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

Abstract

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.

• Authors: Kosuke Kinoshita, Hidetaka Nishida, Ryoji Kanegi, Yuya Nakamoto, Toshiyuki Tanaka, Tamiko Fumimoto, Mitsuru Kuwamura, Yasuo Ogawa, Hideo Akiyoshi
• Journal: The Journal of veterinary medical science (J Vet Med Sci) Vol. 84 Issue 10 Pg. 1368-1372 (Sep 21 2022) ISSN: 1347-7439 [Electronic] Japan
• PMID: 35989304 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anti-Bacterial Agents

Topics

• Animals
• Anti-Bacterial Agents (therapeutic use)
• Cat Diseases (diagnostic imaging, surgery)
• Cats
• Empyema (surgery, veterinary)
• Epidural Abscess (surgery, veterinary)
• Female
• Laminectomy (methods, veterinary)
• Magnetic Resonance Imaging (veterinary)
• Spinal Canal (surgery)