PDF(Pubmed)
Abstract：
Chronic sternal osteomyelitis is a rare condition in felines, with limited reported cases to date.
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.
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.
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.
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.
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.
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.
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.
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：慢性胸骨骨髓炎是猫科动物的罕见疾病，迄今为止报告的病例有限。
目的：我们报告一例2岁男性阉割，家养短毛猫,重4.68公斤,每3-4个月出现一次皮肤开口，尽管皮肤清创和重建。
方法：检测到大于皮肤缺损的皮下死区。血液学分析显示炎症标志物水平升高。胸部X线检查显示胸骨变形和可疑骨髓炎。计算机断层扫描显示瘘管从第三个延伸到第四个胸骨。
结果：骨和软组织清创和脓肿冲洗在长期抗生素治疗的同时进行。猫在手术后18个月的随访期内保持无复发。
结论：据我们所知，这是在猫的胸骨上发生的慢性骨髓炎的第一个报告，代表了它的治疗的第一个成功案例。该病例显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以为更好地治疗猫骨髓炎铺平道路。
目的：我们报告一例2岁男性阉割，家养短毛猫,重4.68公斤,每3-4个月出现一次皮肤开口，尽管皮肤清创和重建。
方法：检测到大于皮肤缺损的皮下死区。血液学分析显示炎症标志物水平升高。胸部X线检查显示胸骨变形和可疑骨髓炎。计算机断层扫描显示瘘管从第三个延伸到第四个胸骨。
结果：骨和软组织清创和脓肿冲洗在长期抗生素治疗的同时进行。猫在手术后18个月的随访期内保持无复发。
结论：据我们所知，这是在猫的胸骨上发生的慢性骨髓炎的第一个报告，代表了它的治疗的第一个成功案例。该病例显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以为更好地治疗猫骨髓炎铺平道路。
