DOI QR코드

DOI QR Code

Clinical Characteristics of Trauma-Related Chronic Osteomyelitis in 3 Wild Raccoon Dogs (Nyctereutes procyonoides)

  • Ha, Minjong (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Ahmed, Sohail (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Lee, Do Na (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Han, Janghee (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Yoon, Junghee (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University) ;
  • Yeon, Seong-Chan (College of Veterinary Medicine and the Research Institute for Veterinary Science, Seoul National University)
  • Received : 2022.02.18
  • Accepted : 2022.04.28
  • Published : 2022.06.30

Abstract

Osteomyelitis typically occurs because of the direct inoculation of bacteria or fungi after penetrating trauma or surgical contamination or, by extension, from soft tissue infection. Osteomyelitis is rarely reported in wildlife animals, though severe chronic osteomyelitis cases do exist in wildlife owing to the scarcity of medical support in the wild environment. This report describes three cases of chronic osteomyelitis in wild raccoon dogs related to trauma. The typical symptoms of three reported cases were ataxia, stiffness, muscle atrophy, and lethargy. All three cases were relevant to traumatic or severe external injury, and skin infestation caused by ectoparasites was apparent on an ocular inspection. In the radiographic examination, diffuse sites of osteolytic lesions and remarkable periosteal responses were demonstrated around the injured limb in all three cases. Apparent neutrophilia with a left shift, lymphocytosis, and monocytosis in hematological examinations generally indicated chronic infection as shown in case 1 and 3. Treatment was attempted with broad-spectrum antibiotics and non-steroidal anti-inflammatory drugs, such as amoxicillin/clavulanic acid, enrofloxacin, clindamycin, and meloxicam. These treatment options helped improve the overall prognosis of chronic osteomyelitis, but the outcomes did not meet the treatment goal entirely. Osteomyelitis can be extremely challenging to treat, particularly in wild animals, because of their distinctive traits, such as masking phenomenon and uncontrolled exposure to ectoparasites. Earlier diagnosis with a radiographic examination, hematological examinations, and careful patient monitoring, followed by prolonged antibiotic therapy and restricted exercise, are the key factors leading to a better prognosis.

Keywords

Acknowledgement

The authors thank Seoul National University Veterinary Teaching Hospital and Seoul Wildlife Center for providing necessary support.

References

  1. Arthurs G, Langley-Hobbs S. Diseases and disorders of bone. In: Arthurs G, Brown GDA, Pettit R, editors. BSAVA Manual of canine and feline musculoskeletal disorders. Quedgeley: British Small Animal Veterinary Association. 2018: 87-105.
  2. Bariteau JT, Waryasz GR, McDonnell M, Fischer SA, Hayda RA, Born CT. Fungal osteomyelitis and septic arthritis. J Am Acad Orthop Surg 2014; 22: 390-401. https://doi.org/10.5435/JAAOS-22-06-390
  3. Bojrab MJ. Osteomyelitis. In: Bojrab MJ, editor. Current techniques in small animal surgery. Philadelphia: Lea & Febiger. 1983: 785-789.
  4. Bowles AE. Responses of wildlife to noise. In: Knight RL, Gutzwiller KJ, editors. Wildlife and recreationists: coexistence through management and research. Washington, D.C.: Island Press. 1994: 109-156.
  5. Braden TD, Johnson CA, Gabel CL, Lott GA, Caywood DD. Posologic evaluation of clindamycin, using a canine model of posttraumatic osteomyelitis. Am J Vet Res 1987; 48: 1101-1105.
  6. Bubenik L, Smith M. Orthopaedic infections. In: Slatter DH, editor. Textbook of small animal surgery. Philadelphia: Saunders. 2003: 1862-1872.
  7. Cabassu J, Moissonnier P. Surgical treatment of a vertebral fracture associated with a haematogenous osteomyelitis in a dog. Vet Comp Orthop Traumatol 2007; 20: 227-230. https://doi.org/10.1160/vcot-06-11-0089
  8. Chiappini E, Camposampiero C, Lazzeri S, Indolfi G, De Martino M, Galli L. Epidemiology and management of acute haematogenous osteomyelitis in a tertiary paediatric center. Int J Environ Res Public Health 2017; 14: 477. https://doi.org/10.3390/ijerph14050477
  9. Clegg P. Osteomyelitis in the veterinary species. In: Percival S, Knottenbelt D, Cochrane C, editors. Biofilms and veterinary medicine. New York: Springer. 2011: 175-190.
  10. Cole WG, Dalziel RE, Leitl S. Treatment of acute osteomyelitis in childhood. J Bone Joint Surg Br 1982; 64: 218-223. https://doi.org/10.1302/0301-620X.64B2.6802854
  11. Corti N, Sennhauser FH, Stauffer UG, Nadal D. Fosfomycin for the initial treatment of acute haematogenous osteomyelitis. Arch Dis Child 2003; 88: 512-516. https://doi.org/10.1136/adc.88.6.512
  12. de Lorimier LP, Fan TM. Delayed diagnosis of fungal osteomyelitis with early scintigraphic lesions in a dog. Can Vet J 2010; 51: 1394-1396.
  13. Dunn JK, Dennis R, Houlton JEF. Successful treatment of two cases of metaphyseal osteomyelitis in the dog. J Small Anim Pract 2008; 33: 85-89. https://doi.org/10.1111/j.1748-5827.1992.tb01081.x
  14. 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
  15. Emslie KR, Ozanne NR, Nade SM. Acute haematogenous osteomyelitis: an experimental model. J Pathol 1983; 141: 157-167. https://doi.org/10.1002/path.1711410206
  16. Gieling F, Peters S, Erichsen C, Richards RG, Zeiter S, Moriarty TF. Bacterial osteomyelitis in veterinary orthopaedics: pathophysiology, clinical presentation and advances in treatment across multiple species. Vet J 2019; 250: 44-54. https://doi.org/10.1016/j.tvjl.2019.06.003
  17. Gold RH, Hawkins RA, Katz RD. Bacterial osteomyelitis: findings on plain radiography, CT, MR, and scintigraphy. AJR Am J Roentgenol 1991; 157: 365-370. https://doi.org/10.2214/ajr.157.2.1853823
  18. Gomes D, Pereira M, Bettencourt AF. Osteomyelitis: an overview of antimicrobial therapy. Braz J Pharm Sci 2013; 49: 13-27. https://doi.org/10.1590/S1984-82502013000100003
  19. Hakamata M, Kano R, Kondo H, Watari T. Canine fungal osteomyelitis. Mycopathologia 2019; 184: 707-708. https://doi.org/10.1007/s11046-019-00362-7
  20. Hall BB, Fitzgerald RH Jr. The pharmacokinetics of penicillin in osteomyelitic canine bone. J Bone Joint Surg Am 1983; 65: 526-532. https://doi.org/10.2106/00004623-198365040-00016
  21. Hay CW. Osteomyelitis. In: Birchard SJ, Sherding RG, editors. Saunders manual of small animal practice. 3rd ed. St. Louis: Elsevier. 2006: 1210-1213.
  22. Hodgin EC, Michaelson F, Howerth EW, Austin F, Davis F, Haase AS. Anaerobic bacterial infections causing osteomyelitis/arthritis in a dog. J Am Vet Med Assoc 1992; 201: 886-888.
  23. Ireland W. Book reviews: Miller's anatomy of the dog. Can Vet J 1995; 36: 168.
  24. Johnson KA. Osteomyelitis in dogs and cats. J Am Vet Med Assoc 1994; 204: 1882-1887.
  25. Kaneko J, Harvey J, Bruss M. Clinical biochemistry of domestic animals. 6th ed. Cambridge: Academic Press. 2008: 873-904.
  26. Kaya M, Okumus Z, Yanmaz L, Dogan E, Kirecci E. Post-traumatic osteomyelitis and its treatment in a dog. Pak Vet J 2011; 31: 371-374.
  27. Latimer KS. Duncan and Prasse's veterinary laboratory medicine: clinical pathology. Hoboken: John Wiley & Sons. 2011: 211-294.
  28. Levy A, Harran N, Hammer M, Bennaim M. Fungal osteomyelitis caused by Candida glabrata in a Groenendael dog. Vet Rec Case Rep 2020; 8: e001329. https://doi.org/10.1136/vetreccr-2020-001329
  29. Liptak JM, Dernell W, Ehrhart N, Withrow S. Canine appendicular osteosarcoma: diagnosis and palliative treatment. Compend Contin Educ Pract Vet 2004; 26: 172-182.
  30. Martens R. Pathogenesis, diagnosis and therapy of septic arthritis in foals. J Vet Orthop 1980; 2: 49-58.
  31. Moore RM, Schneider RK, Kowalski J, Bramlage LR, Mecklenburg LM, Kohn CW. Antimicrobial susceptibility of bacterial isolates from 233 horses with musculoskeletal infection during 1979-1989. Equine Vet J 1992; 24: 450-456. https://doi.org/10.1111/j.2042-3306.1992.tb02875.x
  32. Muir P, Johnson KA. Anaerobic bacteria isolated from osteomyelitis in dogs and cats. Vet Surg 1992; 21: 463-466. https://doi.org/10.1111/j.1532-950X.1992.tb00082.x
  33. Papich MG. Amoxicillin and clavulanate potassium. In: Papich MG, editor. Saunders handbook of veterinary drugs. 4th ed. St. Louis: W.B. Saunders. 2016: 39-41.
  34. Pascalev M. Radiological picture of post-traumatic osteomyelitis in dogs. Vet Arh 1999; 69: 149-159.
  35. 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
  36. Radostits OM, Arundel JH. Diseases of the musculoskeletal system. In: Radostits OM, Arundel JH, editors. Veterinary medicine: a textbook of the diseases of cattle, sheep, pigs, goats and horses. 9th ed. New York: Saunders. 2000: 551-554.
  37. Sayegh AI, Sande RD, Besser TE, Ragle CA, Tucker RL, Baker GJ. Appendicular osteomyelitis in horses: etiology, pathogenesis, and diagnosis. Compend Contin Educ Vet 2001; 23: 760-766.
  38. Selvarajah GT. Canine osteosarcoma: a comparative model for osteosarcoma in man (Review). J Vet Malaysia 2011; 23: 8-15.
  39. Summersgill JT, Schupp LG, Raff MJ. Comparative penetration of metronidazole, clindamycin, chloramphenicol, cefoxitin, ticarcillin, and moxalactam into bone. Antimicrob Agents Chemother 1982; 21: 601-603. https://doi.org/10.1128/AAC.21.4.601
  40. Walker RD, Richardson DC. Anaerobic bacterial infections. Characteristics, diagnosis, treatment. Mod Vet Pract 1981; 62: 289-292.
  41. Yeo A, Ramachandran M. Acute haematogenous osteomyelitis in children. BMJ 2014; 348: g66. https://doi.org/10.1136/bmj.g66