Case Follow-Up

 

CT of Lumosacral Region:

• CT Interpretation

  Findings: There is a mixed destructive and productive osseous reaction involving the end plates of both S1 and L7. A periosteal reaction is present along the caudoventral portion of L7. There is soft tissue density present as a rim ventral to the lumbosacral disc space.

  Impression: Findings consistent with discospondylitis.
   

• Further Diagnostics

  Fine needle aspirate of right front paw with cellulites – cytology revealed white blood cells with intra and extracellular bacteria

  Culture and sensitivity of aspirate pending
   

• Therapeutic Plan

  100 mcg Fentanyl patch
  660 mg Cefazolin IV TID
  75 mg Deramaxx PO SID