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Miracle

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Miracle

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  1. Miracle Case study of equine lymphangitis Kristy Crocker Penny Tompkins

  2. http://www.percheronsa.co.za/history.php?header=History%20of%20the%20Percheron&history=Origin%20of%20the%20Percheron&pid=historyhttp://www.percheronsa.co.za/history.php?header=History%20of%20the%20Percheron&history=Origin%20of%20the%20Percheron&pid=history

  3. Lymphangitis • Lymphangitis in horses is an inflammation and/or swelling associated with impairment of the lymphatic system, particularly in a limb. • It is most commonly a bacterial infection. • Commonly associated with a wound, which may be very minor. This is a likely entrance for bacterial access to the lymph ducts.

  4. Background • From Seattle, Washington • 7 year old mare • Diagnosed with mud fever in 9/18/2010 • Difficulty keeping wounds open and clean • Vaccines up to date on all horses

  5. Environment • Some pasture land • Often kept in corral • Soil damp, mostly muddy • 4 other horses, all Friesian

  6. PresentingComplaint • Lameness • Swelling • Sensitive to touch • Some discharge from wound

  7. http://www.horsesring.com/forums/showthread.php?34607-ziggy-injuredhttp://www.horsesring.com/forums/showthread.php?34607-ziggy-injured http://www.chronofhorse.com/forum/showthread.php?t=242016

  8. ClinicalSigns • Swelling on right hind limb near fetlock joint • Lameness • Abrasion with purulent discharge • Some incrustation around abrasion • Hot and painful to touch • Extreme swelling in lymph tissue on affected limb • Temperature of 103 degrees F

  9. Diagnostics • Previous history of Mud fever • Open wounds allowing bacteria access • Microbial culture of fluid sample • Ultrasonography to identify extent of abscess pockets

  10. Treatment • Antibiotics: Doxycycline to fight the bacteria • NSAIDS: Flunixin (Banamine) to fight fever on inflammation • Supportive care of walking to get movement back to leg • Trental (pentoxyphylline) to help restore peripheral blood flow to the limb

  11. Outcome • May be ongoing, client needs to pay close attention to the area for signs of re-infection • Several weeks of medication till symptoms subside • Recheck in one week

  12. References • Pollock, Angie. 2010. Helium. Mud Fever in Horses, Causes, Signs, Prevention and Treatment. Retrieved on 10/24/2010 from http://www.helium.com/items/1193397-understanding-and-preventing-mud-fever-in-horses. • Dodd, Patricia. June 8, 2010. suite101.com. Equine Lymphangitis – Causes, Symptoms and Treatment. Retrieved on 10/24/2010 from http://www.suite101.com/content/equine-lymphangitis---causes-symptoms-and-treatments-a246535 . • Marcella, Kenneth, L. May, 31, 2003. Thoroughbred Times. Veterinary Topics: A Case of Stovepipe Leg. Retrieved on 10/24/2010 from http://www.thoroughbredtimes.com/horse-health/2003/may/31/veterinary-topics-the-case-of-a-stovepipe-leg.aspx