SummaryReasons for performing study: Maggot debridement therapy is a long-established tool to promote wound healing. Objectives: To describe and assess the results of this technique in equids with various lesions. Methods: Retrospective analysis performed on cases in which, depending on clinical case, type, size and location of the wound, maggots were applied either in direct or indirect contact with the wound. Results: Treated cases (n = 41) included horses with foot pathology (n = 9), laceration of the limbs (n = 15), other soft tissue abscesses or wounds (n = 6), fistulous withers (n = 5), other musculoskeletal infection (n = 2) and dehiscence of the linea alba (n = 4). In 5 cases, a second maggot application was necessary to reach the desired level of wound healing. In 38 cases a favourable outcome was reached in less than one week. In one individual with a sequestrum, healing was uneventful after its removal. In 2 other horses, squamous cell carcinoma and melanoma were involved in chronic infected wounds and complete healing was not achieved because of recurrence of underlying tumours. Some discomfort was recorded in 7 individuals between 24 and 72 h of treatment. Conclusions: Maggot debridement therapy can be recommended in equids for debridement and enhanced healing and its potent antibacterial action. Maggot debridement therapy is not recommended on wounds invaded with a tumour and if bone sequestration is suspected. Potential relevance: Maggot debridement therapy can be an integral part of modern wound care in equids.
L'hydatidose est une affection parasitaire liée au développement chez l'homme de la forme larvaire d'un cestode, à savoir un tænia de très petite taille dénommé Echinococcus Granulosus. Cette anthropozoonose présente une diversité de formes anatomoradiologiques lié aux nombreux aspects topographiques et évolutifs des kystes. L'hydatidose osseuse est rare, elle ne représente que 0,9 à 2,5% de l'ensemble des localisations. Nous rapportons l'observation d'un enfant de 9 ans, qui a été admis chez nous pour une boiterie fébrile avec une masse au niveau de la fosse iliaque droite, révélant un kyste hydatique au dépend de l'os iliaque. Le bilan lésionnel avait objectivé un kyste hydatique de l'os iliaque avec extension aux parties molles adjacentes. Le traitement chirurgical conclu a un kyste surinfecté d'ou la réalisation d'une exérèse chirurgicale du kyste avec drainage. L'ostéopathie hydatique est infiltrante, diffuse, lente et progressive, ce qui rend le diagnostic tardif et qui compromet la qualité du traitement.
Intestinal volvulus on mesenteric cysticum lymphangioma (CL) is rare in children. The clinical picture is not very suggestive. We report a case of intestinal volvulus on CL in a 7-year-old girl after an abdominal trauma. Resection and anastomosis were made. The confirmation diagnosis was done by anatomopathological examination. Early diagnosis of intra-abdominal CL will allow avoiding complication.
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