Nuri ALTUĞ, Muhammed Enes ALTUĞ, Cafer Tayer İŞLER

Holştayn Irkı Bir İnekte Retrofarengeal Apseye Bağlı Üst Solunum Yolu Obstruksiyonunda Respiratorik Asidozis ve Kompenzatuvar Cevaplar

Bu olgu sunumunda sığırlarda nadir görülen retrofarengeal apseye bağlı üst solunum yoluobstruksiyonunda respiratorik asidozis ve kompenzatuvar cevaplar tanımlandı. Olguyu boğazbölgesinde şişlik ve solunum güçlüğü anamnezine sahip 3 yaşında Holştayn ırkı bir inek oluşturdu.Olgu lezyonun yerleşim yeri, klinik ve radyografik bulgulara göre retrofarengeal apse olaraktanımlandı. Olgunun hematolojik ve kan gazları analizlerinde granülositik lökositozis, respiratorikasidozis, hipokalemi ve hipokalsemi belirlendi. Medikal tedavi sonrası klinik bulguların düzeldiği,apsenin önemli oranda küçüldüğü ve radyografide apse odağındaki kazefiye kitlenin oldukçaazaldığı belirlendi. Tedavi sonrasında granülositik lökositozun ortadan kalktığı, respiratorikasidozun önemli derecede kompanze edildiği saptandı. Sonuç olarak, retrofarengeal apseolgularında apsenin tamamen iyileşmesini sağlayacak yeterli bir süre için medikal tedaviuygulanmasının respiratorik asidozun kompenzasyonunda önemli olduğu kanısına varıldı.

Respiratory Acidosis and Compensatory Responses in Upper Respiratory Tract Obstruction due to Retropharyngeal Abscess in a Holstein Cow

In this case report, respiratory acidosis and compensatory response in upper respiratory tract obstruction due to a retropharyngeal abscess, which is rarely seen in cattle, is described in a three years old Holstein cow. The case was brought with a complaint of swelling in the throat region and respiratory difficulty. The case was defined as a retropharyngeal abscess according to the location of the lesion, clinical and radiographic findings. Granulocytic leukocytosis, respiratory acidosis, hypokalemia, and hypocalcaemia were detected in the hematological and blood gas analyzes of the case. After the medical treatment, the clinical findings were improved, the abscess was significantly reduced, and caseous appearance on the radiography was significantly decreased. Moreover, granulocytic leukocytosis disappeared and respiratory acidosis was significantly compensated. As a result, it is concluded that the application of medical treatment for a sufficient period of time to ensure complete recovery of the abscess is important in the compensation of respiratory acidosis.

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