Journal article
Remission of histiocytic ulcerative colitis in Boxer dogs correlates with eradication of invasive intramucosal Escherichia coli
Journal of Veterinary Internal Medicine, Vol.23(5), pp.964-969
2009
Abstract
BACKGROUND: Historically, histiocytic ulcerative (HUC) (or granulomatous) colitis of Boxer dogs was considered an idiopathic immune-mediated disease with a poor prognosis. Recent reports of dramatic responses to enrofloxacin and the discovery of invasive Escherichia coli within the colonic mucosa of affected Boxer dogs support an infectious etiology. HYPOTHESIS: Invasive E. coli is associated with colonic inflammation in Boxer dogs with HUC, and eradication of intramucosal E. coli correlates with clinical and histologic remission. ANIMALS: Seven Boxer dogs with HUC. METHODS: Prospective case series. Colonic biopsies were obtained at initial evaluation in 7 dogs, and in 5 dogs after treatment with enrofloxacin. Biopsies were evaluated by standardized histopathology, and fluorescence in situ hybridization (FISH) with probes to eubacteria and E. coli. RESULTS: Intramucosal E. coli was present in colonic biopsies of 7/7 Boxers with HUC. Clinical response was noted in all dogs within 2 weeks of enrofloxacin (7 + or - 3.06 mg/kg q24 h, for 9.5 + or - 3.98 weeks) and was sustained in 6 dogs (median disease-free interval to date of 47 months, range 17-62). FISH was negative for E. coli in 4/5 dogs after enrofloxacin. E. coli resistant to enrofloxacin were present in the FISH-positive dog that relapsed. CONCLUSIONS AND CLINICAL RELEVANCE: The correlation between clinical remission and the eradication of mucosally invasive E. coli during treatment with enrofloxacin supports the causal involvement of E. coli in the development of HUC in susceptible Boxer dogs. A poor response to enrofloxacin treatment might be due to colonization with enrofloxacin-resistant E. coli.
Details
- Title
- Remission of histiocytic ulcerative colitis in Boxer dogs correlates with eradication of invasive intramucosal Escherichia coli
- Authors/Creators
- C.S. Mansfield (Author/Creator) - Murdoch UniversityF.E. James (Author/Creator) - Cornell UniversityM. Craven (Author/Creator) - Cornell UniversityD.R. Davies (Author/Creator) - Cornell UniversityA.J. O'Hara (Author/Creator) - Cornell UniversityP.K. Nicholls (Author/Creator) - Cornell UniversityB. Dogan (Author/Creator) - Cornell UniversityS.P. MacDonough (Author/Creator) - Cornell UniversityK.W. Simpson (Author/Creator) - Cornell University
- Publication Details
- Journal of Veterinary Internal Medicine, Vol.23(5), pp.964-969
- Publisher
- American College of Veterinary Internal Medicine
- Identifiers
- 991005543255207891
- Copyright
- © 2009 American College of Veterinary Internal Medicine
- Murdoch Affiliation
- School of Veterinary and Biomedical Sciences
- Language
- English
- Resource Type
- Journal article
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