Sunday, October 4, 2009

Pigeon Fever Tips

Dr. Farquer shares information from Colorado State University about the disease:

Clinical signs: Early signs can include lameness, fever, lethargy, depression and weight loss.

Infections can range from mild, small, localized abscesses to a severe disease with multiple massive abscesses containing liters of liquid, tan-colored pus.
External, deep abscesses, swelling and multiple sores develop along the chest, midline and groin area, and, occasionally, on the back.

Incubation period: Horses may become infected but not develop abscesses for weeks.Animals affected:The disease usually manifests in younger horses, but can occur in any age, sex, and breed.

A different biotype of the organism is responsible for a chronic contagious disease of sheet and goats, Caseous lymphadenitis, or CL. Either biotype can occur in cattle.

Disease forms: Generally 3 types: external abscesses, internal abscesses or limb infection (ulcerative lymphangitis). The ulcerative lymphangitis is the most common form worldwide and rarely involves more than one leg at a time. Usually, multiple small, draining sores develop above the fetlock.

The most common form of the disease in the United States is external abscessation, which often form deep in the muscles and can be very large. Usually they appear in the pectoral region, the ventral abdomen and the groin area. After spontaneous rupture, or lancing, the wound will exude liquid, light tan-colored, malodorous pus.
Internal abscesses can occur and are very difficult to treat

Diagnosis: Your veterinarian can easily collect a sample for culture at a diagnostic laboratory. It is important to isolate the bacterium to get a definitive diagnosis since pigeon fever can superficially resemble other diseases.

Treatment: Hot packs or poultices should be applied to abscesses to encourage opening. Open abscesses should be drained and regularly flushed with saline.
Surgical or deep lancing may be required, depending on the depth of the abscess or the thickness of the capsule, and should be done by your veterinarian.
Ultrasound can aid in locating deep abscesses so that drainage can be accomplished.
External abscesses can be cleaned with a 0.1 percent povidone-iodine solution

Antiseptic soaked gauze may be packed into the open wound

A nonsteroidal anti-inflammatory drug such as phenylbutazone can be used to control swelling and pain

Antibiotics are controversial. Their use in these cases has sometimes been associated with chronic abscessation and, if inadequately used, may contribute to abscesses, according to one study.

"I've treated two cases of Pigeon Fever in the last 30 days, one with and one without antibiotics. I made my choices based upon the specific situation and patient. I stress that no two patients are the same, so get a little help if you find one of your horses with Pigeon Fever." he added.

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