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Pyometra is the accumulation of pus in the uterus. Bacterial colonization of the uterus can lead to systemic inflammation that threatens life (7). In an intact bitch, repeated cycles of oestrogen and progesterone stimulation can result in endometrial pathology (8). Cystic endometrial hyperplasia can support bacterial growth, and a secondary colonization by Escherichia coli provides the primary opportunistic pathogen (11). E. coli originating from faeces can enter by the vaginal route as an ascending infection. Canines are especially susceptible in the luteal phase of their estrous cycle. Hematogenous or lymphatic sources are also possible (8). Complications of E. coli-associated pyometra can include serious-to-fatal sepsis and endotoxemia. The endotoxin of E. coli is a very potent inflammatory stimulant; it is a lipopolysaccharide (LPS) that activates blood platelets and may cause hypercoagulation (disseminated intravascular coagulation, or DIC) (13). The host immune response includes leukocyte release of pro-inflammatory cytokines, such as interleukin-6 (IL-6), IL-8 and tumour necrosis factor-alpha (TNF-α) (4, 13, 16). Cytokines, especially IL-6, trigger production of acute-phase proteins (APP) (6, 11), such as C-reactive protein (CRP), which is synthesized in the liver and may be useful as an inflammatory indicator in blood (5). CRP binds to the surface of dead cells and promotes phagocytosis (9). In an intensive care unit (ICU), inflammation is tracked mainly by detection of TNF-α, IL-6 and CRP in circulation (25). TNF-α has Evaluation of tissue trauma and healing on the basis of tumour necrosis factor-alpha, interleukin-6 and C-reactive protein in peripheral blood during and after pyometra in bitches

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Evaluation of tissue trauma and healing on the basis of tumour necrosis factor-alpha, interleukin-6, and C-reactive protein in peripheral blood during and after pyometra in bitches