The objective of this study was to examine the impact of hospitalisation and antimicrobial drug administration on the prevalence of resistance in commensal faecal E. coli of horses. Faecal samples were collected from ten hospitalised horses treated with antimicrobials, ten hospitalised horses not treated with antimicrobials and nine non-hospitalised horses over a consecutive five day period and susceptibility testing was performed on isolated E. coli. Results revealed that hospitalisation alone was associated with increased prevalence of antimicrobial resistance and multidrug resistance in commensal E. coli of horses. Due to the risk of transfer of resistance between commensal and pathogenic bacteria, veterinarians need to be aware of possible resistance in commensal bacteria when treating hospitalised horses.
Summary This report describes a case of a multiple‐drug resistant strain of Acinetobacter baumannii associated with bronchopneumonia in a horse. A 6‐month‐old Thoroughbred colt was examined for a chronic lower respiratory tract disease. Prior to presentation to the University Veterinary Teaching Hospital (UVTH), the colt had been treated intensively in a private equine hospital for presumed antimicrobial‐induced enterocolitis following treatment with azithromycin and rifampin, and had been discharged on treatment of doxycycline for continued lower airway abnormalities. At the UVTH, investigation of the lower airway disease included a culture of a percutaneous transtracheal wash, which identified a multiple‐drug resistant strain of A. baumannii as the causative agent with sensitivity only to fluoroquinolones and trimethoprim sulphonamides. Following treatment with marbofloxacin there was full resolution of the bronchopneumonia. A. baumannii is a major nosocomial pathogen associated with infections in both animals and man and reports of multiple‐drug resistant strains have been documented worldwide. Outbreaks of A. baumannii infections have been reported to occur in very ill human patients housed in healthcare settings such as intensive care units, and are characterised by the rapid development of resistance to the majority of antimicrobials. The difficulties in the treatment of such cases as well as the potential risk of transmission within a veterinary clinical setting are discussed.
Background: An unusual presentation of skin disease was identified in two related neonatal Pedigree Limousin calves presented to University Veterinary Hospital, University College Dublin, following detailed post mortem examination a diagnosis of dermatosparaxis was made. Dermatosparaxis in animals or Ehlers Danlos Syndrome, which is the analogous condition seen in humans, is a connective tissue disorder characterised by extreme skin fragility. To the authors' knowledge this is the first report of such a diagnosis in the Limousin breed and the features of this lethal phenotype were severe in comparison to previous reports of the condition. Case presentation: Two calves, which were full siblings, a pedigree Limousin bull (Calf A) and pedigree Limousin heifer (Calf B) were examined clinically after presenting collapsed since birth, both had grossly abnormal skin with multiple skin fissures visible and both calves were subsequently euthanised. Both calves underwent gross post mortem examination, after which histological samples were reviewed and electron microscopical examination of selected skin samples was carried out. Histological features of dysplastic dermal collagen were identified. The diagnosis of dermatosparaxis in the Limousin breed was confirmed. Genetic testing was conducted to determine if the current cases had the same mutation as has previously been described in Belgian Blue cattle. Some common parentage was traced but genetic testing did not show a similar mutation to that previously described in cattle. The specific genetic cause in this case is unknown. Conclusions: This is the first report of dermatosparaxis in the Limousin and the presentation of the dermatosparaxis phenotype has some noteworthy features thus further genetic testing is required to pinpoint the causative mutation or other genetic defect. Given the popularity of the breed and the lethal nature of the phenotype in this case it is important to raise awareness of the condition.
A 5-year-old female entire German Shepherd presented for otitis and lethargy. An incidental abdominal mass was identified on examination. Ultrasound examination (US) identified a heterogeneous left ovarian mass. Computed tomography (CT) was performed for surgical planning and staging. The reproductive tract was removed en bloc and submitted for histopathology. Multiple small (1-5 mm) nodules identified at coeliotomy on the surface of the liver, spleen and peritoneum were biopsied. The lesions were not visible on CT nor US on review. This is the first case report of the CT findings of ovarian papillary adenocarcinoma with carcinomatosis.
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