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Orvosi Hetilap
Authors: Eszter Danka, Gábor Tamás Pintér, Márton Keresztúri, and György Szabó

References 1 Padwa BL, Dentino K, Robson CD, et al. Pediatric chronic nonbacterial osteomyelitis of the jaw: clinical, radiographic, and histopathologic features. J

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Calhoun, J.H., Manring, M.M., Shirtliff, M.: Osteomyelitis of the long bones. Semin Plast Surg 23 , 59–72 (2009). Shirtliff M. Osteomyelitis

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Acta Veterinaria Hungarica
Authors: Péter Csébi, Csaba Jakab, Katalin Jánosi, Boglárka Sellyei, Tamás Ipolyi, Zoltán Szabó, Attila Arany-Tóth, and Tibor Németh

. 1988 29 63 68 Bradney, I. W. (1985): Vertebral osteomyelitis due to Nocardia in a dog. Aust. Vet. J. 62 , 315

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Acta Veterinaria Hungarica
Authors: László Makrai, Csaba Nemes, Anna Simon, Éva Ivanics, Zoltán Dudás, László Fodor, and Róbert Glávits

De Herdt, P., Defoort, P., Van Steelant, J., Swam, H., Tanghe, L., Van Goethem, S. and Vanrobaeys, M. (2009): Enterococcus cecorum osteomyelitis and arthritis in broiler chickens. Vlaams Diergeneesk. Tijdschr. 78 , 44

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of immunity. J Clin Immunol. 2018; 38: 96–128. 4 Hugosson C, Harfi H. Disseminated BCG-osteomyelitis in congenital immunodeficiency. Pediatr Radiol. 1991; 21: 384

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Orvosi Hetilap
Authors: Viktor Zoltán Szabó, György Lázár, Béla Borda, Csaba Lengyel, Tamás Várkonyi, Zoltán Hódi, and Bernadett Borda

Absztrakt:

A szerzők esettanulmányukban egy nem gyógyuló talpi seb kórtörténetét foglalják össze. A 63 éves férfi beteg papucs levételét követően forró betonra lépett, és a bal talpán II. fokú égési sérüléseket szenvedett. Klinikánkra történő felvételekor már lokális kezelésben részesült, de a kezelés hatására a seb gyógyhajlamot nem mutatott. A lábról kétirányú röntgenfelvétel készült, mely osteomyelitist nem igazolt. Ekkor lágyrész-drenázs történt, a sebből a tenyésztés során methicillinrezisztens Staphylococcus aureus tenyészett. A láb vízben való áztatását követően lábháti phlegmone és septicus lázmenet alakult ki. Ismételt röntgenvizsgálat után az osteomyelitis igazolódott. A bal láb I. ujjának enucleatióját és metatarsusreszekciót végeztünk. Naponkénti kötéscseréket végeztünk, sebtoilettel. Inzulinját diabetológus segítségével módosítottuk. A műtétet követő 7. hónapban a seb teljes gyógyulását értük el, a beteg szénhidrát-anyagcseréje rendeződött. Esetünk bizonyítja, hogy kiemelten fontos felhívni a beteg figyelmét a lehetséges szövődményekre (diabeteses láb és annak megfelelő ápolása). A lábszárfekély kezelése multidiszciplináris összefogást igényel. A kezelés a diabetológus és a sebész együttes munkáját jelenti, szükséges a szénhidrát-anyagcsere egyensúlyban tartása, valamint a seb rendszeres ellátása. Orv Hetil. 2018; 159(42): 1727–1730.

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Abstract  

The Ca, Cl, Mg, Na, and P content and Ca/P, Ca/Mg, Ca/Na, Cl/Ca, and Cl/Na ratios in samples of intact cortical bone, inflamed bone and osteogenic sarcoma tissue were investigated by neutron activation analysis with high resolution spectrometry of short-lived radionuclides. In osteogenic sarcoma tissue the mass fractions of Cl and Na are higher and the mass fraction of Ca is lower than that of both normal and inflamed bone tissues. It was shown that the differences between the Cl/Ca ratio can be used as an additional test for differential diagnosis between normal or inflamed bone and osteogenic sarcoma.

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Anatipestifer disease is a contagious disease caused by Riemerella anatipestifer, affecting primarily ducks, geese and turkeys, and characterised by listlessness, diarrhoea, sneezing, nasal discharge, and nervous signs. Sporadically, it occurs in a wide range of other domesticated and wild birds as well. The incidence and characteristics of the disease seen in the three main host species are summarised based on birds submitted for routine laboratory investigation in Hungary over the period 2010–2014. The infection was diagnosed in a higher percentage in geese (9.9%) and ducks (7.5%). It occurred in 5-day-old to 17-week-old geese and 3- to 6.5-week-old ducks, respectively. The pathological lesions were comparable in these two species: enlarged spleen, serofibrinous pericarditis, perihepatitis, airsacculitis, catarrhal enteritis, subcutaneous oedema and hyperaemia over the cranium, mucopurulent exudate in the nasal cavity and occasionally pneumonia, conjunctivitis, purulent arthritis and caseous salpingitis. In some cases, R. anatipestifer produced only secondary lesions, which complicated other diseases such as circovirus infection, mycotoxicosis, mycoplasmosis, or Derzsy’s disease. In turkeys, the disease occurred rarely (0.5%) and at an older age (12 to 19 weeks). The lesions most frequently seen were purulent osteomyelitis of the cranium and seropurulent meningitis. Purulent osteomyelitis in the cranium caused by R. anatipestifer infection had not been reported in turkeys previously. To various extents, other local lesions such as serofibrinous pericarditis, airsacculitis, arthritis, and in one case septicaemia were also observed. The high incidence of the disease in waterfowl underlines the importance of appropriate treatment and prevention that should be based on accurate diagnosis and antimicrobial susceptibility testing, proper biosecurity and vaccination with regard to the serotype(s) present on the farm.

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In this study one spleen-intact dog (A) and two splenectomised dogs (BSE, CSE) were infected with Babesia canis. All animals developed an acute disease characterised by fever, haemoglobinuria and anaemia, the latter being more severe in the splenectomised dogs. Fever and parasitised red blood cells were detected for three days after imidocarb treatment in the splenectomised animals. Haematological abnormalities included regenerative anaemia, thrombocytopenia and leukopenia (due to neutropenia and lymphopenia) in the acute phase, soon followed by leukocytosis, neutrophilia and left shift a few days later. Acute hepatopathy was detected in all dogs with elevated ALT activity, which was more seriously altered in the splenectomised dogs. Diffuse changes in liver structure and hepatomegaly were seen by ultrasonography. Liver biopsy and histology revealed acute, non-purulent hepatitis in the splenectomised dogs. Both splenectomised dogs were successfully cured after collection of 400 ml highly parasitised blood, proving that large-amount antigen production is possible with rescuing the experimental animals. Whole blood transfusion, imidocarb and supportive care with infusions, antipyretics, glucocorticoids and diuretics were applied. The spleen-intact dog clinically recovered after receiving supportive treatment, with no imidocarb therapy. Microbial infections developed in both splenectomised animals (BSE: haemobartonellosis, CSE: osteomyelitis caused by Escherichia coli), probably as a consequence of immunosuppression after splenectomy and glucocorticoid therapy.

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Orvosi Hetilap
Authors: Örs Nagy, Sándor-György Zuh, Attila Kovács, Árpád Sólyom, Réka Sólyom, and István Gergely

Kloiber, R., Udjus, K., McIntyre, W., et al.: The scintigraphic and radiographic appearance of the ischiopubic synchondroses in normal children and in osteomyelitis. Pediatr. Radiol., 1988, 18 (1), 57

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