Mastitis canina gangrenosa: reporte de caso

Mastitis is an infectious and inflammatory process of the mammary gland, which alters glandular tissues, and the physical, chemical and bacteriological milk aspects. Canine mastitis occurs more frequently during the postpartum period or after repeated episodes of seudogestation and is related to excessive milk production and accumulation. The present report, aims to related, describe and discuss the occurrence, diagnosis, treatment and evolution of a acute gangrenous mastitis case in an adult bitch during the postpartum period, the importance of a correct diagnosis, selection of antimicrobial therapy based In the antibiogram tests and the topical alterative treatment with sugar and magnesium hydroxide association. Conclusion, gangrenous mastitis is a serious disease in the small animal clinic, the success of its treatment depends on the adequate selection of antimicrobial treatment based on culture and antibiogram exams, as well as an adequate support treatment of lesions and secondary clinical complications.Mastitis es un proceso infeccioso e inflamatorio de la glándula mamaria, que altera el tejido glandular, y los aspectos físicos, químicos y bacteriológicos de la leche. La mastitis en caninos se presenta con mayor frecuencia durante el periodo postparto o después de repetidos episodios de gestación sicológica e está relacionada con la excesiva producción y acumulación de leche. El presente reporte tiene como objetivo relatar, describir y discutir la ocurrencia, diagnóstico, tratamiento y evolución de un caso de mastitis gangrenosa aguda en una hembra canina adulta durante el periodo postparto, la importancia de un diagnóstico certero, la selección de la terapia antimicrobiana basada en los test de antibiograma y el tratamiento tópico alterativo, asociando azúcar e hidróxido de magnesio al mismo. Como conclusión la mastitis gangrenosa es una enfermedad grave en la clínica de pequeños animales, el éxito de su tratamiento depende de la selección adecuada del tratamiento antimicrobiano basado en el cultivo y antibiograma, así como de un tratamiento de soporte adecuado de las lesiones y complicaciones clínicas secundarias

Gangrenous canine mastitis: case report

Mastitis is an infectious and inflammatory process of the mammary gland, which alters glandular tissues, and the physical, chemical and bacteriological milk aspects. Canine mastitis occurs more frequently during the postpartum period or after repeated episodes of seudogestation and is related to excessive milk production and accumulation. The present report, aims to related, describe and discuss the occurrence, diagnosis, treatment and evolution of a acute gangrenous mastitis case in an adult bitch during the postpartum period, the importance of a correct diagnosis, selection of antimicrobial therapy based In the antibiogram tests and the topical alterative treatment with sugar and magnesium hydroxide association. Conclusion, gangrenous mastitis is a serious disease in the small animal clinic, the success of its treatment depends on the adequate selection of antimicrobial treatment based on culture and antibiogram exams, as well as an adequate support treatment of lesions and secondary clinical complications

Avaliação de pacientes utilizando equipamento inovador de auxílio à visão subnormal Evaluation of patients using an innovative low-vision aid

OBJETIVO: Avaliação preliminar na Clínica Oftalmológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP) de equipamento inovador para baixa visão desenvolvido na USP que consiste em prancha de leitura acoplada a lente de aumento que mantém fixos o foco e a linha de leitura. MÉTODOS: Foram avaliados 9 pacientes com visão subnormal usando o supracitado equipamento prancha de leitura acoplada a lente para auxílio em visão subnormal desenvolvida na USP em comparação com uso de uma lupa teste manual de dioptria semelhante, considerando-se os seguintes parâmetros de avaliação: causa da doença, acuidade visual corrigida no melhor olho para longe, impressão pessoal do paciente comparando prancha de leitura e lupa teste, impressão dos autores observando o uso dos 2 auxílios acima citados. RESULTADOS: A preferência pelos recursos foi: prancha de leitura acoplada a lupa - 5 pacientes; lupa manual - 2 pacientes; sem preferência por nenhum dos recursos - 1 paciente; inadequados para avaliação dos recursos preferidos - 1 paciente. CONCLUSÃO: Neste estudo preliminar, a maioria dos pacientes avaliados preferiu o recurso prancha de leitura acoplada à lupa, o que mostra que este produto inovador facilita a leitura; o médico avaliador interpreta a opinião do paciente como um especialista e contribui para o aprimoramento do produto para que ele possa ser futuramente submetido a novas avaliações.<br>ABSTRACT PURPOSE: To perform a preliminary evaluation at the "Clínica Oftalmológica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (USP)" of an innovative equipment for low-vision developed at USP containing a reading stand and a magnifier that maintains in a stable position the reading line and focus. METHODS: 9 low-vision patients were evaluated using the above mentioned reading stand and a magnifier developed at USP comparing it with a hand magnifier of similar power taking into account the following evaluation parameters: etiology of low-vision, best corrected visual acuity for distance, patient's opinion comparing both low-vision aid resources, authors' opinion observing the patient using both low-vision aids. RESULTS: The numerical preference for the low-vision aids was: 5 patients for the reading stand and a magnifier that maintains at a stable position the reading line and focus; 2 patients for the hand magnifier; 1 patient indifferent regarding any of the resources; 1 patient inadequate for the evaluation of the low-vision aids. CONCLUSION: This preliminary study shows the preference of the majority of the patients for the reading stand and a magnifier that maintains at a stable position the reading line and focus showing that this innovative product makes reading easier; the evaluator doctor translates the patient's opinion as an expert and contributes to the improvement of the product so that it can be evaluated again in the future