Q. My vet has diagnosed first uterine infection and 2 days later Hookworms, in my adult female who bred 2 weeks ago, or is it possibly Pyometra?
DR. CHRISTIE LONG, D.V.M., C.V.A.
A. Both pyometra and hookworms can cause diarrhea and vomiting, however dogs with only a hookworm infestation don't usually appear to be systemically ill, unless the infection is severe and long-standing. Definitive diagnosis is made by doing a fecal float test. Recovery is usually swift and uneventful with the proper dose of deworming medication.
Pyometra is a serious and life-threatening condition. Major signs include lethargy, fever, vomiting, diarrhea, excessive thirst and excessive urination, vaginal discharge, and a palpable mass in the abdomen. Not all of these symptoms have to be present. Diagnosis is typically made upon finding the infected uterus at surgery, however x-rays and/or ultrasound can usually allow a confident diagnosis. I'd have to say as pyometra usually occurs in the diestrus stage, it would be very unusual indeed to see it 2 weeks after a successful breeding.
DAVID ELBEZE, DVM, MRCVS
A. Pyometra is a medical term for uterine infection, so they are the same. Hoockworm is a completely different condition, non related to pyometra, and is treatable with anti worming medication.
Pyometra usually requires surgery which involves removal of the uterus and ovaries. It is a severe condition which needs to be dealt with immediately.