Key words: Obstructive urolithiasis, anaplasmosis, renal failure, necropsy, histopathology.

Abstract

Billu, a male Persian cat with age is 3 years old, weight about 4.9 kg came to Teaching and Training Pet Hospital and Research Center, Purbachal , Dhaka. Having the complaints of difficulty in urination, hematuria, straining to urinate when peeing, inability to pee about 4 days. Also have weakness, loss of appetite and abnormal body posture. Only Rabies vaccination was given, no deworming was administered. Physical exam revealed that body temperature was 101.2 with mild dehydration. Because of a suspicion of hemorrhagic cystitis , a blood sample was taken and sent to the lab for evaluation of hematological profiles like WBC, platelets etc., as well as biochemical profiles like phosphorus, albumin, BUN, total protein, serum creatinine etc. Additionally, a urine sample was collected for estimation if pH , specific gravity, blood and macroscopic examination of urine showed red color urine (Hematuria). Analysis of the urine reveals pH (7.9), specific gravity (1.01), ketone (-), bilirubin (-), blood (+) report shows that dark color urine have strong odor and blood found in urine. Peripheral lymp-nodes was normal. Ultrasound revealed the thickness of the wall of urinary bladder and increase hyper-tonic contents. In X-ray (figure 4) it was seen distended urinary bladder, ureteral obstruction and vesicoureteral reflux were seen. Biochemical report (table 2) was shows that increase the level of blood urea nitrogen (39 mg/dl) and serum creatinine ( 1.9 mg/dl ) level. Phosphorus (6.7 mg/dl) , total protein ( 7.9 g/dl) , albumin level( 3.71 g/dl) remain normal. Analysis of urine reveal pH and phosphorus , albumin, creatinine and bilirubin level remain normal. After confirmation of hemorrhagic cystitis treatment was given for this condition were flushing out urine with normal saline. Fluid therapy used as dextrose normal saline (DNS) for maintenance of fluid volume of the body, amoxicillin 1gm as antibiotic @ 10 mg/kg body weight. Hemostats as Tranexamic acid @ 10mg / kg . Analgesic as NSAIDs meloxicam @ 0.2 mg/ kg BW relieving pain and inflammation. Dexamethasone 0.2 mg/kg BW. It can be conclude that hemorrhagic cystitis can be a serious condition requiring prompt veterinary attention to prevent complications like urinary blockage or long term kidney damage.