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Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat

CASE SUMMARY: A 15-year-old male neutered domestic shorthair cat was presented with a recent history of seizures, diarrhoea, lethargy, fever and jaundice. Marked elevation of liver enzyme activity was present and ultrasound examination was suggestive of cholecystitis and hepatitis. Neutrophilic chol...

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Autores principales: Newton, Patricia L, Fry, Darren R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788108/
https://www.ncbi.nlm.nih.gov/pubmed/29399368
http://dx.doi.org/10.1177/2055116917750763
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author Newton, Patricia L
Fry, Darren R
author_facet Newton, Patricia L
Fry, Darren R
author_sort Newton, Patricia L
collection PubMed
description CASE SUMMARY: A 15-year-old male neutered domestic shorthair cat was presented with a recent history of seizures, diarrhoea, lethargy, fever and jaundice. Marked elevation of liver enzyme activity was present and ultrasound examination was suggestive of cholecystitis and hepatitis. Neutrophilic cholangitis was confirmed on histopathology of liver biopsies. Bile culture identified a monomicrobial infection with Providencia rettgeri, which was resistant to multiple antimicrobial agents. The cat was treated with oral pradofloxacin for 4 weeks and remained well 4 months later. RELEVANCE AND NOVEL INFORMATION: Providencia species are rarely reported in the veterinary literature and are an uncommon cause of disease in humans. The significance of this species in humans relates to the high prevalence of antimicrobial resistance. This is the first report of P rettgeri causing clinical illness in a cat and highlights the importance of bile cultures in hepatic disease.
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spelling pubmed-57881082018-02-02 Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat Newton, Patricia L Fry, Darren R JFMS Open Rep Case Report CASE SUMMARY: A 15-year-old male neutered domestic shorthair cat was presented with a recent history of seizures, diarrhoea, lethargy, fever and jaundice. Marked elevation of liver enzyme activity was present and ultrasound examination was suggestive of cholecystitis and hepatitis. Neutrophilic cholangitis was confirmed on histopathology of liver biopsies. Bile culture identified a monomicrobial infection with Providencia rettgeri, which was resistant to multiple antimicrobial agents. The cat was treated with oral pradofloxacin for 4 weeks and remained well 4 months later. RELEVANCE AND NOVEL INFORMATION: Providencia species are rarely reported in the veterinary literature and are an uncommon cause of disease in humans. The significance of this species in humans relates to the high prevalence of antimicrobial resistance. This is the first report of P rettgeri causing clinical illness in a cat and highlights the importance of bile cultures in hepatic disease. SAGE Publications 2018-01-23 /pmc/articles/PMC5788108/ /pubmed/29399368 http://dx.doi.org/10.1177/2055116917750763 Text en © The Author(s) 2018 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Report
Newton, Patricia L
Fry, Darren R
Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat
title Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat
title_full Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat
title_fullStr Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat
title_full_unstemmed Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat
title_short Successful treatment of Providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat
title_sort successful treatment of providencia rettgeri cholecystitis and neutrophilic cholangitis in a cat
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5788108/
https://www.ncbi.nlm.nih.gov/pubmed/29399368
http://dx.doi.org/10.1177/2055116917750763
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