Small Intestinal Bacterial Overgrowth, Presumed Leaky Gut and Giardiasis Comorbidity in a Cat: Gut-Brain Axis Could Have Been Influenced by Triple Infection

Abstract

 In the present article we report a cat with small intestinal bacterial overgrowth with infectious co-morbidity. Recurrent hypersalivation, barborhytm, abdominal distension [both were detected by abdominal ultrasonography] and bad odor feces for several months duration. Referring veterinary surgeon on !eld conditions at private practice tried several antibacterial chioces with waxing and wanning clinical signs. On referral to the present authors university practice, all necessary and relevant laboratory work was deemed available including gut microbiota and PCR analytes. Small intestinal bacterial owergrowth (E.coli infection) was accompanied by viral (Herpesvirus) and parasitological (Giardiasis) co-morbidity and leaky gut (altered diamine oxidase and zonulin levels). To the present authors knowledge bacterial, viral and parasitological co-morbidity has never been reported in cats in our country associated with leaky gut and small intestinal bacterial owergrowth. "e present case was well respond to 10 days rectal enema with Gut-cumin I, anti-leaky gut recipe, and other relevant nutraceuticals along with eubiotic antibacterial, rifaximine.