3岁红母鹿坏疽性乳腺炎的外科治疗:1例报告

Z. Shehu, A. Yakubu, A. Jibril
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摘要

坏疽性乳腺炎是管理在3岁哺乳母鹿部分乳房切除术后不成功的医疗管理。患者左乳房进行性肿胀、硬化和深色变色。左侧乳腺上淋巴结肿大,受影响腺体近端有开放性伤口。乳房的右半部分看起来正常,摸起来很暖和。从患乳腺底部开放性伤口拭子样本进行培养和敏感性试验,发现葡萄球菌和链球菌对阿莫西林、氯西林、庆大霉素和金四环素敏感,但对青霉素和链霉素耐药。乳房切除术是指,因为疾病的慢性性质和坏疽的存在。该过程采用标准无菌技术进行,并放置有孔的引流管。术后14天,患者顺利康复出院。本病例采用的治疗方案表明,单侧乳房切除术术后处理良好,可有效治疗坏疽性乳腺炎,无并发症,同时保留未受影响的乳腺供未来哺乳。
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Surgical management of gangrenous mastitis in a 3-year-old Red Sokoto doe: A case report
Gangrenous mastitis was managed in a 3-year-old lactating doe by partial mastectomy following unsuccessful medical management. The patient had progressive swelling, hardened and dark discolouration of its left half udder. There was left supra-mammary lymphadenopathy and an open wound at the proximal portion of the affected gland. The right half of the udder appeared normal and was warm to touch. Culture and sensitivity test of a swab sample from the open wound at the base of the affected mammary gland revealed Staphylococcus and Streptococcus species which were sensitive to amoxicillin, cloxicillin, gentamicin and chlortetracycline, but resistant to penicillin and streptomycin. Mastectomy was indicated because of the chronic nature of the disease and the presence of gangrene. The procedure was carried out using a standard sterile technique, and a fenestrated drainage tube was placed. The patient recovered uneventfully and was discharged 14 days post-surgery. The management protocol used in this case demonstrated that unilateral mastectomy with good post-surgical management could be used for effective management of gangrenous mastitis without complications while still preserving the unaffected gland for future lactation.
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