Nosocomial Klebsiella oxytoca infection in two dogs
2007
Seliskar, A., Ljubljana Univ. (Slovenia). Veterinary Fac. | Zdovc, I. | Zorko, B.
Despite a large amount of published data on nosocomially-acquired intravenous catheter-related Klebsiella oxytoca infection in human medicine there is a lack of information in veterinary medicine. Intravenous catheter-related Klebsiella oxytoca infection was strongly suspected in two dogs that underwent dental procedures under general anesthesia. Dog 1 was presented with severe osteomyelitis of the shoulder joint from the same leg that was used for intravenous catheter placement during implantation of bilateral direct acrylic inclined plane approximately 3 weeks ago. According to the bacteriology identification that revealed Klebsiella oxytoca infection and susceptibility testing of the synovial fluid from the shoulder joint the dog was treated with amoxicillin+clavulanic acid for one month. In spite of clinical improvement the radiographic examination revealed severe osteoarthritis of the affected joint at the end of the course. Dog 2 died of septic shock associated with disseminated intravascular coagulation 7 hours after the extraction of left mandibular fourth premolar tooth. Klebsiella oxytoca was isolated from several abdominal organs post-mortem. Bacteriology examination of hospital environment and equipment was carried out because of possible common-source epidemic and among other microorganisms, Klebsiella oxytoca was isolated. Additional infection control measures were instituted and so far, eigteen-months after that no nosocomial infection was confirmed.
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