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Septic Implantation Syndrome Analysis of 29 canine and 11 feline cases Dick Dubielzig and Chris Pirie Comparative Ocular Pathology Laboratory University of Madison-Wisconsin
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Canine Cases 29 cases of 9, 300 ocular submissions 10 documented cases of cat scratch Typical ophthalmic findings included –chronic, poorly responsive anterior uveitis –cataract formation –+/- anterior or posterior synechiae, corneal scar, and/or glaucoma
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Canine Cases Signalment –Breed No predilection, however, small breeds and young (<1 year) large breed dogs over represented –Gender 3 F, 10 FS, 3 M, 12 MC, 1 unknown –Age Mean 7.4 years (range 3.5 months to 15 years)
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Canine Cases Globe involvement –15 OD vs 14 OS History –10 cat scratch vs 19 unknown or suspected Duration (2 unknown) Known CatUnknownTotal < 1 week314 1 week- 1 month11112 1-4 months538 >4 months123
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Canine Cases Intra-lenticular bacteria –7 negative of H+E and gram stain –22 positive for bacteria 19 gram positive cocci 2 gram positive rods 1 gram positive cocci and rods
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Feline Cases 11 cases out of 3, 400 ocular submissions 2 documented, 9 unknown or suspected cases Signalment –Breed 8 DSH, 1 DMH, 1 DLH, 1 Persian –Gender 5 FS, 1 M, 5 MC –Age Mean 5.3 years (range 1year to 14 years)
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Feline Cases Duration (2 unknown) Intra-lenticular bacteria –4 negative of H+E and gram stain –4 gram positive cocci –1 Candida –1 gram positive and negative bacilli –1 gram positive cocci, gram positive and negative bacilli Known Cat Scratch UnknownTotal < 1 week000 1 week- 1month235 1-4 months044
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What about phacoclastic inflammaton? Phacoclastic uveitis is a term used to characterize the inflammation seen around a ruptured lens as is seen in these cases. The term carries with it the implication that the inflammation is caused by the release of lens proteins otherwise sequestered. I believe that in these dogs the inflammation is do to bacterial infection and not simply exposure of lens proteins.
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