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Bacterial Meningitis After Sinus Surgery in Five Adult Horses
Author(s) -
Bach Fabienne S.,
Bodo Gabor,
Kuemmerle Jan M.,
BienertZeit Astrid,
Hainisch Edmund K.,
Simhofer Hubert
Publication year - 2014
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2014.12132.x
Subject(s) - medicine , complication , sinus (botany) , surgery , meningitis , meningoencephalitis , sinusitis , cyst , pathology , botany , biology , genus
Objective To report meningoencephalitis as a complication after paranasal sinus surgery in 5 horses. Study Design Case series. Animals Adult horses (n = 5). Methods Medical records (2005–2010) of 5 horses that developed neurologic signs after sinus surgery were reviewed to identify potential risk factors, cause(s), or common pathways for infection. Results Underlying diseases were primary (n = 1) and secondary sinusitis (4) because of apical dental infection (1), sinus cyst (2), or masses in the ethmoturbinate region (2). Horses were treated by conventional surgical approaches and aftercare including repeated sinus lavage. Four horses had undulating pyrexia postoperatively despite antimicrobial therapy. All horses developed neurologic signs, eventually unresponsive to treatment. Suppurative meningoencephalitis was diagnosed macro‐ and/or microscopically on necropsy in all horses. Conclusion Meningitis is a rare but fatal complication after sinus surgery in horses.