Josep Brocal(1*), Fernando Ribas del Río(2) and Alejandro Luján Feliu-Pascual(3)
1- WEAR REFERRALS Veterinary Hospital, Bradbury, Stockton-on-Tees, TS21 2ES, UK
2- CV San Jorge, Ctra. del aeropuerto km 3,7. Edif. Luisa Oliver Sant Jordi, Eivissa, 07817, Spain
3- Aúna Especialidades Veterinarias, Carrer de L'Algepser, 22-1, Paterna, 46980 Valencia, 46980, Spain
Background: Discospondylitis is an infection of the intervertebral disc and adjacent vertebral endplates. The infectious agent is most commonly a bacterial organism and fungal causes are uncommon.
Case Description: A 1,5-year-old female entire pug was referred with a 6-week history of right head tilt and progressive non-ambulatory paraparesis. On neurological examination, right facial paralysis and mid and caudal lumbar pain were also detected. Magnetic resonance imaging and computed tomography of the head and spine were performed three weeks apart. Findings were consistent with osteolysis of the petrous temporal bone and L2-L3 and L5-L6 vertebral subluxation caused by discospondylitis and osteomyelitis. Disseminated aspergillosis was diagnosed following biopsy and stabilization using an external skeletal spinal fixator. Voriconazol was administered as a medical treatment after surgery. The dog died three months later without failure of the construct.
Conclusion: To the authors’ knowledge, this is the first report using an external fixator for fungal lumbar discospondylitis. The use of an ESSF should be considered when choosing the surgical technique.
Keywords: Aspergillus, Cytology, Discospondylitis, Dog, External fixation.
Cite this paper:
Brocal, J., del Río, F.R. and Feliu-Pascual, A.L. 2019. Diagnosis
and management of lumbar Aspergillus spp. discospondylitis using intraoperative
cytology and external stabilization in a dog with disseminated infection. Open Vet. J. 9(3), 185-189.