An unusual cause of colic in a neonatal foal

A case of a neonatal foal with acute colic and respiratory distress is described. The foal presented with signs of acute colic and was treated medically. The foal did not respond to treatment and 2 h after admission the foal began to demonstrate signs of respiratory distress. Thoracic and abdominal radiographs were obtained and a diagnosis of a diaphragmatic hernia was made. Surgical repair of the hernia was recommended but the owner declined and the foal was subjected to euthanasia. Post mortem findings confirmed the diagnosis and revealed that the defect was of congenital origin. Congenital diaphragmatic hernia is an unusual cause of colic in a neonatal foal.     

Fecal Isolation of Corynebacterium equi from a Foal with Chronic Diarrhea

Corynebacterium equi was isolated from the feces of a foal with chronic diarrhea. The foal had multiple walnut-sized masses associated with the intestine on rectal examination. These were thought to be enlarged lymph nodes and/or abscesses. The foal also had an elevated plasma fibrinogen. The diarrhea was controlled with antibiotics but recurred when the treatment was stopped.     

Transplacental infection of a foal with Anaplasma phagocytophilum

This is the first report to document transplacental transmission of Anaplasma phagocytophillum in the horse. A 4-year-old late-term pregnant mare presented for a recent onset of pyrexia due to equine granulocytic anaplasmosis (EGA). She was hospitalised for treatment with oxytetracycline and monitoring of high-risk foaling due to significant thrombocytopenia. Parturition occurred overnight, and the foal was PCR positive for A. phagocytophilum at birth. The foal was slow to stand and nurse, with signs of neonatal encephalopathy and anaplasmosis (thrombocytopenia). Therapy with oxytetracycline resulted in complete clinical recovery of the mare and foal within 5 days. Congenital anaplasmosis should be considered in any foal delivered to a mare suffering from EGA during late-term pregnancy and guide appropriate antimicrobial therapy.     

Collection of equine cord blood and placental tissues in 40 Thoroughbred mares

Reasons for performing study: Stem cells derived from umbilical cord tissue (UCT) and umbilical cord blood (UCB) in human subjects and horses can be obtained in a minimally invasive fashion with successful propagation of mesenchymal stem cells (MSCs). Currently there are no detailed protocols documenting a procedure to harvest UCB and UCT safely for equine stem cell propagation. Hypothesis: UCB and UCT could be collected without harm to mare or foal. Objectives: To develop a standard and safe method for UCB and UCT collection, and prospectively to compare foal and mare health between groups of animals where tissue was and was not collected. Methods: This study was conducted at a Thoroughbred breeding facility in central California in 2008. UCB and UCT were collected from 40 mare and foal pairs. Clinical parameters including time for foal to stand and nurse, time for mare to pass the placenta, and foal haematology data at age 24 h were documented and compared to a control group, consisting of the succeeding 40 mare and foal pairs. Results: UCB was obtained successfully from 36 of 40 (90%) mares and UCT from 38 of 40 (95%) mares. Bacterial contamination was documented in 6 out of 36 (16.6%) UCB samples. There were no significant differences in time to stand or nurse for foals or time to pass the placenta for mares, between the experimental and control groups. There were no clinically relevant differences identified in haematological data obtained from foals with and without UCB collection. Conclusions: UCB and UCT can be harvested safely without harm to mares or foals. Potential relevance: UCB and UCT samples collected in an inherently contaminated environment can be successfully disinfected and transported with minimal bacterial overgrowth for use in cell culture to isolate MSCs.     

Aortic rupture causing cardiac tamponade in a 24‐day‐old Friesian colt with concurrent colonic Chlamydiosis and Balantidiasis

A 24‐day‐old Friesian colt died suddenly and a physical examination the morning the foal died showed no abnormalities and serum IgG levels >8.0 g/l. Necropsy examination revealed haemopericardium and a 2 cm transverse tear at the root of the aorta. The foal was also found to have Chlamydophila spp. in the epithelium and Balantidium coli on the mucosal surface of the large colon. An aortic rupture is a novel finding in a foal, colonic Chlamydiosis has not been previously reported in horses and Balantidium coli has not been reported in equids in North America.     

CTX-M-15 Producing Escherichia coli Sequence Type 361 and Sequence Type 38 Causing Bacteremia and Umbilical Infection in a Neonate Foal

An eighteen-hour-old Tennessee walking horse foal was referred due to weakness and abdominal pain. Physical examination revealed dehydration, distended abdomen, and uveitis. Blood analysis revealed leukopenia, neutrophils’ toxicity and left shift. The foal developed bloody diarrhea, gastric reflux, and was diagnosed with sepsis and enterocolitis. The foal was treated with intravenous fluids, plasma, antibiotics (ceftriaxone and metronidazole), partial parenteral nutrition (dextrose and amino acids), flunixin meglumine, and ophthalmic drops. Umbilical ultrasound revealed a fluid pocket adjacent to the umbilical vein; therefore, omphalectomy was performed. Umbilicus and blood were cultured. Results recovered two multidrug-resistant extended-spectrum β-lactamase (ESBL) producing Escherichia coli clones, identified as ST38 (umbilicus) and ST361 (blood), harboring two different plasmids encoding bla_CTX-M-15. Antibiotic treatment was replaced with imipenem and amikacin, but the foal deteriorated and was euthanized. Postmortem investigation revealed severe ulcerative enteritis, a perforation site and acute renal infarcts. Sepsis due to several different ESBL-producing E. coli strains should be considered, investigated, and treated accordingly.     

Fibrinous pericarditis and cardiac tamponade in a 3‐week‐old pony foal

A 3‐week‐old Pony of the Americas foal presented with a history of respiratory distress presumed to result from Actinobacillus equuli pleuropneumonia and septic arthritis. Failure of transfer of passive colostral immunity was suspected, but not confirmed, based on a history of the foal being separated from its dam shortly after parturition. Transient improvement was noted following thoracocentesis and removal of approximately 600 ml of pleural fluid but progressive clinical signs of congestive heart failure developed. Fibrinous pericarditis with evidence of cardiac tamponade was subsequently diagnosed via thoracic ultrasonography. Early clinical signs of cardiogenic shock were identified and fibrinopurulent exudate removed through a catheter placed with ultrasound guidance into the pericardium. The foal experienced cardiorespiratory arrest during the procedure and died despite resuscitative efforts. Post mortem examination identified extensive hypertrophy of the pericardium, septic arthritis, mild pleural effusion and focal bronchopneumonia. This report details the clinical evaluation, haematology, treatment and post mortem pathology of a foal with Actinobacillus equuli associated fibrinous pericarditis, as well as a brief review of cardiac tamponade.     

A preliminary investigation of the use of a foal image to reduce mare stress during mare–foal separation

The data for this study were collected from 7 mares (10 ± 1.6 years old) when their foals were 4-, 15-, 30-, 45-, or 60-days-old. On each occasion, the foals were anesthetized and placed out of sight of the mare and the mares’ behavior, heart rate, and cortisol response to foal separation in either the presence of a foal phantom, a square shape, or no visual stimuli were measured. In the presence of the foal phantom, anxious (P = 0.119) and agitated (P = 0.524) mare behavior was not significantly different from baseline values. The mares had significantly elevated behavior scores for 5 out of 6 criteria when the square phantom was presented and were significantly more active (higher scores for fidgety and active criteria) when no visual stimuli (control) were provided. Based on the data presented in this study, the use of a phantom image of a foal with neutral ear and tail position may be an effective nonchemical method of calming mares during separation from their foal.     

Severe hyperkalaemia associated with renal dysplasia in a 2-day-old foal

A 2-day-old filly foal presented with signs of depression, recumbency and inappetence. Blood analyses revealed hypoalbuminaemia, hyperfibrinogenaemia, hyperglycaemia and hyperkalaemia. The foal deteriorated despite intensive treatment and was subjected to euthanasia. At post mortem examination, the urinary bladder, ureters and kidneys appeared normal grossly. Histologically both kidneys showed disorganised development with the presence of structures inappropriate for a foal of this age, including primitive glomeruli, immature renal tubules and persistent metanephric ducts. Based on these findings a diagnosis of bilateral renal dysplasia was made.     

Factors Affecting Gestation Length in Heavy Draft Mares

The purpose of this study was to examine the factors affecting gestation length in 209 foalings from 65 heavy draft horses by multiple linear regression analysis. The objective variable was gestation length, and the explanatory variables were stud farm, year foaled, month foaled, age of mare, parity of mare, last gestation length, foal gender, and some meteorological parameters (the mean values of prepartum 10 days: maximum temperature, minimum temperature, average barometric pressure, and hours of sunshine in a day). The mean gestation length for 209 foalings was 334.9 (standard deviation = 8.3) days, with a range of 313-352 days. Stepwise regression analysis showed that last gestation length and foal gender had significant (P < .01) effects on gestation length. Multiple regression analysis showed that last gestation length (standard partial regression coefficient = 0.54) was more influential on the present gestation length than foal gender (standard partial regression coefficient = 0.22). The present gestation length and the last gestation length were moderately positively correlated (r = 0.56, P < .01). Colt foal (n = 106) pregnancies were significantly (P < .01) longer than fillies (n = 103) (mean ± SEM: colt 337.1 ± 0.7 vs. filly 332.7 ± 0.9). According to our results, last gestation length (mare itself) and foal gender were the main factors affecting gestation length in heavy draft horses. Once several gestation lengths are known, predictions with acceptable accuracy can be made about the gestation length of that mare's following foaling.     

Dictyocaulus arnfeldi in foal pneumonia: A case report

A three month old Appaloosa foal was treated for a refractory pneumonia and Dictyocaulus arnfeldi was found as a causative agent. Eosinophilia in a complete blood count alerted the clinician to the possibility of parasitic involvement and the use of a modified Baermann technique produced larvae of Dictyocaulus arnfeldi. Larvacidal doses of thiabendazole resulted in a dramatic clinical improvement and the foal recovered uneventfully with traditional therapy.     

Distal aortic aneurysm presumed to be secondary to an infected umbilical artery in a foal

Abstract

CASE HISTORY:?A 3-month-old female Warmblood foal was presented after displaying signs of colic with pyrexia for 5 days.

CLINICAL AND PATHOLOGICAL FINDINGS:?The foal continued to show signs of colic, frequently passed urine, and was pyrexic with an elevated white blood cell count. The umbilical stalk was thickened but there was no evidence of purulent material. Exploratory laparotomy revealed an enlarged left umbilical artery remnant tightly adhered to the bladder wall. The left umbilical artery continued to an aneurysm involving the distal aorta. The foal was subject to euthanasia and post-mortem examination confirmed a spherical aortic aneurysm, in the dorsal midline caudal to the kidneys that contained a large thrombus. Histopathological examination revealed inflammation and necrosis of the tunica intima and tunica media of the left umbilical artery with suppuration and bacterial colonies evident in the periarterial tissues.

DIAGNOSIS:?Infected aortic aneurysm presumably caused by an umbilical artery infection.

CLINICAL RELEVANCE:?A previously undetected umbilical infection appears to have resulted in an unusual delayed complication causing signs of colic in a foal. Veterinarians should be aware of this condition, and the possibility that it may be a cause of signs of colic in foals. Diagnosis based on ultrasonography should be possible, but may require sedation, visceral analgesia and careful examination.     

Equine Proliferative Enteropathy Caused by Lawsonia intracellularis in a Foal in Brazil

An 8-month-old foal in Brazil presented with fever, colic, diarrhea, hypoproteinemia (especially hypoalbuminemia), leukocytosis, and hyperfibrinogenemia and became lethargic and anorexic with a poor body score. A diagnosis of Lawsonia intracellularis proliferative enteropathy was confirmed by fecal polymerase chain reaction and serologic testing, and the foal was successfully treated with oxytetracycline followed by azithromycin.     

Use of Renal Replacement Therapy in a Neonatal Foal with Postresuscitation Acute Renal Failure

A newborn foal was presented because it was unresponsive and in cardiopulmonary arrest. Aggressive cardiopulmonary cerebral resuscitation was administered to the foal, which revived the foal; however, acute renal failure developed. Fluid retention and azotemia occurred although the foal was alert and able to suckle. A 6‐hour renal replacement therapy session using hemodiafiltration and a continuous renal replacement therapy machine was administered to the foal at 3 days of age which lowered the foal's azotemia and facilitated removal of some of the excess body fluid. Despite therapy, the foal developed pulmonary edema and was euthanized. Although the foal in this case did not survive, this report highlights the possibility of developing postresuscitation complications such as acute renal failure and describes the use of renal replacement therapy using hemodiafiltration as a viable option in neonatal foals with acute kidney injury.     

Bullous emphysema with haemorrhage in a premature foal

A Warmblood foal was admitted at one day of age because of prematurity and seizures. Clinical and clinical pathology abnormalities were consistent with prematurity and suspected hypoxic seizures that responded to anti‐convulsive therapy. The foal stabilised after several days of intensive care but then developed an airway infection. Thoracic radiographs showed multiple cavitary lesions and ultrasound examination suggested intra‐cavital haemorrhage. The foal went on to develop septicaemia and was subjected to euthanasia. Post mortem examination revealed multiple bullous emphysema with haemorrhage. This disorder should be considered in the differential diagnosis of foals having air‐fluid filled cavities on thoracic radiographs.     

Seizures in an Arabian foal due to suspected prolonged transient neonatal hypoparathyroidism

This Case Report describes a 5‐week‐old male Arabian foal of Egyptian bloodline with generalised seizures due to hypocalcaemia. The laboratory changes in this foal were consistent with an abnormal regulation of calcium as occurs with hypoparathyroidism. Prolonged transient neonatal hypoparathyroidism as reported in man was suspected. The foal received oral calcium and vitamin D₃ supplementation combined with the calcium sparing diuretic carbonic anhydrase inhibitor acetazolamide. Calcium concentrations increased gradually over 6 months. In Arabian foals, especially those of Egyptian bloodline suffering suspected juvenile epilepsy, hypocalcaemia should be ruled out as a cause of seizures.     

Impact of reproductive efficiency over time and mare financial value on economic returns among Thoroughbred mares in central Kentucky

Reason for performing study: There have been no studies reporting the impact of reproductive efficiency and mare financial value on economic returns. Objective: To explore the economic consequences of differences in reproductive efficiency over time in the Thoroughbred mare. Methods: Complete production records for 1176 mares were obtained. Production history and drift in foaling date were calculated. Multiple logistic regression was used to identify factors influencing the probability of producing a registered foal in 2005. The ‘net present value’ and ‘internal rate of return’ were calculated for economic scenarios involving different initial mare financial values, levels of reproductive efficiency, and durations of investment. Results: Among mares that did not produce a foal every year (63%), the mean time before failing to produce a registered foal was 3.4 years. The majority of mares drifted later in their foaling dates in subsequent foaling seasons. Increasing mare age, foaling after 1st April, needing to be mated multiple times during the season, and producing a lower number of foals in continuous sequence during previous years decreased the probability of producing a registered foal. Over a 7 year investment period, live foals must be produced in all but one year to yield a positive financial return. Profitability was highest among mares of greatest financial value. Conclusions: Mares are long‐term investments due to the extended period before there is a return on the investment. Improving our understanding of mare, stallion and management factors that affect the likelihood of producing a live foal are critical to ensuring a positive financial return. Additional work is needed to test the robustness of the study's conclusions when the cost and revenue assumptions are varied. Potential relevance: This information can assist in assessing mare profitability and developing management strategies to maximise profitability.     

Imaging diagnosis and clinical presentation of a Chiari malformation in a Thoroughbred foal

A newborn Thoroughbred foal was presented to the clinic with ambiguous neurological deficits, spinal anomalies and a soft tissue swelling dorsal to the lumbar vertebral column. The foal was alert but unable to rise and stand. With radiography, ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI) a lumbar dysraphic anomaly, cerebellar herniation and coincidental skeletal abnormalities were documented. Finally, a meningomyelocele was defined and, in context with the cerebellar herniation through the foramen magnum, the foal was diagnosed to have a Chiari malformation. The MRI examination corresponded best with the post mortem findings. Although 3‐dimensional imaging methods have been considered superior regarding full and detailed assessment of the congenital malformation, radiography and ultrasonography also provide essential information to diagnose dysraphic lesions at reduced costs and efforts. A Chiari malformation should be considered as a differential diagnosis in foals with neurological deficits.     

Hemorrhagic Enterotoxemia Caused by Clostridium perfringens Type C in a Foal

A four day old Appaloosa foal in Alberta died from hemorrhagic enterotoxemia. Beta-toxin of Clostridium perfringens was demonstrated in the intestinal contents of the foal and a pure culture of C. perfringens type C was grown from the small intestine. Histological examination showed hemorrhage and extensive necrosis of the small intestinal mucosa. Areas of necrotic tissue were surrounded by massive numbers of clostridia-like rods. There was also a moderate degree of thyroid hyperplasia. This is believed to be the first published report of hemorrhagic enterotoxemia associated with C. perfringens type C in the horse in Canada.     

Hydranencephaly in a foal

Hydranencephaly is well recognised in several domestic animals, especially ruminants, but is virtually unknown in the horse. This case report describes a premature filly foal that on the day of delivery was found with a severe neurological disorder that initially improved but then progressively worsened. The foal was subjected to euthanasia on humane grounds and post mortem examination revealed somewhat asymmetric but bilateral destruction of the telencephalon identified as hydranencephaly. The possible causes of hydranencephaly in foals are discussed.