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一头小母牛因注射部位感染继发颈椎脓肿。

Abscess of the cervical spine secondary to injection site infection in a heifer.

作者信息

Braun Ueli, Gerspach Christian, Kühn Karolin, Bünter Julia, Hilbe Monika

机构信息

Department of Farm Animals, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057, Zurich, Switzerland.

Clinic of Diagnostic Imaging, Vetsuisse Faculty, University of Zurich, Winterthurerstrasse 260, 8057, Zurich, Switzerland.

出版信息

Acta Vet Scand. 2017 Jan 31;59(1):10. doi: 10.1186/s13028-017-0278-z.

Abstract

BACKGROUND

Abscesses in the neck region can result from infection associated with injection of drugs into the neck muscles. To our knowledge, there have been no reports of osteomyelitis of the cervical vertebra and spinal cord compression secondary to an abscess in the neck. This case report describes the findings in a 9.5-month-old heifer with an abscess of the cervical spine secondary to injection site infection.

CASE PRESENTATION

The main clinical findings were swelling on the left side of the neck, proprioceptive deficits in all limbs and generalised ataxia. The ultrasonographic examination of the swelling showed an abscess. Radiographs showed a well-defined lytic lesion in 5th cervical vertebra (C5). Postmortem examination revealed an intramuscular encapsulated abscess on the left side of the neck at the level of C5. The abscess had invaded the vertebral canal and caused marked compression of the spinal cord.

CONCLUSIONS

Injection technique is critical for the prevention of problems such as those described in this report. Sterile hypodermic needles must be used, and the volume of drug per injection site limited to 10-15 ml in young cattle.

摘要

背景

颈部脓肿可能由颈部肌肉注射药物相关的感染引起。据我们所知,尚无颈部脓肿继发颈椎骨髓炎和脊髓压迫的报道。本病例报告描述了一头9.5月龄小母牛因注射部位感染继发颈椎脓肿的情况。

病例介绍

主要临床症状为颈部左侧肿胀、四肢本体感觉障碍和全身性共济失调。对肿胀部位的超声检查显示为脓肿。X线片显示第5颈椎(C5)有边界清晰的溶骨性病变。尸检发现颈部左侧C5水平有一个肌内包裹性脓肿。脓肿已侵入椎管并导致脊髓明显受压。

结论

注射技术对于预防本报告所述问题至关重要。必须使用无菌皮下注射针,幼畜每个注射部位的药物剂量限制在10 - 15毫升。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/249a/5282640/c79df36bd34e/13028_2017_278_Fig1_HTML.jpg

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