Rosie's Story - Case Study

Rosie's Story - Case Study
08 July 2022
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Rosie presented with a 24-hour history of per-acute onset episodes of falling forwards with both of her thoracic limbs appearing hyper-extended. These episodes were occurring with increasing frequency over the previous 24-hours. Rosie was assessed by the veterinary surgeons and following various laboratory tests and imaging she was diagnosed with suspected focal tetanus.
During hospitalisation, Rosie was recumbent and would develop generalised tremors when stimulated with concurrent hyperthermia as well as occasional cyanotic episodes. She received a combination of medications including infusions of muscle relaxants and sedatives to help reduce the severity of the tremors, as well as antibiotics to treat to suspected Clostridium tetani infection.
Rosie required intensive care from many teams within the hospital including clinicians, the neurology nurses and animal care assistants, ICU, night team and rehabilitation. To help reduce stimulation and the frequency of episodes, Rosie would need to remain cage rested for most of her stay. Despite this, she remained a happy, playful puppy throughout and we all fell in love! 

Rosie was hospitalised for around 5 weeks. A gradual improvement was seen, with no further tremors, cyanosis or hyperthermic episodes observed during the final week of hospitalisation and the infusions were incrementally stopped. With regular physiotherapy sessions from our rehab team (encouraged by food of course!), she continued to improve daily. 
At the time of discharge Rosie was ambulatory with a short strided, thoracic limb gait, otherwise her neurological examination was normal. We are all delighted to see Rosie doing well at home, playing in the garden, just 1 week after discharge!

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