Spinal epidural empyema concurrent with sequestrum in a cat: a case report

A 5-month-old intact female mixed cat presented with repetitive paraplegia and drainage of pus from the back despite continuous antibiotic medication. Neurologic examination was consistent with below T3-L3 myelopathy. Computed tomography and magnetic resonance imaging revealed a contrast-enhanced ma...

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Bibliographic Details
Published in:Journal of Veterinary Medical Science 2022, Vol.84(10), pp.1368-1372
Main Authors: KINOSHITA, Kosuke, NISHIDA, Hidetaka, KANEGI, Ryoji, NAKAMOTO, Yuya, TANAKA, Toshiyuki, FUMIMOTO, Tamiko, KUWAMURA, Mitsuru, OGAWA, Yasuo, AKIYOSHI, Hideo
Format: Article
Language:English
Subjects:
Bone imaging
Bone mass
Canals (anatomy)
Case reports
cat
Central nervous system diseases
Computed tomography
Empyema
Magnetic resonance imaging
neurosurgery
Paraplegia
sequestrum
Spinal cord
spine
Surgery
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Summary:A 5-month-old intact female mixed cat presented with repetitive paraplegia and drainage of pus from the back despite continuous antibiotic medication. Neurologic examination was consistent with below T3-L3 myelopathy. Computed tomography and magnetic resonance imaging revealed a contrast-enhanced mass in the L1-3 spinal canal, and bone fragments in the T13 and L1 spinal canal. Spinal epidural empyema was suspected, and hemilaminectomy was performed for T12-L2 on the right side and T11-12 on the left side. Bone fragments were diagnosed as sequestrum infected with Bacteroides sp. The cat recovered enough to ambulate next day. One month after surgery, there was no deficit in neurological function. This is the first report of spinal epidural empyema concurrent with sequestrum in a cat.
ISSN:0916-7250
1347-7439
DOI:10.1292/jvms.22-0264