Resumo

KOSCINCZUK, P.; CASCO, J.J.; CAINZO, R.P.  e  CAMOLETTO, D.A.. Resolution of a lingual necrosis for canine leptospirosis. Rev. vet. [online]. 2021, vol.32, n.1, pp.114-116. ISSN 1669-6840.  http://dx.doi.org/10.30972/vet.3215647.

18.

The present study describes the clinical resolution of a tongue necrosis associated whit an acute renal failure due to leptospirosis. A 4 year oíd male Boston terrier canine was present with a tongue that showed changes of color, consistency, sensibility and lack of pulse. Regarding the renal profile urea (183 mg/ di) and creatinine (1,8 mg/dl), valúes were increased and micro agglutination technique gave titers 1/3200 of Leptospira interrogans serovars, Ballum castellonis y Canteóla canteóla. Increased antibody titles and clinical manifestations, confirmed the diagnosis of acute kidney damage. The treatment began with fluid therapy using Ringer lactato and dextrose 5%. As leptospirosis was possible, antibiotic treatment was applied (penicillin combined with estrept­ omicina). Once the patient was stable, pardal glosectomy was realized. Nevertheless, necrosis continued, so it was decided to use 1 mg/kg of dexametasona parenteraly during three days an then a lower dosis. Eight days later, the patient was recovered, although isostenuric uriñe density continued, urea (87 mg/dl) and creatinine (0,8 mg/dl) valúes decreased and the patient was stable. Despite corticosteroids are not recommended in acute renal failure in this case were used to control vasculitis. Considering the immune origin of vascular injury, treating the initial cause isn't enough, reason why immunosuppressive drugs are recommended.

Palavras-chave : canine; glossitis; necrosis; vasculitis; leptospirosis.

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