A Case Report of Oronasal Fistula & Osteomyelitis in Dental Alveolar Cavities in Maxilla Bone in a Dog
The Clinical Science Department, Faculty of Veterinary Medicine, Shahid Bahonar University of Kerman
An eight-year-old female Dachshund that was in a state of shock was examined in a private sector. The rectal temperature was 40.6 °C.
Materials & Methods
A vein catheter was fixed for fluid therapy and emergency treatments, and a CBC test was performed immediately. The results showed a severe leukocytosis (2.03×1010/L) and neutrophilia (1.72×1010 /L). Thus, it was recognized that it was a septic shock. Subsequently ampicillin 17mg/Kg, IV and gentamicine 4mg/Kg, IV were administered. The dog was stabled after 12 hours and was completely recovered within 24 hours.
Further examinations to determine the cause of the septic shock and with regard to infectious bloody secretion of nostrils revealed that vary severe contamination of teeth with dental calculi, bad smell from nasal and oral cavities. Teeth No: 2,4,5 and 8 of right maxilla were severely loosened that they were removed easily and two oronasal fistula were observed between oral and nasal cavities.
For further examination, the patient's skull and thorax were X-rayed, it did not show any malignancies and only the effects concerning to osteomyelitis around the existing fistula and alveolar cavities were observed .
Due to the extent of these fistulas and not having surgical facilities at hand to restore them the dog received life time amoxicillin 20 mg/Kg PO, BID, to control the infection. The dog over lived for 3.5 years and was finally euthanatized because of uterine neoplasia.