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Results of histopathology and culture of the surgical sites were consistent with NF as described in each case. All dogs survived to discharge and long-term follow up. Management with early surgery, multiple debridements, and the use of NPWT led to resolution of NF in three dogs. Management with early surgery, multiple debridements, and the use of NPWT led to resolution of NF in three dogs. Insertable cardiac monitors (ICMs) improve diagnostic yield in patients with unexplained syncope. The most of cardiac syncope is arrhythmic causes include paroxys