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Management of leishmanial osteolytic lesions in a hypothyroid dog by partial tarsal arthrodesis
Author(s) -
Franch J.,
Lafuente P.,
DiazBertrana M. C.,
Munilla A.,
Durall I.,
Pastor J.,
Torrent E.
Publication year - 2004
Publication title -
veterinary record
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 99
eISSN - 2042-7670
pISSN - 0042-4900
DOI - 10.1136/vr.155.18.559
Subject(s) - medicine , tarsal joint , tarsal bone , periosteal reaction , calcaneus , arthrodesis , leishmaniasis , meglumine antimoniate , radiography , surgery , biopsy , pathology , ankle , cutaneous leishmaniasis , alternative medicine
A five‐year‐old male boxer, previously diagnosed with leishmaniasis and hypothyroidism, had gradually become unable to bear weight on its left hindlimb. Physical examination revealed a left popliteal lymphadenopathy, mild crepitus, and severe swelling of the left tarsal joint, a radiographic examination of which revealed severe bone destruction of the talus and a periosteal reaction of the calcaneus. Laboratory findings and serological tests suggested an active leishmanial infection, and a Leishmania species was identified by direct cytology of a sample from the osteolytic area and by indirect immunohistochemistry of a bone biopsy. The dog's condition improved when it was treated with meglumine antimonate and allopurinol. Because of the large osteolytic area and the increased use of the affected leg, a partial tarsal arthrodesis was performed to prevent a fracture. Five months after the surgery, the osteolytic area had healed completely and the calcaneus periosteal reaction had disappeared.