Case series Three foals, aged between 5 and 10 days, were presented for assessment of lethargy, abdominal pain and joint effusion. Fibrinous pericarditis and pericardial effusion ( PE ) were recognised in each foal and considered as sequelae to systemic inflammatory response syndrome ( SIRS ) and suspected or confirmed septicaemia. Clinical course and outcome Diagnosis of pericarditis was made in two foals by echocardiographic examination and analysis of pericardial fluid, and during postmortem examination of the third foal. In both of the foals that underwent pericardiocentesis, PE was an exudate, no bacteria were identified on cytological analysis and bacterial culture was negative. Despite apparent response to treatment, two foals died 2 and 3 weeks, respectively, after discharge from hospital. One foal was euthanased during hospitalisation. Conclusion and clinical relevance This report highlights the need to consider the development of pericarditis and PE in foals with SIRS and signs of cardiorespiratory dysfunction, and the requirement for protracted follow‐up to monitor for clinical resolution.
In equids, chorioptic mange is a common dermatitis for which there are no licensed medications in the uk . Doramectin and fipronil are licensed for the control of ectoparasites in other species and were evaluated for the treatment of 17 cases of chorioptic mange in 13 equids. Equids were included if clinical findings were indicative of chorioptic mange, chorioptes mites were positively identified and concurrent disease that could affect response to disease was not evident. A random number table was used to allocate subjects to receive doramectin (group D, eight animals) or fipronil (group F, nine animals). Each of the horses in group D were given 0·3 mg/kg doramectin (Dectomax; Pfizer) on two occasions 14 days apart by subcutaneous injection. All limbs of the horses in group F were sprayed with fipronil 0·25 per cent solution (Frontline; Merial) to the level of the stifles and elbows. Both groups were examined on the day of treatment and 14 and 28 days later to assess the behavioural signs of pruritus and the severity of the dermatological lesions. Acetate tape impressions were collected from the distal limbs and the degree of mite infestation was assessed. By day 28 there were no behavioural signs of chorioptic mange in any of the animals, and there were significant reductions in the numbers of mites in both groups. However, there were no significant reductions in the mean lesion score in either group. There was no significant difference between the effectiveness of the two treatments.
Summary Bacterial culture and susceptibility testing are requested frequently in equine medicine. However, there is little value in these tests unless a standardised approach for submission of specimens, pathogen identification and susceptibility testing is utilised. Additionally, appropriate interpretation must be applied when assessing the significance of the isolate and susceptibility testing results if appropriate therapies are to be prescribed. In this paper we briefly outline standard techniques used commonly in veterinary diagnostic laboratories for bacterial isolation, identification and susceptibility testing. Emphasis has been placed on the principles appropriate to ensure the correct interpretation of culture and susceptibility testing results.
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