Altmaier K R, Sherman D M, Schelling S H, Fister R D, Lamb C R
Department of Large Animal Medicine, Tufts University School of Veterinary Medicine, North Grafton, MA 01536.
J Am Vet Med Assoc. 1994 Mar 15;204(6):934-7.
A 1.5-year-old female goat was examined for recurrence of lameness involving the right forelimb. Radiography of the thorax and right scapulohumeral joint revealed a pathologic fracture of the supraglenoid tubercle, and circumscribed radiolucent lesions in the right third and fourth ribs, and the base of the spinous process of T3. Bone scintigraphy demonstrated additional lesions in the lumbar spine and the wings of the ilium. At necropsy, disseminated infection and hematogenous osteomyelitis were diagnosed. Corynebacterium renale was cultured from the rib lesions. In food animals, osteomyelitis usually develops secondary to traumatic wounds, and members of the genus Actinomyces are frequently incriminated as the causative organism. This case is unusual because the osteomyelitis was unrelated to a traumatic wound, and the gross and microscopic lesions were reminiscent of caseous lymphadenitis, an infection caused by C pseudotuberculosis.
对一只1.5岁的雌性山羊进行检查,以确定其右前肢跛行复发的情况。胸部和右肩胛肱骨关节的X光检查显示,肩胛上结节病理性骨折,右第三和第四肋骨以及T3棘突基部有局限性透光性病变。骨闪烁显像显示腰椎和髂骨翼有其他病变。尸检时,诊断为播散性感染和血源性骨髓炎。从肋骨病变中培养出肾棒状杆菌。在食用动物中,骨髓炎通常继发于创伤性伤口,放线菌属成员常被认为是致病微生物。该病例不同寻常,因为骨髓炎与创伤性伤口无关,大体和显微镜下病变让人联想到干酪性淋巴结炎,这是一种由伪结核棒状杆菌引起的感染。