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Topic:Post Mortem

Post mortem examination in horses involves the systematic investigation of a deceased horse to determine the cause of death and evaluate any underlying health conditions. This process, also known as necropsy, is conducted by veterinary pathologists and involves a thorough external and internal examination of the horse's body. During a post mortem, tissues and organs are inspected for abnormalities, and samples may be collected for further histopathological, microbiological, or toxicological analysis. The findings from a post mortem can provide valuable insights into disease processes, inform management practices, and contribute to broader veterinary research. This page compiles peer-reviewed research studies and scholarly articles that explore methodologies, findings, and implications of post mortem examinations in equine veterinary practice.
Failure of a VapA/CpG oligodeoxynucleotide vaccine to protect foals against experimental Rhocococcus equi pneumonia despite induction of VapA-specific antibody and interferon-γ response.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 9, 2013   Volume 77, Issue 3 161-169 
Lohmann KL, Lopez AM, Manning ST, Marques FJ, Brownlie R, Allen AL, Sangster AE, Mutwiri G, Gerdts V, Potter A, Townsend HG.We evaluated the immunogenic and protective potential of a recombinant VapA/CpG oligodeoxynucleotide (ODN) 2395 vaccine in neonatal foals undergoing experimental Rhodococcus equi challenge. Foals (n = 8) were vaccinated by intramuscular injection on days 1 and 15 of the study; control foals (n = 7) received a phosphate-buffered saline (PBS) solution. All foals were challenged by intrabronchial administration of 5 × 10⁶ R. equi 103⁺ on day 29. Bronchoalveolar lavages were done on days 15, 29, and 36 and total cell count, differential cell count, rVapA-stimulated cell proliferation and inte...
Validation of a novel translumbar ultrasound technique for measuring renal dimensions in horses. Habershon-Butcher J, Bowen M, Hallowell G.A reliable method for obtaining renal ultrasonographic measurements in the horse is important for diagnosis and monitoring of clinical renal disease. The aims of this prospective study were to develop and validate a novel translumbar ultrasound technique for measuring renal dimensions in horses. Six Thoroughbred or Thoroughbred part bred horses were recruited. All horses were scheduled for euthanasia due to reasons unrelated to the kidneys. Two observers recorded renal length, width, and depth; and dimensions of the cortex, medulla, pyramids, and pelvis for both kidneys in each horse using nov...
Contrast-enhanced computed tomographic evaluation of the deep digital flexor tendon in the equine foot compared to macroscopic and histological findings in 23 limbs.
Equine veterinary journal    September 11, 2013   Volume 46, Issue 3 300-305 doi: 10.1111/evj.12129
van Hamel SE, Bergman HJ, Puchalski SM, de Groot MW, van Weeren PR.Distal deep digital flexor tendinopathy is an important cause of foot lameness in horses that is difficult to diagnose with radiography and ultrasonography. Magnetic resonance imaging is a well-accepted and validated technique for the identification of deep digital flexor tendon (DDFT) lesions, but has some practical and financial drawbacks. Contrast-enhanced computed tomography (CECT) has been proposed as a suitable alternative, but validation studies are currently lacking. Objective: To assess the accuracy of CECT for the identification and characterisation of deep digital flexor tendinopath...
Accurate antemortem diagnosis of equine protozoal myeloencephalitis (EPM) based on detecting intrathecal antibodies against Sarcocystis neurona using the SnSAG2 and SnSAG4/3 ELISAs.
Journal of veterinary internal medicine    August 26, 2013   Volume 27, Issue 5 1193-1200 doi: 10.1111/jvim.12158
Reed SM, Howe DK, Morrow JK, Graves A, Yeargan MR, Johnson AL, MacKay RJ, Furr M, Saville WJ, Williams NM.Recent work demonstrated the value of antigen-specific antibody indices (AI and C-value) to detect intrathecal antibody production against Sarcocystis neurona for antemortem diagnosis of equine protozoal myeloencephalitis (EPM). Objective: The study was conducted to assess whether the antigen-specific antibody indices can be reduced to a simple serum : cerebrospinal fluid (CSF) titer ratio to achieve accurate EPM diagnosis. Methods: Paired serum and CSF samples from 128 horses diagnosed by postmortem examination. The sample set included 44 EPM cases, 35 cervical-vertebral malformation (CVM) ca...
Equine multinodular pulmonary fibrosis (EMPF): Five case reports.
Acta veterinaria Hungarica    August 8, 2013   Volume 61, Issue 3 319-332 doi: 10.1556/AVet.2013.024
Schwarz B, Klang A, Bezdekova B, Sárdi S, Kutasi O, Hoven R.Equine multinodular pulmonary fibrosis (EMPF), a progressive fibrosing interstitial lung disease has been associated with gammaherpesviruses. This case series describes five horses with EMPF. Three of the horses (two in Hungary, one in the Czech Republic) were diagnosed with EMPF ante mortem. They presented with typical clinical signs of EMPF including dyspnoea and weight loss. Arterial blood gas analysis revealed hypoxaemia. Blood work showed signs of inflammation like neutrophilia and hyperfibrinogenaemia. An endoscopic examination of the respiratory tract including cytology and culture of t...
Postsurgical segmental mesenteric ischemic thrombosis in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    July 3, 2013   Volume 54, Issue 1 83-85 
Martín-Cuervo M, Gracia LA, Vieitez V, Jiménez J, Durán E, Ezquerra LJ.A 16-year-old, Lusitanian stallion was admitted to the Veterinary Teaching Hospital with a 12-hour history of signs of abdominal pain. Exploratory celiotomy was performed due to an inguinal hernia, and a second celiotomy was performed in response to the abdominal pain. The horse was euthanized and mesenteric venous thrombosis was diagnosed and considered likely due to peritonitis and systemic inflammatory response syndrome (SIRS). Un étalon Lusitanien âgé de 16 ans a été admis à l’hôpital d’enseignement vétérinaire avec une anamnèse de 12 heures de douleurs abdominales. Une coel...
Pulmonary and hepatic lesions caused by the dehydropyrrolizidine alkaloid-producing plants Crotalaria juncea and Crotalaria retusa in donkeys.
Toxicon : official journal of the International Society on Toxinology    May 29, 2013   Volume 71 113-120 doi: 10.1016/j.toxicon.2013.05.007
Pessoa CR, Pessoa AF, Maia LA, Medeiros RM, Colegate SM, Barros SS, Soares MP, Borges AS, Riet-Correa F.The effects and susceptibility of donkeys to Crotalaria juncea and Crotalaria retusa poisoning were determined at high and low doses. Seeds of C. juncea containing 0.074% of dehydropyrrolizidine alkaloids (DHPAs) (isohemijunceines 0.05%, trichodesmine 0.016%, and junceine 0.008%) were administered to three donkeys at 0.3, 0.6 and 1 g/kg body weight (g/kg) daily for 365 days. No clinical signs were observed and, on liver and lung biopsies, the only lesion was a mild liver megalocytosis in the donkeys ingesting 0.6 and 1 g/kg/day. Two other donkeys that received daily doses of 3 and 5 g seed/...
Three cases of a presumptive atypical myopathy in New Zealand horses.
New Zealand veterinary journal    May 20, 2013   Volume 61, Issue 6 367-372 doi: 10.1080/00480169.2013.796436
McKenzie RK, Gibson IR, Ritmeester A.Three weanling Thoroughbred fillies were presented during autumn with depression, muscle rigidity and, in one case, colic symptoms and cardiovascular shock. Results: All fillies had abnormal physical examinations that included elevated heart rates and respiratory rates coupled with muscle rigidity through the back and rump. Biochemistry revealed markedly elevated creatinine kinase and aspartate aminotransferase which indicated a myopathy. Methods: All three horses were diagnosed with presumptive equine atypical myopathy. The horses received supportive therapy as per the literature available at...
Computed tomography and magnetic resonance imaging in the study of joint development in the equine pelvic limb.
Veterinary journal (London, England : 1997)    May 18, 2013   Volume 197, Issue 1 103-111 doi: 10.1016/j.tvjl.2013.03.049
Fontaine P, Blond L, Alexander K, Beauchamp G, Richard H, Laverty S.Osteochondrosis dissecans (OCD) is a focal failure of endochondral ossification of the epiphysis characterized by the presence of cartilage flaps and osteochondral fragments. The objective of this study was to image epiphyseal development in the equine pelvic limb to determine whether there was a variation in site maturation that could be a predisposing factor for OCD. Pelvic limbs (fetuses and foals) were studied post-mortem. The epiphyses of the distal femur, tibia and talus were scanned with computed tomography (CT) and 1.5T magnetic resonance imaging (MRI) to investigate the degree and pat...
Endocardial fibroelastosis in a quarterhorse mare.
Journal of comparative pathology    May 4, 2013   Volume 149, Issue 2-3 318-321 doi: 10.1016/j.jcpa.2013.03.007
Cushing TL.A 4-year-old crossbred Quarterhorse mare was submitted to the Clemson Veterinary Diagnostic Center for necropsy examination with a chronic history of inappetence, weight loss and lethargy. Prior to death the horse had developed mild diarrhoea and began showing evidence of colic. Necropsy examination revealed a markedly enlarged heart due predominantly to marked dilation of the right atrium, tortuous congested mesenteric blood vessels, marked ascites, pleural effusion and pulmonary oedema. Further examination of the heart showed the endocardium of the left side of the heart, including the mitra...
A report of left dorsal displacement of the large colon in a tropical horse.
Asian Pacific journal of tropical biomedicine    April 27, 2013   Volume 3, Issue 4 325-329 doi: 10.1016/S2221-1691(13)60072-6
Sasani F, Javanbakht J, Ghamsari M, Hassan MA.We report one such case which was diagnosed intraoperatively as left dorsal colon volvulus due to multiple mesenteric abnormalities. A 17-year-old castrated male horse was taken to the Tehran University Veterinary Hospital for treatment of metacarpal wound accompanied by severe abdominal distension and acute colic. The treatment and measurement were taken for a month, and the prepared biopsy indicated that the healing trend was obvious. Unfortunately, prior to discharge, the clinical colic manifestations emerged and the animal suddenly died. Dilated large intestine was palpated per rectum and ...
Basilar skull fracture in a Thoroughbred colt: radiography or computed tomography?
Journal of the South African Veterinary Association    April 19, 2013   Volume 84, Issue 1 E1-E5 doi: 10.4102/jsava.v84i1.251
Lim CK, Saulez MN, Viljoen A, Carstens A.A two-year-old Thoroughbred colt was presented to the Equine Clinic, Onderstepoort Veterinary Academic Hospital for head trauma after rearing and falling backwards, hitting his head on the ground. Following medical therapy for acute onset neurological impairment secondary to a suspected basilar skull fracture, the horse was anaesthetised and computed tomography of the skull was performed. A diagnosis of a comminuted basilar skull fracture was made and skull radiographs were taken for comparison. The horse was subsequently euthanased owing to the poor prognosis; necropsy findings were compatibl...
Vascular abnormalities of the distal deep digital flexor tendon in 8 draught horses identified on histological examination.
Research in veterinary science    March 30, 2013   Volume 95, Issue 1 23-26 doi: 10.1016/j.rvsc.2013.03.006
Crişan MI, Damian A, Gal A, Miclăuş V, Cernea CL, Denoix JM.The purpose of this study was to provide a detailed description of the vascular changes in the distal part of deep digital flexor tendon (DDFT). Eight isolated forelimbs were collected from 8 horses with DDF tendinopathy diagnosed post-mortem by ultrasound and gross anatomopathological examination. The samples were fixed in 10% neutral buffered formalin, softened in 4% phenol and dehydrated with ethylic alcohol. Goldner's Trichrome staining method was used. The histopathological examination revealed vascular proliferation associated with structural disorders of blood vessels. Angiogenesis, fib...
Indirect fluorescent antibody test and surface antigen ELISAs for antemortem diagnosis of equine protozoal myeloencephalitis.
Journal of veterinary internal medicine    March 20, 2013   Volume 27, Issue 3 596-599 doi: 10.1111/jvim.12061
Johnson AL, Morrow JK, Sweeney RW.Recent research suggests that serum : CSF titer ratios could provide the most accurate antemortem diagnosis of equine protozoal myeloencephalitis (EPM) caused by Sarcocystis neurona. Objective: The purpose of this study was to assess the utility of two commercially available tests, the indirect fluorescent antibody test (IFAT) and the surface antigen 2, 4/3 ELISA (SAG2, 4/3 ELISA), using archived paired serum and CSF samples. Methods: Samples were obtained from 4 types of clinical patients. Confirmed positive cases (n = 9 horses; 11 sample sets) had neurologic deficits and postmortem lesions c...
Imaging diagnosis-aortic aneurysm and ureteral obstruction secondary to umbilical artery abscessation in a 5-week-old foal. Nogradi N, Magdesian KG, Whitcomb MB, Church M, Spriet M.A 5-week-old foal was evaluated for fever and hematuria of 3 days duration. Cystoscopy localized the blood to be originating from the left ureter. Abdominal ultrasonography revealed left hydronephrosis, hydroureter, and omphaloarteritis of the left umbilical artery with abscess formation that communicated with an arterial structure. Computed tomography (CT) revealed a large aortic aneurysm within the center of the abscess. An exploratory celiotomy was performed and the infection was nonresectable. The prognosis for life was grave; therefore the colt was euthanized. Necropsy findings confirmed ...
Pathological evidence of pancreatitis in 43 horses (1986-2011).
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 45-50 doi: 10.1111/j.2042-3306.2012.00636.x
Yamout SZ, Nieto JE, Anderson J, De Cock HE, Vapniarsky N, Aleman M.Definitive ante mortem diagnosis of pancreatitis in horses is difficult. Reports summarising the most common clinical signs, clinicopathological features and concurrent disorders in horses with a definitive diagnosis of pancreatitis that may aid in the recognition of disease are lacking. Objective: To describe case details, clinical signs, clinicopathological data and necropsy findings in horses with a definitive diagnosis of pancreatitis. Methods: This was a retrospective study (1986-2011) and inclusion criteria consisted of horses with a definitive diagnosis of pancreatitis. A medical record...
The clinical and pathological features of gastric impaction in twelve horses.
Equine veterinary journal. Supplement    March 2, 2013   Issue 43 105-110 doi: 10.1111/j.2042-3306.2012.00674.x
Bird AR, Knowles EJ, Sherlock CE, Pearson GR, Mair TS.Gastric impaction in the horse is poorly described in the veterinary literature. Objective: To review the clinical and pathological features of gastric impaction. Methods: The clinical details of horses presenting with colic over a 7-year period and cases in which gastric impaction was considered to determine the outcome were reviewed. Clinical and clinicopathological data were recorded. Results: Twelve cases of gastric impaction were recorded (1.4% of 857 horses hospitalised for colic). Diagnosis was achieved by ultrasonographic examination, gastroscopy, exploratory celiotomy and/or post mort...
Equine multisystemic eosinophilic epitheliotropic disease: a case report and review of literature.
New Zealand veterinary journal    February 27, 2013   Volume 61, Issue 3 177-182 doi: 10.1080/00480169.2012.753569
Bosseler L, Verryken K, Bauwens C, de Vries C, Deprez P, Ducatelle R, Vandenabeele S.A 2-year-old Standardbred gelding presented with a history of fever over 1 week, anorexia and skin lesions on all four legs. The lesions were associated with severe pruritus and oedema, and there was no response to therapy. Results: The horse was in poor body condition, was lethargic and severely pruritic. Skin lesions consisted of diffuse alopecia and crusting of the distal extremities. Initially it was slightly febrile, but subsequently its temperature increased up to 40°C. Ten days after admission it developed profuse watery diarrhoea and the skin lesions progressed. Skin biopsies revealed...
Horse-, training- and race-level risk factors for palmar/plantar osteochondral disease in the racing Thoroughbred.
Equine veterinary journal    February 20, 2013   Volume 45, Issue 5 582-586 doi: 10.1111/evj.12038
Pinchbeck GL, Clegg PD, Boyde A, Barr ED, Riggs CM.Palmar/plantar osteochondral disease (POD) is a common, debilitating condition in Thoroughbred racehorses; however, training- and racing-related factors associated with this disease are unknown. Objective: To determine horse-, racing- and training-related risk factors for POD. The general hypotheses were that early training and racing, and increased intensity of racing and training, lead to increased severity of POD. Methods: The metacarpo/metatarsophalangeal joints of 164 Thoroughbred racehorses were examined at post mortem and graded for third metacarpal and metatarsal POD. The relationships...
Pathological and clinical features associated with palmar/plantar osteochondral disease of the metacarpo/metatarsophalangeal joint in Thoroughbred racehorses.
Equine veterinary journal    February 19, 2013   Volume 45, Issue 5 587-592 doi: 10.1111/evj.12036
Pinchbeck GL, Clegg PD, Boyde A, Riggs CM.Palmar/plantar osteochondral disease (POD) of the metacarpo/metatarsophalangeal (Mc/MtPh) joints is common in Thoroughbred racehorses, but there is little information on predilection sites, associated pathologies and clinical signs. Objective: To describe the distribution of POD at post mortem examination and to examine the association of POD with other pathologies and clinical histories. Methods: The Mc/MtPh joints of 102 Thoroughbred racehorses were examined post mortem. Gross pathology of associated osteochondral elements, suspensory ligament and flexor tendons was recorded. Clinical data w...
Equine pathology for the surgical pathologist.
International journal of surgical pathology    December 17, 2012   Volume 21, Issue 2 146 doi: 10.1177/1066896912470164
Coyne JD.No abstract available
A case of umbilical cord teratoma in an aborted foal. Binanti D, Livini M, Riccaboni P, Sironi G.A 16-year-old primiparous mare aborted an apparently normal fetus at 240 days of gestation. A large, oval mass, measuring approximately 20 cm × 30 cm × 20 cm, was detected attached to the umbilical cord of the fetus. On the cut surface, the mass showed multifocal cystic structures, foci of mineralization, and diffuse hemorrhages. Histological examination of the mass revealed haphazardly arranged cartilage, bone, mesenchymal stroma, adipose tissue, vascular structures, smooth muscle, ciliated epithelium, squamous cornifying epithelium, and undifferentiated germ cells with areas of necrosis an...
Fatal musculoskeletal injuries of Quarter Horse racehorses: 314 cases (1990-2007).
Journal of the American Veterinary Medical Association    September 28, 2012   Volume 241, Issue 7 935-942 doi: 10.2460/javma.241.7.935
Sarrafian TL, Case JT, Kinde H, Daft BM, Read DH, Moore JD, Uzal FA, Stover SM.To determine major causes of death and the anatomic location of musculoskeletal injuries in Quarter Horse racehorses in California. Methods: Retrospective case series. Methods: 314 Quarter Horse racehorses with musculoskeletal injuries that were necropsied through the California Horse Racing Board Postmortem Program from 1990 to 2007. Methods: Postmortem pathology reports were retrospectively reviewed. Musculoskeletal injuries were categorized by anatomic region and described. The number of Quarter Horse starts and starters for the same period of time were obtained from a commercial database f...
The Strongylidae belonging to Strongylus genus in horses from southeastern Poland.
Parasitology research    September 8, 2012   Volume 111, Issue 4 1417-1421 doi: 10.1007/s00436-012-3087-3
Studzińska MB, Tomczuk K, Demkowska-Kutrzepa M, Szczepaniak K.Postmortem parasitic examinations of the large intestines of 725 slaughtered horses from individual farmers in southeastern Poland were carried out. The examinations were carried out monthly since February 2006 until January 2007 (except for August 2007 because of a technological stoppage in the slaughterhouse). The examinations included the intensiveness and extensiveness of the infestation of the Strongylidae belonging to the Strongylus genus. The Strongylidae were found in 26.5% of the examined horses. Strongylus vulgaris was the most dominant nematode and had a 22.8% prevalence, Strongylus...
Congenital ascites due to hepatoblastoma with extensive peritoneal implantation metastases in a premature equine fetus.
Journal of comparative pathology    July 20, 2012   Volume 148, Issue 2-3 214-219 doi: 10.1016/j.jcpa.2012.05.017
de Vries C, Vanhaesebrouck E, Govaere J, Hoogewijs M, Bosseler L, Chiers K, Ducatelle R.A premature dead equine fetus with excessive fluctuating distension of the abdomen was delivered by extraction. Post-mortem examination revealed ascites and a solitary, irregular, bulging, multinodular, firm, yellow mass of 25 cm in diameter in the right liver lobe. Extensive peritoneal implantation metastases were present. The masses were composed of polygonal embryonal cells arranged in sheets and nests. Based on the immunohistochemical expression of Ki67, low molecular weight cytokeratin and alpha-1 fetoprotein, a diagnosis of hepatoblastoma with peritoneal implantation metastases was made....
Ocular manifestations of a metastatic adenocarcinoma in a horse.
Veterinary ophthalmology    July 5, 2012   Volume 16, Issue 3 214-218 doi: 10.1111/j.1463-5224.2012.01042.x
Matheis FL, Birkmann K, Ruetten M, Pot SA, Spiess BM.A 10-year-old German Warmblood gelding was referred to the Equine Department of the Vetsuisse Faculty, University of Zurich, Switzerland, for an iris mass OD, lethargy, intermittent fever, and coughing. Ophthalmic examination revealed a 7 × 9 mm raised, fleshy, whitish to pinkish, vascularized iris mass at the 2 o`clock position OD. Fundic examination showed multifocal round, brown to black, slightly raised lesions with indistinct margins and a surrounding hyperreflective zone OU. Physical examination revealed a temperature of 39.2 °C, sinus tachycardia, preputial and ventral edema, and an e...
Contractile responses of isolated equine digital arteries under hypoxic or hyperoxic conditions in vitro: role of reactive oxygen species and Rho kinase.
Journal of veterinary pharmacology and therapeutics    July 4, 2012   Volume 36, Issue 3 267-274 doi: 10.1111/j.1365-2885.2012.01423.x
Borer KE, Bailey SR, Harris PA, Elliott J.The underlying pathophysiological triggers for equine acute laminitis are unknown, although digital vasoconstriction, ischaemia, hypoxia and reperfusion injury may be involved. The contractile responses of isolated equine digital arteries (EDAs), harvested from the hindlimbs of normal horses postmortem at an abattoir, were studied acutely (up to 3 h) under hyperoxic (95% oxygen, 5% CO2 ) and hypoxic (95% nitrogen, 5% CO2 ) conditions in organ baths. Phenylephrine (PHE; 10(-6) m), 5-hydroxytryptamine (5-HT; 10(-7) m) and high potassium (K(+) ; 118 mm) caused contraction in EDAs which was signif...
Murray Valley encephalomyelitis in a horse.
Australian veterinary journal    June 27, 2012   Volume 90, Issue 7 252-254 doi: 10.1111/j.1751-0813.2012.00949.x
Holmes JM, Gilkerson JR, El Hage CM, Slocombe RF, Muurlink MA.A 5-year-old Thoroughbred mare presented with signs of severe pain and was taken to exploratory laparotomy based on suspicion of an acute abdominal lesion. A mild gastrointestinal lesion was discovered, but was considered disproportional to the severity of signs displayed. The mare was later euthanased because of intractable pain. Comprehensive postmortem examination, including polymerase chain reaction testing of central nervous system tissue samples, allowed a definitive diagnosis of Murray Valley encephalomyelitis to be made. This case demonstrates the variability of clinical presentations ...
Apophyseal avulsion fracture of the greater trochanter of the femur in a Thoroughbred filly.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    June 13, 2012   Volume 25, Issue 4 342-347 doi: 10.3415/VCOT-11-11-0164
Beccati F, Pepe M, Nannarone S, Tamantini C, Gialletti R.The case report of a 14-month-old Thoroughbred filly with acute onset of severe right hindlimb lameness is presented. The horse had a severe and sudden abduction of the hindlimbs due to a side effect of an overdose of lidocaine, which had been administered in a constant rate infusion after a colic surgery. Transcutaneous ultrasonography and standing radiography of the pelvis revealed proximal and cranial displacement of the greater trochanter and free bone fragments consistent with an apophyseal avulsion fracture of the greater trochanter. The complete diagnosis was obtained with the horse in ...
Granulomatous typhlocolitis, lymphangitis, and lymphadenitis in a horse infected with Listeria monocytogenes, Salmonella Typhimurium, and cyathostomes.
Veterinary pathology    June 11, 2012   Volume 50, Issue 2 252-255 doi: 10.1177/0300985812450717
Nemeth NM, Blas-Machado U, Hopkins BA, Phillips A, Butler AM, Sánchez S.A 15-year-old American Quarter horse mare was euthanized because of poor response to therapy for severe diarrhea. Significant gross findings were limited to the large intestines. The walls of the cecum and colon were thickened with widely scattered nodules in the mucosa and submucosa that extended into the enlarged colic lymph nodes. Microscopically, there was severe granulomatous typhlocolitis, lymphangitis, and lymphadenitis, with many intralesional Gram-positive, non-acid-fast coccobacilli and few cyathostomes. Intralesional bacteria were immunohistochemically and polymerase chain reaction ...
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