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Hematogenous septic arthritis in dogs- is surgery mandatory?
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A very important question - most veterinarians have been told that this disease must be treated by the combination surgery/antibiotics. But this very interesting study shows that in most cases conservative and intensive therapy with appropriate antibiotics is sufficient...
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This retrospective study evaluates the effectiveness of nonsurgical treatment using antibiotics to treat hematogenous septic arthritis in five dogs.
Giant-breed dogs were over-represented, with all dogs <1 year of age.
Synovial fluid cultures were positive in all cases, with common bacterial species isolated that included Streptococcus B-haemolytic spp., Pasteurella multocida, and Staphylococcus intermedius.
Dogs treated with appropriate duration and selection of antibiotics had clinical resolution with no residual deficits.
This report and a previous clinical report demonstrate that hematogenous septic arthritis can be successfully treated nonsurgically with antibiotic therapy.
Source: Randall B. Fitch, Tara C. Hogan, Simon T. Kudnig (2003): Hematogenous Septic Arthritis in the Dog: Results of Five Patients Treated Nonsurgically With Antibiotics. In: Journal of the American Animal Hospital Association 39:563-566 (2003)
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