title: Surgical technique for ambulatory management of airsacculitis in a chimpanzee (Pan troglodytes).
abstract: OBJECTIVE
  Bacterial infections of the air sac have been reported in many nonhuman primates. Approaches to the management of airsacculitis have included combinations of medical and surgical therapies. These strategies have often required repeated attempts to drain exudate from the affected air sac, as well as necessitating that the animal endure isolation or undergo intensive postoperative care before returning to its social group.
  
  
  METHODS
  A stoma was created via deliberate apposition of the air sac lining and skin to allow continuous drainage. Antibiotic therapy based on culture and antimicrobial susceptibility of the air sac contents was administered while the chimpanzee remained in its social group.
  
  
  RESULTS
  We were able to attain complete resolution of the infection after a course of oral antibiotic therapy. The stoma closed gradually over a three-week period, and the chimpanzee has remained free of infection since that time.
  
  
  CONCLUSIONS
  Despite the severity of the air sac infection in this chimpanzee, we were able to resolve the infection easily, using a simple surgical technique. This method allowed treatment without interfering with social standing or subjection to repeated anesthetic and treatment episodes. This method could be a simple, useful alternative for managing airsacculitis in nonhuman primates.
authors.affiliation: Department of Veterinary Sciences, The University of Texas M. D. Anderson Cancer Center, Bastrop, Texas 78602, USA.
authors.forename: L R
authors.initials: LR
authors.lastname: Hill
authors.forename: D R
authors.initials: DR
authors.lastname: Lee
authors.forename: M E
authors.initials: ME
authors.lastname: Keeling
mesh_terms: D000400:Air Sacs / Q000601:surgery; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004322:Drainage / Q000379:methods / Q000662:veterinary; D004927:Escherichia coli Infections / Q000188:drug therapy / Q000601:surgery / Q000662:veterinary*; D005260:Female; D008992:Monkey Diseases / Q000188:drug therapy / Q000601:surgery*; D002679:Pan troglodytes / Q000601:surgery*; D012141:Respiratory Tract Infections / Q000188:drug therapy / Q000601:surgery / Q000662:veterinary*
chemical_list: D000900:Anti-Bacterial Agents