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Published on: December 16, 2021
Collagenous colitis-like condition in immunosuppressed infant baboons
Eefje M Dons1, Gabriel J Echeverri, Lora H Rigatti
1Thomas E. Starzl Transplantation Institute, Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania 15261, USA.
Collagenous colitis, a rare infant inflammatory bowel disease, was observed in four immunosuppressed baboons. Treatment with budesonide led to recovery, suggesting an association with compromised immunity and potential infectious origins.
Area of Science:
- Veterinary Medicine
- Gastroenterology
- Immunology
Background:
- Collagenous colitis is a chronic inflammatory bowel disease with unknown causes, rare in infants, and linked to autoimmune conditions.
- This study investigates collagenous colitis in infant baboons, a species where it has been previously reported only once.
Purpose of the Study:
- To report and analyze cases of collagenous colitis in infant baboons following organ transplantation and immunosuppressive therapy.
- To compare the clinical and histopathological features of collagenous colitis in baboons to those in human patients.
Main Methods:
- Four infant baboons (7-12 months) received transplants and immunosuppression for 4-10 months.
- All baboons presented with weight loss and chronic watery diarrhea unresponsive to antimicrobial treatment.
- Diagnostic workup included clinical chemistry, viral testing, and microbial cultures; necropsy was performed on two baboons.
Main Results:
- Standard diagnostic tests were inconclusive, ruling out common infections.
- Two baboons were diagnosed with collagenous colitis post-necropsy.
- The other two baboons recovered after discontinuing immunosuppression and initiating budesonide treatment, remaining healthy for 24 months.
Conclusions:
- Clinical and histopathological findings in baboons closely resemble human collagenous colitis.
- The condition in baboons was associated with their immunocompromised state.
- The rapid onset in all four cases suggests a possible infectious etiology.
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