van den Boom R, Rijkenhuizen A B M
Hoofdafdeling Gezondheidszorg Paard, Faculteit der Diergeneeskunde, Universiteit Utrecht, Yalelaan 12, 3584 CM Utrecht.
Tijdschr Diergeneeskd. 2002 Jun 15;127(12):382-5.
Septic inflammation of the synovial fossa in the horse is a severe disorder that can lead to permanent invalidity. The synovitis can occur as a result of a perforating trauma, or via the blood (haematogenous). The latter route is rare in the adult horse. Three cases of suspected haematogenous septic synovitis are described in adult horses (older than 1 year). In two horses, timely and adequate treatment resulted in recovery, but this was followed by fatal recurrence. In one of these horses a persistent primary infection was found as cause; the other horse was not available for autopsy. The third horse was euthanized without treatment because the primary process was difficult to treat. It can be concluded that, in horses with suspected haematogenous septic inflammation of the synovial fossa, attention should be paid to the primary process--it is not enough to treat the synovitis alone.
马的滑膜窝脓性炎症是一种严重的病症，可导致永久性残疾。滑膜炎可能由穿孔性创伤引起，也可能通过血液传播（血源性）。后一种途径在成年马中较为罕见。本文描述了3例成年马（年龄超过1岁）疑似血源性脓性滑膜炎的病例。其中两匹马经及时、充分治疗后康复，但随后出现致命复发。在其中一匹马中，发现持续性原发性感染是病因；另一匹马未进行尸检。第三匹马因原发性病症难以治疗而未经治疗即实施安乐死。可以得出结论，对于疑似血源性滑膜窝脓性炎症的马匹，应关注原发性病症——仅治疗滑膜炎是不够的。
