Acute kidney injury due to Leptospira interrogans in 4 foals and use of renal replacement therapy with intermittent hemodiafiltration in 1 foal. (30th January 2020)

• Record Type: Journal Article
• Authors: Fouché, Nathalie; Graubner, Claudia; Lanz, Simone; Schweighauser, Ariane; Francey, Thierry; Gerber, Vinzenz
• Is Part Of: Journal of veterinary internal medicine. Volume 34:Number 2(2020)
• Page Start: 1007
• Page End: 1012
• Publication Date: 2020-01-30
• Subjects: horse -- infection -- leptospirosis -- renal failure; Veterinary medicine -- Periodicals; 636.0896
• DOI: 10.1111/jvim.15713
• Languages: English
• ISSNs: 0891-6640

Abstract

Abstract: Four 2‐month‐old foals were presented to an equine hospital with acute kidney injury caused by Leptospira interrogans infection. Clinical signs were nonspecific and included lethargy, fever, and unwillingness to nurse. The most important hematologic and clinicopathologic findings were azotemia, anemia, thrombocytopenia, hyponatremia, and hypochloremia. The diagnosis was based on urinary real‐time PCR, serology using a microscopic agglutination test, or both. The most important serovars involved were L. interrogans serogroup australis serovar Bratislava and Australis . Treatment consisted of IV fluid therapy and antimicrobial treatment. Renal replacement therapy with hemodiafiltration was performed in 1 of the foals. All foals survived to discharge. This report highlights the importance of early diagnosis and treatment in foals with acute kidney injury caused by L. interrogans infection.