| Autor: |
Deards, Emma, Korzybska, Ewelina, Platt, Simon, Tauro, Anna |
| Předmět: |
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| Zdroj: |
Veterinary Record Case Reports; Dec2022, Vol. 10 Issue 4, p1-8, 8p |
| Abstrakt: |
An 8‐month‐old, male German shepherd dog presented for acute collapse following orchiectomy. Pyrexia, scrotal inflammation and purulent discharge from the surgical incision were found and medical therapy including antimicrobials was initiated for suspected septic shock. The dog was referred 2 days later paraplegic with absent nociception. Blood work revealed neutrophilia. Magnetic resonance imaging supported a presumptive diagnosis of C7–T2 spinal epidural empyema, while computed tomography imaging showed signs associated with scrotal inflammation with multifocal lymphadenopathies and splenic lymphoid hyperplasia. Histopathology of the epidural material obtained through decompressive surgery revealed a neutrophilic to pyogranulomatous inflammation. Blood, urine and epidural material cultures were negative. The dog failed to improve and was euthanased. This study suggests that spinal epidural empyema could result from routine procedures. Prompt recognition of specific constellation of clinical signs (i.e., pyrexia and spinal pain) and biochemical abnormalities (i.e., neutrophilia) as a neurological emergency and appropriate intervention may alter prognosis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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