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Osteomyelitis of the scapulohumeral joint associated with Rhodococcus equi and unresponsive to antibiotherapy in a foal
Authors:A L Labordère  D H Rodgerson  L A Kennedy
Institution:1. Marion duPont Scott Equine Medical Center, Virginia Tech, Leesburg, Virginia, USA;2. Hagyard Equine Medical Institute, Lexington, Kentucky, USA;3. Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, Kentucky, USA
Abstract:This case report describes the treatment and outcome of a 3.5-month-old lame foal, with a history of pneumonia associated with Rhodococcus equi. Clinical examination identified osteomyelitis of the scapulohumeral joint. The unusual location of the Rhodococcus equi osteomyelitis unresponsive to prevention and adequate treatment led to euthanasia of the patient. Post-mortem findings confirmed bronchopneumonia due to Rhodococcus equi as well as the osteomyelitis of the scapulohumeral joint. This case highlights that Rhodococcus equi should be considered as a pathogen in extrapulmonary locations such as septic arthritis and osteomyelitis in foals with history of bronchopneumonia. Early and aggressive treatment should be considered.
Keywords:horse  R  equi  osteomyelitis  foal
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