PMID- 19678891 OWN - NLM STAT- MEDLINE DCOM- 20091008 LR - 20220408 IS - 0891-6640 (Print) IS - 0891-6640 (Linking) VI - 23 IP - 5 DP - 2009 Sep-Oct TI - Remission of histiocytic ulcerative colitis in Boxer dogs correlates with eradication of invasive intramucosal Escherichia coli. PG - 964-9 LID - 10.1111/j.1939-1676.2009.0363.x [doi] AB - BACKGROUND: Historically, histiocytic ulcerative (HUC) (or granulomatous) colitis of Boxer dogs was considered an idiopathic immune-mediated disease with a poor prognosis. Recent reports of dramatic responses to enrofloxacin and the discovery of invasive Escherichia coli within the colonic mucosa of affected Boxer dogs support an infectious etiology. HYPOTHESIS: Invasive E. coli is associated with colonic inflammation in Boxer dogs with HUC, and eradication of intramucosal E. coli correlates with clinical and histologic remission. ANIMALS: Seven Boxer dogs with HUC. METHODS: Prospective case series. Colonic biopsies were obtained at initial evaluation in 7 dogs, and in 5 dogs after treatment with enrofloxacin. Biopsies were evaluated by standardized histopathology, and fluorescence in situ hybridization (FISH) with probes to eubacteria and E. coli. RESULTS: Intramucosal E. coli was present in colonic biopsies of 7/7 Boxers with HUC. Clinical response was noted in all dogs within 2 weeks of enrofloxacin (7 + or - 3.06 mg/kg q24 h, for 9.5 + or - 3.98 weeks) and was sustained in 6 dogs (median disease-free interval to date of 47 months, range 17-62). FISH was negative for E. coli in 4/5 dogs after enrofloxacin. E. coli resistant to enrofloxacin were present in the FISH-positive dog that relapsed. CONCLUSIONS AND CLINICAL RELEVANCE: The correlation between clinical remission and the eradication of mucosally invasive E. coli during treatment with enrofloxacin supports the causal involvement of E. coli in the development of HUC in susceptible Boxer dogs. A poor response to enrofloxacin treatment might be due to colonization with enrofloxacin-resistant E. coli. FAU - Mansfield, C S AU - Mansfield CS AD - School of Veterinary and Biomedical Sciences, Murdoch University, Murdoch, WA 6150, Australia. c.mansfield@murdoch.edu.au FAU - James, F E AU - James FE FAU - Craven, M AU - Craven M FAU - Davies, D R AU - Davies DR FAU - O'Hara, A J AU - O'Hara AJ FAU - Nicholls, P K AU - Nicholls PK FAU - Dogan, B AU - Dogan B FAU - MacDonough, S P AU - MacDonough SP FAU - Simpson, K W AU - Simpson KW LA - eng PT - Clinical Trial PT - Journal Article DEP - 20090811 PL - United States TA - J Vet Intern Med JT - Journal of veterinary internal medicine JID - 8708660 RN - 0 (Anti-Bacterial Agents) RN - 0 (Fluoroquinolones) RN - 3DX3XEK1BN (Enrofloxacin) SB - IM MH - Animals MH - Anti-Bacterial Agents/*therapeutic use MH - Biopsy/veterinary MH - Colitis, Ulcerative/drug therapy/microbiology/pathology/*veterinary MH - Colon/microbiology/pathology MH - Dog Diseases/drug therapy/*microbiology/pathology MH - Dogs MH - Enrofloxacin MH - Escherichia/*growth & development MH - Escherichia coli Infections/drug therapy/microbiology/pathology/*veterinary MH - Female MH - Fluoroquinolones/*therapeutic use MH - Histocytochemistry/veterinary MH - In Situ Hybridization, Fluorescence/veterinary MH - Intestinal Mucosa/drug effects/microbiology/pathology MH - Male MH - Prospective Studies EDAT- 2009/08/15 09:00 MHDA- 2009/10/09 06:00 CRDT- 2009/08/15 09:00 PHST- 2009/08/15 09:00 [entrez] PHST- 2009/08/15 09:00 [pubmed] PHST- 2009/10/09 06:00 [medline] AID - JVIM363 [pii] AID - 10.1111/j.1939-1676.2009.0363.x [doi] PST - ppublish SO - J Vet Intern Med. 2009 Sep-Oct;23(5):964-9. doi: 10.1111/j.1939-1676.2009.0363.x. Epub 2009 Aug 11.