Concurrent physitis and portosystemic shunts in three dogs

Meehan, L.; Hodgkiss-Geere, Hannah; Walsh, Barbara; Mellanby, Richard; Schwarz, Tobias

doi:10.1136/vetreccr-2016-000316

Cited by 4 publications

(4 citation statements)

References 29 publications

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“…This 10‐month‐old cane corso was diagnosed with multifocal haematogenous osteomyelitis and septic physitis based on clinical examination and radiographic and histopathological findings. Haematogenous osteomyelitis and septic physitis in dogs are rare 2–7 25–28. However, the multifocal characteristics of these affections such as depicted in this case report have never been described.…”

Section: Discussionmentioning

confidence: 70%

“…[2][3][4][5][6][7] It is more commonly encountered in children and large animals species, such as cattle, horses and pigs, with a physeal involvement frequently reported. [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] In dogs, septic physitis is scarce, [25][26][27][28] and cases in which more than one physis is affected have not been described.…”

Section: Introductionmentioning

confidence: 99%

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Multifocal haematogenous osteomyelitis and septic physitis in a dog

Blondel

Gros

Lucas

et al. 2020

Vet Record Case Reports

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A 10-month-old male cane corso was evaluated for a four-day history of lethargy and anorexia associated with right thoracic limb lameness. Physical examination, diagnostic imaging and cytological findings were suggestive of a pyothorax and a right antebrachium subperiosteal abscess, which were managed by surgical drainage of the abscess and placement of thoracostomy tubes. Following adapted antibiotic therapy and appropriate analgesia, the dog clinically improved. However, 10 days after admission, the patient became hyperthermic and presented a warm, generalised soft tissue swelling affecting both hindlimbs and painful metaphyseal regions. Radiographic findings were suggestive of multifocal haematogenous osteomyelitis and septic physitis. Blood culture came back positive with a multiresistant bacterium. Given the poor prognosis, the dog was euthanased. Postmortem examination confirmed the presence of severe multicentric osteomyelitis, physitis and arthritis, associated with infective endocarditis and chronic bacterial exudative pleuritis.

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Section: Discussionmentioning

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Multifocal haematogenous osteomyelitis and septic physitis in a dog

Blondel

Gros

Lucas

et al. 2020

Vet Record Case Reports

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“…In the two prior reports describing three dogs with concurrent vertebral physitis and portosystemic shunts, blood cultures were performed in all dogs and were positive in one dog with growth of Staphylococcus intermedius . The other two dogs had no growth on blood cultures, but all dogs experienced clinical resolution with antimicrobial administration (Meehan et al, 2016; Walker et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, two prior case reports in the veterinary literature detail three dogs diagnosed with portosystemic shunts and concurrent vertebral physitis. Two of these dogs had acquired portosystemic shunts, and one dog had a suspected portosystemic shunt however an anomalous vessel could not be identified on abdominal ultrasound (Meehan et al., 2016; Walker et al., 1999). Due to the concern for haematogenous aetiology of infection, the presence of discospondylitis or vertebral physitis may alter case management and the decision to pursue PTCE for IHPSS, which involves the placement of permanent implants within the systemic circulation.…”

Section: Introductionmentioning

confidence: 99%

Outcome of dogs diagnosed with concurrent intrahepatic portosystemic shunts and vertebral lesions: six cases (2016‐2022)

Solari,

Case,

Vilaplana Grosso

et al. 2024

J of Small Animal Practice

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ObjectivesTo describe the clinical outcome of dogs diagnosed with concurrent discospondylitis/vertebral physitis and congenital intrahepatic portosystemic shunts.Materials and MethodsMedical records from two academic institutions were searched for dogs diagnosed with discospondylitis and/or vertebral physitis, and a concurrent intrahepatic portosystemic shunt. Dogs were excluded if they did not undergo attenuation of their shunt, did not have a single congenital intrahepatic shunt and did not have at least 90 days of follow‐up.ResultsSix dogs fittedmet the inclusion criteria and were included in the study. Discospondylitis alone was diagnosed in four dogs, vertebral physitis alone in one dog and both discospondylitis and vertebral physitis in one dog. Three dogs had a right divisional intrahepatic portosystemic shunt, and three dogs had a left divisional intrahepatic portosystemic shunt. Median duration of antimicrobial therapy was 112 days (range 14 to 240 days). Clinical resolution of discospondylitis and vertebral physitis was noted in all dogs. Endovascular attenuation was performed in all dogs a median of 82 days after presentation (range 1 to 317 days). No perioperative or postoperative complications occurred. All dogs were alive at the last available follow‐up a median of 513 days after presentation (range 224 to 1504 days) and free of clinical signs associated with discospondylitis or vertebral physitis, as well as their portosystemic shunt.Clinical SignificanceDogs with intrahepatic portosystemic shunts may concurrently develop discospondylitis and vertebral physitis. With antimicrobial therapy and endovascular embolisation of their portosystemic shunt, all dogs in this study had a good outcome with clinical resolution of both disease processes. However, long‐term follow‐up was not obtained in all cases.

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Thoracic and abdominal diagnostic imaging findings in dogs diagnosed with immune‐mediated polyarthritis: 71 cases (2011‐2023)

Atkinson,

Schiborra,

O'Connell

et al. 2024

J of Small Animal Practice

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ObjectivesTo describe thoracic and abdominal imaging findings in dogs with immune‐mediated polyarthritis and to evaluate their impact on the decision to commence immunosuppressive therapy.Materials and MethodsRetrospective case series describing imaging findings in dogs with immune‐mediated polyarthritis across modalities, including thoracic radiographs, abdominal ultrasound, computed tomography, and where available, echocardiography. Additionally, two internal medicine clinicians reviewed the signalment, clinical signs, clinicopathological findings and diagnostic imaging results on two separate occasions, reaching a consensus for each dog on whether immunosuppression would be their treatment of choice or whether their recommendations would be altered by the results of diagnostic imaging.ResultsSeventy‐one dogs met the inclusion criteria. Abnormal diagnostic imaging findings were identified in 25.4% (18/71) of dogs. Thoracic radiography did not identify significant imaging findings in any of the dogs. Lymphadenomegaly was the most commonly reported finding on computed tomography (32/40) and abdominal ultrasound (13/34). Neoplasia was identified in three dogs (3/71). Four (4/13) dogs had echocardiography findings consistent with endocarditis. Immunosuppression without performing diagnostic imaging would have been considered in 41 of 71 (57.7%) dogs, based on the signalment, presenting signs, results of physical examination and clinicopathological testing. Of these, 10 dogs (24.3%) had diagnostic imaging findings suggestive of an underlying trigger, therefore changing the clinician's decision to proceed with immunosuppression.Clinical SignificanceAbdominal imaging and echocardiography should be prioritised over thoracic radiography, in dogs with immune‐mediated polyarthritis. Signalment, presenting complaint, physical examination findings and clinicopathological results are not reliable predictors of abnormal diagnostic imaging findings in dogs with immune‐mediated polyarthritis.

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Concurrent physitis and portosystemic shunts in three dogs

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Cited by 4 publications

References 29 publications

Multifocal haematogenous osteomyelitis and septic physitis in a dog

Multifocal haematogenous osteomyelitis and septic physitis in a dog

Outcome of dogs diagnosed with concurrent intrahepatic portosystemic shunts and vertebral lesions: six cases (2016‐2022)

Thoracic and abdominal diagnostic imaging findings in dogs diagnosed with immune‐mediated polyarthritis: 71 cases (2011‐2023)

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