Group 15: SA O seq
Clinical Signs/symptoms:
	A segment of dead bone or foreign material within the bone elicits a focal 
infection which causes increased pressure within the bone.
	Cloaca are found in the bone near the sequestrum which are connected to fistulous 
tracts to the skin surface which usually drain pus.
	Intermittent or persistent lameness, possible atrophy, local pain, fluctuant 
swellings, periodic febrile episodes and inappetence.

History:
	History of sepsis or surgery are important considerations. Exogenous 
contamination is the most important route of infection in adult animals, ie: fractures, 
gunshot wounds, puncture wounds, etc.
Clinical observations:

Physical exam findings:
	Draining tracts surrounding infected bone, lameness in the affected limb, pain 
elicited upon palpation, 

Specialty exams:
	Radiographs-should see radiodense area with radiolucent area surrounding it.
-also see bone proliferation with smooth rounded edges and sclerotic 
densities
-may see bone destruction or bone remodling depending on the 
infective bacteria
	Culture-positive culture can be obtained from involved bone.
Management plan:
Local and systemic treatment is necessary; culture, identification, and sensitivity 
tests are needed before antibiotic treatment begins.
A temporary anti-infective should be used until the sensitivity testing is 
completed.
Surgery to remove sequestrum, stabilization of bone following surgery is 
necessary. 
Prognosis:
	Guarded until dead bone or sequestrum is removed, then the prognosis is good. 

How and why is situation different from or similar to the case 3 situation?
	Harder to cure because bacteria is more isolated and antibiotics are not effective.
	Draining tracts are present