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− | [[Osteitis]]
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− | ===Osteomyelitis===
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− | [[Image:Cattle localised osteomyelitis with sequestrum.jpg|right|thumb|100px|<small><center>Localised osteomyelitis plus sequestrum (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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− | *Mainly due to haematogenous spread in young animals
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− | *Often as an extension from [[Joints Inflammatory - Pathology#Arthritis|suppurative arthritis]]
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− | *Usually isolated: ''[[Actinomyces pyogenes]]'', [[Salmonella|''Salmonella'']], [[Escherichia coli|''E.coli'']], [[Klebsiella|''Klebsiella'']], [[:Category:Streptococcus species|''Streptococci'']]
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− | *Metaphyses and epiphyses mostly affected
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− | *Most infections are exacerbated by host response
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− | *Pathogenesis:
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− | **Prostaglandin and cytokines stimulate [[Bones - Anatomy & Physiology|osteoclastic]] bone resorption
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− | **Blood vessel occlusion and tissue necrosis -> lack of removal of agent and cartilage -> cartilage thickening + persistance of infection
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− | *Affected area may be surrounded by fibrous inflammatory tissue
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− | *Metaphyseal abscesses may develop
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− | *Sequestra may also develop -> surrounded by [[Granulation Tissue|granulation tissue]]
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− | **Isolated from osteoclastic resorption
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− | **May persist for long time
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− | **Obstruct repair
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− | *'''Vertebral osteomyelitis'''
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− | **Lesions may affect the spinal cord
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− | **Usually due to ''[[Actinomyces pyogenes]]''
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− | **Suppurative inflammation may cause fracture of vertebral body -> dorsal displacement -> damage to spinal cord
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− | **May form encapsulated abscess protruding into spinal canal -> spinal cord compression
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− | *'''''Actinomycosis'''''
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− | **= '''Lumpy jaw''' in cattle
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− | **Caused by ''[[Actinomyces bovis]]''
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− | ***Gram positive, branching, filamentous
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− | ***Obligatory parasite of mucous membranes of [[Oropharynx - Anatomy & Physiology|oropharynx]]
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− | ***Surface tissue is usually injured for infection to occur
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− | ***[[Mandibular Osteomyelitis|Osteomyelitis of mandible]] -> destruction of bone -> replacement by fibrous tissue with pyogranulomatous nodules cotaining 'club colonies' of bacteria
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− | ***Suppurative osteomyelitis
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− | ***Fistulous tracts may discharge onto skin and into [[Oral Cavity Overview - Anatomy & Physiology|oral cavity]]
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− | ***Excessive periosteal bone formation
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− | ***Greatly enlarged mandible
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− | [[Category:Bones - Inflammatory Pathology]]
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− | ===Periostitis===
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− | *Chronic periostitis - pockets of exudate and irregular new bone fomation
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− | [[Category:Bones - Inflammatory Pathology]]
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− | ===Panosteitis===
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− | [[Image:Panosteitis.jpg|right|thumb|100px|<small><center>Panosteitis (Image sourced from Bristol Biomed Image Archive with permission)</center></small>]]
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− | *Typically young large or giant breeds
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− | *75% of cases in German shepherd dogs, 5-12 months old
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− | *Clinical signs:
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− | **Shifting lameness
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− | **Often eosinophilia in peripheral blood
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− | *Usually self-limiting in one to several months
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− | *Grossly:
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− | **Foreleg long bone '''diaphyses''' affected (multiple bones in 50% of cases)
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− | **Increased bone formation in the medullary cavity and often in the periosteum
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− | *Contast with [[Bones Hyperplastic and Neoplastic - Pathology#Hypertrophic osteodystrophy|'''hypertrophic osteodystrophy''']]
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− | [[Category:Bones - Inflammatory Pathology]]
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− | [[Category:Musculoskeletal System - Pathology]]
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