Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

RE: Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

Aine Seavers — Sat, 06 Feb 2016 01:38:31 GMT

Update. Turned out the dog had been put back on raw chicken!! despite advised not esp in view of glucorticoid use and i/suppressed husband. Both treated with antibiotics and both now very well. Owner sticking with Euc prescription as the diet as dog still has some dietary issues perhaps due to its ckc spaniel airway issues and TRC causing reflux and vomiting and mucous alteration. Lomotil has been promoted as of use in Tracheal Ring Collapse cough in UK,Has any one got any negative comments on Lomotil in these cases.

RE: Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

Aine Seavers — Sat, 06 Feb 2016 01:37:39 GMT

RE: Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

Aine Seavers — Thu, 17 Dec 2015 23:59:48 GMT

Andrew's link was interesting in pointing out need to use soap and water or bleach as spores resistant to alcohol- female owner is a human nurse and here alcohol pumps are all they use-i will be asking for all incontacts to be tested given case histories discussed with vets on another forum that show the need to widen the arc esp when dealing with immunocompromised patient which the dog and the male owner both are.

many tx

Aine

RE: Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

Hannah Wynne Richards — Thu, 17 Dec 2015 15:03:48 GMT

I'd be inclined to suspect poor hygiene practices on the part of the owner as being the source of the dog's problem

Wynne

RE: Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

Andrew Kent — Thu, 17 Dec 2015 14:54:41 GMT

I usually follow the guidance of the ACVIM consensus on enteropathogenic bacteria which provides useful information.

Essentially for campylobacter I usually don't treat at all, unless the dog is systemically unwell, pyrexic or has very haemorrhagic faeces.

I see a reasonable number of referred cases who have, at some time, cultured positive for Campy but in the majority of those cases it is not the cause of the GI signs - most of them have some form of chronic enteropathy (diet-related, IBD, dysbiosis etc).

The difficulty here is the possible association between the dogs signs and the owners signs which may be a concern, however with sensible hygiene precautions on both sides the risk should be small.

Andy

RE: Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

Aine Seavers — Thu, 17 Dec 2015 10:31:35 GMT

Tx Michael- yes the dog was not tested before as did not have SI signs, but now it does have colitic stools- and is positive on faecal c/s- which in fairness is the first + campylo result we have had in 20+ years of submitting samples to this lab- so I give it more weight than normal given the rarity here of a + and the presence of signs in the pet. It has been on long courses of clav/amoy for the recalcitrant cough along with other antibiotics but not the mycins so will have to consider that.

RE: Human camplyobacteriosis long standing, dog + for Camply.jejuni with also clinical signs

Michael Woodhouse — Thu, 17 Dec 2015 10:07:21 GMT

I know a proportion of normal dogs will carry (and be culture positive) for campylobacter. I would never screen a healthy dog for the bacteria - there is no reason to do so.

If we have associated clinical signs (diarrhoea etc) AND culture campy, then we will treat to eliminate the infection. We will have had lots of puppies positive on culture, loose stools that have cured with a course of suitable antibiotic. A number of these have had lots of other symptomatic Tx, yet the diarrhoea resolves before the course of treatment is complete.

Generally use amoxyclav, but do use some erythromycin in little puppies (under the cascade) as it is easier to administer accurately.