2006
DOI: 10.1016/j.jfms.2005.09.001
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Feline cholecystitis and acute neutrophilic cholangitis: Clinical findings, bacterial isolates and response to treatment in six cases

Abstract: Clinicopathological findings from six cats with confirmed cholecystitis or acute neutrophilic cholangitis are presented. Historical findings included lethargy and anorexia or inappetence of up to five days duration. On physical examination all cats were pyrexic and four out of six were jaundiced and had cranial abdominal pain. Bile samples were obtained by cholecystocentesis at exploratory coeliotomy (two cases) or by percutaneous, ultrasound-guided cholecystocentesis (four cases). Gall bladder rupture and bil… Show more

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Cited by 72 publications
(143 citation statements)
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“…Our results support previous observations from smaller case series, 3,4,[6][7][8][9][10]12,13 in which the predominant bacteria isolated from the hepatobiliary system of dogs and cats were of enteric origin. Bacteria that were identified as contaminants in this study primarily were those associated with the skin, mostly coagulase-negative staphylococci, and probably were the result of collectionor specimen-handling contamination.…”
Section: Discussionsupporting
confidence: 91%
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“…Our results support previous observations from smaller case series, 3,4,[6][7][8][9][10]12,13 in which the predominant bacteria isolated from the hepatobiliary system of dogs and cats were of enteric origin. Bacteria that were identified as contaminants in this study primarily were those associated with the skin, mostly coagulase-negative staphylococci, and probably were the result of collectionor specimen-handling contamination.…”
Section: Discussionsupporting
confidence: 91%
“…1,2 In veterinary patients, bacteria have been isolated from cases of suppurative cholangitis, hepatic abscesses, cholecystitis, choledochitis, and choleliths. [3][4][5][6][7][8][9][10][11][12][13] In humans with biliary disease, certain conditions have been associated with a higher incidence of infection, such as cholelithiasis, cholecystitis, previous biliary-tract surgery, or other causes of obstructive jaundice. [14][15][16][17][18] In these studies, the most commonly identified biliary pathogens in human patients are enteric bacteria (Escherichia coli, Enterococcus spp., Klebsiella spp., Bacteroides spp., and Clostridium spp).…”
mentioning
confidence: 99%
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“…In contrast to dogs, cats in our study commonly had a neutrophilic inflammatory response on cytological evaluation, a finding described in a small case series 6. This observation could be associated with the relatively high frequency of cholangitis in cats.…”
Section: Discussioncontrasting
confidence: 53%
“…Findings include presence of single and mixed bacteria in both canine and feline bile samples, with or without cytological evidence of inflammation 5, 6, 7, 8. Fungal organisms9 have rarely been documented in the bile of a dog, parasite eggs have been found in bile of a cat and of cows,10, 11 and a single case report documents the presence of atypical lymphocytes in gallbladder aspirates from a cat with lymphoma 12…”
mentioning
confidence: 99%