Salmonella enterica serovar Typhimurium isolated from the urine of a dog undergoing treatment for immune-mediated polyarthritis.

JMM case reports Pub Date : 2018-05-08 eCollection Date: 2018-09-01 DOI:10.1099/jmmcr.0.005153
Stephen D Cole, Shannon M Palermo, Shelley C Rankin
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Abstract

Introduction: In people, Salmonella is a common agent of gastroenteritis, but it can also cause extraintestinal disease such as urinary tract infections. In addition, Salmonella is often linked to the post-infection development of reactive arthritis. In canines, cases that document extraintestinal Salmonella infections or diseases similar to reactive arthritis have not been thoroughly described.

Case presentation: A case of a 5-year-old German shepherd dog with Salmonella bacteriuria during treatment for immune-mediated polyarthritis (IMPA) is described. The patient first suffered from a 3 month period of diarrhoea and presented for evaluation of a 2 month history of shifting-leg lameness. A diagnosis of IMPA was made based on cytological examination and negative synovial fluid culture. Treatment with immunosuppressive doses of prednisone lead to clinical resolution of lameness, but on a recheck abnormal urine was noted. Salmonella enterica serovar Typhimurium was isolated using standard culture methods. The patient was treated with enrofloxacin to control the bacteriuria.

Conclusion: This case report is, to the best of our knowledge, the first to describe Salmonella bacteriuria in a dog and suggests that Salmonella infection may be a potential inciting factor for IMPA.

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从一只接受免疫介导的多关节炎治疗的狗的尿液中分离出伤寒沙门氏菌。
导言:在人体内,沙门氏菌是肠胃炎的常见病原体,但它也可引起肠道外疾病,如尿路感染。此外,沙门氏菌还经常与感染后出现的反应性关节炎有关。在犬科动物中,记录肠道外沙门氏菌感染或类似于反应性关节炎的疾病的病例尚未得到详尽描述:本文描述了一例 5 岁德国牧羊犬在治疗免疫介导的多关节炎 (IMPA) 期间出现沙门氏菌菌尿的病例。患者先是腹泻了 3 个月,然后因 2 个月的换腿跛行病史前来就诊。根据细胞学检查和滑液培养阴性结果,诊断为 IMPA。使用免疫抑制剂泼尼松治疗后,跛足症状得到缓解,但复查时发现尿液异常。使用标准培养方法分离出了鼠伤寒沙门氏菌肠炎血清。患者接受了恩诺沙星治疗以控制菌尿:据我们所知,本病例报告是第一份描述犬沙门氏菌菌尿症的病例报告,表明沙门氏菌感染可能是 IMPA 的潜在诱发因素。
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