Ophthalmologic findings associated with Rhodococcus equi bronchopneumonia in foals

Iciar Tarancón, Marta Leiva, Eduard Jose-Cunilleras, José Ríos, Teresa Peña

Research output: Contribution to journalArticleResearch

3 Citations (Scopus)

Abstract

© 2019 American College of Veterinary Ophthalmologists Objective: To describe ocular findings associated with Rhodococcus equi bronchopneumonia in foals, and to determine whether severity of the ocular lesions is related with outcome. Animals studied: Foals diagnosed with R equi infection at the VTH-UAB from January 2002 to December 2017. Procedure: Rhodococcus equi infection was diagnosed by means of clinical signs, radiographic/ultrasonographic findings, and/or positive culture. In all the foals, a complete ophthalmic examination by a boarded ophthalmologist was performed and ocular signs were recorded and graded (0-4). Results: Thirty-nine foals were included in the study, from which 12 showed signs of bilateral anterior uveitis (30.8%). Among these, three foals were classified as mildly uveitis-affected (MUA:7.7%) and nine as severely uveitis-affected (SUA:23.1%). Five SUA foals showed green aqueous flare (5/9;55.5%). Despite the systemic treatment, 9/39 sick foals died (23.1%), the fatality rate being different between groups: SUA (4/9;44.4%), MUA (0/3; 0%) and nonuveitis-affected foals (5/27;18.5%). Among SUA foals, only one with green aqueous flare died (1/5;20%). Conclusion: Bilateral anterior uveitis is highly prevalent in foals with R equi pneumonia (30.8%). The severity of anterior uveitis might be considered a nonsurvival prognostic factor and, until proven otherwise, green aqueous flare could be taken as a strongly suggestive ocular sign of the disease. Findings of this study remark the clinical relevance of performing a complete ophthalmic examination in sick foals, in order to help in the diagnosis and prognosis of uveal diseases, as well as to guaranteeing visual soundness.
Original languageEnglish
Pages (from-to)660-665
JournalVeterinary Ophthalmology
Volume22
Issue number5
DOIs
Publication statusPublished - 1 Sep 2019

Keywords

  • eye
  • green aqueous flare
  • horse
  • prognosis
  • uveitis

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