Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a Dog

Summary. A 9-year-old 35.6 kg (90 lb) female neutered German Shepherd dog was admitted due to progression of tetraparesis. The dog presented pyrexia, mild leukocytosis, and nonambulatory tetraparesis with decreased general proprioception and withdrawal in all the limbs, with the front limbs more sev...

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Main Authors: Yael Merbl, Kelly M. Ramsay, Ashley Hanna, Annie V. Chen, Laura Anne White, Claire R. Burbick
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Veterinary Medicine
Online Access:http://dx.doi.org/10.1155/2022/9173442
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author Yael Merbl
Kelly M. Ramsay
Ashley Hanna
Annie V. Chen
Laura Anne White
Claire R. Burbick
author_facet Yael Merbl
Kelly M. Ramsay
Ashley Hanna
Annie V. Chen
Laura Anne White
Claire R. Burbick
author_sort Yael Merbl
collection DOAJ
description Summary. A 9-year-old 35.6 kg (90 lb) female neutered German Shepherd dog was admitted due to progression of tetraparesis. The dog presented pyrexia, mild leukocytosis, and nonambulatory tetraparesis with decreased general proprioception and withdrawal in all the limbs, with the front limbs more severely affected. Magnetic resonance imaging revealed T2-weighted image (WI) hyperintense, contrast-enhancing lesion at the level of the C6-C8 spinal nerves, and epidural fat, suspected to be an infiltrative neoplasm. Medical treatments during hospitalization included glucocorticoids, antibiotics, and supportive care. Euthanasia was elected 4 days later due to financial constraints, despite clinical improvement. Postmortem findings revealed septic emboli (SE) in the epidural fat exiting the canal and following the tract of the spinal nerve roots and nerves. Staphylococcus pseudintermedius was identified as the causative agent. Although the incidence of SE without severe systemic disease is considered low in dogs, it should be considered in the differential diagnosis of focal intraspinal disease.
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publishDate 2022-01-01
publisher Wiley
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series Case Reports in Veterinary Medicine
spelling doaj-art-33891a5a18e6476aa2fb1d1f23ec6a6d2025-02-03T00:59:36ZengWileyCase Reports in Veterinary Medicine2090-701X2022-01-01202210.1155/2022/9173442Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a DogYael Merbl0Kelly M. Ramsay1Ashley Hanna2Annie V. Chen3Laura Anne White4Claire R. Burbick5Department of Clinical SciencesVDx Veterinary Diagnostics and Preclinical Research ServicesDepartment of Veterinary Clinical SciencesDepartment of Veterinary Clinical SciencesWashington Animal Disease Diagnostic LaboratoryDepartment of Veterinary Clinical SciencesSummary. A 9-year-old 35.6 kg (90 lb) female neutered German Shepherd dog was admitted due to progression of tetraparesis. The dog presented pyrexia, mild leukocytosis, and nonambulatory tetraparesis with decreased general proprioception and withdrawal in all the limbs, with the front limbs more severely affected. Magnetic resonance imaging revealed T2-weighted image (WI) hyperintense, contrast-enhancing lesion at the level of the C6-C8 spinal nerves, and epidural fat, suspected to be an infiltrative neoplasm. Medical treatments during hospitalization included glucocorticoids, antibiotics, and supportive care. Euthanasia was elected 4 days later due to financial constraints, despite clinical improvement. Postmortem findings revealed septic emboli (SE) in the epidural fat exiting the canal and following the tract of the spinal nerve roots and nerves. Staphylococcus pseudintermedius was identified as the causative agent. Although the incidence of SE without severe systemic disease is considered low in dogs, it should be considered in the differential diagnosis of focal intraspinal disease.http://dx.doi.org/10.1155/2022/9173442
spellingShingle Yael Merbl
Kelly M. Ramsay
Ashley Hanna
Annie V. Chen
Laura Anne White
Claire R. Burbick
Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a Dog
Case Reports in Veterinary Medicine
title Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a Dog
title_full Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a Dog
title_fullStr Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a Dog
title_full_unstemmed Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a Dog
title_short Epidural Fat and Perineural Adipose Tissue Septic Emboli Mimicking Peripheral Nerve Sheath Tumor in a Dog
title_sort epidural fat and perineural adipose tissue septic emboli mimicking peripheral nerve sheath tumor in a dog
url http://dx.doi.org/10.1155/2022/9173442
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