients showed dehydration and apathy. Hematology, blood chemistry, and ultrasound were performed to confirm pyometra. Medical history, clinical, hematologic and chemistry findings, and abdominal ultrasonography were all consistent with a diagnosis of closed cervix canine Pyometra. Determinations of C-reactive protein were important to know the severity of inflammatory response before and post-surgery. Moreover, intraabdominal use of physiologic saline solution plus metronidazole and amoxicillin prevents secondary infections and decreases the inflammatory response. It concludes that the present report describes clinical and surgical management of closed cervix pyometra for optimizing monitoring, treatments, and saving the lives of patients with this disease.

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“…Nowadays, the main method of treating animals with closed pyometra is to carry out a surgical operation (ovariogysterectomy) (Davidson and Black, 2015;Shah et al, 2016). Despite this, in foreign literary sources, cases of successful use of conservative treatment methods are increasingly being reported.…”

Section: Introductionmentioning

confidence: 99%