Abstract：
OBJECTIVE: To characterize the epidemiologic features of rabbits with odontogenic abscesses.
METHODS: 72 client-owned rabbits.
METHODS: The medical record database of a veterinary teaching hospital was searched to identify rabbits with odontogenic abscesses characterized by a palpable facial mass and confirmed via CT scan. Data reviewed included age, breed, presenting complaint, abscess location, bacterial culture results, treatment, and outcome.
RESULTS: Lop-eared rabbits were the most common breeds affected (20/72 [28%]), and mini lop rabbits were significantly overrepresented. The mandibular quadrants were more frequently affected (65/92 [71%]), and osteomyelitis was a common comorbidity on CT (53/72 [74%]). The most common aerobic and anaerobic isolates were Streptococcus spp (17/40 [43%]) and Fusobacterium spp (10/22 [45%]), respectively. Systemic antibiotic therapy alone was performed in 35 of 62 (56%) treated cases, with documented resolution in 25%. Abscess packing with antibiotic-soaked gauze in conjunction with systemic antibiotic therapy was performed in 20 of 62 (32%) treated cases. Resolution of the odontogenic abscesses with this treatment protocol was documented in 17 of 20 (85%) cases. The number of packing procedures used to obtain resolution of infection was 4 (IQR, 3 to 5).
CONCLUSIONS: A combination of the abscess-packing technique, which avoids extensive surgery and extraction of the involved elodont teeth, with systemic antibiotic therapy can be an effective treatment option for rabbits with palpable odontogenic abscesses and can result in a high cure rate comparable to more invasive surgical treatments. Antibiotic treatment alone is not recommended, as it has a low chance of abscess resolution.
METHODS: 72 client-owned rabbits.
METHODS: The medical record database of a veterinary teaching hospital was searched to identify rabbits with odontogenic abscesses characterized by a palpable facial mass and confirmed via CT scan. Data reviewed included age, breed, presenting complaint, abscess location, bacterial culture results, treatment, and outcome.
RESULTS: Lop-eared rabbits were the most common breeds affected (20/72 [28%]), and mini lop rabbits were significantly overrepresented. The mandibular quadrants were more frequently affected (65/92 [71%]), and osteomyelitis was a common comorbidity on CT (53/72 [74%]). The most common aerobic and anaerobic isolates were Streptococcus spp (17/40 [43%]) and Fusobacterium spp (10/22 [45%]), respectively. Systemic antibiotic therapy alone was performed in 35 of 62 (56%) treated cases, with documented resolution in 25%. Abscess packing with antibiotic-soaked gauze in conjunction with systemic antibiotic therapy was performed in 20 of 62 (32%) treated cases. Resolution of the odontogenic abscesses with this treatment protocol was documented in 17 of 20 (85%) cases. The number of packing procedures used to obtain resolution of infection was 4 (IQR, 3 to 5).
CONCLUSIONS: A combination of the abscess-packing technique, which avoids extensive surgery and extraction of the involved elodont teeth, with systemic antibiotic therapy can be an effective treatment option for rabbits with palpable odontogenic abscesses and can result in a high cure rate comparable to more invasive surgical treatments. Antibiotic treatment alone is not recommended, as it has a low chance of abscess resolution.
摘要：
目的：探讨兔牙源性脓肿的流行病学特征。
方法：72只客户拥有的兔子。
方法：搜索了一家兽医教学医院的病历数据库，以确定患有牙源性脓肿的兔子，其特征是可触及的面部肿块，并通过CT扫描确认。审查的数据包括年龄，品种,提出投诉，脓肿位置,细菌培养结果,治疗,和结果。
结果：带耳兔是受影响最常见的品种（20/72[28%]），小型lop兔的代表明显偏高。下颌象限更频繁地受到影响（65/92[71%]），骨髓炎是CT上常见的合并症(53/72[74%])。最常见的需氧和厌氧分离株是链球菌属(17/40[43%])和梭杆菌属(10/22[45%]),分别。在62例接受治疗的病例中，有35例（56%）单独进行了全身抗生素治疗。有记录的分辨率为25%。在62例接受治疗的病例中，有20例（32％）使用抗生素浸泡的纱布进行脓肿包装，并进行全身抗生素治疗。在20例（85％）病例中，有17例记录了使用此治疗方案的牙源性脓肿的解决情况。用于获得感染解决的包装程序数量为4（IQR，3至5）。
结论：脓肿填塞技术的组合，这避免了大量的手术和拔除相关的牙齿，全身性抗生素治疗可以是一种有效的治疗选择，对于患有可触知的牙源性脓肿的兔子，并且可以获得与更具侵入性的手术治疗相当的高治愈率。不建议单独使用抗生素治疗，因为它有一个低的机会脓肿解决。
方法：72只客户拥有的兔子。
方法：搜索了一家兽医教学医院的病历数据库，以确定患有牙源性脓肿的兔子，其特征是可触及的面部肿块，并通过CT扫描确认。审查的数据包括年龄，品种,提出投诉，脓肿位置,细菌培养结果,治疗,和结果。
结果：带耳兔是受影响最常见的品种（20/72[28%]），小型lop兔的代表明显偏高。下颌象限更频繁地受到影响（65/92[71%]），骨髓炎是CT上常见的合并症(53/72[74%])。最常见的需氧和厌氧分离株是链球菌属(17/40[43%])和梭杆菌属(10/22[45%]),分别。在62例接受治疗的病例中，有35例（56%）单独进行了全身抗生素治疗。有记录的分辨率为25%。在62例接受治疗的病例中，有20例（32％）使用抗生素浸泡的纱布进行脓肿包装，并进行全身抗生素治疗。在20例（85％）病例中，有17例记录了使用此治疗方案的牙源性脓肿的解决情况。用于获得感染解决的包装程序数量为4（IQR，3至5）。
结论：脓肿填塞技术的组合，这避免了大量的手术和拔除相关的牙齿，全身性抗生素治疗可以是一种有效的治疗选择，对于患有可触知的牙源性脓肿的兔子，并且可以获得与更具侵入性的手术治疗相当的高治愈率。不建议单独使用抗生素治疗，因为它有一个低的机会脓肿解决。
