COMBINED PHOTOBIOMODULATION AND OZONE THERAPY FOR TREATING A SECONDARY INFECTION BY KLEBSIELLA PNEUMONIAE IN A FEMALE DOG: A CASE REPORT
DOI:
https://doi.org/10.56238/arev8n2-097Keywords:
Drug Resistance, Laser Therapy, Ozone, Wound HealingAbstract
Klebsiella pneumoniae (KP) is a Gram-negative, opportunistic bacterium that causes local and generalized infections and may exhibit resistance to multiple antibiotics. This study aimed to report the association of ozone therapy (OT) and photobiomodulation (PBM) in the treatment of a surgical wound contaminated with multidrug-resistant KP. A female Chow Chow dog presented with paresis of the pelvic limbs and avulsion of 13 cm² of cutaneous tissue in the lumbar region, resulting from being run over. Post-operatively, there was dehiscence and infection of the surgical wound, which was treated with antibiotics and anti-inflammatories, without clinical improvement. Bacteriological examination identified KP that was multidrug-resistant to 11 antibiotics. The patient was referred to the Veterinary Hospital of the State University of Santa Cruz and underwent OT by bagging (30 mcg/ml) and intrarectal (1.5 mg) and FBM with diode laser (P: 0.1W), with wavelengths of 660 nm and 808 nm. The dosimetric parameters, energy (J) and fluence (J/cm2), varied according to the characteristics of the lesion. As the treatment progressed, the patient presented a gradual decrease in pain, improved ambulation, reduction of exudate and edema, infection control, and the presence of granulation tissue in the wound bed, corroborating the progressive reduction of the wound area until complete closure of the lesion. The combination of OT and FBM was effective in the case presented, with complete wound resolution, showing it to be a promising therapeutic option for wounds infected with multidrug-resistant pathogens. However, further studies are needed to establish protocols and confirm the improvement of the effects observed in this report
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