Fearnside S M, Preston C A
West Chermside Veterinary Hospital, West Chermside Veterinary Hospital, 263 Appleby Rd Stafford Hts, Queensland 4053.
Aust Vet J. 2002 Nov;80(11):681-3. doi: 10.1111/j.1751-0813.2002.tb11294.x.
A 4 1/2-month-old male Neapolitan Mastiff was presented with a history of severe non weight-bearing lameness, depression and anorexia, following 6 weeks of intermittent thoracic limb lameness that had deteriorated in the previous 72 hours. Haematogenous septic polyarthritis involving the right elbow joint and left glenohumeral joint was diagnosed, with blood and joint cultures revealing a Pasteurella species. Arthroscopy was utilised to facilitate joint evaluation and effect drainage of both joints. Clinical remission was achieved within 48 hours. Arthroscopy provided a minimally invasive yet thorough joint examination, lavage, and drainage of fibrinopurulent debris, thereby allowing early postoperative mobility and minimal morbidity.
一只4个半月大的雄性那不勒斯獒犬前来就诊，有严重的非负重性跛行、抑郁和厌食史，此前6周出现间歇性前肢跛行，并在过去72小时内病情恶化。诊断为血源性化脓性多关节炎，累及右肘关节和左肩关节，血液和关节培养显示为巴斯德菌属。采用关节镜检查以利于关节评估并对两个关节进行引流。48小时内实现了临床缓解。关节镜检查提供了一种微创但全面的关节检查、灌洗和清除纤维蛋白脓性碎屑的方法，从而使术后早期活动成为可能，且发病率降至最低。
