Clinical findings and outcome in goats with discospondylitis and vertebral osteomyelitis

• Published in: Journal of veterinary internal medicine 2024-05, Vol.38 (3), p.1925-1931
• Main Authors: Sullivan, Alyssa, Huguet, Elodie, VanderBroek, Ashley R., Darby, Shannon, Luethy, Daniela
• Format: Article
• Language: English
• Subjects: Animals; Blood; caprine; Cerebrospinal fluid; Discitis - drug therapy; Discitis - veterinary; Female; FOOD ANIMAL; Fractures; Goat Diseases - drug therapy; Goat Diseases - pathology; Goats; Infections; Magnetic resonance imaging; Male; neuroimaging; neurology; Osteomyelitis - diagnostic imaging; Osteomyelitis - drug therapy; Osteomyelitis - veterinary; Retrospective Studies; Spinal cord; spinal cord disease; Spinal Diseases - drug therapy; Spinal Diseases - pathology; Spinal Diseases - veterinary; Spondylitis - diagnostic imaging; Spondylitis - drug therapy; Spondylitis - veterinary; Tomography; Tomography, X-Ray Computed - veterinary; Trauma; Vertebrae
• ISSN: 0891-6640; 1939-1676; 1939-1676
• DOI: 10.1111/jvim.17035

Background Vertebral infections, including vertebral osteomyelitis, septic physitis, and discospondylitis, are rarely reported in goats, and when reported, have been largely limited to necropsy case reports. Objective Describe clinical findings and outcome in goats with vertebral infections evaluated by computed tomography (CT). Animals Five goats with vertebral osteomyelitis, septic physitis, and discospondylitis evaluated by CT. Methods Retrospective case series. Results The most common presenting complaints were progressive weakness, paresis and recumbency. Three goats were tetraparetic and 2 goats had pelvic limb paraparesis. Clinicopathologic findings included leukocytosis, mature neutrophilia, and hyperfibrinogenemia. The most common vertebrae affected were C7‐T1. All 5 goats had discospondylitis with or without vertebral osteomyelitis and septic physitis. Computed tomographic evidence of spinal cord compression was present in 4/5 goats. Medical management (antimicrobials, physical therapy, analgesia, supportive care) was attempted in 4 goats, and 1 goat was euthanized at the time of diagnosis. All 4 goats that were treated regained ambulatory ability and survived to hospital discharge. Conclusions and Clinical Importance Despite severity of CT imaging findings, goats with discospondylitis, septic physitis, and vertebral osteomyelitis can successfully return to ambulatory function. Additional studies are required to determine ideal treatment regimens.