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Peer-reviewed veterinary case report

Puppy limping on one back leg from suspected sacroiliac joint

By Goh, Derniese & House, Arthur·Published in Veterinary medicine and science·2021·Peninsula Emergency and Referral Hospital, Australia·View original on PubMed

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Original publication title: Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy.

Species:
dog

Plain-English summary

A 5-month-old female Dachshund was brought in for sudden limping on her left back leg after playing hard, along with some weakness and pain in that leg. A CT scan showed signs of an infection in the joint where her pelvis meets her spine, which was causing her symptoms. The vet treated her with antibiotics for 8 weeks, and at a follow-up visit 7 months later, she had fully recovered with no more signs of pain or limping.

People also search for: puppy limping after play · Dachshund leg pain treatment · septic sacroiliitis in dogs

Abstract

A 5-month-old female entire Dachshund presented with an acute onset of left hind limb lameness following intense play. There were concurrent intermittent neurological deficits in the left hind limb, and pain in the lumbosacral region and on dorsal flexion of the tail. Computed tomography (CT) imaging revealed an asymmetric widening of the left sacroiliac joint with loss of cortical margins, accompanied by mild osteolytic changes of the adjacent ilium and sacrum highly suggestive of septic sacroiliitis. There was also perilesional steatitis in the region of the sciatic nerve. An 8-week course of antimicrobial therapy was prescribed. Complete resolution of all clinical signs was noted at a 7-month follow up. Sacroiliitis should be considered as a differential for unilateral hind limb lameness with or without intermittent sciatic neuropathy in a puppy in the absence of other orthopaedic conditions.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/33966356/