Meningitis-arteritis u kuje izlječiv steroidima - prikaz slučaja

This paper describes in detail the case of steroid-responsive meningitis-arteritis (SRMA) in a dog. The dog was presented at the Clinic for Internal Diseases due to high fever with anorexia that lasted for five days, reluctance to move, hunched stance and stiffness that responded only moderately to antibiotics and a combination of steroidal and non-steroidal anti-inflammatory drugs administered by the referring veterinarian. The dog was fully clinically and neurologically examined and revealed fever and extreme neck pain. Complete laboratory workup and urinalysis were included. The dog underwent cerebrospinal fluid (CSF) sampling and analysis. The diagnosis of steroid-responsive meningitis-arteritis was established. Adequate therapy was instituted which resulted in clinical resolution of the disease.Rad prikazuje slučaj meningitis-arteritisa u kuje izlječivog steroidima. Kuja je dovedena na Kliniku za unutarnje bolesti zbog višednevne visoke temperature, inapetencije, nevoljkog kretanja, ukočenoga hoda, zgrbljenoga stava i promijenjenoga ponašanja. Kuja je pokazivala samo djelomično kliničko poboljšanje na liječenje antibioticima te steroidnim i nesteroidnim protuupalnim lijekovima. Životinja je klinički i neurološki pregledana. Ustanovljena je povišena temperatura te izrazita bolnost pri pasivnom pokretanju vrata. Učinjene su laboratorijske pretrage krvi i mokraće. Nakon toga učinjena je punkcija likvora te njegova analiza. Postavljena je dijagnoza meningitis-arteritisa koji reagira na steroide. Započeto je odgovarajuće liječenje koje je završilo izlječenjem