Treatment of Hydrocarbon Induced Acute Kidney Injury in Dog Using Intermittent Hemodialysis

Abstract

Aims: This case report shows the importance of intermittent hemodialysis (IHD) in successful management of hydrocarbon induced acute kidney injury. Presentation of Case: A case of 1.5 years old Golden retriever breed dog with history of anorexia, dullness, intermittent vomiting, weight loss, oliguria, melena and coughing since last 6 days was presented in emergency & critical care unit at multispecialty veterinary hospital, Guru Angad Dev Veterinary and Animal Sciences University, Ludhiana, Punjab. On complete history taking, owner reveals that animal was licking engine oil from last 10 days. Laboratory findings revealed that Blood urea nitrogen (BUN)- 210 mg/dL, Creatinine- 13.7 mg/dL, Sodium (Na)- 146 mEq/L, Potassium (K)- 4.7 mEq/L, Chloride (Cl)- 108 mEq/L, Phosphorus (P)- 16.5 mg/dL and Calcium (Ca)- 13.7 mg/dL. Serum total protein and albumin were 6.1 g/dL and 2.7 g/dL, respectively. Abdominal ultrasound revealed Left kidney enlarged with normal cortico-medullary differentiation (CMD) & right kidney hyperechoic with loss of CMD. Radiographic findings reveals moderate bronchial and interstitial pattern seen in lungs.  As the dog was already on fluids and diuretics from past 5 days without any promising results, IHD was preferred as a treatment modality of choice to save dog’s life. Discussion and Conclusions: The dog was put on IHD and after dialysis the dog showed good recovery without any further signs of renal injury even after one year of dialysis.