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Acta veterinaria Scandinavica1996; 37(2); 203-211; doi: 10.1186/BF03548112

Acute post-treatment enterocolitis in 13 horses treated in a Norwegian surgical ward.

Abstract: Case histories, results of laboratory analyses, treatment regimens and outcome are described for 13 horses that developed acute enterocolitis after various surgical treatments. Twelve of the 13 horses had been cast in lateral recumbency, and 10 of those 12 had received general anesthesia. Eleven horses had been treated with antimicrobial drugs. Most horses (11) developed diarrhea 2 days after initiation of treatment, with a variation from 1 to 5 days. The most apparent symptoms were fever, up to 40.5 degrees C, elevated heart rate, discoloration of mucous membranes, and diarrhea. Dehydration, acidosis and leukopenia were marked at the time clinical signs occurred. Packed cell volume and total serum protein values were elevated. Therapy was directed toward replacement of fluid losses, restoration of acid-base balance, and counteraction of inflammation. Seven horses (54%) died or were euthanized. At necropsy, pathological changes showed large variations between individuals. Salmonella spp. were not isolated from any of the horses, and no common causative agent was identified. Preventive efforts to avoid post-treatment enterocolitis have been taken with regard to preoperative routines, premedication and anesthesia, with apparent success.
Publication Date: 1996-01-01 PubMed ID: 8767698PubMed Central: PMC8063974DOI: 10.1186/BF03548112Google Scholar: Lookup
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  • Journal Article

Summary

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The research article describes the case studies of 13 horses that developed acute enterocolitis following surgical treatments in a Norwegian ward, discusses the results of laboratory analyses, treatment regimens, and outcomes, and suggests preventative measures to avoid such a post-treatment development.

Case Description

  • The case study included 13 horses that underwent various surgical treatments and later developed acute enterocolitis, an inflammation of the small intestine and colon.
  • Of these, twelve horses had been cast in lateral recumbency, meaning they were laid on their sides for treatment, and ten out of these twelve had received general anesthesia.
  • Eleven horses had been treated with antimicrobial medications.

Observations and Symptoms

  • In most cases (11 out of 13), diarrhea developed two days after treatment started, with a variation of 1 to 5 days.
  • Other common signs of illness included a high fever of up to 40.5 degrees Celsius, elevated heart rate, discoloration of mucous membranes, and diarrhea.
  • Severe dehydration, acidosis (an excess of acid in the body fluids), and leukopenia (low white blood cell count) were also observed when these clinical signs occurred.
  • On analysis, high levels of packed cell volume and total serum proteins were found.

Treatment and Outcome

  • The treatment strategy mainly aimed at replacing the lost body fluids, restoring the acid-base balance in the body, and controlling inflammation.
  • Unfortunately, more than half of the horses (seven) did not survive, either dying naturally or being euthanized to prevent further suffering.
  • Necropsy (animal autopsy) findings of the deceased showed large individual variations in pathological changes, suggesting differing individual responses to the disease or treatment.

Microbial Analysis and Preventive Efforts

  • No Salmonella spp., which are common causes of enteritis in animals, were found in any of the horses, and no common causative agents were identified across the cases.
  • The surgical ward initiated preventative measures to avoid enterocolitis after surgical treatments. These changes pertained to preoperative routines, premedication, and anesthesia practices and appeared to be successful.

Cite This Article

APA
Larsen J, Dolvik NI, Teige J. (1996). Acute post-treatment enterocolitis in 13 horses treated in a Norwegian surgical ward. Acta Vet Scand, 37(2), 203-211. https://doi.org/10.1186/BF03548112

Publication

ISSN: 0044-605X
NlmUniqueID: 0370400
Country: England
Language: English
Volume: 37
Issue: 2
Pages: 203-211

Researcher Affiliations

Larsen, J
  • Department of Large Animal Clinical Sciences, Norwegian College of Veterinary Medicine, Oslo, Norway. Jostein.Larsen@veths.no
Dolvik, N I
    Teige, J

      MeSH Terms

      • Acute Disease
      • Animals
      • Enterocolitis / complications
      • Enterocolitis / therapy
      • Enterocolitis / veterinary
      • Horse Diseases / pathology
      • Horse Diseases / therapy
      • Horses / surgery
      • Norway
      • Postoperative Complications / pathology
      • Postoperative Complications / therapy
      • Postoperative Complications / veterinary

      References

      This article includes 34 references
      1. Anonymous. Animal health standards in Norway.. .
      2. Anonymous. The animal health and disease control situation in Norway.. .
      3. Argenzio RA. Physiology of diarrhea - large intestine.. J. Amer. vet. med. Assoc. 1978;173:667–672.
        pubmed: 212413
      4. Baker JR, Leyland A. Diarrhoea in the horse associated with stress and tetracycline therapy.. Vet. Ree. 1973;93:583–584.
        doi: 10.1136/vr.93.22.583pubmed: 4785348google scholar: lookup
      5. Bertone JJ. Hypertonic saline in management of shock in horses.. Proc. on Symp. New Perspectives on Equine Colic Athens, GA: University of Georgia. 1991.
      6. Breukink HJ. Oral mono- and disaccharide tolerance tests in ponies.. Amer. J. vet. Res. 1974;35:1523–1527.
        pubmed: 4433068
      7. Collins LG, Tyler DE. Phenylbutazone toxicosis in the horse: a clinical study.. J. Amer. vet. med. Assoc. 1984;184:699–703.
        pubmed: 6725103
      8. Cook WR. Diarrhoea in the horse associated with stress and tetracycline therapy.. Vet. Ree. 1973;93:15–16.
        doi: 10.1136/vr.93.1.15pubmed: 4739039google scholar: lookup
      9. Cordes DO, Perry BD, Rikihisa Y, Chickering WR. Enterocolitis caused by Ehrlichia sp. in the horse (Potomac horse fever).. Vet. Pathol. 1986;23:471–477.
        pubmed: 3750739
      10. Dick IGC, White SK. Possible potentiated sulphonamide-associated fatality in an anaesthetised horse.. Vet. Ree. 1987;121:288.
        doi: 10.1136/vr.121.12.288-apubmed: 3672846google scholar: lookup
      11. England GCW, Clarke KW, Goossens L. A comparison of the sedative effects of three α2-adrenoceptor agonists (romifidine, detomidine and xylazine) in the horse.. J. Vet. Pharmacol. Therap. 1992;15:194–201.
      12. Fessier JF, Bottoms GD, Coppoc GL, Gimare S, Latshaw HS, Noble JK. Plasma endotoxin concentrations in experimental and clinical equine subjects.. Equine Vet. J. 1989;7:24–28.
      13. Hermann M. Kolitis X beim Pferd: 9 fälle. (Colitis X in the horse: 9 cases.). Schweiz. Arch. Tierheilk. 1985;127:385–396.
        pubmed: 4023687
      14. Jaksch W. Enteritis.. In: Wintzer H-J, editor. Krankheiten des Pferdes. (Diseases in Horses) 1982. pp. 145–150.
      15. Kapperud G, Lassen J, Aasen S, Hasseltvedt V. Global spredning av Salmonella - økt smittepress i Norge. (Global increase in Salmonella - intersectorial actions required to maintain Norway’s favourable status.). Tidsskr. Nor. Laegeforen. 1994;114:2125–2129.
        pubmed: 7992272
      16. King JN, Gerring EL. Detection of endotoxin in cases of equine colic.. Vet. Ree. 1988;123:269–271.
        doi: 10.1136/vr.123.10.269pubmed: 3188348google scholar: lookup
      17. Kraft W. Hämorrhagische Enteritiden beim Pferd. Colitis X und Duodenojejunitis. (Hemorrhagic enteritis in the horse. Colitis X and duodenojejunitis.). Beri. Münch. Tierärztl. Wschr. 1985;98:332–339.
        pubmed: 4074314
      18. Larsen J. Undersokelser over vaeskebalanse, syre-baseog elektrolyttforstyrrelser samt blodgasser hos hest. (Studies on fluid balance, acid-base and electrolyte disturbances, and blood gas measurements in the horse.). Norwegian College of Veterinary Medicine: Oslo; 1991.
      19. Meyer H. Einfluss der Ernährung auf die Entstehung von Koliken (Verdauungsstörungen) beim Pferd. (Influence of nutrition on the pathogenesis of colics in horses.). Tierärztl. Prax. 1991;19:515–520.
        pubmed: 1759267
      20. Meyers K, Reed S, Keck M, Clem M, Bayly W. Circulating endotoxin-like substance(s) and altered hemostasis in horses with gastrointestinal disorders: An interim report.. Amer. J. vet. res. 1982;43:2233–2238.
        pubmed: 7165171
      21. Murray MJ. Digestive physiology of the large intestine in adult horses. Part II. Pathophysiology of colitis.. Comp. Contin. Educ. Pract. Vet. 1988;10:1309–1316.
      22. Murray MJ. Therapeutic procedures for horses with colitis.. Vet. Med. 1990;85:510–518.
      23. Murray MJ. Acute colitis.. In: Robinson NE, editor. Current therapy in equine medicine - 3. 1992. pp. 244–250.
      24. Nielsen K, Vibe-Petersen G. Entero-colitis hos hest. En beskrivelse af 46 tilfaelde. (Entero-colitis in the horse. A description of 46 cases.). Nord. Vet. Med. 1979;31:376–381.
        pubmed: 492970
      25. Owen R. Post stress diarrhoea in the horse.. Vet. Ree. 1975;96:267–270.
        doi: 10.1136/vr.96.12.267pubmed: 1092050google scholar: lookup
      26. Palmer JE. Diarrhea.. In: Anderson NV, editor. Veterinary gastroenterology. 1992. pp. 634–670.
      27. Radostits OM, Blood DC, Gay CC. Veterinary Medicine.. Baillière Tindall: London; 1994. pp. 217–226.
      28. Rooney JR, Bryans JT, Prickett ME, Zent W. Exhaustion shock in the horse.. Cornell Vet. 1966;56:220–235.
        pubmed: 6006347
      29. Rooney JR, Bryans JT, Doll ER. Colitis “X” of horses.. J. Amer. vet. med. Assoc. 1963;142:510–511.
        pubmed: 13974694
      30. Staempfli HR, Townsend HGG, Prescott JF. Prognostic features and clinical presentation of acute idiopathic enterocolitis in horses.. Can. vet. J. 1991;32:232–237.
        pmc: PMC1481315pubmed: 17423769
      31. Taylor PM, Rest RJ, Duckham TN, Wood EJP. Possible potentiated sulphonamide and detomidine interactions.. Vet. Ree. 1988;122:143.
        doi: 10.1136/vr.122.6.143-bpubmed: 3369068google scholar: lookup
      32. Verter W, Wedeil H. Zur Bedeutung und Diagnostik der hämorrhagischen Enterocolitis (Colitis X) des Pferdes. Beobachtungen am Patientengut einer Klinik. (Importance and diagnosis of haemorrhagic enterocolitis (Colitis X) of horses - findings recorded from clinical cases.). Monatsh. Veterinärmed. 1991;46:601–604.
      33. Whitlock RH. Colitis: differential diagnosis and treatment.. Equine vet. J. 1986;18:278–283.
      34. Wierup M. Equine intestinal clostridiosis. An acute disease in horses associated with high intestinal counts of Clostridium perfringens type A.. Acta vet. scand. 1977;62:127–161.
        pubmed: 195449

      Citations

      This article has been cited 2 times.
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        doi: 10.3390/antibiotics12050854pubmed: 37237756google scholar: lookup
      2. Kuroda T, Kinoshita Y, Niwa H, Mizobe F, Ueno T, Kuwano A, Hatazoe T, Hobo S. Methicillin-resistant Staphylococcus aureus ulcerative keratitis in a Thoroughbred racehorse. J Equine Sci 2015;26(3):95-8.
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