Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Neonatal Encephalopathy Complicated with Septic Arthritis in a Foal

  • Jeong, Hyohoon (College of Veterinary Medicine, Kyungpook National University) ;
  • Oh, Taeho (College of Veterinary Medicine, Kyungpook National University)
  • Received : 2018.07.04
  • Accepted : 2018.10.01
  • Published : 2018.10.31
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Abstract

A 2-day-old Thoroughbred foal weighing 58 kg was admitted to the Equine Hospital of Korea Racing Authority (KRA) Jeju Stud Farm with clinical signs including loss of suckling behavior and barking. Neonatal encephalopathy (NE) was diagnosed based on history and typical clinical signs of NE. The foal seemed to recover in 5 days of intensive care and treatment but then was complicated with the septic arthritis of left hock joint on the $6^{th}$ day of admission. A course of aggressive systemic antimicrobial therapy with joint lavage for 8 days was conducted and the foal was fully recovered and discharged. The follow up on the patient after 2 years revealed that the patient achieved a great success as a racehorse without any unexpected sequel. This report describes a course of NE complicated with septic arthritis in a foal and the clinical outcome of the intensive care and treatment in detail. To our knowledge, this is the first report which describes NE complicated with septic arthritis in a foal in Republic of Korea.

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References

  1. Annear MJ, Furr MO and White NA. Septic arthritis in foals. Equine Vet Educ 2011; 23: 422-431. https://doi.org/10.1111/j.2042-3292.2011.00240.x
  2. Badawi N, Kurinczuk JJ, Keogh JM, Alessandri LM, O'Sullivan F, Burton PR, Pemberton PJ and Stanley FJ. Intrapartum risk factors for newborn encephalopathy: the Western Australian case-control study. BMJ 1998; 317: 1554-1558. https://doi.org/10.1136/bmj.317.7172.1554
  3. Bernard WV, Reimer JM, Cudd T and Hewlett L. Historical factors, clinicopathologic findings, clinical features, and outcome of equine neonates presenting with or developing signs of central nervous system disease. Proc Am Assoc Equine Pr 1995; 41: 222-224.
  4. Cohen ND. Causes of and farm management factors associated with disease and death in foals. J Am Vet Med Assoc 1994; 204: 1644-1651.
  5. Dickey EJ, Long SN and Hunt RW. Hypoxic ischemic encephalopathy-What can we learn from humans? J Vet Intern Med. 2011; 25: 1231-1240. https://doi.org/10.1111/j.1939-1676.2011.00818.x
  6. Katz L. Perinatal asphyxia syndrome in a quarter horse foal. Vet Clin Equine Pr 2006; 22: 193-208. https://doi.org/10.1016/j.cveq.2005.12.007
  7. Lyle-Dugas J, Giguere S, Mallicote MF, Mackay RJ and Sanchez LC. Factors associated with outcome in 94 hospitalised foals diagnosed with neonatal encephalopathy. Equine Vet J 2017; 49: 207-210. https://doi.org/10.1111/evj.12553
  8. MacKay RJ. Neurologic disorders of neonatal foals. Vet Clin Equine Pr 2005; 21: 387-406. https://doi.org/10.1016/j.cveq.2005.04.006
  9. McGuire TC, Crawford TB, Hallowell AL and Macomber LE. Failure of colostral immunoglobulin transfer as an explanation for most infections and deaths of neonatal foals. J Am Vet Med Assoc 1977; 170: 1302-1304.
  10. Perlman JM. Intervention strategies for neonatal hypoxicischemic cerebral injury. Clin Ther 2006; 28: 1353-1365. https://doi.org/10.1016/j.clinthera.2006.09.005
  11. Rose RJ, Hodgson DR, Leadon DP and Rossdale PD. Effect of intranasal oxygen administration on arterial blood gas and acid base parameters in spontaneously delivered, term induced and induced premature foals. Res Vet Sci 1983; 34: 159-162. https://doi.org/10.1016/S0034-5288(18)32252-5
  12. Tennent-Brown BS, Morrice AV and Reed S. The equine neonatal central nervous system: development and diseases. Vet Clin Equine Pr 2015; 31: 587-600. https://doi.org/10.1016/j.cveq.2015.08.002
  13. Wong DM, Jeffery N, Hepworth-Warren KL, Wiechert SA and Miles K. Magnetic resonance imaging of presumptive neonatal encephalopathy in a foal. Equine Vet Educ 2017; 29: 534-538. https://doi.org/10.1111/eve.12590