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Mydriasis associated with ischemic cerebrovascular infarct affecting the ipsilateral cerebellar interposital nucleus in 2 dogs 两只狗的同侧小脑眶间核缺血性脑血管梗塞引起的眼球模糊。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-28 DOI: 10.1111/jvim.17176
Cecilia-Gabriella Danciu, Joe Fenn, Elsa Beltran

A 10-year-old male neutered crossbreed dog and an 8-year-old female neutered greyhound presented after peracute onset of cerebellar dysfunction. The crossbreed dog had anisocoria with the left pupil being mydriatic, spontaneous conjugate rotatory nystagmus with fast phase to the left and delayed postural reactions on the left side. The greyhound had anisocoria with the left pupil being mydriatic, right positional ventral strabismus, absent menace response in the left eye and postural reaction deficits on the left side. For both dogs, the neuroanatomical localization was left cerebellum with paradoxical vestibular syndrome. Magnetic resonance imaging identified a left cerebellar ischemic territorial infarct of the rostral cerebellar artery, involving the region of the left interposital nucleus. Both dogs were given supportive care and at 2-week follow-up the anisocoria had resolved. Anisocoria with mydriasis can be a clinical sign in dogs with naturally-occurring cerebellar ischemic infarcts in the region of the ipsilateral interposital nucleus.

一只 10 岁的雄性阉割杂交犬和一只 8 岁的雌性阉割灰猎犬在小脑功能障碍急性发作后就诊。这只杂交犬有左侧瞳孔近视、自发性共轭旋转性眼球震颤并向左侧快速移动,左侧姿势反应迟钝。灰猎犬左眼瞳孔散大,右侧位置性腹侧斜视,左眼无威胁反应,左侧姿势反应障碍。两只狗的神经解剖定位均为左侧小脑伴矛盾性前庭综合征。磁共振成像检查发现,左侧小脑喙小脑动脉缺血性区域梗死,涉及左侧眶间核区域。两只狗都接受了支持性治疗,在两周的随访中,失视症状均已缓解。同侧小脑眶间核区域自然发生的小脑缺血性梗死可导致犬出现伴有瞳孔散大的失视临床症状。
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引用次数: 0
Time to resolution of airway inflammation caused by bronchoalveolar lavage in healthy horses 健康马匹支气管肺泡灌洗引起的气道炎症消退时间。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-28 DOI: 10.1111/jvim.17169
Jane S. Woodrow, Klaus Hopster, Megan Palmisano, Flavie Payette, Jeaneen Kulp, Darko Stefanovski, Rose Nolen-Walston

Background

Bronchoalveolar lavage (BAL) is a common procedure for evaluation of the equine lower airways. Time to resolution of post-BAL inflammation has not been clearly defined.

Hypothesis

Residual inflammation, evident by changes in immune cell populations and inflammatory cytokines, will resolve by 72 hours after BAL.

Animals

Six adult, healthy, institution-owned horses.

Methods

Randomized, complete cross-over design. Each horse underwent 3 paired BALs, including a baseline and then 48, 72, and 96 hours later, with a 7-day washout between paired BALs. Each sample underwent cytological evaluation and cytokine concentrations were determined by a commercially available multiplex bead immunoassay. Statistical analysis was performed by multilevel mixed-effects Poisson regression analysis. Data are reported as marginal means and 95% confidence interval (CI).

Results

Neutrophil, eosinophil and mast cell percentages were not significantly different at any time points. Macrophage percentages were higher at 72 hours (45.0 [95% CI, 41.6-48.4]%) and 96 hours (45.3 [95% CI, 42.9-47.7]%) vs baseline (37.4 [95% CI, 33.5-41.4]%; P < .001 and P = .01, respectively), and at 72 hours and 96 hours vs 48 hours (31.9 [95% CI, 28.1-35.6]%; P < .001). Neutrophil percentage was not significantly increased at 48 hours (P = .11). Interleukin (IL)-6 concentration was increased at 72 hours (5.22 [95% CI, 3.44-6.99] pg/mL) vs 48 hours (4.38 [95% CI, 2.99-5.78] pg/mL; P < .001).

Conclusions and Clinical Importance

Significant lung inflammation was not detected at 72 and 96 hours, suggesting that repeating BAL at 72 hours or more can be done without concern of residual inflammation.

背景:支气管肺泡灌洗术(BAL)是评估马下呼吸道的常用方法。BAL后炎症消退的时间尚未明确:假设:通过免疫细胞群和炎症细胞因子的变化可以看出,残余炎症将在 BAL 后 72 小时内消退:方法:随机、完全交叉设计:方法:随机、完全交叉设计。每匹马进行 3 次配对 BAL,包括基线、48、72 和 96 小时后,两次配对 BAL 之间间隔 7 天。每份样本都要进行细胞学评估,细胞因子浓度则通过市售的多重微珠免疫测定法测定。统计分析采用多层次混合效应泊松回归分析法。数据以边际均值和 95% 置信区间 (CI) 表示:结果:中性粒细胞、嗜酸性粒细胞和肥大细胞的百分比在任何时间点均无明显差异。巨噬细胞百分比在 72 小时(45.0 [95% CI, 41.6-48.4]%)和 96 小时(45.3 [95% CI, 42.9-47.7]%)与基线(37.4 [95% CI, 33.5-41.4]%;P 结论和临床重要性:在 72 小时和 96 小时内未检测到明显的肺部炎症,这表明在 72 小时或更长时间内重复 BAL 可以避免残留炎症。
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引用次数: 0
Correlation between semiautomated magnetic resonance imaging volumetry of the cingulate gyrus and interictal epileptiform discharge lateralization in dogs with idiopathic epilepsy 特发性癫痫犬扣带回半自动磁共振成像体积测量与发作间期癫痫样放电侧位的相关性。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-27 DOI: 10.1111/jvim.17178
Aleksandra Banasik, Marcin Wrzosek, Paulina Drobot, Karolina Owsińska-Schmidt, Laura Brewińska, Anna Zimny, Przemysław Podgórski

Background

Brain imaging suggests the involvement of the limbic system, particularly the cingulate gyrus (GC), in dogs with idiopathic epilepsy (IE).

Hypothesis

A correlation exists between the side of interictal epileptiform discharges (IEDs) and the volume of the ipsilateral GC (GCe) in dogs with IE.

Animals

Dogs admitted to the neurological consultation (32 with epileptic seizures and 13 control) were included.

Methods

This retrospective, blinded study followed the International Veterinary Epilepsy Task Force recommendations for diagnosing IE at the Tier III confidence level. The IE group included 18 and 14 dogs with IEDs in the left and right hemispheres, respectively (median age: 36 months, median weight: 19.5 kg), whereas the control group included 13 dogs (median age: 32 months, median weight: 20 kg). Whole-brain and GC-volumetric assessments were performed by a semiautomated method.

Results

In the control group, the volume of the GC was: left, from 743.63 to 1001.61 mm3, right, from 789.35 to 1015.86 mm3. In the study group, the volume of the GC was: left, from 720.88 to 1054.9 mm3 and right, from 566.29 to 987.77 mm3. In dogs with IE, GCe volume was significantly lower than the mean volume of the GC in the control group relative to total intracranial volume (TIV; P = .00044).

Conclusions and Clinical Importance

Alterations in the volume of the GC provide insights into structural changes during IE. The use of semiautomatic volumetry provides an advantage by reducing the potential for human error.

背景:大脑成像显示,特发性癫痫(IE)患犬的边缘系统,尤其是扣带回(GC)受累:假设:在 IE 患者中,发作间期癫痫样放电(IED)的一侧与同侧扣带回(GCe)的体积之间存在相关性:动物:接受神经科会诊的犬(32 只癫痫发作犬和 13 只对照组犬):这项回顾性盲法研究遵循了国际兽医癫痫特别工作组关于IE诊断置信度为三级的建议。IE 组包括 18 和 14 只分别在左半球和右半球患有 IED 的狗(中位年龄:36 个月,中位体重:19.5 千克),而对照组包括 13 只狗(中位年龄:32 个月,中位体重:20 千克)。全脑和 GC 容积评估采用半自动方法进行:对照组的 GC 容量为:左侧 743.63 至 1001.61 立方毫米,右侧 789.35 至 1015.86 立方毫米。研究组的 GC 容量为:左侧从 720.88 到 1054.9 mm3,右侧从 566.29 到 987.77 mm3。相对于颅内总容积(TIV;P = .00044),IE 患犬的 GCe 容积明显低于对照组的 GC 平均容积:结论和临床意义:GC 体积的变化有助于了解 IE 期间的结构变化。使用半自动容积测量法可减少人为失误的可能性,因而具有优势。
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引用次数: 0
Long-term evaluation of the initial response to therapy in 60 dogs with chronic inflammatory enteropathy 对 60 只患有慢性炎症性肠病的狗的初步治疗反应进行长期评估。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-25 DOI: 10.1111/jvim.17161
Susan Hodel, Daniel Brugger, Peter Hendrik Kook

Background

Dogs with chronic inflammatory enteropathy (CIE) are typically classified into food-responsive enteropathy (FRE), antibiotic-responsive enteropathy (ARE), immunomodulator-responsive enteropathy (IRE), and nonresponsive enteropathy (NRE) based on response to therapy(ies). Reassessment of initial categorization (especially IRE and NRE) is lacking.

Objectives

Investigate validity of categorization scheme when reassessed at least 1 year after diagnosis.

Animals

Sixty client-owned dogs with CIE.

Methods

Retrospective study. Clinical information was gathered from records and owners from time of diagnosis (TD), time of initial response (TIR), and at least 1 year after diagnosis (T≥1y). Category change was defined as a switch between groups.

Results

Median disease activity index (CIBDAI) at TD was 9 and reduced significantly to 1 at T≥1y (P < .0001). At TIR, dogs were categorized as: FRE 27/60 (45%, 95% binomial confidence intervals [CI], 0.32-0.58), IRE 30/60 (50%, CI 0.37-0.63), ARE 0/60 (0%), NRE 3/60 (5%, CI −0.01 to 0.11). Seventeen of 27 (63%) FRE dogs had previously had at least 1 unsuccessful diet trial. At T≥1y, categorization changed to FRE 44/60 (73%, CI 0.62-0.85), IRE 14/60 (23%, CI 0.13-0.34), ARE 0/60 (0%), NRE 2/60 (3%, CI −0.01 to 0.08). Group changes were found for 24/60 (40%) dogs, largest change was from IRE to FRE (19/24, 79%). Immunosuppressive dosages were administered as sole treatment in 1/30 (3%) IRE dogs at TIR.

Conclusions and Clinical Importance

Chronic inflammatory enteropathy categorization based on initial response to therapy needs reassessment after 1 year. Frequent change from IRE to FRE suggests that dogs initially categorized as IRE might have been initially categorized as FRE if multiple dietary trials had been performed. In our study, antibiotics were not needed to achieve satisfying clinical responses.

背景:患有慢性炎症性肠病(CIE)的犬通常根据对治疗的反应分为食物反应性肠病(FRE)、抗生素反应性肠病(ARE)、免疫调节剂反应性肠病(IRE)和无反应性肠病(NRE)。缺乏对最初分类(尤其是 IRE 和 NRE)的重新评估:目标:调查诊断至少 1 年后重新评估分类方案的有效性:方法:回顾性研究:方法:回顾性研究。从诊断时间(TD)、初始反应时间(TIR)和诊断后至少 1 年(T≥1y)的记录和饲养者处收集临床信息。组别变化定义为组间转换:中位疾病活动指数(CIBDAI)在TD时为9,在T≥1y时明显降低至1(P IR,狗被分为以下几组:FRE 27/60 (45%, 95% 二项式置信区间 [CI], 0.32-0.58), IRE 30/60 (50%, CI 0.37-0.63), ARE 0/60 (0%), NRE 3/60 (5%, CI -0.01 to 0.11)。27 只 FRE 狗中有 17 只(63%)之前至少进行过一次不成功的饮食试验。T≥1y 时,分类变为 FRE 44/60 (73%, CI 0.62-0.85), IRE 14/60 (23%, CI 0.13-0.34), ARE 0/60 (0%), NRE 2/60 (3%, CI -0.01 to 0.08)。24/60(40%)只狗的组别发生了变化,最大的变化是从 IRE 到 FRE(19/24,79%)。1/30(3%)只 IRE 狗在 TIR 期间接受了免疫抑制治疗:结论和临床意义:慢性炎症性肠病的分类以最初的治疗反应为基础,需要在 1 年后重新评估。从 IRE 到 FRE 的频繁变化表明,如果进行了多次饮食试验,最初被归类为 IRE 的犬可能最初被归类为 FRE。在我们的研究中,不需要使用抗生素就能获得满意的临床反应。
{"title":"Long-term evaluation of the initial response to therapy in 60 dogs with chronic inflammatory enteropathy","authors":"Susan Hodel,&nbsp;Daniel Brugger,&nbsp;Peter Hendrik Kook","doi":"10.1111/jvim.17161","DOIUrl":"10.1111/jvim.17161","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Dogs with chronic inflammatory enteropathy (CIE) are typically classified into food-responsive enteropathy (FRE), antibiotic-responsive enteropathy (ARE), immunomodulator-responsive enteropathy (IRE), and nonresponsive enteropathy (NRE) based on response to therapy(ies). Reassessment of initial categorization (especially IRE and NRE) is lacking.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Investigate validity of categorization scheme when reassessed at least 1 year after diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Sixty client-owned dogs with CIE.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective study. Clinical information was gathered from records and owners from time of diagnosis (<i>T</i><sub>D</sub>), time of initial response (<i>T</i><sub>IR</sub>), and at least 1 year after diagnosis (<i>T</i><sub>≥1y</sub>). Category change was defined as a switch between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Median disease activity index (CIBDAI) at <i>T</i><sub>D</sub> was 9 and reduced significantly to 1 at <i>T</i><sub>≥1y</sub> (<i>P</i> &lt; .0001). At <i>T</i><sub>IR</sub>, dogs were categorized as: FRE 27/60 (45%, 95% binomial confidence intervals [CI], 0.32-0.58), IRE 30/60 (50%, CI 0.37-0.63), ARE 0/60 (0%), NRE 3/60 (5%, CI −0.01 to 0.11). Seventeen of 27 (63%) FRE dogs had previously had at least 1 unsuccessful diet trial. At <i>T</i><sub>≥1y</sub>, categorization changed to FRE 44/60 (73%, CI 0.62-0.85), IRE 14/60 (23%, CI 0.13-0.34), ARE 0/60 (0%), NRE 2/60 (3%, CI −0.01 to 0.08). Group changes were found for 24/60 (40%) dogs, largest change was from IRE to FRE (19/24, 79%). Immunosuppressive dosages were administered as sole treatment in 1/30 (3%) IRE dogs at <i>T</i><sub>IR</sub>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>Chronic inflammatory enteropathy categorization based on initial response to therapy needs reassessment after 1 year. Frequent change from IRE to FRE suggests that dogs initially categorized as IRE might have been initially categorized as FRE if multiple dietary trials had been performed. In our study, antibiotics were not needed to achieve satisfying clinical responses.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":"38 5","pages":"2444-2453"},"PeriodicalIF":2.1,"publicationDate":"2024-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jvim.17161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Video capsule endoscopy findings in dogs with chronic enteropathy and in healthy dogs 慢性肠病犬和健康犬的视频胶囊内窥镜检查结果。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-24 DOI: 10.1111/jvim.17168
Johanna Holmberg, Ingrid Ljungvall, Lena Pelander, Alice Defarges, Jenny Stiller, Jessica Ingman, Caroline Harlos, Thomas Spillmann, Jens Häggström

Background

Video capsule endoscopy is a noninvasive technique for evaluation of the gastrointestinal tract.

Objective

To investigate the safety of using the video capsule ALICAM in dogs with chronic enteropathy (CE) >10 kg, and to compare macroscopic gastrointestinal morphology between CE dogs and healthy controls (HC).

Animals

Fifteen CE dogs and 15 similarly breed, age and body weight matched HC.

Methods

All dogs underwent a clinical work up including blood analyses, fecal samples, abdominal ultrasonographic examination, and blood pressure measurement. The dogs were withheld from food for 16 hours before and 8 hours after they PO received an ALICAM. All recordings were quality assessed, and blindly evaluated by 2 trained observers.

Results

The median age of CE dogs and HC was 3.3 (interquartile range [IQR] 2.5-5.9) years and 4.7 (IQR 3.3-5.6) years, respectively. The median body weight in the CE dogs and HC was 25.9 (IQR 20.6-30.9) kg, and 29 (IQR 16.2-30.5) kg, respectively. Complete recordings of the gastrointestinal tract were obtained from all dogs without complications. No significant differences were found between groups regarding number of abnormalities such as irregular mucosa, erythema, nonbleeding erosions, bleeding erosions, and dilated lacteals, as well as severity and extent of the abnormalities.

Conclusions and Clinical Importance

The use of ALICAM for evaluation of the gastrointestinal tract in CE dogs and HC seems safe and feasible regarding gastrointestinal transit and macroscopic morphology assessment in dogs >10 kg. Abnormalities were found in similar proportions in CE dogs and HC.

背景:视频胶囊内镜是一种评估胃肠道的无创技术:视频胶囊内镜是一种评估胃肠道的无创技术:研究在体重大于 10 千克的慢性肠病(CE)犬中使用视频胶囊 ALICAM 的安全性,并比较 CE 犬和健康对照组(HC)的胃肠道宏观形态:动物:15 只 CE 狗和 15 只品种、年龄和体重相近的健康对照组(HC):方法:所有犬均接受临床检查,包括血液分析、粪便样本、腹部超声波检查和血压测量。在注射 ALICAM 前 16 小时和注射后 8 小时内,狗不能进食。所有记录都经过质量评估,并由两名训练有素的观察员进行盲评:CE犬和HC犬的中位年龄分别为3.3(四分位距[IQR] 2.5-5.9)岁和4.7(IQR 3.3-5.6)岁。CE犬和HC犬的体重中位数分别为25.9(IQR 20.6-30.9)千克和29(IQR 16.2-30.5)千克。所有无并发症的犬均获得了完整的胃肠道记录。在粘膜不规则、红斑、非出血糜烂、出血糜烂和乳管扩张等异常的数量以及异常的严重程度和范围方面,各组之间没有发现明显差异:使用 ALICAM 评估 CE 犬和 HC 的胃肠道似乎安全可行,可对体重大于 10 千克的犬进行胃肠道转运和宏观形态评估。CE犬和HC犬发现异常的比例相似。
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引用次数: 0
Novel COL5A1 variants and associated disease phenotypes in dogs with classical Ehlers-Danlos syndrome 经典埃勒斯-丹洛斯综合征犬的新型 COL5A1 变异和相关疾病表型。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-22 DOI: 10.1111/jvim.17180
Garrett Bullock, Jared A. Jaffey, Leah A. Cohn, Erika Sox, Eric T. Hostnik, Kyle D. Hutcheson, Erin Matero, Karen S. Hoffmann, Gary S. Johnson, Martin L. Katz

Background

Human patients with Ehlers-Danlos syndrome (EDS) are categorized into subtypes based on causative genetic variants and phenotypes. The classical form of EDS, primarily caused by variants in COL5A1 or COL5A2, is a very common subtype in people but is poorly characterized in dogs.

Objective

Describe likely causal COL5A1 variants in dogs with classical EDS, summarize clinical histories, discuss potential disease mechanisms, and draw conclusions about disease prognosis.

Animals

Seven client-owned dogs that exhibited clinical signs of classical EDS.

Methods

Clinical information was recorded from medical records and communication with attending veterinarians and dog owners. To identify potential causal gene sequence variants whole-genome sequence analyses (n = 6) or Sanger sequencing (n = 1) were performed on DNA isolated from the probands. Pathological abnormalities in skin biopsy samples were assessed using histology and electron microscopy in 3 dogs.

Results

Six distinct heterozygous COL5A1 sequence variants were identified. The most common clinical signs included fragile skin (n = 7), hyperextensible skin (n = 7), joint hypermobility (n = 6), and atrophic scars (n = 5). The median age at last follow-up or death was 12 years (range, 6.5-14 years). Ultrastructural abnormalities in dermal collagen differed among dogs with different COL5A1 variants.

Conclusion and Clinical Importance

We describe the genotypic and phenotypic spectrum of the classical subtype of EDS by identifying 6 novel COL5A1 variants in conjunction with detailed clinical histories that included long-term follow-up information in 7 dogs.

背景:人类埃勒斯-丹洛斯综合征(EDS)患者根据致病基因变异和表型可分为不同的亚型。经典形式的 EDS 主要由 COL5A1 或 COL5A2 的变异引起,是人类中非常常见的亚型,但在狗中的特征不明显:描述经典 EDS 犬中可能的 COL5A1 致病变异,总结临床病史,讨论潜在的疾病机制,并就疾病预后得出结论:方法:从医疗记录中记录临床信息:方法:通过病历以及与主治兽医和狗主人的交流记录临床信息。为了确定潜在的致病基因序列变异,对从病犬身上分离出的 DNA 进行了全基因组序列分析(n = 6)或 Sanger 测序(n = 1)。利用组织学和电子显微镜对 3 只狗的皮肤活检样本的病理异常进行了评估:结果:发现了六种不同的杂合COL5A1序列变异。最常见的临床症状包括皮肤脆弱(7 例)、皮肤过度伸展(7 例)、关节过度活动(6 例)和萎缩性疤痕(5 例)。最后一次随访或死亡时的中位年龄为 12 岁(6.5-14 岁)。不同COL5A1变异体的犬真皮胶原蛋白的超微结构异常各不相同:我们通过鉴定 6 个新型 COL5A1 变体以及详细的临床病史(包括 7 只犬的长期随访信息),描述了 EDS 经典亚型的基因型和表型谱。
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引用次数: 0
Prevalence and distribution of carbapenem-resistant Enterobacterales in companion animals: A nationwide study in the United States using commercial laboratory data 伴侣动物中耐碳青霉烯类肠杆菌的流行和分布情况:利用商业实验室数据在美国开展的一项全国性研究。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-17 DOI: 10.1111/jvim.17171
Kurtis Sobkowich, Zvonimir Poljak, J. Scott Weese, Andy Plum, Donald Szlosek, Theresa M. Bernardo

Background

Carbapenem-resistant Enterobacterales (CRE) are a concern in both human and animal medicine globally. Despite extensive research in humans, limited data exist on CRE in companion animals, with a lack of nationwide prevalence estimates.

Hypothesis/Objectives

To assess the occurrence and trends of CRE in cats and dogs across the United States by analyzing 4 years of commercial antimicrobial susceptibility testing (AST) data.

Animals

Between 2019 and 2022, 477 426 ASTs were conducted on Enterobacterales isolates against imipenem. Isolates were derived from 379 598 dogs and 97 828 cats. Animal origin was not disclosed.

Methods

In this retrospective study, antimicrobial susceptibility test data from IDEXX Laboratories were analyzed. Analysis included resistance estimations to imipenem stratified by sampling site, an assessment of resistance patterns over time and location, and the application of space-time cluster analysis to identify potential outbreaks. Antibiograms were produced for carbapenem-resistant isolates.

Results

Susceptibility to imipenem was high, at 98.86%. Temporal analysis indicated stability in susceptibility, with an unexplained reduction in susceptible isolates in June 2019. Spatial analysis identified 2 high-risk clusters along the Western Coast (relative risk [RR]: 23.26; P < .001) and in Texas (RR: 10.72; P < .001) in that month. Three other clusters were found, in Missouri (RR: 39.55; P = .038), Florida (RR: 4.53; P < .001), and New York (RR: 9.20; P < .001).

Conclusions and Clinical Importance

CRE are present at a low prevalence in dogs and cats across the United States. Variations in prevalence across patient-level and environmental factors highlight the need for tailored stewardship programs.

背景:耐碳青霉烯类肠杆菌(CRE)是全球人类和动物医学界关注的问题。尽管对人类进行了广泛的研究,但有关伴侣动物中 CRE 的数据却很有限,而且缺乏全国性的流行率估计:通过分析 4 年的商业抗菌药物药敏试验 (AST) 数据,评估全美猫和狗中 CRE 的发生率和趋势:2019年至2022年期间,对477 426株肠杆菌分离株进行了亚胺培南抗菌药物敏感性检测。分离物来自 379 598 只狗和 97 828 只猫。动物来源未披露:在这项回顾性研究中,分析了 IDEXX 实验室提供的抗菌药敏感性检测数据。分析包括按采样地点分层估算亚胺培南的耐药性、评估耐药性随时间和地点变化的模式,以及应用时空聚类分析来确定潜在的疫情爆发。对碳青霉烯类抗生素耐药的分离物绘制了抗生素图谱:结果:对亚胺培南的敏感性高达 98.86%。时间分析表明易感性稳定,2019 年 6 月易感分离物出现不明原因的减少。空间分析确定了西海岸的 2 个高风险集群(相对风险 [RR]:23.26;P 结论和临床重要性:CRE在全美猫狗中的流行率较低。不同患者水平和环境因素造成的流行率差异凸显了量身定制监管计划的必要性。
{"title":"Prevalence and distribution of carbapenem-resistant Enterobacterales in companion animals: A nationwide study in the United States using commercial laboratory data","authors":"Kurtis Sobkowich,&nbsp;Zvonimir Poljak,&nbsp;J. Scott Weese,&nbsp;Andy Plum,&nbsp;Donald Szlosek,&nbsp;Theresa M. Bernardo","doi":"10.1111/jvim.17171","DOIUrl":"10.1111/jvim.17171","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Carbapenem-resistant <i>Enterobacterales</i> (CRE) are a concern in both human and animal medicine globally. Despite extensive research in humans, limited data exist on CRE in companion animals, with a lack of nationwide prevalence estimates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Hypothesis/Objectives</h3>\u0000 \u0000 <p>To assess the occurrence and trends of CRE in cats and dogs across the United States by analyzing 4 years of commercial antimicrobial susceptibility testing (AST) data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Between 2019 and 2022, 477 426 ASTs were conducted on <i>Enterobacterales</i> isolates against imipenem. Isolates were derived from 379 598 dogs and 97 828 cats. Animal origin was not disclosed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this retrospective study, antimicrobial susceptibility test data from IDEXX Laboratories were analyzed. Analysis included resistance estimations to imipenem stratified by sampling site, an assessment of resistance patterns over time and location, and the application of space-time cluster analysis to identify potential outbreaks. Antibiograms were produced for carbapenem-resistant isolates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Susceptibility to imipenem was high, at 98.86%. Temporal analysis indicated stability in susceptibility, with an unexplained reduction in susceptible isolates in June 2019. Spatial analysis identified 2 high-risk clusters along the Western Coast (relative risk [RR]: 23.26; <i>P</i> &lt; .001) and in Texas (RR: 10.72; <i>P</i> &lt; .001) in that month. Three other clusters were found, in Missouri (RR: 39.55; <i>P</i> = .038), Florida (RR: 4.53; <i>P</i> &lt; .001), and New York (RR: 9.20; <i>P</i> &lt; .001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>CRE are present at a low prevalence in dogs and cats across the United States. Variations in prevalence across patient-level and environmental factors highlight the need for tailored stewardship programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":"38 5","pages":"2642-2653"},"PeriodicalIF":2.1,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jvim.17171","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Validation of a reference interval for symmetric dimethylarginine in healthy goats and its comparison to values in goats with obstructive urolithiasis 验证健康山羊体内对称二甲基精氨酸的参考区间,并将其与患有梗阻性尿路结石的山羊体内的数值进行比较。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-17 DOI: 10.1111/jvim.17162
Blanca E. Camacho, Siena L. Mitman, Derek M. Foster, Jennifer Halleran

Background

Symmetric dimethylarginine (SDMA), a sensitive biomarker for detecting renal injury, has not been characterized in goats. Obstructive urolithiasis (OU) is the most common urinary tract disease in male small ruminants.

Hypothesis/Objective

Establish an SDMA reference interval (RI) in healthy adult goats and describe SDMA concentrations in goats with OU. We hypothesize that the SDMA RI in healthy adult goats will be similar to that of other adult veterinary species and that SDMA can be utilized to assess the renal function of goats experiencing OU.

Animals

Fifty-five healthy adult male and female goats from a university herd were enrolled for SDMA RI development. Twenty male and female goats from a university herd were enrolled for validation of the SDMA RI established. Thirteen male goats diagnosed with OU were enrolled.

Methods

Clinical trial. Serum samples for all animals enrolled were collected and analyzed for SDMA using an immunoassay (IDEXX Laboratories, Inc); goats with OU had additional blood work analyzed (PCV, total solids, and serum biochemistry). Symmetric dimethylarginine and other values in goats with OU were analyzed and compared at specific time points.

Results

The SDMA RI for healthy, adult goats is 8.03 μg/dL (90% CI 4.81-11.04) to 25.93 μg/dL (90% CI 22.88-28.97). There was no correlation identified between serum creatinine and SDMA in goats with OU.

Conclusions and Clinical Importance

The SDMA RI for adult goats is higher than in other adult large animal species. Use of SDMA in goats with OU is not useful in assessing their renal function.

背景:对称二甲基精氨酸(SDMA)是一种检测肾损伤的敏感生物标志物,但尚未在山羊中发现其特征。梗阻性尿路结石(OU)是雄性小反刍动物最常见的尿路疾病:建立健康成年山羊的 SDMA 参考区间 (RI),并描述患有 OU 的山羊体内的 SDMA 浓度。我们假设健康成年山羊的 SDMA RI 与其他成年兽医物种相似,并且 SDMA 可用于评估患有 OU 的山羊的肾功能:55 只来自大学羊群的健康成年公山羊和母山羊参加了 SDMA RI 开发。从一所大学的羊群中挑选了 20 只公羊和母羊,用于验证已建立的 SDMA RI。13只确诊患有OU的雄性山羊也被纳入其中:临床试验。收集所有参试动物的血清样本,并使用免疫测定法(IDEXX Laboratories, Inc)分析SDMA;对患有OU的山羊进行额外的血液分析(PCV、总固形物和血清生化)。在特定的时间点分析并比较了患有 OU 的山羊的对称二甲基精氨酸和其他值:健康成年山羊的 SDMA RI 为 8.03 μg/dL (90% CI 4.81-11.04) 到 25.93 μg/dL (90% CI 22.88-28.97)。结论和临床重要性:成年山羊的SDMA RI高于其他成年大型动物。对患有OU的山羊使用SDMA无法评估其肾功能。
{"title":"Validation of a reference interval for symmetric dimethylarginine in healthy goats and its comparison to values in goats with obstructive urolithiasis","authors":"Blanca E. Camacho,&nbsp;Siena L. Mitman,&nbsp;Derek M. Foster,&nbsp;Jennifer Halleran","doi":"10.1111/jvim.17162","DOIUrl":"10.1111/jvim.17162","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Symmetric dimethylarginine (SDMA), a sensitive biomarker for detecting renal injury, has not been characterized in goats. Obstructive urolithiasis (OU) is the most common urinary tract disease in male small ruminants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Hypothesis/Objective</h3>\u0000 \u0000 <p>Establish an SDMA reference interval (RI) in healthy adult goats and describe SDMA concentrations in goats with OU. We hypothesize that the SDMA RI in healthy adult goats will be similar to that of other adult veterinary species and that SDMA can be utilized to assess the renal function of goats experiencing OU.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Fifty-five healthy adult male and female goats from a university herd were enrolled for SDMA RI development. Twenty male and female goats from a university herd were enrolled for validation of the SDMA RI established. Thirteen male goats diagnosed with OU were enrolled.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Clinical trial. Serum samples for all animals enrolled were collected and analyzed for SDMA using an immunoassay (IDEXX Laboratories, Inc); goats with OU had additional blood work analyzed (PCV, total solids, and serum biochemistry). Symmetric dimethylarginine and other values in goats with OU were analyzed and compared at specific time points.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The SDMA RI for healthy, adult goats is 8.03 μg/dL (90% CI 4.81-11.04) to 25.93 μg/dL (90% CI 22.88-28.97). There was no correlation identified between serum creatinine and SDMA in goats with OU.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>The SDMA RI for adult goats is higher than in other adult large animal species. Use of SDMA in goats with OU is not useful in assessing their renal function.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":"38 5","pages":"2807-2813"},"PeriodicalIF":2.1,"publicationDate":"2024-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jvim.17162","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141995991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Parasympathetic tone activity, heart rate, and grimace scale in conscious horses of 3 breeds before, during, and after nociceptive mechanical stimulation 在痛觉机械刺激之前、期间和之后,3 个品种的有意识马的副交感神经张力活动、心率和龇牙咧嘴程度。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-16 DOI: 10.1111/jvim.17174
Jorge Eduardo Mendoza Flores, Angelica Terrazas, Alma V. Lara Sagahon, Monica Aleman

Background

Parasympathetic tone activity (PTA) in response to nociceptive stimulus in conscious non-sedated horses is unknown.

Objectives

Study PTA, heart rate (HR), and horse grimace scale (HGS) at rest and during mechanical nociceptive stimulation.

Animals

Ninety healthy young adult horses (females, males): 30 each of Friesians, Quarter Horses, and Warmbloods.

Methods

Prospective control study. The study consisted of habituation to equipment (Day 1), baseline recordings (Days 2 and 3), and nociceptive testing applying mild pressure to the metacarpus (Day 4). Parasympathetic tone, HR, and HGS were recorded simultaneously on Days 2 to 4. Each study lasted 30 minutes and was done in triplicate at 3 different time points per day.

Results

Baseline PTA was not different among breeds. It decreased in Warmbloods and Quarter Horses during placement of the stimulus device without stimulation (P < .01). A significant decrease in PTA (P < .001) occurred during nociceptive stimulus (marked in Quarter Horses, intermediate in Warmbloods, and mild in Friesians). Heart rate and HGS increased significantly (P < .001) during the stimulus in all breeds but returned to baseline poststimulation. Friesians required higher pressure (P < .05) to elicit an aversive response to the stimulus.

Conclusions

Horses' PTA, HR, and HGS change in response to a mild mechanical nociceptive stimulus with Friesians showing less variation. Stress induced a decrease in PTA in Quarter Horses and Warmbloods but not in Friesians. Friesians appeared to be more tolerant to pain based on PTA, HR, and HGS findings compared with other breeds.

背景:意识清醒的非镇静马对痛觉刺激的副交感神经张力活动(PTA)尚不清楚:研究马匹在休息和机械痛觉刺激时的副交感神经张力活动(PTA)、心率(HR)和马匹龇牙咧嘴量表(HGS):动物:90 匹健康的年轻成年马(雌马、雄马):方法:前瞻性对照研究:方法:前瞻性对照研究。研究包括对设备的适应(第 1 天)、基线记录(第 2 天和第 3 天)以及对掌骨施加轻微压力的痛觉测试(第 4 天)。第 2 至第 4 天同时记录副交感神经张力、心率和 HGS。 每项研究持续 30 分钟,每天在 3 个不同的时间点进行,一式三份:结果:不同品种的基线 PTA 没有差异。结果:不同品种的马匹基线 PTA 没有差异,温血马和四弦马在放置刺激装置而不进行刺激时,PTA 有所下降(P 结论:温血马和四弦马在放置刺激装置而不进行刺激时,PTA 有所下降:马的 PTA、HR 和 HGS 在轻微机械痛觉刺激下会发生变化,其中弗里斯兰马的变化较小。压力会导致四级马和温血马的 PTA 下降,而弗里斯兰马不会。从 PTA、HR 和 HGS 的结果来看,弗里斯兰马似乎比其他品种对疼痛的耐受力更强。
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引用次数: 0
Plasma concentration of thrombopoietin in dogs with immune thrombocytopenia 免疫性血小板减少症患犬血浆中血小板生成素的浓度。
IF 2.1 2区 农林科学 Q1 VETERINARY SCIENCES Pub Date : 2024-08-14 DOI: 10.1111/jvim.17152
Marjory B. Brooks, James C. Brooks, Jim Catalfamo, Yao Zhu, Robert Goggs, Susanna Babasyan, Bettina Wagner, Dana N. LeVine

Background

Immune thrombocytopenia (ITP) is a common cause of severe thrombocytopenia in dogs. The pathogenesis of nonassociative, primary ITP (pITP) appears complex, with ill-defined thrombopoietic response.

Objectives

Develop an immunoassay to measure plasma canine thrombopoietin (TPO) concentration and characterize TPO concentrations in dogs with pITP.

Animals

Forty-one healthy dogs, 8 dogs in an induced ITP model (3 control, 5 ITP), and 58 pITP dogs.

Methods

Recombinant canine TPO (rcTPO) was purchased and its identity confirmed by mass spectrometry. Monoclonal antibodies were raised to rcTPO and used to configure a sandwich ELISA using streptavidin-biotin detection. Assay performance, coefficients of variability, and healthy dog plasma TPO reference interval (RI) were determined, followed by assay of ITP samples.

Results

Assay dynamic range was 15 pg/mL (lower limit of detection) to 1000 pg/mL TPO, with limit of quantitation of 62 pg/mL. Plasma TPO RI was 0 to 158 pg/mL, with plasma TPO <62 pg/mL for 35/41 healthy dogs. All dogs with induced ITP developed marked increases in plasma TPO concentration. Peak values ranged from 515 to >6000 pg/mL. In contrast, only 2/58 pITP dogs had TPO values above RI.

Conclusions and Clinical Importance

Plasma TPO concentration is paradoxically low at diagnosis for most dogs with pITP. This finding suggests that ineffective thrombopoiesis contributes to thrombocytopenia in pITP dogs and supports evaluating TPO receptor agonist treatment as used for pITP in humans. The TPO assay provides a new tool to study thrombopoiesis in pITP and other thrombocytopenic syndromes in dogs.

背景:免疫性血小板减少症(ITP)是导致犬严重血小板减少的常见原因。非关联性、原发性 ITP(pITP)的发病机制似乎很复杂,造血反应不明确:开发一种免疫测定方法来测量犬血浆促血小板生成素(TPO)的浓度,并确定 pITP 患犬体内 TPO 浓度的特征:41只健康犬、8只诱导ITP模型犬(3只对照组、5只ITP组)和58只pITP犬:方法:购买重组犬 TPO(rcTPO)并通过质谱法确认其身份。针对 rcTPO 提取单克隆抗体,并使用链霉亲和素-生物素检测法配置夹心 ELISA。测定了测定性能、变异系数和健康犬血浆 TPO 参考区间(RI),然后对 ITP 样品进行了测定:检测动态范围为 15 pg/mL(检测下限)至 1000 pg/mL TPO,定量限为 62 pg/mL。血浆 TPO RI 为 0 至 158 pg/mL,血浆 TPO 为 6000 pg/mL。相比之下,只有 2/58 只 pITP 狗的 TPO 值高于 RI:结论和临床意义:大多数 pITP 狗在诊断时血浆 TPO 浓度都很低。这一发现表明,无效的血栓生成是导致 pITP 狗血小板减少的原因,并支持评估用于人类 pITP 的 TPO 受体激动剂治疗。TPO 检测为研究 pITP 和其他犬血小板减少综合征的血栓形成提供了一种新工具。
{"title":"Plasma concentration of thrombopoietin in dogs with immune thrombocytopenia","authors":"Marjory B. Brooks,&nbsp;James C. Brooks,&nbsp;Jim Catalfamo,&nbsp;Yao Zhu,&nbsp;Robert Goggs,&nbsp;Susanna Babasyan,&nbsp;Bettina Wagner,&nbsp;Dana N. LeVine","doi":"10.1111/jvim.17152","DOIUrl":"10.1111/jvim.17152","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Immune thrombocytopenia (ITP) is a common cause of severe thrombocytopenia in dogs. The pathogenesis of nonassociative, primary ITP (pITP) appears complex, with ill-defined thrombopoietic response.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Develop an immunoassay to measure plasma canine thrombopoietin (TPO) concentration and characterize TPO concentrations in dogs with pITP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Animals</h3>\u0000 \u0000 <p>Forty-one healthy dogs, 8 dogs in an induced ITP model (3 control, 5 ITP), and 58 pITP dogs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Recombinant canine TPO (rcTPO) was purchased and its identity confirmed by mass spectrometry. Monoclonal antibodies were raised to rcTPO and used to configure a sandwich ELISA using streptavidin-biotin detection. Assay performance, coefficients of variability, and healthy dog plasma TPO reference interval (RI) were determined, followed by assay of ITP samples.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Assay dynamic range was 15 pg/mL (lower limit of detection) to 1000 pg/mL TPO, with limit of quantitation of 62 pg/mL. Plasma TPO RI was 0 to 158 pg/mL, with plasma TPO &lt;62 pg/mL for 35/41 healthy dogs. All dogs with induced ITP developed marked increases in plasma TPO concentration. Peak values ranged from 515 to &gt;6000 pg/mL. In contrast, only 2/58 pITP dogs had TPO values above RI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Clinical Importance</h3>\u0000 \u0000 <p>Plasma TPO concentration is paradoxically low at diagnosis for most dogs with pITP. This finding suggests that ineffective thrombopoiesis contributes to thrombocytopenia in pITP dogs and supports evaluating TPO receptor agonist treatment as used for pITP in humans. The TPO assay provides a new tool to study thrombopoiesis in pITP and other thrombocytopenic syndromes in dogs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49958,"journal":{"name":"Journal of Veterinary Internal Medicine","volume":"38 5","pages":"2507-2517"},"PeriodicalIF":2.1,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jvim.17152","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141982645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of Veterinary Internal Medicine
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