Guttural pouch empyema caused by Corynebacterium pseudotuberculosis in a pregnant mare

Summary During medical management of mild colic in a 12‐year‐old Quarter Horse, mid‐gestation mare, unilateral purulent nasal discharge from the right nostril was noted. Endoscopic examination revealed guttural pouch empyema. Culture was positive for Corynebacterium pseudotuberculosis and negative f...

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Veröffentlicht in:Equine veterinary education 2018-02, Vol.30 (2), p.76-79
Hauptverfasser: DeLoache, P., Whelchel, D., Beetz, R., Carter, J., Eichelberger, A., Pusterla, N.
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container_end_page 79
container_issue 2
container_start_page 76
container_title Equine veterinary education
container_volume 30
creator DeLoache, P.
Whelchel, D.
Beetz, R.
Carter, J.
Eichelberger, A.
Pusterla, N.
description Summary During medical management of mild colic in a 12‐year‐old Quarter Horse, mid‐gestation mare, unilateral purulent nasal discharge from the right nostril was noted. Endoscopic examination revealed guttural pouch empyema. Culture was positive for Corynebacterium pseudotuberculosis and negative for Streptococcus equi ssp. equi. A synergistic haemolysis inhibition titre of 1024 was consistent with C. pseudotuberculosis infection. Treatment included serial lavages and local infusion of antibiotics into the guttural pouches along with a 6‐week course of oral trimethoprim–sulfamethoxazole and rifampicin. Overall, no additional sites of infection were identified and the mare responded well to treatment, delivering a healthy, full‐term foal. This case emphasises that C. pseudotuberculosis, although uncommon, should be considered as a differential for guttural pouch empyema.
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Endoscopic examination revealed guttural pouch empyema. Culture was positive for Corynebacterium pseudotuberculosis and negative for Streptococcus equi ssp. equi. A synergistic haemolysis inhibition titre of 1024 was consistent with C. pseudotuberculosis infection. Treatment included serial lavages and local infusion of antibiotics into the guttural pouches along with a 6‐week course of oral trimethoprim–sulfamethoxazole and rifampicin. Overall, no additional sites of infection were identified and the mare responded well to treatment, delivering a healthy, full‐term foal. 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Endoscopic examination revealed guttural pouch empyema. Culture was positive for Corynebacterium pseudotuberculosis and negative for Streptococcus equi ssp. equi. A synergistic haemolysis inhibition titre of 1024 was consistent with C. pseudotuberculosis infection. Treatment included serial lavages and local infusion of antibiotics into the guttural pouches along with a 6‐week course of oral trimethoprim–sulfamethoxazole and rifampicin. Overall, no additional sites of infection were identified and the mare responded well to treatment, delivering a healthy, full‐term foal. 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Endoscopic examination revealed guttural pouch empyema. Culture was positive for Corynebacterium pseudotuberculosis and negative for Streptococcus equi ssp. equi. A synergistic haemolysis inhibition titre of 1024 was consistent with C. pseudotuberculosis infection. Treatment included serial lavages and local infusion of antibiotics into the guttural pouches along with a 6‐week course of oral trimethoprim–sulfamethoxazole and rifampicin. Overall, no additional sites of infection were identified and the mare responded well to treatment, delivering a healthy, full‐term foal. This case emphasises that C. pseudotuberculosis, although uncommon, should be considered as a differential for guttural pouch empyema.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/eve.12684</doi><tpages>4</tpages></addata></record>
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source Wiley Online Library Journals Frontfile Complete
subjects Antibiotics
Colic
Corynebacterium pseudotuberculosis
Empyema
Gestation
Guttural pouch
guttural pouch empyema
horse
Horses
Infections
internal abscess
pigeon fever
Pregnancy
Pseudotuberculosis
Rifampin
Streptococcus infections
Sulfamethoxazole
Trimethoprim
Trimethoprim-sulfamethoxazole
title Guttural pouch empyema caused by Corynebacterium pseudotuberculosis in a pregnant mare
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