Open Access Efficacy of Antibiotic-Impregnated Polymethylmethacrylate Beads in a Rhesus Macaque (Macaca mulatta) with Osteomyelitis

Authors: Kelly, Kristi R.1; Kapatkin, Amy R.2; Zwingenberger, Allison L.2; Christe, Kari L.3

Source: Comparative Medicine, Volume 62, Number 4, August 2012 , pp. 311-315(5)

Publisher: American Association for Laboratory Animal Science

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Abstract:

Here we describe the successful surgical implementation of antibiotic-impregnated polymethylmethacrylate beads in a rhesus macaque (Macaca mulatta) with marked osteomyelitis. The macaque presented to the veterinary clinic with grossly contaminated bite wounds in the left ankle secondary to conspecific trauma. Radiographic findings were highly suggestive of osteomyelitis. Additional differential diagnoses included bony infarct, fracture, and cellulitis. In light of the location of the lesion and extensive tissue trauma, the animal had a poor prognosis. Systemic, broad-spectrum antibiotics were instituted. After 2 wk of care, lesions did not respond to empirical therapies. On consultation, a veterinary orthopedic surgeon at another facility recommended placement of antibiotic-impregnated polymethylmethacrylate beads at the sites of osteomyelitis. The animal underwent minor surgery in which beads were introduced into the wound. The monkey had a positive response to therapy. The animal regained full function and was returned to outdoor social housing. Veterinarians are encouraged to consider using antibiotic-impregnated polymethylmethacrylate beads when treating osteomyelitis in other nonhuman primates and in other traditional laboratory animal species.

Document Type: Research article

Affiliations: 1: Department of Primate Medicine, California National Primate Research Center, University of California-Davis, Davis, California, USA. krskelly@ucdavis.edu 2: Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, California, USA 3: Department of Primate Medicine, California National Primate Research Center, University of California-Davis, Davis, California, USA

Publication date: 2012-08-01

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