I. Mikaelian et al., HEALING OF MUSCLE TRAUMA AFTER INTRAMUSCULAR INJECTION OF ANTIBIOTICSIN SHEEP - CORRELATIONS BETWEEN CLINICAL, MACROSCOPIC AND MICROSCOPICSCORES, Veterinary research, 27(2), 1996, pp. 97-106
The present study aimed to predict the resultant healing from early le
sions (found days 3 and 10 post injection) caused by the intramuscular
injection of veterinary antibiotic formulations. Nineteen marketed dr
ugs were selected in order to screen a wide range of irritation condit
ions at the injection site. Nineteen ewes were each injected intramusc
ularly with one of the formulations. Each injection was at a different
site, 3 and 10 days prior to slaughter. Fourteen of these ewes also r
eceived intramuscular injections at two other sites 21 and 32 days pri
or to slaughter. The tolerance was monitored by clinical examination o
f the injection site and by gross and microscopic pathology. Myodegene
ration and fibre necrosis were determined histologically. The clinical
scores did not correlate with the other findings, Myodegeneration cor
related with the size of the lesion on day 3 post-injection and was no
t found thereafter. Although occasionally found alone, it was generall
y associated with and surrounded by fibre necrosis. When myodegenerati
on was the only lesion, regeneration was complete by day 21 and the fi
brosis was minimal or absent. Necrosis at day 10 post-injection correl
ated with necrosis at days 3, 21 and 32 post-injection. Fibrosis becam
e prominent around the necrotic muscles from day 10 post-injection. He
aling from necrosis was slow with, in some instances, encapsulated deb
ris still persisting at day 32 post-injection. The tissue irritation i
ndex correlated well with myodegeneration and necrose (acute lesions)
and fibrose and necrose (older lesions). Thus, after considering a lar
ge sample of antibiotic formulations, this study indicated that healin
g could be predicted from the muscle fibre histopathology at days 3 an
d 10 post-injection. If myodegeneration was found alone, full recovery
within 21 days could be predicted. If fibre necrosis was extensive, t
he healing involved encapsulating the necrotic tissues and thus result
ed in extensive scar formation. The tissue changes explained why the i
rritation index of the lesions at days 21 and 32 post-injection could
be predicted from their irritation index at days 3 and 10 post-injecti
on. Likewise, the size of the lesion at days 21 and 32 post-injection
could not be predicted from its size at day 3 post injection.