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Hematogenous septic arthritis in dogs- is surgery mandatory?
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...

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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