Successful treatment of a multidrug resistant Pseudomonas aeruginosa infection following a digit amputation in a Belgian Blue calf

Digit amputation is a commonly performed surgery in cattle practice. The most frequent reason for digit amputation is septic pedal arthritis, but other indications include severe trauma, pedal osteitis, non-healing sole, wall or toe ulcers, osteomyelitis of P2, septic tenosynovitis of the distal dig...

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Bibliographic Details
Published inVeterinary record case reports Vol. 4; no. 1
Main Authors Tomlinson, Martin Stuart, Crilly, James Patrick, Corbishley, Alexander, Hopker, Andy
Format Journal Article
LanguageEnglish
Published London British Veterinary Association 01.06.2016
Blackwell Publishing Ltd
Subjects
Antimicrobials
Cattle
Diagnostics
Orthopaedics
Pseudomonas
Resistance
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Summary:Digit amputation is a commonly performed surgery in cattle practice. The most frequent reason for digit amputation is septic pedal arthritis, but other indications include severe trauma, pedal osteitis, non-healing sole, wall or toe ulcers, osteomyelitis of P2, septic tenosynovitis of the distal digital flexor tendons and other infectious processes of the deep digital structures. The procedure is considered a salvage procedure, but good rates of success are reported. The size of the patient is one of the key determinants of prognosis, with reported success rates varying between bulls, cows and calves. Reported complications include haemorrhage, avascular necrosis of the phalangeal fragments, wound infection and fracture of the partner claw. In this case report the authors describe digit amputation under regional and general anaesthesia for the treatment of proximal interphalangeal septic arthritis and the subsequent wound management in the face of a multidrug resistant Pseudomonas aeruginosa infection.
ISSN:2052-6121
2052-6121
DOI:10.1136/vetreccr-2016-000324