Peer-reviewed veterinary case report
Intraosseous regional perfusion for treatment of septic physitis in a two-week-old foal.
- Journal:
- Journal of the American Veterinary Medical Association
- Year:
- 2003
- Authors:
- Kettner, Nils-Uwe et al.
- Affiliation:
- Department of Large Animal Clinical Sciences · United States
- Species:
- horse
Plain-English summary
A 2-week-old Morgan filly was brought in because she had been limping for five days. After examining her and taking X-rays, the veterinarians found she had an infection in the growth plate of her leg, known as septic physitis. She was treated with a special method that delivers antibiotics directly into the bone, along with additional antibiotics given through her veins for 22 days. Although infections like this usually have a poor chance of recovery, this filly responded well to the treatment and her infection cleared up quickly and without complications.
Abstract
A 2-week-old Morgan filly examined because of lameness of 5 days' duration was found, on the basis of clinical and radiographic findings, to have septic physitis of the distal end of the radius. The foal was treated by means of intraosseous regional perfusion with penicillin and amikacin and systemic administration of antimicrobials. Intraosseous regional perfusion was performed 3 times. The foal was anesthetized for the first episode of intraosseous regional perfusion, but was only sedated for the subsequent 2 episodes. Antimicrobials were administered systemically for 22 days. Foals with septic physitis are typically considered to have a guarded to poor prognosis for recovery; however, this treatment regimen resulted in relatively fast and uncomplicated resolution of the infection in this foal.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/12564599/