Guarino Cassandra, Pinn-Woodcock Toby, Levine David G, Miller Julia, Johnson Amy L
Population Medicine and Diagnostic Sciences, Cornell University, Ithaca, NY, United States.
New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, PA, United States.
Front Vet Sci. 2021 Sep 23;8:743067. doi: 10.3389/fvets.2021.743067. eCollection 2021.
Cases of cranial nuchal bursitis associated with infection have not been thoroughly described. Here, we describe the case of a 17-year-old mare that was presented for low head carriage, dull demeanor, and resistance to haltering. Imaging supported a diagnosis of nuchal bursitis, and bursoscopy with surgical debridement of the nuchal bursa was performed. was identified by molecular diagnostics in serial samples of the bursal fluid, with no other organisms identified. Serology revealed significant elevation in antibodies directed against OspA of , but not the typical infection markers, OspC and OspF. Intravenous ceftiofur was administered for 80 days, and the nuchal bursa was directly injected with ceftiofur. The mare recovered and was able to return to work with no recrudescence of clinical signs over the following year to date. Infection with should be considered as a differential in cases of septic nuchal bursitis.
与感染相关的颅颈部黏液囊炎病例尚未得到充分描述。在此，我们描述一匹17岁母马的病例，该母马因头部低垂、神情 dull、抗拒套马而就诊。影像学检查支持黏液囊炎的诊断，并进行了黏液囊镜检查及黏液囊手术清创。通过对黏液囊液系列样本进行分子诊断 identified，未发现其他病原体。血清学检查显示，针对 的OspA抗体显著升高，但未发现典型感染标志物OspC和OspF升高。静脉注射头孢噻呋80天，并直接向颅颈部黏液囊注射头孢噻呋。这匹母马康复，在随后的一年至今未出现临床症状复发，能够恢复工作。在败血性颅颈部黏液囊炎病例中，应考虑感染 作为鉴别诊断。 （注：原文中“dull demeanor”处“dull”含义不太明确，这里先按“神情 dull”处理；“identified by molecular diagnostics in serial samples of the bursal fluid”处“identified”前缺少主语，翻译时按“通过……identified”处理；原文存在一些表述不完整准确的地方，但按要求尽量忠实原文翻译）
