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PubMed2002

[Hematogenous (suspected-)septic inflammation of the synovial fossa in the adult horse: rare but deceptive (3 case reports)].

Septic inflammation of the synovial fossa in the horse is a severe disorder that can lead to permanent invalidity. The synovitis can occur as a result of a perforating trauma, or via the blood (haematogenous). The latter route is rare in the adult horse. Three cases of suspected haematogenous septic synovitis are described in adult horses (older than 1 year). In two horses, timely and adequate treatment resulted in recovery, but this was followed by fatal recurrence. In one of these horses a persistent primary infection was found as cause; the other horse was not available for autopsy. The third horse was euthanized without treatment because the primary process was difficult to treat. It can be concluded that, in horses with suspected haematogenous septic inflammation of the synovial fossa, attention should be paid to the primary process--it is not enough to treat the synovitis alone.

Animals↗
PubMed2002

A deceptive cervical lymph node: a solitary spinal osteochondroma.

INTRODUCTION: Osteochondroma of the cervical spine is an uncommon bony tumour. CLINICAL PICTURE: We present a case which was misdiagnosed as a posterior cervical lymph node. The patient presented with a tender neck lump and was seen by two surgical departments. They eventually diagnosed it as an osteochondroma and referred the patient to our department. This exostosis arose from the lamina of C3 vertebra and extended posteriorly. The patient presented with persistent neck ache but had no neurological deficit. TREATMENT: It was excised uneventfully. CONCLUSION: From the literature review, this appears to be the first case where an exostosis arose from a spinal facet joint. A discussion of osteochondromas follows.

Adolescent↗
PubMed2002

[The deceptiveness of the electrocardiographic image in patients with Wolff-Parkinson-White syndrome].

The urgent character of the clinical importance of the Wolff-Parkinson-White syndrome is among others also due to some treacherous characteristics of the electrocardiographic tracing. Three of them are mentioned in the submitted paper. The lability of the electrocardiographic tracing--spontaneous and induced--makes sometimes early detection difficult. The risk of confounding the ECG tracing of Wolff-Parkinson-White syndrome with myocardial infarction is considerable and sometimes underrated. Diagnosis of the ECG picture of myocardial infarction in a subject with Wolff-Parkinson-White syndrome may be associated with great difficulties. The electrocardiographic picture of the Wolff-Parkinson-White syndrome must be evaluated always with knowledge of the general clinical manifestations to prevent diagnostic, therapeutic and assessment errors.

Diagnosis, Differential↗
PubMedDate not supplied

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