Cryptococcal pyelonephritis in a dog

J Am Vet Med Assoc. 2003 Jan 15;222(2):180-3, 174. doi: 10.2460/javma.2003.222.180.

Abstract

A 5-year-old castrated male Golden Retriever was evaluated for polyuria, polydipsia, and progressive regurgitation thought to be a result of bacterial pyelonephritis and megaesophagus. Bacteriologic culture of urine failed to yield clinically relevant growth, and results of a urine sediment examination were normal. With time, intention tremors and progressive neurologic dysfunction were also observed. At necropsy, a diagnosis of cryptococcal disease was confirmed histologically and immunohistochemically. Findings in the dog of this report were indicative of nephrogenic diabetes insipidus with polyuria and polydipsia caused by cryptococcal pyelonephritis. Neurologic manifestations of systemic cryptococcus infection included megaesophagus, esophageal hypomotility, and regurgitation attributed to localization of cryptococcal organisms in the brain stem in the region of the dorsal motor nucleus of the vagus nerve. To the authors' knowledge, this is the first report of polyuria secondary to cryptococcal pyelonephritis.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Central Nervous System Fungal Infections / etiology
  • Central Nervous System Fungal Infections / microbiology
  • Central Nervous System Fungal Infections / veterinary
  • Cryptococcosis / complications
  • Cryptococcosis / veterinary*
  • Diagnosis, Differential
  • Dog Diseases / etiology
  • Dog Diseases / microbiology*
  • Dogs
  • Drinking
  • Esophageal Achalasia / complications
  • Esophageal Achalasia / microbiology
  • Esophageal Achalasia / veterinary*
  • Fatal Outcome
  • Immunohistochemistry / veterinary
  • Kidney / pathology
  • Male
  • Polyuria / etiology
  • Polyuria / veterinary
  • Pyelonephritis / complications
  • Pyelonephritis / microbiology
  • Pyelonephritis / veterinary*
  • Urinalysis / veterinary