Department of Clinical Sciences, J. T. Vaughan Teaching Hospital, College of Veterinary Medicine, Auburn University, Auburn, AL.
Department of Clinical Sciences, J. T. Vaughan Teaching Hospital, College of Veterinary Medicine, Auburn University, Auburn, AL.
J Equine Vet Sci. 2021 Feb;97:103323. doi: 10.1016/j.jevs.2020.103323. Epub 2020 Nov 16.
A five-year-old Thoroughbred mare was evaluated because of chronic, malodorous, unilateral nasal discharge, and suspected maxillary cheek tooth root abscess. Skull radiographs revealed bilateral sinusitis suspected secondary to tooth root abscessation of 109 and 210. Following oral extraction of 109, bilateral conchofrontal sinus trephination and lavage; fever, tachycardia, and cervical stiffness developed. A lumbosacral cerebrospinal fluid tap was performed, and a presumptive diagnosis of bacterial meningitis was made. Targeted therapy consisted of antibiotic treatment with penicillin, enrofloxacin, and metronidazole, as well as antiinflammatory treatment with flunixin meglumine, dexamethasone, and dimethyl sulfoxide. Following the resolution of fever, tachycardia, and cervical stiffness, the second abscessed tooth, 210, was extracted. The mare was discharged receiving enrofloxacin. Twelve months later, the mare continued to do well with no residual signs of meningitis. Bacterial meningitis should be regarded as a life-threatening, although rare, the complication of dental or sinus surgery in horses. Early diagnosis and therapy may result in a successful outcome.
一匹五岁的纯血母马因慢性、有臭味、单侧鼻腔分泌物和疑似上颌颊齿根脓肿而接受评估。颅骨射线照相显示双侧窦炎，疑似 109 和 210 的齿根脓肿继发。在 109 进行口腔拔牙后，进行双侧鼓额窦切开术和灌洗；出现发热、心动过速和颈部僵硬。进行了腰荐部脑脊液穿刺，拟诊为细菌性脑膜炎。靶向治疗包括青霉素、恩诺沙星和甲硝唑的抗生素治疗，以及氟尼辛甲磺酸盐、地塞米松和二甲基亚砜的抗炎治疗。在发热、心动过速和颈部僵硬消退后，拔除了第二颗脓肿牙 210。马出院时接受了恩诺沙星治疗。12 个月后，马继续表现良好，无脑膜炎残留迹象。细菌性脑膜炎应被视为一种危及生命的并发症，尽管罕见，但在马的牙科或鼻窦手术中可能发生。早期诊断和治疗可能会有一个成功的结果。
