Acute hemorrhagic diarrhea syndrome associated with contaminated foreign bodies (used feminine hygiene products) in a Golden Retriever dog

A one-year-old male Golden Retriever presented with acute onset of vomiting and hemorrhagic diarrhea since 2 days.The dog was depressed, showing abdominal pain, 12% dehydration, tachycardia, and a bounding pulse.Diagnostic imaging showed severe dilatation and fluid retention of the entire gastrointestinal tract with decreased motility.A foreign body was found in the gastroduodenal region, but there was no obstruction or plication.The dog was tentatively diagnosed with acute hemorrhagic diarrhea syndrome and rapidly recovered after supportive treatment.However, on the morning of day 4, anorexia and vomiting recurred, and diagnostic imaging revealed intestinal plication with free peritoneal fluid, not found on the previous image.An emergency laparotomy revealed the foreign body to be two used feminine hygiene products.These contaminated products were suspected to induce acute hemorrhagic diarrhea syndrome, and led to subsequent complication in this large dog. KEY WORDS: acute hemorrhagic diarrhea syndrome, contaminated foreign bodies, dog, feminine hygiene product, tamponAcute hemorrhagic diarrhea has numerous causes and includes idiopathic hemorrhagic gastroenteritis, known as acute hemorrhagic diarrhea syndrome (AHDS) [1,9].Although the etiology of AHDS is currently unclear, gastrointestinal infection (from specific pathogenic bacteria) is thought to be associated with AHDS in human and veterinary fields; certain enterotoxigenic strains of Escherichia coli lead to hemorrhagic enteritis in humans, and Clostridium-related toxins are associated with the pathogenesis of AHDS in dogs [2-4, 7, 10, 13, 15, 16].In this case report, contaminated foreign bodies were strongly suspected to induce AHDS via intestinal bacterial dysbiosis.In particular, a tampon, identified as one of the contaminated foreign bodies in the dog, is highly infectious and can stimulate toxic shock syndrome toxin 1 (TSST-1) via staphylococci bacteria in human beings [6,14].This report describes the clinical signs, diagnosis, treatment, and outcome of AHDS associated with heavily contaminated foreign bodies (used feminine hygiene products) in a Golden Retriever dog.To the author's knowledge, there are currently no reports of AHDS associated with contaminated foreign bodies in small animals.A one-year-old castrated male Golden Retriever weighing 27 kg presented with acute onset of vomiting and profuse hematochezia since 2 days.The owner found the dog rummaging through the garbage can in the bathroom; after three days, the dog had shown intermittent vomiting.The previous day, malodorous, watery, and bloody diarrhea followed the onset of vomiting.Upon physical examination, the dog was depressed and tachycardic (220 beats/min), with a bounding pulse and rapid capillary refill time (below one sec); the dog's temperature was normal at 39°C.The dog was 12% dehydrated, and showing abdominal pain and generalized tremor.Profuse, watery, and projectile hematochezia was detected during the examination (Fig. 1).The dog's history, clinical signs, and physical examination were indicative of hypovolemic shock, and fluid resuscitation was immediately started.The dog was stabilized with oxygen supplementation and large volume resuscitation with two 500 ml boluses of lactated ringer's solution.After resuscitation, a constant rate infusion at 130 ml/kg/day of lactated ringer's solution and butorphanol were

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.