| Pyometra
is a common disease in female dogs. Older, intact female dogs that are one
to two months beyond estrus are at high risk for pyometra. Intact females
of all ages that receive progesterone or estrogen hormones for estrus
synchronization or mismating are also at risk. Spayed animals are rarely
affected.
Pyometra, a serious infection of
the uterus, is a well-recognized disease of female dogs. Pyometra often
results from the animal’s own bacteria within the genital tract.
Escherichia coli is the most common bacteria identified in pyometra.
Whenever levels of the reproductive hormone progesterone rise, the uterine
lining becomes susceptible to bacterial infection.
Dogs with pyometra commonly have a vaginal discharge,
fever, lethargy, and a loss of appetite. Affected dogs are often
dehydrated; some may drink and urinate excessively. Some dogs will appear
asymptomatic until after vaginal discharge begins. Others will go into
shock. Laboratory tests often show dehydration-related abnormalities of
electrolyte balance and kidney function. Changes in the white blood cell
count are common. Most patients are diagnosed using history, clinical
signs, physical examination, and abdominal x-rays.
Pyometra requires prompt treatment. Antibiotics to
fight the infection, and intravenous fluids to correct dehydration-related
abnormalities, are routinely administered. Supportive therapy is given to
correct other organ system dysfunction and to stabilize the patient.
Generally, surgical removal of the uterus and ovaries is the preferred
treatment
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Dr. Richard Goldman |