Foghúzás következtében kialakuló bakteriális meningitis egy camargue kancában : Esetismertetés

Abstract

Background: Bacterial meningitis following a routine standing cheek tooth extraction is an uncommon disease in horses. This case report is one of the first described fall of meningitis resulting from 107 tooth extraction without sinusitis. Objectives: The goal of this case report is to describe this rare complication of routine tooth extractions and the importance of antibiotic resistance testing. Materials and methods: A 14-year-old healthy horse 107 tooth has been removed for standard oral extraction under clinical conditions. On the third day after the extraction the mare was lethargic, she had inappetence and fever. The therapy consisted of antimicrobial treatment with trimetoprim-sulfonamide, as well as antiinflammatory treatment with flunixin and novaminsulfon, and secretolysis with dembrexin. Discussion: The horse exhibited fever (39.1°C) after a routine standing cheek tooth extraction. After the surgery first line broad spectrum oral antibiotic combination was implemented then based on microbial culture results (Escherichia coli resis- tant to potentiated sulfonamides) the mare was switched on to marbofloxacin. She was showing fever with peak of 40.1°C and tachycardia (52-88/min), coughing and dull mentation. Based on a complete work-up which included rectal examination, airway endoscopy, thoracic and abdominal ultrasound, echocardiogrphy no other explanation for the fever was found. The clinical state of the mare continued to deteroriate despite treatment and the mare was euthanised due to poor prognosis. Pathology confirmed the septicaemia, which caused hematogenic infection of the brain. There were signs of acute purulent inflammation in the brain, mainly in the area of rete mirabile and hypophysis as well as purulent lesions in the lungs.