Martínez-Jiménez David, Hernández-Divers Stephen J, Dietrich Ursula M, Williams Clara O, Blasier Megan W, Wilson Heather, Frank Paul M
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
J Am Vet Med Assoc. 2007 Mar 15;230(6):868-72. doi: 10.2460/javma.230.6.868.
A 1-year-old sexually intact female Netherland dwarf rabbit was examined because of a 3-week history of signs of lethargy, decreased appetite, left unilateral exophthalmia, a previous draining sinus from a left maxillary facial abscess, and bilateral nasal discharge.
The rabbit weighed 1.0 kg (2.2 lb) and had a body condition score of 1.5/5. Physical examination revealed generalized muscle atrophy, bilateral mucopurulent nasal discharge, and severe left-sided exophthalmia. Diagnostic investigation revealed anemia, neutrophilia, severe dental disease, a superficial corneal ulcer of the left eye, and a retrobulbar abscess.
Stomatoscopy-aided dental trimming, tooth removal, and abscess debridement were performed. Antimicrobials were flushed into the tooth abscess cavity, and antimicrobial treatment was initiated on the basis of cytologic findings and results of bacterial culture and susceptibility testing. Two months after the initial surgery, minimal exophthalmia was evident and no further physical, radiographic, or ultrasonographic changes were evident.
Stomatoscopy is a valuable technique that can facilitate diagnosis, treatment, and serial reevaluation of rabbits with dental disease.
一只1岁未绝育的雌性荷兰侏儒兔因出现3周的嗜睡、食欲减退、左侧单侧眼球突出、既往左侧上颌面部脓肿有引流窦以及双侧鼻分泌物症状而接受检查。
这只兔子体重1.0千克（2.2磅），身体状况评分为1.5/5。体格检查发现全身肌肉萎缩、双侧黏液脓性鼻分泌物以及严重的左侧眼球突出。诊断性检查发现贫血、中性粒细胞增多、严重的牙齿疾病、左眼浅表角膜溃疡以及球后脓肿。
进行了口腔镜辅助的牙齿修整、拔牙和脓肿清创。将抗菌药物冲洗到牙齿脓肿腔内，并根据细胞学检查结果以及细菌培养和药敏试验结果开始抗菌治疗。初次手术后两个月，眼球突出症状轻微，未出现进一步的体格、影像学或超声检查变化。
口腔镜检查是一项有价值的技术，可促进对患有牙齿疾病的兔子进行诊断、治疗和系列重新评估。
