Guttural pouch empyema in a Mangalarga Marchador filly: Case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/33248 |
Resumo: | Guttural pouch empyema is usually a consequence of upper respiratory tract infections, especially those caused by Streptococcus equi. In adult horses, empyema is a common disease, whereas considered rare in foals. The aim of this work was to report a case of unilateral guttural pouch empyema in a filly, with a focus on diagnostic and treatment approaches. A 1-month-old filly, 68 kg, Mangalarga Marchador, was admitted because of respiratory distress and enlargement caudally in the head. Clinical examination revealed dyspnea, dysphagia, lymphadenopathy, unilateral enlargement in the retropharyngeal area, and mucopurulent nasal discharge. Further, endoscopic examination confirmed the presence of purulent material inside the left guttural pouch and a diagnosis of empyema was arrived at. Drainage was performed surgically, a catheter was inserted for guttural pouch lavage. The animal received bromexin, dexamethasone, flunixin meglumine, ceftiofur, probiotics, vitamin complexes, and ringer lactate solution. Hematological evaluation performed every 24-72h, showed a decrease in total leukocytes, fibrinogen, platelets, total plasma protein, hematocrit, hemoglobin, and erythrocytes. Eleven days after drainage, the filly’s clinical condition was stable and the wound has healing. The animal was discharged following a good prognosis. Differential diagnoses can include other respiratory diseases, such as guttural pouch timpanism, strangles, and Rhodococcus, which are excluded due to the clinical signs and complementary examinations. In the present case early diagnosis, based on physical examination, hematological parameters, and radiography, combined with adequate treatment methods, including surgical procedures, lavages, antibiotics, and anti-non-steroidal inflammatory therapy, contributed to resolving the guttural pouch empyema in the filly. |
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Guttural pouch empyema in a Mangalarga Marchador filly: Case reportEmpiema de bolsa gutural en una potranca Mangalarga Marchador: Reporte de casoEmpiema de bolsa gutural em potra Mangalarga Marchador: Relato de casoAdenitisDrenaje de la bolsa guturalPurulentaRespiratorioStreptococcus equi.AdeniteDrenagem bolsa guturalPurulentoRespiratórioStreptococcus equi.PurulentGuttural pouch drainageRespiratoryStreptococcus equiStrangles.Guttural pouch empyema is usually a consequence of upper respiratory tract infections, especially those caused by Streptococcus equi. In adult horses, empyema is a common disease, whereas considered rare in foals. The aim of this work was to report a case of unilateral guttural pouch empyema in a filly, with a focus on diagnostic and treatment approaches. A 1-month-old filly, 68 kg, Mangalarga Marchador, was admitted because of respiratory distress and enlargement caudally in the head. Clinical examination revealed dyspnea, dysphagia, lymphadenopathy, unilateral enlargement in the retropharyngeal area, and mucopurulent nasal discharge. Further, endoscopic examination confirmed the presence of purulent material inside the left guttural pouch and a diagnosis of empyema was arrived at. Drainage was performed surgically, a catheter was inserted for guttural pouch lavage. The animal received bromexin, dexamethasone, flunixin meglumine, ceftiofur, probiotics, vitamin complexes, and ringer lactate solution. Hematological evaluation performed every 24-72h, showed a decrease in total leukocytes, fibrinogen, platelets, total plasma protein, hematocrit, hemoglobin, and erythrocytes. Eleven days after drainage, the filly’s clinical condition was stable and the wound has healing. The animal was discharged following a good prognosis. Differential diagnoses can include other respiratory diseases, such as guttural pouch timpanism, strangles, and Rhodococcus, which are excluded due to the clinical signs and complementary examinations. In the present case early diagnosis, based on physical examination, hematological parameters, and radiography, combined with adequate treatment methods, including surgical procedures, lavages, antibiotics, and anti-non-steroidal inflammatory therapy, contributed to resolving the guttural pouch empyema in the filly.Empiema de la bolsa gutural és consecuencia de infección del tracto respiratorio superior, especialmente por Streptococcus equi. En los caballos adultos, empiema es la enfermedad más común, mientras que en potros es rara. Apuntamos reportar un caso de empiema de bolsa gutural unilateral en potra, enfocándonos en los métodos de diagnóstico y tratamiento. Una potranca, 1 mes edad, 68 kg, Mangalarga Marchador, fue atendida por dificultad respiratoria y agrandamiento caudal de la cabeza. Durante el examen clínico se constató disnea, disfagia, adenopatías, agrandamiento unilateral en zona retrofaríngea, secreción nasal mucopurulenta. El examen endoscópico confirmó la presencia de pus dentro de la bolsa gutural y los diagnósticos de empiema. Se realizó drenaje por cirugía y se mantuvo el catéter en bolsa para lavado. La potranca recibió bromexina, dexametasona, flunixina meglun, ceftiofur, probióticos, complejo vitamínico y solución de ringer. Se realizó evaluación hematológica cada 24-72h, observándose disminución de leucocitos totales, fibrinógeno, plaquetas, proteínas plasmáticas totales, hematocrito, hemoglobina y eritrocitos. Once días después del drenaje, el estado clínico de la potranca era estable y la herida cicatrizaba adecuadamente, siendo el paciente dado de alta, con buen pronóstico. Los diagnósticos diferenciales incluyen enfermedades respiratorias, como timpanismo de la bolsa gutural, adenita, rodococos, siendo estas enfermedades excluidas por signos clínicos y exámenes complementarios. El diagnóstico precoz, basado en el examen físico, hematológico y radiografía, combinado con métodos de tratamiento adecuados, basados en procedimiento quirúrgico, lavados, terapia antibiótica y antiinflamatoria no esteroideo, evoluciona para resolver el caso de empiema de bolsa gutural en la potranca.Empiema da bolsa gutural é geralmente uma consequência de infecção do trato respiratório superior, especialmente por Streptococcus equi. Em equinos adultos, o empiema é uma doença comum, enquanto em potros é considerada rara. O objetivo deste trabalho foi relatar um caso de empiema de bolsa gutural unilateral em potra Mangalarga Marchador, com foco nos métodos de diagnóstico e tratamento. Uma potra, 1 mês de idade, 68kg, Mangalarga Marchador, foi atendida devido a desconforto respiratório e aumento na região da cabeça. Ao exame clínico, notou-se dispneia, disfagia, linfadenopatia, aumento unilateral em região retrofaríngea, secreção nasal mucopurulenta. O exame endoscópico confirmou presença de material purulento no interior da bolsa gutural esquerda e diagnóstico de empiema. A drenagem por cirurgia foi realizada e um cateter foi mantido para lavagem da bolsa gutural. O animal recebeu bromexina, dexametasona, flunixina meglumina, ceftiofur, probióticos, complexo vitamínico e solução de ringer lactato. A avaliação hematológica foi realizada cada 24-72h, mostrando diminuição de leucócitos totais, fibrinogênio, plaquetas, proteína plasmática total, hematócrito, hemoglobina e eritrócitos. Onze dias após drenagem, o quadro clínico da potra era estável e a ferida cicatrizando adequadamente. O animal recebeu alta, com prognóstico favorável. Os diagnósticos diferenciais incluem doenças respiratórias, destacam-se timpanismo de bolsa gutural, adenite, rhodococcus, sendo essas excluídas devido aos sinais clínicos e exames complementares. O diagnóstico precoce, baseado no exame clínico, hematológico e radiográficos, aliado a métodos de tratamento adequados, baseados em procedimento cirúrgico, lavagem da bolsa gutural, antibioticoterapia e anti-inflamatórios não-esteroidais, contribuiram para resolução do empiema de bolsa gutural na potra.Research, Society and Development2022-09-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/3324810.33448/rsd-v11i11.33248Research, Society and Development; Vol. 11 No. 11; e583111133248Research, Society and Development; Vol. 11 Núm. 11; e583111133248Research, Society and Development; v. 11 n. 11; e5831111332482525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/33248/28727Copyright (c) 2022 Morgana de Oliveira; Fernanda Carlini Cunha dos Santos; Gabriel Weiler; Flávia Renata Crema Salvador; Iury Ribeiro de Paula; Luiz Fernando Schuch ; Carlos Bondan; Leonardo Porto Alveshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessOliveira, Morgana de Santos, Fernanda Carlini Cunha dos Weiler, Gabriel Salvador, Flávia Renata Crema Paula, Iury Ribeiro de Schuch , Luiz Fernando Bondan, Carlos Alves, Leonardo Porto 2022-09-05T13:24:46Zoai:ojs.pkp.sfu.ca:article/33248Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:48:57.557179Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report Empiema de bolsa gutural en una potranca Mangalarga Marchador: Reporte de caso Empiema de bolsa gutural em potra Mangalarga Marchador: Relato de caso |
title |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report |
spellingShingle |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report Oliveira, Morgana de Adenitis Drenaje de la bolsa gutural Purulenta Respiratorio Streptococcus equi. Adenite Drenagem bolsa gutural Purulento Respiratório Streptococcus equi. Purulent Guttural pouch drainage Respiratory Streptococcus equi Strangles. |
title_short |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report |
title_full |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report |
title_fullStr |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report |
title_full_unstemmed |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report |
title_sort |
Guttural pouch empyema in a Mangalarga Marchador filly: Case report |
author |
Oliveira, Morgana de |
author_facet |
Oliveira, Morgana de Santos, Fernanda Carlini Cunha dos Weiler, Gabriel Salvador, Flávia Renata Crema Paula, Iury Ribeiro de Schuch , Luiz Fernando Bondan, Carlos Alves, Leonardo Porto |
author_role |
author |
author2 |
Santos, Fernanda Carlini Cunha dos Weiler, Gabriel Salvador, Flávia Renata Crema Paula, Iury Ribeiro de Schuch , Luiz Fernando Bondan, Carlos Alves, Leonardo Porto |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Oliveira, Morgana de Santos, Fernanda Carlini Cunha dos Weiler, Gabriel Salvador, Flávia Renata Crema Paula, Iury Ribeiro de Schuch , Luiz Fernando Bondan, Carlos Alves, Leonardo Porto |
dc.subject.por.fl_str_mv |
Adenitis Drenaje de la bolsa gutural Purulenta Respiratorio Streptococcus equi. Adenite Drenagem bolsa gutural Purulento Respiratório Streptococcus equi. Purulent Guttural pouch drainage Respiratory Streptococcus equi Strangles. |
topic |
Adenitis Drenaje de la bolsa gutural Purulenta Respiratorio Streptococcus equi. Adenite Drenagem bolsa gutural Purulento Respiratório Streptococcus equi. Purulent Guttural pouch drainage Respiratory Streptococcus equi Strangles. |
description |
Guttural pouch empyema is usually a consequence of upper respiratory tract infections, especially those caused by Streptococcus equi. In adult horses, empyema is a common disease, whereas considered rare in foals. The aim of this work was to report a case of unilateral guttural pouch empyema in a filly, with a focus on diagnostic and treatment approaches. A 1-month-old filly, 68 kg, Mangalarga Marchador, was admitted because of respiratory distress and enlargement caudally in the head. Clinical examination revealed dyspnea, dysphagia, lymphadenopathy, unilateral enlargement in the retropharyngeal area, and mucopurulent nasal discharge. Further, endoscopic examination confirmed the presence of purulent material inside the left guttural pouch and a diagnosis of empyema was arrived at. Drainage was performed surgically, a catheter was inserted for guttural pouch lavage. The animal received bromexin, dexamethasone, flunixin meglumine, ceftiofur, probiotics, vitamin complexes, and ringer lactate solution. Hematological evaluation performed every 24-72h, showed a decrease in total leukocytes, fibrinogen, platelets, total plasma protein, hematocrit, hemoglobin, and erythrocytes. Eleven days after drainage, the filly’s clinical condition was stable and the wound has healing. The animal was discharged following a good prognosis. Differential diagnoses can include other respiratory diseases, such as guttural pouch timpanism, strangles, and Rhodococcus, which are excluded due to the clinical signs and complementary examinations. In the present case early diagnosis, based on physical examination, hematological parameters, and radiography, combined with adequate treatment methods, including surgical procedures, lavages, antibiotics, and anti-non-steroidal inflammatory therapy, contributed to resolving the guttural pouch empyema in the filly. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-03 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33248 10.33448/rsd-v11i11.33248 |
url |
https://rsdjournal.org/index.php/rsd/article/view/33248 |
identifier_str_mv |
10.33448/rsd-v11i11.33248 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/33248/28727 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 11; e583111133248 Research, Society and Development; Vol. 11 Núm. 11; e583111133248 Research, Society and Development; v. 11 n. 11; e583111133248 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
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1797052720018882560 |