Veterinary journal (London, England : 1997) · 2026
Comparison of dogs with septic peritonitis due to S. lupi aberrant migration and dogs with other gastrointestinal causes of septic peritonitis. A retrospective study.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Berger Chen, Granovsky Gabriel, Yaffe Marganit, Bat Zion-Cohen Karen, Yudelevitch Sigal, Ben Amotz Ron, Shipov Anna
Аннотация
BACKGROUND: Septic peritonitis in dogs is a critical condition with high morbidity and mortality. Spirocerca lupi-associated septic peritonitis (SL) is an emerging and poorly described entity caused by aberrant larval migration resulting in mesenteric infarction and intestinal necrosis.
OBJECTIVES: To characterize the clinical presentation, diagnostic findings, and outcomes in dogs with SL, and to compare them with cases of gastrointestinal origin septic peritonitis (GI).
METHODS: Forty-nine dogs diagnosed with septic peritonitis were retrospectively enrolled in this study. Dogs were assigned to the SL group (n = 21) or the GI group (n = 28) based on histopathologic findings. Clinical, clinicopathologic, imaging, and outcome data were collected and statistically compared.
RESULTS: A significantly higher proportion of dogs in the SL group presented during the hot season (77.8% vs. 21.4%; P = 0.001). Eosinophils were significantly more prevalent in abdominal fluid cytology in the SL group (80% vs. 5.6%; P < 0.001). Loss of intestinal wall layering on ultrasound was more common in the SL group (100% vs. 47%; P = 0.001). Survival to discharge was significantly higher in the SL group (86% vs. 54%; P = 0.03). No significant differences were observed in hospitalization time (P = 0.132), complication rates (P = 0.16), or proportion receiving preventive anthelmintic treatment (P = 0.708).
CONCLUSIONS: SL-associated septic peritonitis presents with unique diagnostic features and carries a more favorable prognosis than GI-related peritonitis. Awareness of its seasonal presentation, ultrasonographic findings, and eosinophilic effusion may aid in early recognition and improved clinical outcomes in endemic areas.
OBJECTIVES: To characterize the clinical presentation, diagnostic findings, and outcomes in dogs with SL, and to compare them with cases of gastrointestinal origin septic peritonitis (GI).
METHODS: Forty-nine dogs diagnosed with septic peritonitis were retrospectively enrolled in this study. Dogs were assigned to the SL group (n = 21) or the GI group (n = 28) based on histopathologic findings. Clinical, clinicopathologic, imaging, and outcome data were collected and statistically compared.
RESULTS: A significantly higher proportion of dogs in the SL group presented during the hot season (77.8% vs. 21.4%; P = 0.001). Eosinophils were significantly more prevalent in abdominal fluid cytology in the SL group (80% vs. 5.6%; P < 0.001). Loss of intestinal wall layering on ultrasound was more common in the SL group (100% vs. 47%; P = 0.001). Survival to discharge was significantly higher in the SL group (86% vs. 54%; P = 0.03). No significant differences were observed in hospitalization time (P = 0.132), complication rates (P = 0.16), or proportion receiving preventive anthelmintic treatment (P = 0.708).
CONCLUSIONS: SL-associated septic peritonitis presents with unique diagnostic features and carries a more favorable prognosis than GI-related peritonitis. Awareness of its seasonal presentation, ultrasonographic findings, and eosinophilic effusion may aid in early recognition and improved clinical outcomes in endemic areas.