猫胱氨酸结石的病例报告  

Case Report of Feline Cystine Urolithiasis

作　　者：胡瑭琦 刘玥[1] 季玲西 袁占奎[2] HU Tangqi;LIU Yue;JI Lingxi;YUAN Zhankui(China Agricultural University Veterinary Teaching Hospital,Beijing 100193,China;College of Veterinary Medicine,China Agricultural University,Beijing 100193,China)

机构地区：[1]中国农业大学动物医院,北京海淀100193 [2]中国农业大学动物医学院,北京海淀100193

出　　处：《中国兽医杂志》2024年第11期143-146,共4页Chinese Journal of Veterinary Medicine

摘　　要：1只2岁的暹罗猫因排尿困难来本院就诊,通过实验室检查和影像学检查确诊为胱氨酸尿症和尿石症,手术治疗后进一步确诊为胱氨酸结石同时存在下泌尿道感染,基因检测确认患猫存在胱氨酸尿症突变基因。患猫于术后对症治疗和饮食管理后仍出现结石复发,加入硫普罗宁药物治疗后,下泌尿道症状得到明显控制。本病例提示猫的胱氨酸尿症和胱氨酸结石治疗需多手段结合,通常预后良好。A 2-year-old Siamese cat presented to our clinic with difficulty urinating.Laboratory and imaging examinations diagnosed cystinuria and urolithiasis.Surgical treatment further confirmed the presence of cystine stones and a concurrent lower urinary tract infection.Genetic testing identified a mutation associated with cystinuria in the affected cat.Despite symptomatic treatment and dietary management post-surgery,the cat experienced stone recurrence.The addition of tiopronin treatment significantly controlled the lower urinary tract symptoms.This case suggests that treating cystinuria and cystine stones in cats requires a multi-faceted approach,generally leading to a favorable prognosis.

关 键 词：猫 下泌尿道疾病 胱氨酸尿症 胱氨酸结石 硫普罗宁 

分 类 号：S858.293[农业科学—临床兽医学]