Benzioni H, Shahar R, Yudelevitch S, Milgram J
Department of Surgery, Koret School of Veterinary Surgery, Hebrew University of Jerusalem, Rehovot, Israel.
Vet Comp Orthop Traumatol. 2008;21(3):262-6.
The objective of this study was to describe seven cases of unilateral bacterial infective coxarthritis from a total of 19 cases of bacterial infective arthritis (BIA), presenting over a two year period. We recorded the history, clinical signs, diagnostic process, treatment and clinical outcome in these cases. The data were obtained from medical records, review of the radiographs, and telephone follow-up with the owners. All of the dogs in this study had severe chronic osteoarthritis secondary to hip dysplasia, which caused periodic hind limb lameness. They were all admitted with severe acute hind-limb lameness. Pelvic radiographs were performed under general anaesthesia shortly after presentation, followed immediately by arthrocentesis of the affected joint. The synovial fluid was evaluated microscopically by direct smear and a sample was sent for culture and sensitivity. An attempt was not made to drain or lavage the affected joint during the course of treatment. The initial choice of antibiotics was empiric and subsequently modified, as required, based on the sensitivity results. Four of the dogs showed a rapid return to weight-bearing after the initiation of antibiotic treatment, and all of the patients returned to their pre-BIA level of function. Neither recurrent infections nor any adverse sequela requiring further intervention were reported by the owners on telephone follow-up.
本研究的目的是描述在两年期间出现的19例细菌性感染性关节炎（BIA）中的7例单侧细菌性感染性髋关节炎病例。我们记录了这些病例的病史、临床体征、诊断过程、治疗及临床结果。数据来源于病历、X光片回顾以及与犬主的电话随访。本研究中的所有犬均患有继发于髋关节发育不良的严重慢性骨关节炎，导致周期性后肢跛行。它们均因严重急性后肢跛行入院。在就诊后不久，于全身麻醉下进行骨盆X光检查，随后立即对患关节进行关节穿刺。通过直接涂片对滑液进行显微镜评估，并送检样本进行培养和药敏试验。在治疗过程中未尝试对患关节进行引流或灌洗。抗生素的初始选择是经验性的，随后根据药敏结果进行调整。4只犬在开始抗生素治疗后迅速恢复负重，所有患者均恢复到BIA前的功能水平。犬主在电话随访中未报告复发性感染或任何需要进一步干预的不良后遗症。
