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was fundamental; if CT had required general anaesthesia, the number of examinations performed would have been lower due to the risk of general anaesthesia. If standing CT is unavailable, the authors suggest using serial ultrasonographic or radiographic studies to evaluate the effected anatomy with the understanding of the limitations of these modalities when compared with CT. In conclusion, this report describes an unusual case of
myonecrosis of the right side of the head and cervical region with concurrent sinusitis due to Prevotella intermedia and Peptostreptococcus asaccharolyticus
infection. CT
examinations aided in the diagnosis, surgical treatment and monitoring of the horse, and provided a large amount of visual evidence for the owner, aiding in client understanding. The authors suggest using antimicrobial coverage for Gram- negative as well as Gram-positive anaerobic organisms as part of the antimicrobial treatment plan for myonecrosis cases that may have originated from the oral cavity.
Authors’ declaration of interests No conflicts of interest have been declared.
Ethical animal research No animals were used for research.
Source of funding There were no sources of funding.
Acknowledgements
The authors wish to thank the staff and students responsible for the care of this case.
Authorship
S. Boorman wrote the article. J. Hamersky provided the imaging reports and figures. All authors contributed equally to the diagnosis and management of the case. All authors edited the article and gave final approval.
Manufacturers’ addresses
1Canon Medical Systems USA Inc., California, USA. 2Dr. Fritz GmbH, Tuttlingen, Germany. 3General Electric Company, Massachusetts, USA.
References
Bailey, G.D. and Love, N.D. (1991) Oral associated bacterial infection in horses: studies on the normal anaerobic flora from the pharyngeal tonsillar surface and its association with lower respiratory tract and paraoral infections. Vet. Microbiol. 26, 367- 379.
Borsanelli, A.C., Gaetti-Jardim, E. Jr, Schweitzer, C.M., Viora, L., Busin, V., Riggio, M.P. and Dutra, I.S. (2017) Black-pigmented anaerobic bacteria associated with ovine periodontitis. Vet. Microbiol. 203, 271-274.
Kennedy, R., Lappin, D.F., Dixon, P.M., Buijs, M.J., Zaura, E., Crielaard, W., O’Donnell, L., Bennett, D., Brandt, B.W. and Riggio, M.P. (2016) The microbiome associated with equine periodontitis and oral health. Vet. Res. 47, 49.
Peek, S.F., Semrad, S.D. and Perkins, G.A. (2003) Clostridial myonecrosis in horses (37 Cases 1985–2000). Equine Vet. J. 35, 86-92.
Steinman, A., Gips, M., Lavy, E., Sinay, I. and Soback, S. (2000) Pharmacokinetics of metronidazole in horses after intravenous, rectal and oral administration. J. Vet. Pharmacol. Ther. 23, 353-357.
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synchronisation, and rider position in sitting trot. Comp. Exerc. Phys.
https://doi.org/10.3920/CEP190071
Weller, D., Franklin, S., Shea, G., White, P., Fenner, K., Wilson, B., Wilkins, C. and McGreevy, P. (2020) The reported use of nosebands in racing and equestrian pursuits. Animals 10, 776.
Wilson, A., Agass, R., Vaux, S., Sherlock, E., Day, P., Pfau, T. and Weller, R. (2016) Foot placement of the equine forelimb: relationship between foot conformation, foot placement and movement symmetry. Equine Vet. J. 48,90–96.
Supporting information
Additional Supporting Information may be found in the online version of this article at the publisher’s website:
Supplementary item 1: Photographs of cavesson, crank cavesson, flash, crank flash, drop, grackle and Micklem nosebands.
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