Clinical findings and prognostic factors for mortality in hospitalized dogs with leishmaniosis: aretrospective study

Comp Immunol Microbiol Infect Dis. 2023 Oct:101:102041. doi: 10.1016/j.cimid.2023.102041. Epub 2023 Aug 23.

Abstract

This retrospective study evaluated factors responsible for mortality of dogs hospitalized for Canine Leishmaniosis. Medical records of 31 dogs with leishmaniosis from a Portuguese Veterinary Teaching Hospital were examined between August 2018 and January 2022. Females (n = 18) and pure breed dogs (n = 27) were overrepresented, with higher frequency of Labrador Retriever (n = 4). Median age was 7 years (interquartile range=7). Most had historical findings of lethargy (n = 26) and the commonest clinicopathological abnormality was hypoalbuminemia (n = 26). Eleven dogs were classified as LeishVet stage II, 10 stage III and 10 stage IV. Fourteen dogs (45.2%) died or were euthanized, with azotemia, leukocytosis, stage IV, absence of diagnosis before hospitalization and lack of leishmaniosis specific treatment during hospitalization contributing to mortality. Absence of hypoalbuminemia and stages II/III increased survival. Mean hospitalization length prior to discharge was 5.41days ( ± 1.84) and diarrhea prolonged hospital stay.

Keywords: Azotemia; Canine Leishmaniosis; Hospitalization; LeishVet; Leishmania; Leukocytosis; Prognostic factors.

MeSH terms

  • Animals
  • Dog Diseases* / diagnosis
  • Dogs
  • Female
  • Hospitals, Animal
  • Hospitals, Teaching
  • Hypoalbuminemia* / veterinary
  • Leishmania infantum*
  • Leishmaniasis* / drug therapy
  • Leishmaniasis* / veterinary
  • Leishmaniasis, Visceral* / veterinary
  • Prognosis
  • Retrospective Studies