Ultrasonographic Changes of Acute Renal Failure Induced by Gentamicin in Dogs

개에서 겐타마이신으로 유발된 급성 신부전의 초음파상 변화

  • 진경훈 (제주대학교 농과대학 수의학과) ;
  • 정종태 (제주대학교 농과대학 수의학과)
  • Published : 2001.03.01

Abstract

Present study was undertaken in order to document early renal ultrasonographic changes of gentamicin nephrotoxicosis and to show the value of renal ultrasonography as a contributory means of early diagnosis of acute renal failure in dogs. The experimental design was a randomized complete block design with six treatments in two blocks (gentamicin-treated & saline-treated). Acute renal failure was induced by toxic dosage of gentamicin (30 mg/kg) and saline solution sham equivalent in volume to that of the toxic dosage of gentamicin (1.5-3ml). Subjective visualization of increased renal cortex was visible as homogenous echoes that were hypoechoic relative to the surrounding tissues, whereas the renal medulla was anechoic to slightly hypoechoic. After treatment, the renal cortex was hyperechoic relative to the surrounding tissue. Increased renal cortex echogenicity was associated with significant nephrotoxicosis and was superior to serum creatinine elevation in nephrotoxicosis detection. Urine GGT was superior to other clinicopathological data utilized in the diagnosis of nephrotoxicosis. Based on the above results, increased renal cortex echogenicity seemed to be of use in detecting of acute renal failure.

Keywords

References

  1. Am. J. Vet Res. v.50 Eerly renal ultrasonographic finding in the dogs with experimentally induced ethylene glycol nephrosis Adams WH;Toal RL;Walker MA;Breider MA
  2. J. Am. Vet Med. Assoc. v.199 Ultrasonographic finding in dogs and cats with oxalate nephrosis attributed to ethylene glycol intoxication: 15 cases(1984-1988) Adams WH;Toal RL;Breider MA
  3. J. Clin. Ultrasound v.7 Sonographic evaluation of the nonfunctioning kidney Behan MB;Wixson D;Dazam E
  4. Am. J. Roentgenol v.135 Sonography of infantile polycystic kidney disease Boal DK;Teele RL
  5. J. Clin. Ultrasound v.14 Increased renal cortical echogenicity in pediatric patient renal disease: histopathologic correlations Brenbridge AN;Chevalier BL;Kaiser DL
  6. Radiology v.122 Asymmetric renal enlargement in acute glomerulonephritis Chesney RW;O'Regan S;Kaplan BS;Negrady MB
  7. J. Am. Anim. Hosp Assoc v.30 Contrast-induced renal failure documented by color-doppler imaging in a dog Daley CA;Finn-Bodner ST;Lenz SD
  8. Am. J. Roentgenol v.146 Renal sonography in the differentiation of upper from lower urinary tract infection Dinkel E;Orth S;Dittrich M;Schulte-Wissermann H
  9. J. Infect. Dis v.119 Nephrotoxicity of amino-glycosides and gentamicin Falco FG;Smith HM;Arcieri GM
  10. Am. J. Vet Res v.46 Urinary γ-glutamyl transpeptidase activity in dogs with gentamicin induced nephrotoxicity Greco DS;Turnwald GH;Adams R;Gossett KA;Kearney M;Casey H
  11. Ultrasound. Med Biol v.8 Ultrasonoic characterization of acute renal failure. Gupta VN;Bhagat PK;Ott CE;Fried AM
  12. Textbook of diagnostic Ultrasonography(3rd ed) Kidneys and adrenal gland Hagen-Ansert SL;Levzow B
  13. Cancer v.48 Renal size as a prognostic factor in childhood acute lymphoblastic leukemia Hann IM;Lees PD;Palmer MK;Gupra S;Morris-Jones PH
  14. Urol. Int v.45 Importance of doppler sonography in urology Harzmann R;Weckermann D
  15. Am. T. Nephro v.16 Ultrasonographic findings of acute tubulointerstitial nephritis Hiraoka M;Hori C;Tsuchida S;Tsukahara H;Sudo M
  16. Am. J. Path v.82 A light and electron microscopic analysis of gentamicin nephrotoxicity in rats Houghton DC;Hartnett M;Campbell-Boswell M;Porer G
  17. Radiology v.144 Renal parenchymal disease; sonographic-histo-logic correlation Hricak H;Cruz C;Eyler WR;Madrazo BL;Romanski R;Sandler MA
  18. Clin. Infect Dis v.14 Renal ultrasonographic correlates of acute pyelonephritis Johnson JR;Vincent LM;Wang K;Roberts PL;Stamm WE
  19. Kidney. Int v.18 Aminoglycoside nephrotoxicity Kaloyaides GJ;Pastoriza-Munoz E
  20. Lab. Invest v.30 Nephroroxicity of gentamicin Kosek JC;Mazze RI;Cousins MJ
  21. J. clin Ultrasound v.12 Usefulness of renal ultrasonography for assessment of severity and course of acute tubular necrosis Normura G;Kinoshita E;Yamagata Y;Koga N
  22. Am. J. Roentgenol v.151 The inability to detect kidney disease on the basis of echogenicity Platt JF;Rubin JM;Browerman RA;Marn CS
  23. Am. J. Roentgenol v.158 Duplex doppler evaluation of native kidney dysfunction obstructive and nonobstructive disease Platt JF
  24. Radiol, Clin North. Am v.18 Basic concepts of ultrasonic tissue characterization Price RR;Jones TB;Goddard J;Everette James A
  25. Invest. Radiol v.31 no.10 Gray-scale sonographic characterization of aminoglycoside induced neph- rotoxicosis in a canine model Rivers BJ;Walter PA;Holm JC;Letoumeau JG;Finlay DE;Ritenour ER;King VL;O'Brien TD;Polzin DJ
  26. J. Am. Anim Hosp Assoc v.32 Evaluation of urine gamma-glutamyl transpeptidase-to-creatinine ratio as a diagnostic tool in an experimental model of aminoglycoside-induced acute renal failure in the dog Rivers BJ;Walter PA;O'Brien TD;King VL;Polzin DJ
  27. Am. J. Roentgenol v.137 Renal parenchymal disease: histopathologic sonographic correlation Rosenfield AT;Siegel NJ
  28. Radiol. Clin. North. Am v.18 Clinical applications of ultrasound tissue characterization Rosenfield AT;Taylor KJ;Jaffe CC
  29. Radiology v.128 Anatomy and pathology of the kidney by gray scale ultrasound Rosenfield AT;Tayler KL;Zeman RK;Crade M;DeGraaf CS
  30. Radiology v.157 Experimental acute tubular necrosis: US appearance Rosenfield AT;Zeman RK;Cicchetti DV;Siegal NJ
  31. Radiology v.137 Ultrasound in experimental and clinical renal vein thrombosis Rosenfield AT;Zeman RK;Cronan JJ;Raylor KJW
  32. J. Urol v.7 The place of diagnostic ultrasound in the examination of kidneys not seen on excretory urography Sanders RC
  33. Radiology v.155 Diabetes mellitus: the predominant cause of bilateral renal enlargement Segel MC;Lecky JW;Slasky BS
  34. Radiology v.118 The radiological spectrum of acute pyelonephritis in adults and adolescents Silver TM;Kass EJ;Thornbury JR;Konnak JW
  35. Vet Path v.17 Gentamicin nephrotoxicity in the dog: sequential light and electrom microscopy Spangler WL;Adelman RD;Ishizaki G
  36. Intensive Care Med v.16 Non-invasive monitoring of renal blood flow characteristics during acute renal failure in man Stevens PE;Gwyther SJ;Hanson ME;Kox WJ;Phillips ME
  37. Invest Radiol v.20 Magnetic resonance imaging in the diagnosis of acute renal allograft rejection and its differentiation from acute tubular necrosis: experimental study in the dog Terrier F;Hricak H;Revel D;Alpers C;Bretan P;Ehman RL;Fedudka NJ
  38. J. Am. Vet Med. Assoc v.191 Ultrasonogaphic evaluation of renal parenchymal diseases in dogs:32 cases(1981-1986) Walter PA;Feeney DA;Johnston GR;O'Leary TP
  39. Br J. Exp. Path v.62 Gentamicin-induced nephrotoxicity in mice: protection by loop diuretics Whiting PH;Petersen J;Simpson JG
  40. 대한의학협회지 v.31 Aminoglycoside계 항생제에 의한 급성신부전증 이호영
  41. 대한수의학회지 v.36 no.4 토끼의 방사선촬영상과 초음파촬영상에 나타난 신장크기의 비교평가 최민철;윤희준;이효종