Fibrinous pericarditis and pericardial effusion in three neonatal foals

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Case series: Three foals, aged between 5 and 10 days, were presented for assessment of lethargy, abdominal pain and joint effusion. Fibrinous pericarditis and pericardial effusion (PE) were recognised in each foal and considered as sequelae to systemic inflammatory response syndrome (SIRS) and suspected or confirmed septicaemia. Clinical course and outcome: Diagnosis of pericarditis was made in two foals by echocardiographic examination and analysis of pericardial fluid, and during postmortem examination of the third foal. In both of the foals that underwent pericardiocentesis, PE was an exudate, no bacteria were identified on cytological analysis and bacterial culture was negative. Despite apparent response to treatment, two foals died 2 and 3 weeks, respectively, after discharge from hospital. One foal was euthanased during hospitalisation. Conclusion and clinical relevance: This report highlights the need to consider the development of pericarditis and PE in foals with SIRS and signs of cardiorespiratory dysfunction, and the requirement for protracted follow-up to monitor for clinical resolution.
Original languageEnglish
Pages (from-to)392-399
Number of pages8
JournalAustralian Veterinary Journal
Volume92
Issue number10
DOIs
Publication statusPublished - Oct 2014

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pericardial effusion
pericarditis
Pericarditis
Pericardial Effusion
foals
Systemic Inflammatory Response Syndrome
Pericardiocentesis
Lethargy
Exudates and Transudates
Abdominal Pain
Autopsy
Sepsis
Hospitalization
Joints
Bacteria
inflammation
complications (disease)
septicemia
disease course
pain

Cite this

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title = "Fibrinous pericarditis and pericardial effusion in three neonatal foals",
abstract = "Case series: Three foals, aged between 5 and 10 days, were presented for assessment of lethargy, abdominal pain and joint effusion. Fibrinous pericarditis and pericardial effusion (PE) were recognised in each foal and considered as sequelae to systemic inflammatory response syndrome (SIRS) and suspected or confirmed septicaemia. Clinical course and outcome: Diagnosis of pericarditis was made in two foals by echocardiographic examination and analysis of pericardial fluid, and during postmortem examination of the third foal. In both of the foals that underwent pericardiocentesis, PE was an exudate, no bacteria were identified on cytological analysis and bacterial culture was negative. Despite apparent response to treatment, two foals died 2 and 3 weeks, respectively, after discharge from hospital. One foal was euthanased during hospitalisation. Conclusion and clinical relevance: This report highlights the need to consider the development of pericarditis and PE in foals with SIRS and signs of cardiorespiratory dysfunction, and the requirement for protracted follow-up to monitor for clinical resolution.",
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Fibrinous pericarditis and pericardial effusion in three neonatal foals. / Armstrong, Susan; Raidal, Sharanne; Hughes, Kristopher.

In: Australian Veterinary Journal, Vol. 92, No. 10, 10.2014, p. 392-399.

Research output: Contribution to journalArticle

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AU - Raidal, Sharanne

AU - Hughes, Kristopher

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AB - Case series: Three foals, aged between 5 and 10 days, were presented for assessment of lethargy, abdominal pain and joint effusion. Fibrinous pericarditis and pericardial effusion (PE) were recognised in each foal and considered as sequelae to systemic inflammatory response syndrome (SIRS) and suspected or confirmed septicaemia. Clinical course and outcome: Diagnosis of pericarditis was made in two foals by echocardiographic examination and analysis of pericardial fluid, and during postmortem examination of the third foal. In both of the foals that underwent pericardiocentesis, PE was an exudate, no bacteria were identified on cytological analysis and bacterial culture was negative. Despite apparent response to treatment, two foals died 2 and 3 weeks, respectively, after discharge from hospital. One foal was euthanased during hospitalisation. Conclusion and clinical relevance: This report highlights the need to consider the development of pericarditis and PE in foals with SIRS and signs of cardiorespiratory dysfunction, and the requirement for protracted follow-up to monitor for clinical resolution.

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