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Peer-reviewed veterinary case report

Causes and blood changes in dogs with pyometra and risk factors

By Madhav Paudel et al.·Published in Heliyon·2023·Faculty of Animal Science, Veterinary Science and Fisheries, Agriculture and Forestry University, Chitwan, Rampur, Nepal; Corresponding author., GB·View original on DOAJ

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Original publication title: Microbiological and hematological aspects of canine pyometra and associated risk factors

Species:
dog
Canine pyometraStomach & digestionDogs

Plain-English summary

A group of 45 female dogs with pyometra (a serious infection of the uterus) showed symptoms like vomiting, fever, and a swollen abdomen. The study found that older dogs and those treated with certain hormones were at higher risk. The most common bacteria found were E. coli and Pseudomonas, which responded well to antibiotics like Imipenem and Amikacin. Treatment with these antibiotics helped improve the dogs' condition, but it highlighted the importance of early diagnosis and careful use of antibiotics to prevent resistance.

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Abstract

Canine Pyometra, also known as cystic endometrial hyperplasia complex, is a common reproductive issue in bitches. This study aimed to identify associated risk factors, hematological variation, bacteria involved, and the most potent anti-bacterial against bacterial isolates of canine pyometra. Forty-five bitches of different habitats, breeds, and ages infected with pyometra were included in the study. The samples were cultured to isolate bacteria associated with the pyometra and antibiotic sensitivity was done for each bacterial isolates to get antibiogram. The study findings showed that potential risk factors such as age group, medroxyprogesterone acetate administration, and changes in the white blood cells parameters were significantly associated (P < 0.05) with the type of pyometra. Closed cervix pyometra in dogs showed significantly higher prevalence of clinical signs including depression, vomiting, abdominal enlargement, and fever compared to the open cervix pyometra. Low levels of red blood cells, pack cell volume, and hemoglobin indicated that the pyometra-infected dogs were more likely to have normocytic, normochromic, and non-regenerative anemia. Pyometra was attributed to an increase in AST (Aspertate aminotransferase), ALT (Alanine transaminase), ALP (Alkaline phosphatase), BUN (Blood Urea Nitrogen), and Creatinine while a decrease in serum albumin. Of the all bacterial isolates, E. coli (35.55%) was the most common pathogen isolated from canine pyometra, followed by Pseudomonas spp. (26.66%). E coli and Pseudomonas spp. were susceptible to Imipenem, Amikacin, and Gentamicin while highly resistant to Ampicillin and Erythromycin. Imipenem, Amikacin, and Gentamicin were the most sensitive antibiotics, while Ampicillin and Erythromycin were the most resistant antibiotics for the bacterial strain isolated from canine pyometra. Multidrug resistant was observed in 26 of the isolated bacteria, indicating acquired resistance due to improper and uncontrolled use. Hence early diagnosis and close monitoring of antimicrobial susceptibility before therapeutic intervention is indispensable in preventing the global threat of antimicrobial resistance.

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Original publication on DOAJ: https://doi.org/10.1016/j.heliyon.2023.e22368