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Table 1 Summary of clinical problems with associated action steps

From: Treatment and management of Salmonella prostatitis in a heartworm‐positive intact male dog: a case report

Clinical Finding Source Action
Thrombocytopenia
 0 plt/µL RDVM Begin prednisone 2.2 mg/kg/day PO
 156,000 plt/µL RDVM Decrease prednisone by 25 %
 117,000 plt/µL RDVM Increase prednisone to 2.2 mg/kg/day PO;
begin azathioprine 2.4 mg/kg PO daily
 23,000 plt/µL RDVM Refer to TAMU-VMTH
 171,000 plt/µL TAMU-VMTH Discontinue azathioprine;
decrease prednisone by 50 %
 102,000 plt/µL TAMU-VMTH Begin cyclosporine at 4.7 mg/kg/day PO;
begin Yunnan Baiyao 0.5 g PO BID;
increase prednisone by 25 %
 160,000 plt/µL TAMU-VMTH Taper cyclosporine to discontinuation;
discontinue Yunnan Baiyao
Vector-borne diseases
 Ehrlichia spp. antibody seropositivity RDVM Begin doxycycline 5.7 mg/kg PO BID
 Anaplasma spp. antibody seropositivity RDVM Begin doxycycline 5.7 mg/kg PO BID
 D. immitis antigen seropositivity RDVM Begin doxycycline 5.7 mg/kg PO BID
 Echocardiographic confirmation of heartworm infestation TAMU-VMTH Administer melarsomine three-dose protocol (2.5 mg/kg/dose)
Urinary tract infection
 6–20 WBC/hpf on UA RDVM Begin empiric sulfamethoxazole- trimethoprim 27.3 mg/kg PO daily x 14d
 bacteriuria / pyuria
on UA
RDVM Begin empiric amoxicillin/clavulanic acid 13.8 mg/kg PO BID
 > 100,000 organisms/mL of Salmonella spp. from urine culture RDVM Discontinue amoxicillin/clavulanic acid;
begin amoxicillin 25.3 mg/kg PO BID x 28d
 4 colonies of Salmonella spp. from prostatic wash culture and susceptibility TAMU-VMTH Begin enrofloxacin 10.6 mg/kg PO daily x 28d;
begin doxycycline 10.1 mg/kg PO BID x 28d;
initiate zoonosis precautions in the home
 Negative urine culture after 14 days of enrofloxacin / doxycycline TAMU-VMTH No action
 > 100,000 organisms/mL of Salmonella spp. from prostatic wash culture TAMU-VMTH Begin marbofloxacin 3 mg/kg PO daily through 2 weeks post-castration
 Negative prostatic wash culture 10 d after stopping marbofloxacin TAMU-VMTH  
  1. Clinical data and action steps are in chronological order within each problem category
  2. RDVM referring veterinarian. TAMU-VMTH Texas A&M University Veterinary Medical Teaching Hospital