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  • Author or Editor: Antonella Gallucci x
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A young adult 12-kg (26.4-lb) female mixed-breed dog housed in an animal shelter was referred to the teaching hospital of the Department of Veterinary Medical Sciences of the University of Bologna because of severe nonambulatory tetraparesis and abnormal mentation. The dog was found wandering 2 months before; at that time, the dog had mild paraparesis that slowly progressed to tetraparesis and recumbency. In the 2 weeks preceding the referral examination, additional clinical signs included obtunded mental status and intention tremors. Prednisone (1 mg/kg [0.45 mg/lb], PO, q 24 h for 6 days) was administered to the dog without any

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in Journal of the American Veterinary Medical Association


CASE DESCRIPTION 5 dogs were examined because of clinical signs of myelopathy, including signs of pain associated with the spinal region and rapidly progressive neurologic deficits.

CLINICAL FINDINGS In all dogs, results of MRI were consistent with spinal epidural empyema. Concurrent infectious processes were identified at adjacent or distant sites in all dogs, including diskospondylitis, prostatitis, dermatitis, paraspinal infection following a penetrating injury, urinary tract infection, and pyothorax. Bacteria were isolated from 3 dogs; Escherichia coli was isolated from blood, urine, and prostatic wash samples from 1 dog; a Pasteurella sp was isolated from a percutaneous aspirate from an adjacent infected wound in a second dog; and a Corynebacterium sp was isolated from a thoracic fluid sample from a third dog. For the remaining 2 dogs, results of bacterial culture were negative.

TREATMENT AND OUTCOME All dogs showed clinical improvement within 2 weeks after initiation of antimicrobial treatment, and all had an excellent long-term outcome.

CLINICAL RELEVANCE In dogs, spinal epidural empyema has previously been regarded as a surgical emergency. Findings for dogs in the present report suggested that, as is the case for humans, selected dogs with spinal epidural empyema may be successfully managed with medical treatment alone.

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in Journal of the American Veterinary Medical Association