Pigeon Fever
Presented by Dr. Robert Hunter
Also Know As:
- Dryland Distemper
- Ulcerative Lymphangitis
- Caseous Lymphadenitis
- Equine Acne
- Pigeon Breast
Etiologic Agent: Bacteria, Corynebacterium pseudotuberculosis
Mode of
Infection:
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Through skin or mucous membranes
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Skin abrasions
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Biting insects (flies, gnats)
Seasonality:
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July thru January
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External abscesses – mostly Sept, Oct, Nov
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Repeat/Internal abscesses – Nov, Dec, Jan
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Recurrence/Internal abscessation usually within 3-6
months
Symptoms/Clinical
Signs:
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External abscesses – chest, sheath, udder, ventral
abdomen, side of face, neck, shoulder, hip
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Internal abscesses (<10%) – lungs, liver, spleen,
kidney, axillary region etc.
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o
Typically a lymph node or lymph vessel
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Swelling/Edema – ventral abdomen, limbs, sheath,
udder, chest
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Lameness
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Rupture w/ drainage or just oozing of serum
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o
Thick, caseous, white pus; non-odorous
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+/- fever
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+/- anorexia
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listless
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Internal abscesses = fever, lethargy, anorexia, weight
loss, abdominal pain, abortion, inc. HR, inc. RR
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o
30% Fatal, 100% Fatal if not treated
Diagnosis:
- Clinical signs,
bacterial culture of pus, ultrasound
- SHI serum titers ≥ 512 (Synergistic Hemolysin
Inhibition)
- PCR
- Basic Blood work:
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inc WBC (elev. Neutrophils)
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inc Fibrinogen
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inc TP (globulins fraction)
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dec HCT (anemia)
Treatment:
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Lance/flush abscesses whenever possible
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Hot packs, poultice
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Antibiotics (internal abscesses require long-term)
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Anti-inflammatories
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Immune Stimulants
Prevention:
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No vaccine!!
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Fly control
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General environmental cleanliness
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Varying levels of immunity:
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1.
No infection
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2.
lymph node abscesses
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3.
multiple abscesses
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4.
internal abscesses
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Endemic in certain areas – new horses, young horses,
aged horses, immune compromised at greatest risk
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Contagion –
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Not contagious in the typical ways
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Does not transfer horse to horse
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o
Fly bites occur in summer & may take weeks/months to
show clinical symptoms
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o
May show up all of a sudden – swelling, pain, etc.
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