Case report(s)

English

84(3) pg 154-157

Title: 
Calvarial hyperostosis syndrome in a young Weimaraner dog
Author(s): 
N. DE HEER, J.H.J. MALTHA, E. VAN GARDEREN
Abstract: 
Calvarial hyperostosis syndrome (CHS) is a rare, non-neoplastic, proliferative bone disease ofthe flat bones of the skull. The lesions of CHS are initially painful, but self-limiting with skeletalmaturity. Therefore, treatment is aimed at relieving pain. Until recently, CHS has only been describedin young Bullmastiffs and the etiology is still unknown. In this report, CHS is describedin a six-months-old, male Weimaraner with the typical presentation of an asymmetrical swellingaffecting the frontal, parietal and sometimes occipital bones of the skull.
pp 154-157
Case report(s)

84(3) pg 147-153

Title: 
Treatment of necrotizing fasciitis using negative pressure wound therapy in a puppy
Author(s): 
E. ABMA, A. M. KITSHOFF, S. VANDENABEELE, T. BOSMANS, E. STOCK, H. DE ROOSTER
Abstract: 
A two-month-old German shepherd dog was presented with anorexia, lethargy and left hindlimb lameness associated with swelling of the thigh. Clinical findings combined with cytology ledto the presumptive diagnosis of necrotizing fasciitis (NF). Extensive debridement was performedand silver-foam-based negative pressure wound therapy (NPWT) was applied. During the first48 hours, a negative pressure of -75 mmHg was used. Evaluation of the wound demonstrated noprogression of necrosis and a moderate amount of granulation tissue formation. A new dressingwas placed and a second 48-hour cycle of NPWT was initiated at -125 mmHg. At removal, ahealthy wound bed was observed and surgical closure was performed.The prompt implementation of NPWT following surgical debridement led to acceleratedwound healing without progression of necrosis in this case of canine NF. Negative pressure woundtherapy could become an integral part of the management strategy of canine NF, improving theprognosis of this life-threatening disease.
pp 147-153
Case report(s)

84(3) pg 142-146

Title: 
Hemothorax in a Friesian horse: not always an aortic rupture!
Author(s): 
L. VERA, D. DE CLERCQ, A. DECLOEDT , S. VEN, N. VAN DER VEKENS, G. VAN LOON
Abstract: 
A 16-year-old Friesian gelding was admitted to the Faculty of Veterinary Medicine (GhentUniversity) with complaints of exercise intolerance, pale mucous membranes, tachycardia and anirregular heart rate. General examination revealed decreased heart sounds and bronchovesicularsounds in the ventral lung fields, combined with a low hematocrit, which led to the suspected diagnosisof hemothorax. The diagnosis of hemothorax was confirmed by ultrasonographic examination of thethoracic cavity and thoracocentesis. Because it was a Friesian horse, aorto-pulmonary fistulation wassuspected, but this was excluded by thorough echocardiographic examination. The electrocardiogramshowed that the irregular heart rate was caused by atrial premature contractions. The horse washospitalized and was treated conservatively with broad spectrum antibiotics. Because both thehematocrit and the ultrasonographic images evolved well, the horse could leave the clinic after 15days. Re-examination after six weeks showed no more abnormalities.
Full text: 
pp 142-146
Case report(s)

84 (2) pg 088-093

Title: 
Ulnar osteotomy as treatment for an ununited anconeal process in a young Neapolitan Mastiff
Author(s): 
A. PETIT, O. TRAVETTI, Y. SAMOY, P. VERLEYEN, B. VAN RYSSEN
Abstract: 
Ununited anconeal process, part of the elbow dysplasia, is a common orthopedic developmentaldisorder in young, fast growing dogs of large and chondrodystrophic breeds. Proximal ulnar osteotomyis one of the possible treatments, provided that the animal is not adult yet. This intervention aims torestore the length proportion between the radius and the ulna, and thereby eliminating the upwardforce, which causes the ununited anconeal process. By performing the osteotomy, the olecranon cantilt, allowing the ununited anconeal process to fuse and resolving the lameness. When a proximal ulnarosteotomy is successfully performed without additional articular surgery, less osteoarthrosis will beformed and a better long-term result can be expected. In this article, the treatment by ulnotomy in ayoung Neapolitan Mastiff and its results are discussed.
Full text: 
pp 088-093
Case report(s)

84 (2) pg 94-100

Title: 
Surgical correction of pyelonephritis caused by multidrug-resistant Escherichia coli in a dairy cow
Author(s): 
E. PUT, B. VALGAEREN, B. PARDON, J. DE LATTHAUWER, D. VALCKENIER, P. DEPREZ
Abstract: 
A four-year-old red Holstein Friesian cow was admitted to the clinic with fever and milkdrop. Blood analysis revealed the presence of a chronic infection, and the diagnosis of pyelonephritisof the right kidney was made after repeated ultrasound examinations. The animal wastreated with procaine benzylpenicillin, sulfadoxine trimethoprim, oxytetracycline and enrofloxacinebut this therapy was not successful. Nephrectomy was performed after the left kidney provedto have a normal function. The removed right kidney was greatly enlarged and filled with pus.Escherichia coli was isolated from the kidney. The strain was multidrug-resistant, including resistanceto aminopenicillins, streptomycin, sulfonamides and trimethoprim. The cow was treatedwith amoxicillin and clavulanic acid after the operation. Postoperatively, an abscess developedand a tube drain was placed during a second surgery to enable daily rinsing with a chlorhexidinesolution. After a postoperative care period of two months, the animal was sent back to the farm,where it returned to an acceptable level of milk production. This case demonstrates that withbasic surgical skills, a good preparation and knowledge of anatomy, nephrectomy is attainablefor a first-opinion veterinarian, with an acceptable economic prognosis for the farmer.
Full text: 
pp 094-100
Case report(s)

84(1) pg 39-47

Title: 
Exposure to Anaplasma phagocytophilum in two dogs in Belgium
Author(s): 
S. ELHAMIANI KHATAT, P. DEFAUW, S. MARYNISSEN, I. VAN DE MAELE, A. VAN DONGEN, S. DAMINET
Abstract: 
 Penetrating injuries to the sole of the hoof are common in horses. Prognosis and treatmentdepend on the structures involved. In this report, nine horses are described with a penetratinginjury to the sole of the hoof that then underwent magnetic resonance imaging (MRI) examination.The radiographic examination performed in seven of these horses provided information about thebone involvement and an MRI examination was performed in all cases to obtain information aboutthe affected soft tissues. MRI has excellent soft tissue contrast and can provide detailed images inany anatomical plane. For all nine horses, the MRI examination provided a clear guidance towardprognosis and a treatment plan. For two of the horses, the MRI examination confirmed that onlysuperficial debridement was required. In seven of the horses, the MRI findings indicated that amore invasive approach was needed, such as navicular bursoscopy or street-nail procedure.This study illustrates that an MRI examination can provide useful additional informationleading to an appropriate therapy and prognosis, and shows a good correspondence between MRIobservations and surgical findings. 
Full text: 
pp 39-47
Case report(s)

83(6) pg 306-312

Title: 
Dietary hyperthyroidism in a Rottweiler
Author(s): 
S. CORNELISSEN, K. DE ROOVER, D. PAEPE, M. HESTA, E. VAN DER MEULEN, S. DAMINET
Abstract: 
 In this report, a clinical case of dietary hyperthyroidism in a dog is described. An elevenmonth-old, male, intact Rottweiler was presented because of panting, weight loss and increasedserum total thyroxine concentration. A complete history revealed that the dog was fed a boneand raw food diet, which made dietary induced hyperthyroidism very likely. Other possible differentialswere excluded after a thorough diagnostic work-up. Finally, after changing towardsa traditional commercial maintenance diet, the clinical symptoms resolved and thyroid bloodvalues normalized. In every dog with an increased serum total thyroxine concentration, with orwithout clinical signs of hyperthyroidism, a thorough dietary history should be obtained. Ownersshould be informed that raw food diets tend to be nutritionally imbalanced, carry the riskof bacterial contamination, and have other safety problems. Therefore, veterinarians shouldrecommend against feeding these diets. 
Full text: 
pp 306-312
Case report(s)

83(6) pg 299-305

Title: 
Intestinal obstruction by Toxocara vitulorum in a calf
Author(s): 
L. VAN DER STEEN, B. PARDON, C. SARRE , B. VALGAEREN, D. VAN HENDE, L. VLAMINCK, P. DEPREZ
Abstract: 
A one-month-old Belgian blue bull calf was referred to the animal hospital of the Faculty ofVeterinary Medicine (UGhent) because of the sudden onset of severe colic. The animal showedintermittent recumbency, kicking to the abdomen, abdominal distension of the right quadrants,absence of feces and fluid-splashing and the presence of ping sounds on auscultation of the rightside. Abdominal ultrasound showed distended, but still contractile small intestines with thickenedwalls. On exploratory laparotomy, a complete obstruction with adult Toxocara vitulorumextending from duodenum to mid-jejunum was diagnosed. On the punctum maximum of theobstruction, the ascarides were partially removed through an enterotomy. After vermifugationwith doramectin, ascarides were found in the animal’s feces in the next days. In contrast to ascarideinfections in puppies, piglets and foals, to the author’s knowledge, intestinal obstructioncaused by T. vitulorum has not been described previously in calves.
Full text: 
pp 299-305
Case report(s)

83(6) pg 293-298

Title: 
Atypical clinical presentation of a metastatic gastric neuroendocrine carcinoma in a bearded dragon (Pogona vitticeps)
Author(s): 
T. S. MOOIJ, A. MARTEL, L. BOSSELER, K. CHIERS, F. PASMANS, T. HELLEBUYCK
Abstract: 
Ultrasound revealed the presence of three coelomic masses and a nodular aspect of the liver in a threeyear-old, male bearded dragon (Pogona vitticeps) with anorexia. Histological examination revealedneoplastic cells consistent with a neuroendocrine origin and gastroscopy demonstrated the presence ofan ulcerative gastric lesion. Based on these findings, the presumptive diagnosis of neoplasia consistentwith a gastric neuroendocrine carcinoma with multiple metastatic implants was made. Necropsy andsubsequent histological examination confirmed the diagnosis of a gastric neuroendocrine carcinoma. Inthe present report, the occurrence of gastric neuroendocrine carcinomas in bearded dragons, presumablya highly underdiagnosed neoplastic disorder in this lizard species, is emphasized.
Full text: 
pp 293-298
Case report(s)

83(5) pg 255

Title: 
Insidious progressive bone destruction in a dog surgically treated for otitis media: follow-up by clinical examination and computed tomography
Author(s): 
A. FURCAS, I. M. GIELEN, S. VANDENABEELE, A. VAN CAELENBERG, L. STESSENS, I. POLIS, H. DE ROOSTER.
Abstract: 
A 5.5-year-old Beagle was evaluated for abnormal swallowing and a head tilt of a two-weeksduration. Inspection of the throat and external ear canal revealed an intact but abnormallybulging eardrum. Computed tomographic (CT) examination showed a right-sided tympanicbulla filled with soft-tissue density material, a partially lytic ventral wall and lysis of the petrosalpart of the temporal bone. Through ventral bulla osteotomy, sterile cholesterol granuloma andcholesteatoma were diagnosed. The dog recovered but the head tilt re-appeared eight monthsafter surgery. A new CT scan showed expanded lysis of the tympanic wall and increased bone lysiswithin the petrosal portion of the temporal bone. The owner elected for no further treatment.Another two years later, a third CT scan was performed. Prominent intracranial involvementwas present. In contrast to the extent and the progression of the changes, the dog was clinicallystable.     
Full text: 
pp 255-262
Case report(s)

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