Medically managed spontaneous bacterial peritonitis and bacteraemia associated with jugular catheter infection in a dog with tetanus

Radulescu, Sinziana; Le Gal, Alice; Guedra Allais, Miriam; cook, Simon

Abstract

A five-year-old male entire Labrador was treated for grade III tetanus, developing aspiration pneumonia and undergoing mechanical ventilation (MV). However, 5 days after weaning from MV the dog developed a new pyrexia. Investigations documented circulating intracellular bacteria, a bacterial peritonitis, and a large right jugular thrombus. Blood, peritoneal and urinary cultures yielded a multidrug resistance Escherichia coli (E. coli). The jugular catheter had been in place for 10 days, and the dog received parenteral nutrition. The pyrexia resolved immediately after catheter removal and there was no echocardiographic evidence of endocarditis. No abdominal source of infection was identified by computed tomography and the septic peritonitis was managed conservatively, including percutaneous placement of an indwelling peritoneal drain for drainage and lavage. The dog was escalated to intravenous gentamycin antibiosis with ongoing supportive care, and discharged with cefovecin, making a full recovery after 20 days in the intensive care unit (ICU).

Citation

Radulescu, S., Le Gal, A., Guedra Allais, M., & cook, S. (2022). Medically managed spontaneous bacterial peritonitis and bacteraemia associated with jugular catheter infection in a dog with tetanus. Vet Record Case Reports, https://doi.org/10.1002/vrc2.354

• Journal Article Type: Article
• Acceptance Date: Mar 3, 2022
• Online Publication Date: Mar 21, 2022
• Publication Date: Mar 21, 2022
• Deposit Date: Dec 1, 2022
• Print ISSN: 2052-6121
• Electronic ISSN: 2052-6121
• Publisher: BMJ Publishing Group
• Peer Reviewed: Peer Reviewed
• DOI: https://doi.org/10.1002/vrc2.354
• Publisher URL: https://bvajournals.onlinelibrary.wiley.com/doi/full/10.1002/vrc2.354