Effectiveness of a Modified Administration Protocol for the Medical Treatment of Feline Pyometra.

Vet Sci. September 2022;9(10):.

Simona Attard¹, Roberta Bucci², Salvatore Parrillo³, Maria Carmela Pisu⁴

¹ Palermovet-Centro Diagnostico Veterinario, 90125 Palermo, Italy.; ² Animals Theriogenology Service, Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, 64100 Teramo, Italy.; ³ Animals Theriogenology Service, Veterinary Teaching Hospital, Faculty of Veterinary Medicine, University of Teramo, Piano d'Accio, 64100 Teramo, Italy.; ⁴ VRC-Centro di Referenza Veterinario, 10138 Torino, Italy.

Abstract

Pyometra is a common uterine disease of dogs and cats, typical of the luteal phase. Traditionally, ovariohysterectomy was considered the elective treatment for pyometra, but in some cases, such as breeding subjects or patients with a high anesthesiologic risk, medical treatment is preferred. Aglepristone is a progesterone receptor blocker and its use proved to be effective for the medical treatment of pyometra in bitches and queens. The aim of this work is to report the effectiveness, in the feline species, of a modified aglepristone administration protocol. Five intact queens were referred to veterinary care centers for pyometra. Aglepristone (15 mg/kg) was administered at D0, D2, D5, and D8, as described by Contri and collaborators for dogs. An antibiotic treatment (marbofloxacin, 3 mg/kg) was associated, and uterine conditions were checked with regular ultrasonographic exams. The uterus returned to its normal condition 10 days after starting the treatment and no adverse effects were reported. After treatment, three queens had an uneventful pregnancy. Even if the treated group was restricted and homogeneous, the proposed modified protocol proved to be useful and promising for the medical treatment of pyometra in cats; further studies are planned to verify its effectiveness in the long-term prevention of recurrence.

Keywords

aglepristone; cat; modified treatment; pyometra;

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