Tetanus in a canine: clinical and therapeutic aspects

Q4 Veterinary
Gabriela Garcia da Silva, C. Garcia, Rúbia Schallenberger da Silva, Bruno Webber Klaser, S. Arenhart, Á. Menin, Andressa Antunes de Lima, V. S. Padilha
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Abstract

Abstract Tetanus is a serious and rare disease in small animals, of an acute nature and mediated by the action of the neurotoxin tetanospasmin, from the bacillus Clostridium tetani. This report describes a case of tetanus in a canine, with emphasis on its clinical and therapeutic aspects, in addition to its clinical recovery. A canine, female, Pitbull breed, five months old, in status epilepticus, was attended at the Veterinary Hospital of the University of Passo Fundo. After stabilizing the patient, the animal was found in a trestle position, with generalized spastic paralysis, risus sardonicus, trismus, erect tail and ears, and difficulty in expanding the thorax. The presumptive diagnosis of tetanus was established based on the anamnesis, clinical signs, and laboratory findings. The established supportive treatment included hydro electrolytic replacement, antitetanus serum, antibiotic therapy, analgesia, myorelaxant and anticonvulsant drugs. The patient's intensive management was carried out with urethral and gastroesophageal probing, changes of position every two hours, and reduction of environmental stimuli. Physiotherapy and acupuncture were also used to complement the treatment and accelerate recovery. The patient was discharged one month after the beginning of the treatment, presenting satisfactory evolution. In the present case, the clinical examination in association with the characteristic clinical signs of the disease, added to the detailed anamnesis, was essential for the presumptive diagnosis of tetanus. In addition, intensive management, drug treatment, physiotherapy, and acupuncture enabled the evolution of the clinical condition to cure.
犬破伤风:临床和治疗方面
摘要破伤风是小动物中一种严重而罕见的急性疾病,由来自破伤风梭菌的神经毒素破伤风痉挛蛋白介导。本报告描述了一个犬破伤风病例,除临床恢复外,还着重介绍了其临床和治疗方面。一只犬,雌性,斗牛犬品种,5个月大,癫痫持续状态,在帕索丰多大学兽医医院就诊。稳定患者后,发现动物呈支架位,全身性痉挛性麻痹,舌状虹膜,牙关紧闭,尾巴和耳朵直立,胸腔扩张困难。破伤风的推定诊断是基于记忆,临床症状和实验室结果。已建立的支持治疗包括水电替代、抗破伤风血清、抗生素治疗、镇痛、肌松药和抗惊厥药物。对患者进行强化管理,包括尿道和胃食管探查,每2小时换体位,减少环境刺激。物理治疗和针灸也被用来补充治疗和加速恢复。患者在开始治疗一个月后出院,病情进展满意。在本病例中,结合该病的特征性临床症状的临床检查,加上详细的记忆,对于破伤风的推定诊断至关重要。此外,强化管理、药物治疗、物理治疗和针灸使临床病情的发展得以治愈。
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来源期刊
Ciencia Animal Brasileira
Ciencia Animal Brasileira Veterinary-Veterinary (all)
CiteScore
0.50
自引率
0.00%
发文量
44
审稿时长
28 weeks
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