Bacterial infective arthritis in the dog

Abstract

ABSTRACT Bacterial infections of joints produce an inflammatory arthropathy. Most cases appear to be due to the haematogenous localisation of bacteria in a joint and trauma may predispose a joint to infection. Two clinical syndromes are identified; the classic acute onset case and a more chronic local grade infection syndrome. Affected joints are usually thickened and show pain on manipulation. The synovial fluid has increased numbers of white cells, most of which are polymorphonuclear leucocytes. Peripheral blood analysis may be normal and only a few dogs show systemic illness. Radiography in the early stage, will only show soft tissue changes; periosteal new bone and bony destruction are seen in longer standing cases. The carpus was the most frequently affected joint and the larger breeds, particularly the males, were over‐represented. Various organisms were isolated but haemolytic Streptococcus and Staphylococcus intermedius were the most common. Culture of the synovial membrane was more sensitive than the synovial fluid. Antibiotic therapy for several weeks was generally successful providing an early diagnosis was made. In a few cases, steroid responsive synovial inflammation persisted in the absence of viable bacterial organisms.