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Eiras-Diaz A, FrykforsvonHekkel A, Hanot E, Stanzani G, Florey J, Miller R, Llabres-Diaz F. CT findings, management and short-term outcome of dogs with pyothorax: 101 cases (2010 to 2019). J Small Anim Pract 2021; 62:959-966. [PMID: 34254321 DOI: 10.1111/jsap.13374] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 02/09/2021] [Accepted: 04/29/2021] [Indexed: 11/30/2022]
Abstract
OBJECTIVES To describe diagnosis, CT findings, management and short-term outcome of a large population of canine pyothorax cases. METHODS Retrospective analysis of 101 canine pyothorax cases at two UK referral centres. Medical records and CT images were reviewed. Dogs were included if pre- and post-contrast CT was performed within 48 hours of presentation. RESULTS CT abnormalities included pleural thickening (84.1%), pannus (67.3%), pneumothorax (61.4%), mediastinal effusion (28.7%), pulmonary (13.8%) and mediastinal (7.9%) abscessation, foreign body presence (7.9%), foreign body tracts (6.9%) and pneumonia (6.9%). Seventy-one percent of dogs were managed surgically, of which 90.2% survived, and 29% were managed medically, of which 72.4% survived. Overall mortality was 14.8% and 86.6% of these dogs died within 48 hours of admission. All dogs with evidence of a foreign body on CT underwent surgery. CLINICAL SIGNIFICANCE Mortality in our population was low and most dogs that died did so within 48 hours of hospitalisation, regardless of management type.
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Affiliation(s)
- A Eiras-Diaz
- Dick White Referrals, Newmarket, Station Farm, London Road, Cambridgeshire, CB8 0UH, UK.,Southfields Veterinary Specialists, 1 Bramston Way, Basildon, SS15 6TP, UK
| | - A FrykforsvonHekkel
- Queen Mother Hospital for Animals, Royal Veterinary College, University of London, North Mymms, AL9 7TA, UK
| | - E Hanot
- Dick White Referrals, Newmarket, Station Farm, London Road, Cambridgeshire, CB8 0UH, UK
| | - G Stanzani
- Dick White Referrals, Newmarket, Station Farm, London Road, Cambridgeshire, CB8 0UH, UK.,Bloomsbury Institute for Intensive Care Medicine, University College London, Gower Street, London, WC1E 6BT, UK
| | - J Florey
- Dick White Referrals, Newmarket, Station Farm, London Road, Cambridgeshire, CB8 0UH, UK
| | - R Miller
- Dick White Referrals, Newmarket, Station Farm, London Road, Cambridgeshire, CB8 0UH, UK
| | - F Llabres-Diaz
- Queen Mother Hospital for Animals, Royal Veterinary College, University of London, North Mymms, AL9 7TA, UK
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