Case 5

Since Coco's clinical signs are somewhat improved and the organism was cultured in lower numbers, it is reasonable to simply try therapy for a longer period. You prescribe marbofloxacin once a day for another two weeks and recommend that she return one week after treatment for a follow-up evaluation.

QUESTION 6

If Coco had a concurrent illness such as diabetes mellitus or hyperadrenocorticism, what options might have you considered? (There is more than one correct response.)

a) Duration of treatment would have been longer-four to six weeks at a minimum

b) A urine bacterial culture in addition to the urinalysis at the time of her one-week recheck

c) An abdominal ultrasonographic examination to look for evidence of pyelonephritis

d) If possible, improve management of the underlying disease

e) All of the above

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