scott@vtx-cpd.com

Replying to Victoria R. 12/10/2025 - 07:45

Thank you so much Tori for this brilliant answer!

Scott 🙂

Replying to Shona McTaggart 29/09/2025 - 11:54

Haha!

I think that is all what we secretly wish!

I hope your trip is going well.

Scott 🙂

Replying to Laura S. 07/10/2025 - 11:06

Hey Laura!

Interesting! Is this a trichomonas case? What have you decided on so far treatment wise? Did you confirm with PCR?

Scott:)

Replying to Mihai R. 05/10/2025 - 17:25

Hello!

Thank you for your question!

Thank you so much for joining the course. I will make sure to pass on your question, and we will get it answered ASAP!

Have a great week.

Scott

Replying to Julia Biernat 01/10/2025 - 19:16

Thanks Julia.

I must admit that I do not find myself reaching for the blood culture bottles that often, but it is important to remember we have the option for certain cases.

Scott 🙂

Replying to Raquel M. 28/09/2025 - 15:30

Really interesting!

You’re right, there is some support in the literature for lameness being linked with systemic inflammatory disease like pyometra.

In dogs, immune-mediated polyarthritis (IMPA) can occur as a “reactive” phenomenon, where an inflammatory focus elsewhere in the body (e.g. infection, neoplasia, or pyometra) triggers sterile synovitis via circulating immune complexes. This can present as shifting-leg lameness, stiffness, or reluctance to move, sometimes without obvious joint swelling (Clements et al. 2004; McCarthy et al. 1996). Exacerbation of pre-existing osteoarthritis by systemic cytokines is also a plausible mechanism.

There are even case reports where anterior uveitis and IMPA co-occurred, likely through the same immune-mediated pathways (e.g. Yoon et al. 2024, zonisamide-induced IMPA with uveitis). So while the pyometra-uveitis link is better established (Jitpean et al. 2014; Fortuny-Clanchet et al. 2025), I think your observation of lameness could well fit into this broader “reactive inflammation” picture.

Clinically, it makes me think: if a pyometra case presents with unexplained limb pain or stiffness, it might be worth a quick joint palpation and even synovial fluid sampling if there’s effusion, especially if lameness improves as the systemic disease resolves.

Thanks for raising it!

Scott 🙂

References:

Clements DN, et al. Diagnosis of canine immune-mediated polyarthritis: a review of 40 cases. J Small Anim Pract. 2004;45:336–342.

McCarthy G, et al. Immune-mediated polyarthritis in the dog: clinical and laboratory findings in 31 cases. J Small Anim Pract. 1996;37:103–110.

Yoon J, et al. Presumed zonisamide-induced, immune-mediated polyarthritis and anterior uveitis in a dog. Front Vet Sci. 2024;11:1352217.

Jitpean S, et al. Outcome of pyometra in female dogs and predictors of peritonitis and prolonged postoperative hospitalization in surgically treated cases. BMC Vet Res. 2014;10:6.

Fortuny-Clanchet M, et al. Prevalence of anterior uveitis in dogs diagnosed with pyometra. J Small Anim Pract. 2025.