Engelbrecht Monique, Atkinson Brogan, Goddard Amelia, Pazzi Paolo, McClure Vanessa
Department of Companion Animal Clinical Studies, Faculty of Veterinary Science, University of Pretoria, Pretoria, South Africa.
Front Vet Sci. 2021 Oct 6;8:722280. doi: 10.3389/fvets.2021.722280. eCollection 2021.
Bacterial translocation from the damaged intestinal tract, reported in canine parvoviral (CPV) enteritis, is thought to be responsible for the systemic inflammatory response resulting from coliform septicemia, which could ultimately progress to septic shock and death. Alterations in platelet indices, specifically mean platelet volume (MPV), is a consistent finding in critically ill people and dogs with and without sepsis. Increased MPV has been reported to be an indirect indicator of platelet activation and of bone marrow response in people and dogs with sepsis. The study aim was to compare admission MPV and platelet volume distribution width (PVDW) in dogs with CPV enteritis to that of healthy aged-matched control dogs. Forty-eight dogs with CPV enteritis and 18 healthy age matched control dogs were included. CPV infection was confirmed with electron microscopy and concurrent blood-borne infections were excluded using PCR. EDTA whole blood samples were analyzed on an automated cell counter, ADVIA 2120, within 30-60 min from collection. There was no significant difference for platelet count between the groups. The MPV for CPV infected dogs (median: 14.0; : 12.2-15.1) was significantly higher compared to controls (11.3; : 10.3-13.1, = 0.002). The PVDW for CPV infected dogs (66.9; : 64.2-68.8) was significantly higher compared to controls (63.3; : 60.2-65.1, < ). These findings suggest that significant platelet activation is present in dogs with CPV enteritis which may play a role in the disease outcome, similar to people with sepsis. Further studies are required to investigate the prognosticating ability of MPV in dogs with CPV enteritis.
犬细小病毒(CPV)肠炎中报道的细菌从受损肠道的移位,被认为是导致大肠埃希菌败血症引起的全身炎症反应的原因,最终可能发展为感染性休克和死亡。血小板指标的改变,特别是平均血小板体积(MPV),在患有和未患有败血症的重症人和犬中是一个一致的发现。据报道,MPV升高是患有败血症的人和犬血小板活化及骨髓反应的间接指标。本研究的目的是比较患有CPV肠炎的犬与年龄匹配的健康对照犬的入院时MPV和血小板体积分布宽度(PVDW)。纳入了48只患有CPV肠炎的犬和18只年龄匹配的健康对照犬。通过电子显微镜确认CPV感染,并使用PCR排除并发的血源感染。在采集后30 - 60分钟内,使用ADVIA 2120全自动血细胞分析仪对乙二胺四乙酸(EDTA)全血样本进行分析。两组之间的血小板计数没有显著差异。与对照组(11.3;范围:10.3 - 13.1,P = 0.002)相比,CPV感染犬的MPV(中位数:14.0;范围:12.2 - 15.1)显著更高。与对照组(63.3;范围:60.2 - 65.1,P < 0.001)相比,CPV感染犬的PVDW(66.9;范围:64.2 - 68.8)显著更高。这些发现表明,患有CPV肠炎的犬存在显著的血小板活化,这可能在疾病转归中起作用,类似于患有败血症的人。需要进一步研究来调查MPV对患有CPV肠炎的犬的预后评估能力。