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Peer-reviewed veterinary case report

Nocardia infections in 14 dogs and cats and their antibiotic

By Condas, Larissa Anuska Zeni et al.·Published in Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]·2023·Faculdade de Medicina Veterin&#xe1·View original on PubMed

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Original publication title: Molecular identification and antimicrobial resistance pattern of Nocardia isolated from 14 diseased dogs and cats.

Species:
dog
Dog coughingBreathing & coughDogs

Plain-English summary

A group of 12 dogs and 2 cats were diagnosed with infections caused by Nocardia bacteria, which can lead to serious skin and respiratory issues. Symptoms included skin lesions in most dogs, pneumonia in some, and even brain inflammation in a few cases. Unfortunately, the infections were severe, with a high mortality rate, especially among pets that also had a canine morbillivirus infection. The study found that certain antibiotics, like cefuroxime and amikacin, were effective against these bacteria, but many strains showed resistance to multiple drugs. This highlights the need for careful diagnosis and treatment in pets with these infections.

People also search for: dog skin infection treatment · cat pneumonia symptoms · Nocardia infection in pets · antibiotic resistance in dogs · canine morbillivirus effects

Abstract

Nocardia are ubiquitous, saprophytic and opportunistic bacteria. They cause a set of pyogenic clinical infections in animals and humans, particularly immunocompromised patients, mostly affecting the skin and respiratory tract, with refractoriness to conventional therapy. The most descriptions of nocardial infections in companion animals involve case reports, and there are scarce case series studies focused on canine and feline nocardiosis in which diagnosis has been based on molecular techniques. We investigated epidemiological aspects, clinical findings, in vitro susceptibility profile, and molecular identification of Nocardia using PCR-based method targeted 16S rRNA gene in twelve dogs and two cats. Among dogs were observed cutaneous lesions (8/12 = 67%), pneumonia (3/12 = 25%), and encephalitis (2/12 = 17%), whereas cats developed cutaneous lesions and osteomyelitis. Nocardia and canine morbillivirus coinfection was described in six dogs (6/12 = 50%). A high mortality rate (6/8 = 75%) was seen among dogs. Three dogs (3/4 = 75%) and one cat (1/2 = 50%) with systemic signs (pneumonia, encephalitis, osteomyelitis), and 83% (5/6) of dogs with a history of concomitant morbillivirus infection died. N. nova (5/12 = 42%), N. cyriacigeorgica (3/12 = 25%), N. farcinica (2/12 = 17%), N. veterana (1/12 = 8%), and N. asteroides (1/12 = 8%) species were identified in dogs, whereas N. africana and N. veterana in cats. Among the isolates from dogs, cefuroxime (12/12 = 100%), amikacin (10/12 = 83%), gentamycin (10/12 = 83%), and imipenem (10/12 = 83%) were the most effective antimicrobials, whereas cefuroxime, cephalexin, amoxicillin/clavulanic acid, imipenem, and gentamycin were efficient against isolates from cats. Multidrug resistance was observed in 36% (5/14) of isolates. We describe a variety of Nocardia species infecting dogs and cats, multidrug-resistant ones, and a high mortality rate, highlighting a poor prognosis of nocardiosis in companion animals, particularly among animals systemically compromised or coinfected by canine morbillivirus. Our study contributes to species identification, in vitro antimicrobial susceptibility profile, clinical-epidemiological aspects, and outcome of natural Nocardia-acquired infections in dogs and cats.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/37079272/