Successful treatment of pyometra concomitant with diabetes mellitus in a bitch

Pyometra, a diestrus period disorder with a long term of progesterone exposure to endometrium, is a common disease of nulliparous female dogs. Closed-cervix pyometra is an emergency medical condition that requires rapid intervention. The possibility of treatment is further limited when associated wi...

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Main Author: Hande GÜRLER
Format: Article
Language:English
Published: Kafkas University, Faculty of Veterinary Medicine 2020-04-01
Series:Kafkas Universitesi Veteriner Fakültesi Dergisi
Subjects:
Online Access:https://vetdergikafkas.org/pdf.php?id=2706
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author Hande GÜRLER
author_facet Hande GÜRLER
author_sort Hande GÜRLER
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description Pyometra, a diestrus period disorder with a long term of progesterone exposure to endometrium, is a common disease of nulliparous female dogs. Closed-cervix pyometra is an emergency medical condition that requires rapid intervention. The possibility of treatment is further limited when associated with a chronic disease such as diabetes. This case describes a closed cervix pyometra in a 4-year-old bitch with comorbid diabetes mellitus and long-term contraceptive therapy. Closed-cervix pyometra was diagnosed and confirmed by ultrasound examination typical of pyometra, vaginal smear indicating diestrus and serum progesterone level (52 ng/mL). Serum fructosamine level was 475 μmol/L, interpreting diabetes mellitus. Treatment included ovariohysterectomy and normoglycemia was achieved with glargine insulin. Although, reproductive hormones and diestrus are associated with Type II diabetes mellitus in bitches, there are no reports limited to our search, on pyometra concomitant with diabetes mellitus except Elkhounds. Since the situation has a vital clinical importance, this report aims to emphasize the insidious diabetes mellitus development potential and treatment in canine pyometra which is usually misdiagnosed or unconsidered in clinical practice.
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spelling doaj.art-5929c0a74d3d4048a72f4153278aab342023-06-19T06:32:43ZengKafkas University, Faculty of Veterinary MedicineKafkas Universitesi Veteriner Fakültesi Dergisi1309-22512020-04-0126457357610.9775/kvfd.2020.238652706Successful treatment of pyometra concomitant with diabetes mellitus in a bitchHande GÜRLER0Ondokuz Mayıs University, Faculty of Veterinary Medicine, Department of Obstetrics and Gynecology, TR-55139 Samsun - TURKEYPyometra, a diestrus period disorder with a long term of progesterone exposure to endometrium, is a common disease of nulliparous female dogs. Closed-cervix pyometra is an emergency medical condition that requires rapid intervention. The possibility of treatment is further limited when associated with a chronic disease such as diabetes. This case describes a closed cervix pyometra in a 4-year-old bitch with comorbid diabetes mellitus and long-term contraceptive therapy. Closed-cervix pyometra was diagnosed and confirmed by ultrasound examination typical of pyometra, vaginal smear indicating diestrus and serum progesterone level (52 ng/mL). Serum fructosamine level was 475 μmol/L, interpreting diabetes mellitus. Treatment included ovariohysterectomy and normoglycemia was achieved with glargine insulin. Although, reproductive hormones and diestrus are associated with Type II diabetes mellitus in bitches, there are no reports limited to our search, on pyometra concomitant with diabetes mellitus except Elkhounds. Since the situation has a vital clinical importance, this report aims to emphasize the insidious diabetes mellitus development potential and treatment in canine pyometra which is usually misdiagnosed or unconsidered in clinical practice.https://vetdergikafkas.org/pdf.php?id=2706dogdiabetes mellituspyometra
spellingShingle Hande GÜRLER
Successful treatment of pyometra concomitant with diabetes mellitus in a bitch
Kafkas Universitesi Veteriner Fakültesi Dergisi
dog
diabetes mellitus
pyometra
title Successful treatment of pyometra concomitant with diabetes mellitus in a bitch
title_full Successful treatment of pyometra concomitant with diabetes mellitus in a bitch
title_fullStr Successful treatment of pyometra concomitant with diabetes mellitus in a bitch
title_full_unstemmed Successful treatment of pyometra concomitant with diabetes mellitus in a bitch
title_short Successful treatment of pyometra concomitant with diabetes mellitus in a bitch
title_sort successful treatment of pyometra concomitant with diabetes mellitus in a bitch
topic dog
diabetes mellitus
pyometra
url https://vetdergikafkas.org/pdf.php?id=2706
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