06/20/2024
Meet “Kobe,” a 1-year-old Golden Retriever, who was referred to Dr. Sarah Trub at Bush Veterinary Neurology Services Richmond for recurrent severe pain of unknown origin.
This issue began about 8 months prior, when Kobe was only 4 months old, and he was seen for progressive pain, lethargy, stiff neck, low head carriage, and fever lasting over 4 days. This April, Kobe’s owners became concerned about a relapse of the same issue when they noticed Kobe was unable to sit or stand comfortably, and he was hunched over, whining, refusing to walk, and had a decreased appetite.
An MRI was performed on Kobe’s cervical spine (neck), which revealed areas of inflammation within the meninges (three layers of membranes that protect the brain and spinal cord) in the neck region, as well as within the overlying muscles in the neck. Dr. Trub also evaluated spinal fluid, and those results showed significant inflammation as well.
MRI findings and Neurologic examination indicated that Kobe was suffering from “recurrent meningitis-myositis.” Meningitis-myositis is an autoimmune disease that causes muscle and meningeal inflammation. This can be caused by viruses, bacteria, fungus, protozoa, parasites, or immune system dysfunction. Signs include fever, neck rigidity, and painful muscle spasms.
With the help of MRI imaging, the BVNS treatment team was able to confirm the cause of Kobe’s recurring pain. Dr. Trub was able to treat Kobe with steroids, antibiotics, pain medications, and Cyclosporine, an immunomodulatory medication, which will be used to help prevent further relapse.
Kobe’s owners are relieved that their sweet puppy is no longer in pain and is back to enjoying normal “puppy” activities like going on walks, playing ball, and going on fun adventures. They now know how to prevent future relapses, and they have a team of trusted professionals working alongside their primary care doctor to monitor Kobe’s progress and ensure his recovery. Thank you for letting us share Kobe’s story, we hope this helps other pet owners identify symptoms and get answers faster!
Check out Kobe's in-hospital "before" photos compared to his post-treatment "after" photos. We swear we can see him smiling!
For a Neurology Consult or what to do for a Neurological Emergency contact us at: https://bvns.net/contactus/