Treatment of septic arthritis of the coxofemoral joint in 12 foals

被引:6
作者
Oliver, F. Barcelo [1 ]
Russell, T. M. [2 ]
Uprichard, K. L. [1 ]
Neil, K. M. [3 ]
Pollock, P. J. [1 ]
机构
[1] Univ Glasgow, Sch Vet Med, Div Equine Clin Sci, Weipers Ctr Equine Hosp, 464 Bearsden Rd, Glasgow G61 1QH, Lanark, Scotland
[2] Victorian Equine Grp, White Hills, Vic, Australia
[3] Sporthorse Vet Specialists, Berwick, Vic, Australia
关键词
EQUINE; HORSES; OSTEOMYELITIS; ARTHROSCOPY; INFECTIONS; MANAGEMENT; FAILURE;
D O I
10.1111/vsu.12621
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
Objective: To describe the clinical signs, surgical treatment, and outcome of septic arthritis of the coxofemoral joint in foals. Study Design: Retrospective clinical study. Sample Population: Foals (n = 12) with confirmed sepsis of the coxofemoral joint. Methods: Lameness was localized to the coxofemoral joint based on physical examination. Sepsis was confirmed by cytological analysis of synovial fluid obtained under ultrasonographic guidance, during general anesthesia or standing sedation. Intra-articular analgesia was used as an adjunct diagnostic modality in 2 foals. Surgical lavage of the affected joint was performed via arthroscopy or needle lavage, with repeated lavage performed in 7 foals. Results: Synovial fluid contained 4.4 to 173 x 10(9)/L white blood cells (WBCs), and 38-63 g/L total protein. Cultures were positive in 10/12 foals. Isolated organisms included Salmonella spp., Streptococcus spp., Rhodococcus spp., Enterococcus spp., Escherichia spp., Staphylococcus spp., Acinetobacter spp., Methicillin-resistant Staphylococcus aureus and Bacillus spp. Ten foals were discharged from hospital (83%). One of these was euthanized 15 days later due to chronic intestinal salmonellosis and renal failure, and 9 foals survived with no residual lameness detected 1 year after discharge from hospital. Conclusions: Sepsis of the coxofermoral joint can be effectively treated with a combination of arthroscopic lavage and the use of systemic and local antimicrobials.
引用
收藏
页码:530 / 538
页数:9
相关论文
共 30 条
  • [1] Septic arthritis in foals
    Annear, M. J.
    Furr, M. O.
    White, N. A., II
    [J]. EQUINE VETERINARY EDUCATION, 2011, 23 (08) : 422 - 431
  • [2] Bertone A., 1996, Joint Disease in the Horse, P397
  • [3] COMPARISON OF EMPIRICALLY DEVELOPED SEPSIS SCORE WITH A COMPUTER GENERATED AND WEIGHTED SCORING SYSTEM FOR THE IDENTIFICATION OF SEPSIS IN THE EQUINE NEONATE
    BREWER, BD
    KOTERBA, AM
    CARTER, RL
    ROWE, ED
    [J]. EQUINE VETERINARY JOURNAL, 1988, 20 (01) : 23 - 24
  • [4] COHEN ND, 1994, J AM VET MED ASSOC, V204, P1644
  • [5] CURRENT CONCEPTS OF INFECTIOUS POLYARTHRITIS IN FOALS
    FIRTH, EC
    [J]. EQUINE VETERINARY JOURNAL, 1983, 15 (01) : 5 - 9
  • [6] Factors associated with survival in septicemic foals: 65 cases (1988-1995)
    Gayle, JM
    Cohen, ND
    Chaffin, MK
    [J]. JOURNAL OF VETERINARY INTERNAL MEDICINE, 1998, 12 (03) : 140 - 146
  • [7] Bacterial isolates, antimicrobial susceptibility patterns, and factors associated with infection and outcome in foals with septic arthritis: 83 cases (1998-2013)
    Hepworth-Warren, Kate L.
    Wong, David M.
    Fulkerson, Caroline V.
    Wang, Chong
    Sun, Yaxuan
    [J]. JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2015, 246 (07): : 785 - 793
  • [8] ARTHROSCOPY OF THE COXOFEMORAL JOINT OF FOALS
    HONNAS, CM
    ZAMOS, DT
    FORD, TS
    [J]. VETERINARY SURGERY, 1993, 22 (02) : 115 - 121
  • [9] Scintigraphic detection of equine orthopedic infection using Tc-HMPAO labeled leukocytes in 14 horses
    Long, CD
    Galuppo, LD
    Waters, NK
    Hornof, WJ
    [J]. VETERINARY RADIOLOGY & ULTRASOUND, 2000, 41 (04) : 354 - 359
  • [10] MADISON JB, 1991, J AM VET MED ASSOC, V198, P1655