Evidence map›Paper›PMID 41121129›Full record

ArticleBMC veterinary research2025

Mycobacterium avium-complex infection mimicking lymphoma in a miniature schnauzer.

Olga Szaluś-Jordanow, Andrzej Łobaczewski, Agata Moroz-Fik, Marcin Mickiewicz, Rafał Sapierzyński, Kinga Biernacka, Tomasz Nalbert, Ewa Augustynowicz-Kopeć, Anna Zabost, Tadeusz Frymus

Abstract readCase Reports
In one paragraph

Article in BMC veterinary research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Olga Szaluś-JordanowDepartment of Small Animal Diseases with Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159 C, 02-776, Warsaw, 02-776, Poland. jordanow@sggw.edu.pl.
Andrzej ŁobaczewskiVeterinary Clinic Auxilium, Królewska Str. 64, Milanówek, 05-822, Poland.
Agata Moroz-FikDivision of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska Str. 159c, Warsaw, 02-776, Poland.
Marcin MickiewiczDivision of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska Str. 159c, Warsaw, 02-776, Poland.
Rafał SapierzyńskiDepartment of Pathology and Veterinary Diagnostic, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska Str. 159, Warsaw, 02-776, Poland.
Kinga BiernackaDivision of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska Str. 159c, Warsaw, 02-776, Poland.
Tomasz NalbertDivision of Veterinary Epidemiology and Economics, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska Str. 159c, Warsaw, 02-776, Poland.
Ewa Augustynowicz-KopećDepartment of Microbiology, Institute of Tuberculosis and Lung Diseases, Płocka 26 Str, 01-138, Warsaw, Poland.
Anna ZabostDepartment of Microbiology, Institute of Tuberculosis and Lung Diseases, Płocka 26 Str, 01-138, Warsaw, Poland.
Tadeusz FrymusDepartment of Small Animal Diseases with Clinic, Institute of Veterinary Medicine, Warsaw University of Life Sciences-SGGW, Nowoursynowska 159 C, 02-776, Warsaw, 02-776, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis case report describes an uncommon Mycobacterium avium infection mimicking lymphoma in a dog. CASE PRESENTATION: A 1.5-year-old female Miniature Schnauzer presented with persistent lymphadenopathy, fever, and diarrhea, which were refractory to conventional therapy. Hematological and biochemical analyses revealed anemia, thrombocytopenia, elevated liver enzymes, creatine kinase, glutamate dehydrogenase, lactate dehydrogenase, hyperkalemia, low IgG levels, and euthyroid sick syndrome. Ultrasonography confirmed generalized visceral, retroperitoneal, and peripheral lymphadenopathy with concurrent inflammatory reactions, splenomegaly, and hepatomegaly characterized by heterogeneous parenchyma and multiple foci, further supporting the suspicion of lymphoma. However, cytological examination of an enlarged lymph node showed no evidence of lymphoma but revealed the presence of numerous bacilli suggestive of mycobacterial infection. Histopathological evaluation of a surgically excised lymph node similarly failed to confirm lymphoma. Mycobacterium avium was successfully cultured from the lymph node tissue and identified via the GenoType Mycobacterium CM test. Based on antimicrobial susceptibility testing, the initial therapeutic regimen of enrofloxacin, azithromycin, and rifampicin was modified to clarithromycin. Adjunctive treatments included blood transfusion, levothyroxine, prednisolone, omeprazole, sucralfate, parapoxvirus ovis, and soy phospholipids. Despite a temporary clinical improvement, the patient's condition progressively worsened, and the dog succumbed to the disease after three months.

conclusionsThis case underscores the importance of including Mycobacterium avium in the differential diagnosis of generalized lymphadenopathy, particularly in Miniature Schnauzers. The findings support the routine use of Ziehl-Neelsen staining during cytological examinations to prevent misdiagnosis, especially in breeds predisposed to atypical infections. It also emphasizes the crucial role of targeted antimicrobial therapy in managing such cases, although the prognosis remains guarded.

Indexed as

Dog DiseasesLymphomaMycobacterium avium ComplexMycobacterium avium-intracellulare InfectionAnimalsAnti-Bacterial AgentsDiagnosis, DifferentialDogsFatal OutcomeFemaleAnti-Bacterial AgentsDogLymphomaMycobacterium avium

Identifiers

PMID41121129
PMCPMC12538846

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.