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Hematogenous Osteomyelitis Following Open Fracture in a Cat

  • Hwang, Ya-Won (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Lee, Jang-Mi (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Choi, Seok-Hwa (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Gon-Hyung (Veterinary Medical Center, College of Veterinary Medicine, Chungbuk National University)
  • Received : 2015.10.15
  • Accepted : 2016.04.14
  • Published : 2016.04.30

Abstract

A 6-month-old, weighing 2.8 kg, female, domestic short-haired cat presented with open fracture at right distal radius about a month ago. Based on radiological findings, hyperplasia at the right radioulna and left humerus was found. Results of the cytological examination were inflammatory reaction and reactive osteoblast. Distal radial ostectomy proceeded with necrotic bone debridement. Three weeks after operation, the radial bone lysis was seen on radiograph but clinical condition improved. Hyperplasia at the right radioulna and left humerus was dissolved. Two months after operation, she can use her both forelimbs despite right elbow have been diagnosed as arthrosclerosis because of periosteal reaction. Six months after operation, clinical symptoms of limbs were not detected. In this case, open fracture was treated through delayed surgical debridement procedure, therefore hematogenous osteomyelitis occurs at another forelimb. The longer a wound remains open, the more likely it is that infection will develop. The infection can occur to fracture bone and seed from hematogenous spread to another normal bone. In conclusion, when open fracture occurs, early antibiotic treatment and urgent surgical intervention are recommended.

Keywords

References

  1. Backues KA, Hoover JP, Bahr RJ, Confer AW, Chalman JA, Larry ML. Multifocal pyogranulomatous osteomyelitis resembling chronic recurrent multifocal osteomyelitis in a lemur. J Am Vet Med Assoc 2001; 218: 250-253. https://doi.org/10.2460/javma.2001.218.250
  2. Canfield PJ, Malik R, Davis PE, Martin P. Multifocal idiopathic pyogranulomatous bone disease in a dog. J Small Anim Pract 1994; 35: 370-373. https://doi.org/10.1111/j.1748-5827.1994.tb01721.x
  3. Chang TL, Spence RJ, Mears SC. Case Report: Update on the management of open fractures of the tibial shaft. Clin Orthop Relat Res 1998; 350: 18-25.
  4. Cross WW 3rd, Swiontkowski MF. Treatment principles in the management of open fractures. Indian J Orthop 2008; 42: 377-386. https://doi.org/10.4103/0019-5413.43373
  5. Emmerson TD, Pead MJ. Pathological fracture of the femur secondary to haematogenous osteomyelitis in a weimaraner. J Small Anim Pract 1999; 40: 233-235. https://doi.org/10.1111/j.1748-5827.1999.tb03069.x
  6. Franca Sde A, Braga JF, Moreira MV, Silva VC, Souza EF, Pereira LC, Rezende CM, Ecco R. Splendore-Hoeppli phenomenon in a cat with osteomyelitis caused by Streptococcus species. J Feline Med Surg 2014; 16: 189-193. https://doi.org/10.1177/1098612X13499012
  7. Lo AJ, Goldschmidt MH, Aronson LR. Osteomyelitis of the coxofemoral joint due to Mycobacterium species in a feline renal transplant recipient. J Feline Med Surg 2012; 14: 919-923. https://doi.org/10.1177/1098612X12454983
  8. Love DN, Johnson KA. Antimicrobial sensitivity of staphylococci isolated from dogs. Aust Vet Pract 1992; 19: 196-200.
  9. Mader JT, Ortiz M, Calhoun JH. Update on the diagnosis and management of osteomyelitis. Clin Podiatr Med Surg 1996; 13: 701-724.
  10. Millard RP, Weng HY. Proportion of and risk factors for open fractures of the appendicular skeleton in dogs and cats. J Am Vet Med Assoc 2014; 245: 663-668. https://doi.org/10.2460/javma.245.6.663
  11. Museru LM, Mcharo CN. Chronic osteomyelitis: a continuing orthopaedic challenge in developing countries. Int Orthop 2001; 25: 127-131. https://doi.org/10.1007/s002640100239
  12. Nakamura Y, Daya M. Use of appropriate antimicrobials in wound management. Emerg Med Clin North Am 2007; 25: 159-176. https://doi.org/10.1016/j.emc.2007.01.007
  13. Parker RB. Treatment of post-traumatic osteomyelitis. Vet Clin North Am Small Anim Pract 1987; 17(4): 841-856. https://doi.org/10.1016/S0195-5616(87)50080-8
  14. Rabillard M, Souchu L, Niebauer GW, Gauthier O. Haematogenous osteomyelitis: clinical presentation and outcome in three dogs. Vet Comp Orthop Traumatol 2011; 24: 146-150. https://doi.org/10.3415/VCOT-10-07-0116
  15. Sia IG, Berbari EF. Osteomyelitis. Best Pract Res Clin Rheumatol 2006; 20: 1065-1081. https://doi.org/10.1016/j.berh.2006.08.014
  16. Stead AC. Osteomyelitis in the dog and cat. J Small Anim Pract 1984; 25: 1-13. https://doi.org/10.1111/j.1748-5827.1984.tb00474.x