Resumo
Background: Due to the bacterial resistance to conventional antibiotics, studies on natural products with antibacterial or bactericidal activity are becoming more and more frequent. Among multi-resistant bacteria, Escherichia coli is a producer of extended-spectrum beta-lactamase (ESBL). Papain, coming from papaya latex (Carica papaya), stands out for its capacity to degrade the devitalized tissue that delays the healing process. Parsley (Petroselinum crispum) has been studied, mainly for its diuretic, antioxidant and antimicrobial properties. The aim of this work was to report the use of these two phytotherapic agents in an equine presenting abscess infected by multi-resistant ESBL producing E. coli. Case: A four and a half year old male neutered equine weighing 400 kg of undefined race (SRD) was admitted to the Veterinary Hospital of the Paranaense University (UNIPAR), presenting an increased volume on the left side of the middle third of the neck, one year ago, probably due to an intramuscular injection in the splenius muscle performed by the animals owner, who did not remember which drug had been applied. Physical examination revealed a characteristic abscess lesion that involved the subcutaneous and muscular tissue of approximately 10 cm in diameter, and presented a fistulous trajectory with purulent content drainage and pain upon palpation. The animal was initially submitted to surgical drainage of the abscess and to systemic treatment with ceftiofur. In view of the failure of the therapy proposed, the lesion was treated with 2% papain cream and, subsequently, in association with lyophilized parsley extract (Petroselinum crispum) after the identification of the presence of multi-resistant ESBL producing E. coli, isolated from the lesion and identified through standard laboratory tests. The use of 2% papain cream reduced the inflammatory process and fibrous tissue...
Assuntos
Animais , Abscesso/virologia , Cavalos , Escherichia coli , Papaína/uso terapêutico , Peptídeo Hidrolases , Petroselinum , Farmacorresistência Bacteriana Múltipla , Liofilização/veterináriaResumo
Background: Due to the bacterial resistance to conventional antibiotics, studies on natural products with antibacterial or bactericidal activity are becoming more and more frequent. Among multi-resistant bacteria, Escherichia coli is a producer of extended-spectrum beta-lactamase (ESBL). Papain, coming from papaya latex (Carica papaya), stands out for its capacity to degrade the devitalized tissue that delays the healing process. Parsley (Petroselinum crispum) has been studied, mainly for its diuretic, antioxidant and antimicrobial properties. The aim of this work was to report the use of these two phytotherapic agents in an equine presenting abscess infected by multi-resistant ESBL producing E. coli. Case: A four and a half year old male neutered equine weighing 400 kg of undefined race (SRD) was admitted to the Veterinary Hospital of the Paranaense University (UNIPAR), presenting an increased volume on the left side of the middle third of the neck, one year ago, probably due to an intramuscular injection in the splenius muscle performed by the animals owner, who did not remember which drug had been applied. Physical examination revealed a characteristic abscess lesion that involved the subcutaneous and muscular tissue of approximately 10 cm in diameter, and presented a fistulous trajectory with purulent content drainage and pain upon palpation. The animal was initially submitted to surgical drainage of the abscess and to systemic treatment with ceftiofur. In view of the failure of the therapy proposed, the lesion was treated with 2% papain cream and, subsequently, in association with lyophilized parsley extract (Petroselinum crispum) after the identification of the presence of multi-resistant ESBL producing E. coli, isolated from the lesion and identified through standard laboratory tests. The use of 2% papain cream reduced the inflammatory process and fibrous tissue...(AU)