Meningoencefalitis bacteriana secundaria a sinusitis causada por fractura de un molar en un equino: Reporte de caso

dc.creatorParra Moyano, Leonardo Adolfo
dc.creatorAgudelo Acevedo, Nicolás
dc.creatorRoldán Castaño, Elizabeth
dc.creatorNavarro Lozano, Juan José
dc.creatorGómez Restrepo, Felipe
dc.creatorVeloza Angulo, Luis Carlos
dc.creatorEstrada Caro, Rubén
dc.date28 de julio de 2022
dc.date19 de octubre de 2022
dc.date2023-06-22T07:00:00Z
dc.date.accessioned2023-09-07T21:56:46Z
dc.date.available2023-09-07T21:56:46Z
dc.identifierhttps://ciencia.lasalle.edu.co/mv/vol1/iss47/12
dc.identifierhttps://ciencia.lasalle.edu.co/cgi/viewcontent.cgi?article=1525&context=mv
dc.identifierhttps://ciencia.lasalle.edu.co/context/mv/article/1525/viewcontent/11RevMedicinaVeterinaria_47_LAParra_et_al.pdf
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8749421
dc.descriptionEs remitido al Centro de Veterinaria y Zootecnia de la Universidad CES un equino hembra, de raza silla argentina, de 11 años y 503 kg de peso, por presentar ataxia, disfagia, fiebre e historial de secreción nasal. Cuatro meses atrás se le realizó un procedimiento odontológico donde se intentó extraer el segundo molar superior derecho (110) el cual se fracturó en el borde medial de la corona dentaria, posterior a esto quedó con un resto radicular en el mismo y no fue tratada. Las radiografías de cráneo revelaron un aumento en la radiopacidad en la región esfenopalatina, compatible con un empiema del seno esfenopalatino. Se realizó una punción de la región atlanto-occipital para toma de muestra y posterior análisis del LCR (líquido cefalorraquídeo), dando como diagnóstico presuntivo meningitis bacteriana. El tratamiento se enfocó en la disminución del edema e inflamación encefálica con el uso de antibióticos y antiinflamatorios. Al no evidenciar ninguna mejora significativa, el propietario decidió aplicar la eutanasia compasiva. En la necropsia se evidencia una fístula oronasal a nivel del molar implicado, así como un acumulo de pus a nivel del hipotálamo y la hipófisis en la base del encéfalo. El objetivo de este reporte de caso es describir la evolución, las manifestaciones clínicas, las pruebas diagnósticas y las lesiones macroscópicas y microscópicas; siendo el primer reporte de esta complicación en Colombia.
dc.descriptionAn 11-year-old female Argentinean Saddleback equine was referred to the Centro de Veterinaria y Zootecnia de la Universidad CES for presenting ataxia, dysphagia, fever, and a history of nasal discharge. 4 months ago, a dental procedure was performed where an attempt to extract the upper right second molar was made (110) during the procedure it was fractured at the medial edge of the dental crown, after which there was a radicular remnant in it and it was not treated. Skull radiographs revealed an increase in radiopacity in the sphenopalatine zone, compatible with an empyema of the sphenopalatine sinus. A puncture of the atlanto-occipital region was performed for sampling and subsequent analysis of CSF (cerebrospinal fluid), giving a presumptive diagnosis of bacterial meningitis. Treatment was focused on the reduction of edema and inflammation at the encephalic level with the use of antibiotics and anti-inflammatory drugs. When no significant improvement was evidenced, the owner decided to apply compassionate euthanasia. The necropsy showed an oronasal fistula at the level of the molar involved, as well as an accumulation of pus at the level of the hypothalamus and the pituitary gland at the base of the brain. The objective of this case report is to describe the evolution, clinical manifestations, diagnostic tests and macroscopic and microscopic lesions, being the first report of this complication in Colombia.
dc.formatapplication/pdf
dc.formate1466
dc.languagespa
dc.publisherUniversidad de La Salle. Ediciones Unisalle
dc.relation1. Bernard WV, Barr BS (Eds.). Equine Pediatric Medicine. Boca Raton: CRC Press; 2017. https://doi.org/10.1201/9781315154787
dc.relation2. Smith B, Van Metre D, Pusterla N. Large Animal Internal Medicine. St. Louis: Elsevier; 2019. https://doi.org/10.1016/B978-0-323-55445-9.00064-1
dc.relation3. Toth B, Aleman M, Nogradi N, Madigan JE. Meningitis and meningoencephalomyelitis in horses: 28 cases (1985–2010). J Am Vet Med Assoc. 2012;240(5):580-587. https://doi.org/10.2460/javma.240.5.580
dc.relation4. Zetterström S, Groover E, Lascola K, Cole R, Velloso A, Boone L. Meningitis After Tooth Extraction and Sinus Lavage in a Horse. J Equine Vet Sci. 2021;97:103323. https://doi.org/10.1016/j.jevs.2020.103323
dc.relation5. Tyler CM, Davis RE, Begg AP, Hutchins DR, Hodgson DR. A survey of neurological diseases in horses. Aust Vet J. 1993;70(12):445-449. https://doi.org/10.1111/j.1751-0813.1993.tb00846.x
dc.relation6. Pellegrini-Masini A, Livesey LC. Meningitis and Encephalomyelitis in Horses. Vet Clin North Am Equine Pract. 2006;22(2):553-589. https://doi.org/10.1016/j.cveq.2006.03.003
dc.relation7. Bach FS, Bodo G, Kuemmerle JM, Bienert-Zeit A, Hainisch EK, Simhofer H. Bacterial meningitis after sinus surgery in five adult horses. Vet Surg. 2014;43(6):697-703. https://doi.org/10.1111/j.1532-950X.2014.12132.x
dc.relation8. Earley ET, Rawlinson JE, Baratt RM. Complications associated with cheek tooth extraction in the horse. J Vet Dent. 2013;30(4):220-235. https://doi.org/10.1177/089875641303000404
dc.relation9. Arndt S, Kilcoyne I, Heney CM, Wong TS, Magdesian KG. Bacterial meningitis after dental extraction in a 17-year-old horse. Can Vet J. 2021;62(4):403-407. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7953920/
dc.relation10. Alvarado Guevara AT, Castillo Solano LM. Meningitis bacteriana (revisión bibliográfica). Revista Medicina Legal de Costa Rica. 2006;23(1):129-142.
dc.relation11. Stokol T. Hematology Red Flags. Vet Clin North Am Equine Pract. 2020;36(1):15-33. https://doi.org/10.1016/j.cveq.2019.11.001
dc.relationDeNotta SL, Divers TJ. Clinical Pathology in the Adult Sick Horse. Vet Clin North Am Equine Pract. 2020;36(1):105-120. https://doi.org/10.1016/j.cveq.2019.11.004
dc.relationWalton RM. Equine Clinical Pathology. Ames: John Wiley & Sons; 2014. https://doi.org/10.1002/9781118718704
dc.relation14. Tucker R, Windley ZE, Abernethy AD, Witte TH, Fiske-Jackson AR, Turner S, et al. Radiographic, computed tomographic and surgical anatomy of the equine sphenopalatine sinus in normal and diseased horses. Equine Vet J. 2016;48(5):578-584. https://doi.org/10.1111/evj.12492
dc.relation15. Smith JJ, Provost PJ, Paradis MR. Bacterial meningitis and brain abscesses secondary to infectious disease processes involving the head in horses: seven cases (1980-2001). J Am Vet Med Assoc. 2004;224(5):739e42. https://doi.org/10.2460/javma.2004.224.739
dc.relation16. Steckel RR, Adams SB, Long GG, Rebar AH. Antemortem diagnosis and treatment of cryptococcal meningitis in a horse. J Am Vet Med Assoc. 1982;180(9):1085-1089.
dc.relation17. McCann JL, Dixon PM, Mayhew IG. Clinical anatomy of the equine sphenopalatine sinus. Equine Vet J. 2010;36(6):466-472. https://doi.org/10.2746/0425164044877404
dc.relation18. Pigott J. Equine Sinus Surgery. Vet Clin North Am Equine Pract. 2020;36(3): 613-639. https://doi.org/10.1016/j.cveq.2020.08.003
dc.relation19. O’Leary JM, Dixon PM. A review of equine paranasal sinusitis. Aetiopathogenesis, clinical signs and ancillary diagnostic techniques. Equine Vet Educ. 2011;23(3):148-159. https://doi.org/10.1111/j.2042-3292.2010.00176.x
dc.relationLobo Castro JE. Meningitis bacteriana y viral. Med leg Costa Rica. 2016;33(1):234-245.
dc.relation21. Pellegrini-Masini A, Livesey LC. Meningitis and Encephalomyelitis in Horses. Vet Clin North Am Equine Pract. 2006;22(2):553-589. https://doi.org/10.1016/j.cveq.2006.03.003
dc.relation22. Viu J, Monreal L, Jose-Cunilleras E, Cesarini C, Añor S, Armengou L. Clinical findings in 10 foals with bacterial meningoencephalitis. Equine Vet J. 2012;44(s41):100-104. https://doi.org/10.1111/j.2042-3306.2011.00508.x
dc.relation23. Furr M, Reed S (Eds.). Equine neurology. Ames: John Wiley & Sons; 2015. https://doi.org/10.1002/9781118993712
dc.relation24. Gennero DA. Niveles de lactato en líquido cefalorraquídeo y su relación con meningitis bacteriana en pediatría. Acta Bioquím Clín Latinoam. 2009;43(3):321-326.
dc.relation25. Mariani CL, Nye CJ, Tokarz DA, Green L, Lau J, Zidan N, et al. Cerebrospinal fluid lactate in dogs with inflammatory central nervous system disorders. J Vet Intern Med. 2019;33(6):2701-2708. https://doi.org/10.1111/jvim.15606
dc.relation26. Reed SM, Bayly WM, Sellon DC. Equine Internal Medicine. St. Louis: Elsevier; 2018.
dc.relation27. Jackson C, de Lahunta A, Divers T, Ainsworth D. The Diagnostic Utility of Cerebrospinal Fluid Creatine Kinase Activity in the Horse. J Vet Intern Med. 1996;10(4):246-251. https://doi.org/10.1111/j.1939-1676.1996.tb02057.x
dc.relation28. Pellegrini-Masini A, Bentz AI, Johns IC, Parsons CS, Beech J, Whitlock RH et al. Common variable immunodeficiency in three horses with presumptive bacterial meningitis. J Am Vet Med Assoc. 2005;227(1):114-122. https://doi.org/10.2460/javma.2005.227.114
dc.relation29. Dixon PM, Dacre I, Dacre K, Tremaine WH, McCann J et al. Standing oral extraction of cheek teeth in 100 horses (1998-2003). Equine Vet J. 2005;37(2):105-112. https://doi.org/10.2746/0425164054223822
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rightsAcceso abierto
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectmeningitis; encefalitis; tronco encefálico; diente molar; hueso esfenoides
dc.subjectmeningitis; encephalitis; brain stem; molar; sphenoid bone
dc.subjectAgriculture
dc.subjectAnimal Sciences
dc.subjectLife Sciences
dc.subjectVeterinary Medicine
dc.titleMeningoencefalitis bacteriana secundaria a sinusitis causada por fractura de un molar en un equino: Reporte de caso
dc.typeReporte de casos
dc.identifier.doihttps://doi.org/10.19052/mv.vol1.iss47.12
dc.type.coarhttp://purl.org/coar/resource_type/c_1843
dc.type.redcolhttp://purl.org/redcol/resource_type/ARTCASO
dc.type.contentText
dc.type.coarversionVersión publicada
dc.type.coarversionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
dc.identifier.instnameinstname:Universidad de La Salle
dc.identifier.reponamereponame:Ciencia Unisalle
dc.identifier.repo.urlrepourl:https://ciencia.lasalle.edu.co/
dc.relation.ispartofcitationissue47
dc.relation.ispartofjournalRevista de Medicina Veterinaria
dc.title.translatedBacterial meningoencephalitis secondary to sinusitis caused by a moral fracture in an equine: Case report


Este ítem pertenece a la siguiente institución