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Medial pterygoid myositis in a Thoroughbred gelding
Authors:V J Tannahill  A Giavitto  G A Munroe
Institution:1. University of Bristol School of Veterinary Sciences, Langford, Bristol, UK;2. Flanders Veterinary Services, Cowrig Cottage, Greenlaw, Duns, UK
Abstract:This case report describes the investigation and treatment of an adult horse with purulent, malodorous exudate originating from a large intermandibular mass. Microbial culture of fluid aspirated from a draining tract yielded Peptostreptococcus and Prevotella species which are usually considered to originate from the oral cavity. Computed tomography (CT) was used to aid in the diagnosis and to allow careful presurgical planning, and the horse underwent successful debridement of the abscess cavity under general anaesthesia. Post-operatively, the horse developed trismus (reduced opening of the jaws) but repeat CT identified that the surgery site was healing appropriately. It was recommended to continue feeding the horse hay to act as physiotherapy and the masticatory action of the horse subsequently returned to normal.
Keywords:horse  computed tomography  abscess  myositis  trismus
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