{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,24]],"date-time":"2024-09-24T04:19:57Z","timestamp":1727151597790},"reference-count":40,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tierarztl Prax Ausg G Grosstiere Nutztiere"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Eine 5,5\u2005Jahre alte Alpakastute wurde aufgrund einer Lahmheit hinten rechts an die Universit\u00e4tsklinik f\u00fcr Wiederk\u00e4uer \u00fcberwiesen. Vorberichtlich war bereits vor ca. 6\u2005Monaten eine systemische antibiotische Therapie \u00fcber mehrere Tage durchgef\u00fchrt worden, worauf sich das Gangbild verbesserte und die Lahmheit kaum noch zu beobachten war. Zum damaligen Zeitpunkt gab es seitens der Tierhalter keinen Hinweis auf eine traumatische Ursache f\u00fcr diese Lahmheit. Bei der klinischen Aufnahmeuntersuchung zeigte sich kaudal des rechten Tuber coxae eine ca. 2\u2005\u00d7\u20052\u2005cm gro\u00dfe, fluktuierende, nicht vermehrt warme, nicht schmerzhafte Umfangsvermehrung, welche zum darunterliegenden Gewebe hin verschieblich war. Zudem wurde eine mittelgradige, gemischte Lahmheit mit \u00fcberwiegendem Anteil der Hangbeinkomponente am rechten Hinterbein diagnostiziert. Als weiterf\u00fchrende diagnostische Ma\u00dfnahme wurde eine sonographische Untersuchung der rechten Gluteal- und H\u00fcftgelenksregion durchgef\u00fchrt, wobei hochgradige Knochenkonturver\u00e4nderungen im Bereich des rechten H\u00fcftgelenkes festgestellt wurden. Zur weiteren Abkl\u00e4rung wurde eine r\u00f6ntgenologische Untersuchung des Beckens vorgenommen. Unter Miteinbeziehung der klinisch festgestellten Fistel\u00f6ffnung an der rechten Glutealregion und den Befunden der radiologischen Untersuchung wurde die Diagnose einer bereits seit l\u00e4ngerem bestehenden infizierten Fraktur des rechten Darmbeines mit hochgradiger unregelm\u00e4\u00dfig verkalkter Kallusbildung und gering- bis mittelgradiger Osteomyelitis gestellt. Aufgrund der sonografischen und r\u00f6ntgenologischen Befunde wurde eine schlechte Prognose gestellt und der Patient euthanasiert. Zur weiteren Dokumentation und um das Ausma\u00df der pathologischen Ver\u00e4nderungen besser darstellen zu k\u00f6nnen, wurde zus\u00e4tzlich eine computertomografische Untersuchung vom Becken und der Lendenwirbels\u00e4ule im Bereich L3\u2013L6 durchgef\u00fchrt. Zur finalen Abkl\u00e4rung wurde eine pathohistologische Untersuchung der festgestellten Knochenver\u00e4nderungen sowie eine bakteriologische Untersuchung des Abszessinhaltes vorgenommen.<\/jats:p><jats:p>Anhand des hier vorgestellten Falles wird ersichtlich, wie wichtig eine gr\u00fcndliche klinische und orthop\u00e4dische Untersuchung und vor allem zus\u00e4tzlich weiterf\u00fchrende Untersuchungen sind, da vor allem Neuweltkamele oftmals nur geringe klinische Symptome zeigen, obwohl Ver\u00e4nderungen bereits massiv ausgepr\u00e4gt sein k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-1805-9739","type":"journal-article","created":{"date-parts":[[2022,5,6]],"date-time":"2022-05-06T22:34:47Z","timestamp":1651876487000},"page":"133-139","source":"Crossref","is-referenced-by-count":0,"title":["Hochgradige chronische Osteomyelitis des Darmbeines bei einem Alpaka"],"prefix":"10.1055","volume":"50","author":[{"given":"Julia","family":"Schoiswohl","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Wiederk\u00e4uer, Department f\u00fcr Nutztiere und \u00f6ffentliches Gesundheitswesen in der Veterin\u00e4rmedizin, Veterin\u00e4rmedizinische Universit\u00e4t Wien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cassandra","family":"Eibl","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Wiederk\u00e4uer, Department f\u00fcr Nutztiere und \u00f6ffentliches Gesundheitswesen in der Veterin\u00e4rmedizin, Veterin\u00e4rmedizinische Universit\u00e4t Wien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johann","family":"Kofler","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Wiederk\u00e4uer, Department f\u00fcr Nutztiere und \u00f6ffentliches Gesundheitswesen in der Veterin\u00e4rmedizin, Veterin\u00e4rmedizinische Universit\u00e4t Wien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rene","family":"Brunthaler","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Pathologie, Department Pathobiologie, Veterin\u00e4rmedizinische Universit\u00e4t Wien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Gumpenberger","sequence":"additional","affiliation":[{"name":"Bildgebende Diagnostik, Department f\u00fcr Kleintiere und Pferde, Veterin\u00e4rmedizinische Universit\u00e4t Wien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katrin","family":"Schieder","sequence":"additional","affiliation":[{"name":"Bildgebende Diagnostik, Department f\u00fcr Kleintiere und Pferde, Veterin\u00e4rmedizinische Universit\u00e4t Wien"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonja","family":"Franz","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinik f\u00fcr Wiederk\u00e4uer, Department f\u00fcr Nutztiere und \u00f6ffentliches Gesundheitswesen in der Veterin\u00e4rmedizin, Veterin\u00e4rmedizinische Universit\u00e4t Wien"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,6]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.tvjl.2019.06.003","article-title":"Bacterial osteomyelitis in veterinary orthopaedics: Pathophysiology, clinical presentation and advances in treatment across multiple species","volume":"250","author":"F Gieling","year":"2019","journal-title":"Vet J"},{"key":"ref2","first-page":"966","volume-title":"Knochen und Gelenke","author":"S E Weisbrode","year":"2009"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/S0749-0739(17)30284-5","article-title":"Instrumentation and techniques for treating orthopedic infections in horses","volume":"12","author":"G M Baxter","year":"1996","journal-title":"Vet Clin North Am Equine Pract"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1016\/S0195-5616(99)50113-7","article-title":"S. 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