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Multidrug resistant Enterococcus faecium isolate from cholangitis/cholecystitis in a dog.

Alessio Sposato1, Marco Cordisco1, Giuseppe de Ruvo2

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A Shetland-sheepdog diagnosed with gallbladder mucocele and cholecystitis was treated for multidrug-resistant Enterococcus faecium. Prompt bacteriological diagnosis and targeted nitrofurantoin therapy improved the dog's prognosis and recovery.

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Area of Science:

  • Veterinary Medicine
  • Canine Pathology
  • Microbiology

Background:

  • Gallbladder diseases, including mucocele and cholecystitis, can present with non-specific clinical signs in dogs.
  • Accurate diagnosis is crucial for effective treatment and improved patient outcomes.

Observation:

  • A 10-year-old Shetland-sheepdog presented with clinical signs suggestive of gallbladder disease.
  • Diagnostic procedures included blood examinations and ultrasonography prior to surgical intervention.

Findings:

  • Surgical exploration allowed for biopsies and bacteriological analysis of gallbladder specimens.
  • A multidrug-resistant strain of Enterococcus faecium was isolated from the gallbladder.
  • Antimicrobial susceptibility testing guided the selection of nitrofurantoin for treatment.

Implications:

  • This case highlights the importance of thorough bacteriological diagnosis in canine gallbladder disease.
  • Targeted antimicrobial therapy, guided by susceptibility testing, is essential for managing multidrug-resistant infections.
  • Effective treatment strategies can significantly influence a patient's prognosis and recovery time.