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猫咬伤导致慢性胸骨骨髓炎引起的皮肤反复裂开:一例报告。

Recurrent skin opening induced by chronic sternal osteomyelitis caused by a bite wound in a cat: A case report.

机构信息

Department of Veterinary Surgery, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea.

出版信息

Vet Med Sci. 2024 May;10(3):e1425. doi: 10.1002/vms3.1425.

Abstract

BACKGROUND

Chronic sternal osteomyelitis is a rare condition in felines, with limited reported cases to date.

OBJECTIVES

We report the case of a 2-year-old castrated male, domestic shorthair cat, weighing 4.68 kg, that presented with skin openings every 3-4 months, despite skin debridement and reconstruction.

METHODS

A subcutaneous dead space larger than the skin defect was detected. Haematological analysis revealed elevated levels of inflammatory markers. Thoracic radiography revealed sternal deformation and suspected osteomyelitis. Computed tomography revealed a fistula extending from the third to the fourth sternebrae.

RESULTS

Bone and soft tissue debridement and abscess flushing were performed along with long-term antibiotic therapy. The cat remained recurrence-free throughout an 18-month post-surgery follow-up period.

CONCLUSION

To the best of our knowledge, this is the first report of chronic osteomyelitis occurring in a cat's sternebrae and represents the first successful case of its treatment. This case showcases the potential for improved treatment outcomes in similar cases. Understanding and successful treatment of such cases can pave the way for better management of feline osteomyelitis.

摘要

背景

慢性胸骨骨髓炎在猫中是一种罕见的疾病,迄今为止报告的病例有限。

目的

我们报告了一例 2 岁去势雄性、家养短毛猫,体重 4.68 公斤,尽管进行了皮肤清创和重建,但每 3-4 个月仍会出现皮肤开口。

方法

检测到皮下死腔大于皮肤缺损。血液分析显示炎症标志物水平升高。胸部放射摄影显示胸骨变形和疑似骨髓炎。计算机断层扫描显示从第三到第四胸骨有瘘管。

结果

进行了骨和软组织清创以及脓肿冲洗,并进行了长期抗生素治疗。在术后 18 个月的随访期间,猫没有再次出现复发。

结论

据我们所知,这是首例猫胸骨骨髓炎的慢性病例报告,也是首例成功治疗的病例。该病例展示了在类似病例中改善治疗结果的潜力。了解和成功治疗此类病例可为猫骨髓炎的更好管理铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/728d/10986631/c38872530d79/VMS3-10-e1425-g003.jpg

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