Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy

Abstract A 5‐month‐old female entire Dachshund presented with an acute onset of left hind limb lameness following intense play. There were concurrent intermittent neurological deficits in the left hind limb, and pain in the lumbosacral region and on dorsal flexion of the tail. Computed tomography (C...

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Main Authors: Derniese Goh, Arthur House
Format: Article
Language:English
Published: Wiley 2021-09-01
Series:Veterinary Medicine and Science
Subjects:
Online Access:https://doi.org/10.1002/vms3.519
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author Derniese Goh
Arthur House
author_facet Derniese Goh
Arthur House
author_sort Derniese Goh
collection DOAJ
description Abstract A 5‐month‐old female entire Dachshund presented with an acute onset of left hind limb lameness following intense play. There were concurrent intermittent neurological deficits in the left hind limb, and pain in the lumbosacral region and on dorsal flexion of the tail. Computed tomography (CT) imaging revealed an asymmetric widening of the left sacroiliac joint with loss of cortical margins, accompanied by mild osteolytic changes of the adjacent ilium and sacrum highly suggestive of septic sacroiliitis. There was also perilesional steatitis in the region of the sciatic nerve. An 8‐week course of antimicrobial therapy was prescribed. Complete resolution of all clinical signs was noted at a 7‐month follow up. Sacroiliitis should be considered as a differential for unilateral hind limb lameness with or without intermittent sciatic neuropathy in a puppy in the absence of other orthopaedic conditions.
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spelling doaj.art-80116ffc8bcc4067a7f80ed173ffe68b2022-12-21T18:32:08ZengWileyVeterinary Medicine and Science2053-10952021-09-01751530153510.1002/vms3.519Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathyDerniese Goh0Arthur House1Peninsula Emergency and Referral Hospital Mornington Vic. AustraliaPeninsula Emergency and Referral Hospital Mornington Vic. AustraliaAbstract A 5‐month‐old female entire Dachshund presented with an acute onset of left hind limb lameness following intense play. There were concurrent intermittent neurological deficits in the left hind limb, and pain in the lumbosacral region and on dorsal flexion of the tail. Computed tomography (CT) imaging revealed an asymmetric widening of the left sacroiliac joint with loss of cortical margins, accompanied by mild osteolytic changes of the adjacent ilium and sacrum highly suggestive of septic sacroiliitis. There was also perilesional steatitis in the region of the sciatic nerve. An 8‐week course of antimicrobial therapy was prescribed. Complete resolution of all clinical signs was noted at a 7‐month follow up. Sacroiliitis should be considered as a differential for unilateral hind limb lameness with or without intermittent sciatic neuropathy in a puppy in the absence of other orthopaedic conditions.https://doi.org/10.1002/vms3.519infectious arthritisjoint diseasesacroiliac jointsacroiliitisseptic arthritis
spellingShingle Derniese Goh
Arthur House
Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy
Veterinary Medicine and Science
infectious arthritis
joint disease
sacroiliac joint
sacroiliitis
septic arthritis
title Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy
title_full Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy
title_fullStr Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy
title_full_unstemmed Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy
title_short Presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy
title_sort presumed septic sacroiliitis in a puppy with unilateral hind limb lameness and sciatic nerve neuropathy
topic infectious arthritis
joint disease
sacroiliac joint
sacroiliitis
septic arthritis
url https://doi.org/10.1002/vms3.519
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