Multiple extra-pulmonary disorders associated with Rhodococcus equi infection in a 2-month-old foal |
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Authors: | S Le Corre J Janes N M Slovis |
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Institution: | 1. Hagyard Equine Medical Institute, Lexington, Kentucky, USA;2. University of Kentucky Veterinary Diagnostic Laboratory, Lexington, Kentucky, USA |
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Abstract: | A 2-month-old Thoroughbred filly was referred to Hagyard Equine Medical Institute for further evaluation of acute pyrexia and a suspected intra-abdominal abscess based on abdominal ultrasonography performed in the field. Initial examination revealed bilateral uveitis, polysynovitis, a large internal abdominal abscess and pneumonia. A transtracheal wash confirmed the presence of a multi-sensitive strain of Rhodococcus equi. Anaemia and thrombocytopenia were noted during hospitalisation. Results of a Coombs test were consistent with an immune-mediated haemolytic process. Recurrent pyrexia, abdominal discomfort and severe respiratory distress unresponsive to intensive medical support motivated euthanasia followed by necropsy after 30 days of treatment. Overall, six extra-pulmonary disorders were simultaneously diagnosed despite the lack of pulmonary pyogranulomas. |
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Keywords: | horse Rhodococcus uveitis abscess immune-mediated haemolytic anaemia |
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