Management of chronic kidney disease in a young adult-aged male domestic cat

Chronic Kidney Disease (CKD) is an irreversible condition resulting in steady renal function deterioration. This decline impedes the ability of the body to regulate metabolism, fluids, and electrolytes. This paper reports the case of a young adult-aged male domestic cat, named Kuning, who was brought to the clinic with severe symptoms, including hematemesis, anorexia, and dehydration, and received intravenous fluid therapy via a 24G catheter. On the third day of hospitalization, ultrasonography revealed significant kidney abnormalities, including irregular cortical surfaces, indistinct cortico-medullary boundaries, focal hyperechoic areas in the cortex, and medullary ring sign. The urinary bladder appeared intact with an anechoic lumen. Liver ultrasonography revealed blunted edges in the right and left lobes and focal hyperechoic diffuse changes in the parenchyma, suggesting hepatic involvement. Following intensive treatment, Kuning's condition improved. Routine hematological tests on days 9 and 16-23 showed positive trends, with increased platelet counts and elevated leukocyte levels. Liver function improved compared to the initial assessments but remained outside the normal range. Based on anamnesis, clinical examination, and diagnostic findings, Kuning was diagnosed with CKD. After 27 days of intensive hospitalization, Kuning exhibited steady recovery, highlighting the importance of early diagnosis and comprehensive management in CKD cases.