Vagococcus lutrae Isolation in a Cat with Feline Urological Syndrome in Italy: A Case Report.

Vagococcus lutrae is an emerging pathogen that can cause severe disease, especially in immunocompromised patients. Unlike Vagococcus fluvialis, which is recognized as a human and animal pathogen, there are few reports of V. lutrae from human and animal infections. In humans, it has been reported in patients with severe skin lesions and bloodstream infections. In veterinary medicine, V. lutrae was accidentally isolated from a Eurasian otter and a largemouth bass, and only once from the genitourinary tract of a pig with a urinary tract infection. However, the prevalence may be underestimated due to difficulties in identification using traditional methods. In addition, V. lutrae could be a carrier of resistance genes and contribute to the spread of AMR. A neutered male cat with feline urological syndrome underwent urethrostomy surgery due to serious problems with dysuria and urolithiasis that could not be resolved through catheterizations. Urine culture revealed the presence of Vagococcus lutrae. The strain showed resistance genes against aminoglycoside, lincosamide, streptogramin a and b, pleuromutilin, macrolide, tetracycline, oxazolidinone, and amphenicol classes. We report the first isolation of V. lutrae from the urinary tract of a cat.