Roura X, Santamarina G, Tabar M-D, Francino O, Altet L
Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Bellaterra, Cerdanyola Del Vallès, 08193 Barcelona, Spain.
Hospital Veterinario Universitario Rof Codina, Facultad de Veterinaria, Universidad de Santiago de Compostela, 27002 Lugo, Spain.
J Vet Cardiol. 2018 Aug;20(4):267-275. doi: 10.1016/j.jvc.2018.04.006. Epub 2018 May 25.
The presence of Bartonella spp. was detected by polymerase chain reaction (PCR) in dogs from Spain with blood culture-negative endocarditis. The aim of this study is to add information about canine infectious endocarditis in Europe.
Thirty dogs with naturally occurring blood culture-negative endocarditis were examined from 2010 to 2017 at three veterinary referral hospitals, located in northwest, northeast, and southeast of Spain.
It is a retrospective study. Medical records were reviewed to extract relevant data. Frozen or paraffin-embedded cardiac valve tissue and/or ethylenediamine tetraacetic acid blood samples were evaluated by PCR for the presence of Bartonella DNA. Positive results were sequenced to confirm the species.
Polymerase chain reaction was positive for eight out of 30 dogs included (26.6%). Bartonella rochalimae, Bartonella vinsonii subsp. berkhoffii, and Bartonella koehlerae were detected in valve tissue or blood.
Bartonella could be an important cause of blood culture-negative infectious endocarditis in dogs from Spain. The outcome for those dogs affected with Bartonella spp. was grave. Prompt empirical treatment with amoxicillin-clavulanate plus fluoroquinolones could be of value in cases of blood culture-negative endocarditis.
通过聚合酶链反应(PCR)检测西班牙血液培养阴性的心内膜炎犬中巴尔通体属细菌的存在情况。本研究旨在补充有关欧洲犬感染性心内膜炎的信息。
2010年至2017年期间,对位于西班牙西北部、东北部和东南部的三家兽医转诊医院的30只自然发生血液培养阴性的心内膜炎犬进行了检查。
这是一项回顾性研究。查阅病历以提取相关数据。通过PCR评估冷冻或石蜡包埋的心脏瓣膜组织和/或乙二胺四乙酸血样中巴尔通体DNA的存在情况。对阳性结果进行测序以确认菌种。
30只纳入研究的犬中有8只PCR检测呈阳性(26.6%)。在瓣膜组织或血液中检测到罗沙利马巴尔通体、文森巴尔通体伯克霍夫亚种和科氏巴尔通体。
巴尔通体可能是西班牙犬血液培养阴性感染性心内膜炎的重要病因。感染巴尔通体属细菌的犬预后严重。对于血液培养阴性的心内膜炎病例,立即使用阿莫西林-克拉维酸加氟喹诺酮进行经验性治疗可能有价值。