Overview of Feline Helicobacter Infection
Helicobacter is a stomach-associated spiral shaped bacterium that has been linked to peptic ulcer disease and cancer in humans. The organism can be isolated from the stomach of some cats and dogs, but whether it induces any disease is controversial.
Below is an overview of Helicobacter Infection in Cats followed by in-depth information on the diagnosis and treatment of this condition.
The organism is found in a large percentage of normal healthy cats, vomiting cats, research laboratory cats and animal shelter cats. The organism has been isolated from other species besides dogs and humans, such as cats, pigs, cheetahs, ferrets and non-human primates.
In a majority of cases, infection of cats with helicobacter is not accompanied by clinical signs. In a few cases, infection leads to mild gastritis (stomach inflammation).
What To Watch For
Diagnosis of Helicobacter Infection in Cats
Treatment of Helicobacter Infection in Cats
Home Care and Prevention
Administer all prescribed medications and carefully monitor your pet for vomiting or a poor appetite.
In-depth Information on Helicobacter Infection in Cats
Helicobacter is a gastric spiral bacterium that has been linked to peptic ulcer disease in humans. It has also been declared a carcinogen (cancer causing agent) in humans due to its association with stomach cancers such as adenocarcinoma and lymphoma. While much is known about the organism and its clinical consequences in people, comparatively little is known about infection in dogs and cats, and it is still unclear as to whether any diseases can be attributed to these bacteria.
In the late 1800s, gastric spiral organisms were first described in humans and in animals. The discoveries demonstrated that it was possible that the highly acidic stomach, which had until that point been considered sterile, was capable of harboring a population of bacteria.
About 100 years later, interest in gastric spiral organisms was re-ignited when an association between these organisms and gastric ulcers was discovered in humans. Soon afterward, similar bacteria were isolated from the stomachs of ferrets, nonhuman primates, dogs, cats, pigs and cheetahs.
Gastric helicobacter organisms are highly prevalent in dogs and possibly cats. They have been identified in 61 to 82 percent of dogs that are brought to a veterinarian for vomiting; in 67 to 86 percent of clinically normal, healthy pet dogs; and approaching 100 percent of laboratory beagles and shelter dogs. Several different species of Helicobacter have been isolated from the dog, and simultaneous infection with more than one species seems to be common.
Exactly how the organism is transmitted is not clear. In people, fecal-oral spread has been hypothesized because the organism can be cultured from feces. Oral-oral spread is suggested because the organism can be found in the saliva of infected people. Recently the organism was isolated in surface water in the United States and Sweden. Similar studies have not been performed for species of the organism that can infect dogs, thus, some or perhaps all of the modes suggested for humans are possible for dogs. In dogs, transmission of the organism from a mother to her puppies has been reported.
There is some concern about the risk of transmission of Helicobacter-like organisms from dogs and cats to humans, as some species of Helicobacter that infect humans have been found in cats and dogs. The risk seems relatively slight, however.
The role of Helicobacter in causing gastric disease in dogs is hotly debated. The majority of infected dogs do not show obvious clinical signs of gastric disease. This is in stark contrast to humans, for whom strong evidence links the organism to chronic gastritis, ulcer disease and stomach cancers. The organism has been implicated in causing gastric ulcers in ferrets and pigs, and in causing severe gastritis (stomach inflammation) in cheetahs.
Diagnostic tests for Helicobacter can be either invasive or non-invasive. The invasive tests usually require biopsies obtained using an endoscope in a fully anesthetized animal. Non-invasive tests do not require biopsies, and the patients do not require anesthesia.
Because there is some controversy as to whether Helicobacter infection causes any clinically significant problems in cats, veterinarians must decide on an individual basis as to whether to treat or ignore Helicobacter infections detected by any of the methods described above. Current treatment protocols are based on those found to be effective in humans.
Therapy for Helicobacter infections often produces only transient results. Several studies in cats that have evaluated combination therapy have shown that most cats are free of the organisms three days after cessation of therapy, however, all were shown to be infected 28 days after completing therapy. It seems as if these treatment regimens, which are successful at eradicating the organism in people may only cause transient suppression rather than eradication of gastric Helicobacter species in cats. Further studies are needed before clear guidelines regarding treatment of these infections in cats can be formulated.
Follow-up Care for Helicobacter Infection in Cats
Optimal treatment for your pet requires a combination of home and professional veterinary care. Follow-up can be critical, especially if your pet does not rapidly improve. Administer all prescribed medication as directed. Alert your veterinarian if you are experiencing problems treating your pet.
Because Helicobacter infections cause significant disease in humans, attempts at developing a vaccination have been made. An oral vaccination has been successful in preventing and treating Helicobacter infections in mice, and much research is being conducted to try to develop a successful vaccine for humans. As the relationship between Helicobacter organisms and disease in companion animals becomes clearer, a similar vaccine may be desirable and available for cats and dogs.