@entity295 and Infection due to ESBL-producing XXXX Following Feline Renal Allograft Transplantation.

@entity1 @entity295 @entity4028 @entity254 @entity3274 @entity2893 @entity1986 @entity1167 @entity551 @entity298 @entity1681
UNASSIGNED: A 12 yr old castrated male domestic longhair underwent renal transplantation for treatment of chronic @entity1986 . Full-thickness intestinal biopsies obtained prior to transplantation revealed mild @entity1681 . Twelve months following transplantation, the @entity1 underwent surgery for resection of a mesenteric mass causing @entity298 . The mesenteric mass was resected and an intestinal resection and @entity254 was performed. Extended-spectrum-b-lactamase producing @entity3274 was cultured from the resected tissue and urinary tract. Bacterial rods were noted to be circulating in the bloodstream, causing @entity295 . Despite aggressive treatment of the @entity298 and @entity295 using surgical debridement, drain placement, aggressive antibiotic therapy with IV meropenem, and vasopressor support, the @entity1 succumbed to persistent @entity551 and suffered @entity1167 . Extended-spectrum-b-lactamase-producing bacteria are of growing concern in @entity1 and veterinary medicine, maintaining susceptibility often only to @entity2893 and @entity4028 antibiotics. Resistance to even those antibiotics is emerging. Veterinary @entity1 with a history of antibiotic therapy, central venous or urinary catheterization, immunosuppression, enteric surgery, and an extended stay in the intensive care unit may be predisposed.
