背景:脊椎感染,包括脊椎骨髓炎,化脓性生理膜炎,和椎间盘炎,在山羊中很少报道,当被报道时,主要限于尸检病例报告。
目的:描述通过计算机断层扫描(CT)评估山羊脊椎感染的临床发现和结果。
方法:五只山羊患有椎体骨髓炎,化脓性生理膜炎,CT评估椎间盘炎。
方法:回顾性病例系列。
结果:最常见的投诉是进行性虚弱,轻瘫和卧床。三只山羊为四部山羊,2只山羊患有骨盆四肢轻瘫。临床病理结果包括白细胞增多,成熟的嗜中性粒细胞增多症,和高纤维蛋白原血症。最常见的受影响的椎骨是C7-T1。5只山羊均患有椎间盘炎,伴或不伴椎体骨髓炎和败血症性生理炎。4/5山羊中存在脊髓压迫的计算机断层扫描证据。医疗管理(抗菌药物,物理治疗,镇痛,支持性护理)在4只山羊中尝试,诊断时对1只山羊实施了安乐死。所有4只接受治疗的山羊都恢复了行走能力,并存活到出院。
结论:尽管CT影像学表现严重,山羊患有椎间盘炎,化脓性生理膜炎,椎体骨髓炎可以成功恢复步行功能。需要进一步的研究来确定理想的治疗方案。
BACKGROUND: Vertebral infections, including vertebral osteomyelitis, septic physitis, and discospondylitis, are rarely reported in goats, and when reported, have been largely limited to necropsy case reports.
OBJECTIVE: Describe clinical findings and outcome in goats with vertebral infections evaluated by computed tomography (CT).
METHODS: Five goats with vertebral osteomyelitis, septic physitis, and discospondylitis evaluated by CT.
METHODS: Retrospective case series.
RESULTS: The most common presenting complaints were progressive weakness, paresis and recumbency. Three goats were tetraparetic and 2 goats had pelvic limb paraparesis. Clinicopathologic findings included leukocytosis, mature neutrophilia, and hyperfibrinogenemia. The most common vertebrae affected were C7-T1. All 5 goats had discospondylitis with or without vertebral osteomyelitis and septic physitis. Computed tomographic evidence of spinal cord compression was present in 4/5 goats. Medical management (antimicrobials, physical therapy, analgesia, supportive care) was attempted in 4 goats, and 1 goat was euthanized at the time of diagnosis. All 4 goats that were treated regained ambulatory ability and survived to hospital discharge.
CONCLUSIONS: Despite severity of CT imaging findings, goats with discospondylitis, septic physitis, and vertebral osteomyelitis can successfully return to ambulatory function. Additional studies are required to determine ideal treatment regimens.