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Journal of equine veterinary science2019; 79; 9-12; doi: 10.1016/j.jevs.2019.05.009

Cytological Findings in Bronchoalveolar Lavage Fluid of Foals With Pneumonia Caused by Rhodococcus equi and Other Bacteria.

Abstract: The distinction between lower respiratory tract infections caused by Rhodococcus equi and those caused by other pathogens is difficult. The aim of this retrospective study was to describe cytological findings in bronchoalveolar lavage fluid (BALF) of foals with pneumonia caused by R. equi or other bacteria. Nineteen foals aged from 3 weeks to 6 months with evidence of respiratory disease between 2015 and 2016 were selected from the database of the Veterinary Teaching Hospital "Mario Modenato" of the University of Pisa. Eight foals of 19 (42.1%) had R. equi pneumonia, whereas 11 of 19 (57.9%) had another bacterial pneumonia. R. equi-positive foals had statistically significant higher total nucleated cell count (P = .02) and neutrophils percentage (P = .002) than R. equi-negative ones. Macrophages proportion (P = .01) was lower in R. equi-positive than in R. equi-negative foals. Bronchoalveolar lavage is a quite easy procedure that can be performed in the field with minimal equipment required. Here we reported significant differences in the cellular composition of BALF that can be used to differentiate foals with R. equi bronchopneumonia from those with other bacterial pneumonias, whereas waiting for culture results.
Publication Date: 2019-05-18 PubMed ID: 31405508DOI: 10.1016/j.jevs.2019.05.009Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article aimed to distinguish between pneumonia caused by Rhodococcus equi versus other bacteria in foals, using cytological findings in bronchoalveolar lavage fluid. The findings pointed to significant differences in cellular composition of the fluid between the two types of pneumonia.

Summary of the Research

  • The research at hand is a retrospective study that looked at the cytological findings in the bronchoalveolar lavage fluid (BALF) of foals with pneumonia caused by Rhodococcus equi or other bacteria.
  • The research used data of 19 foals aged from 3 weeks to 6 months suffering from respiratory disease between 2015 and 2016, compiled from the database of University of Pisa’s Veterinary Teaching Hospital “Mario Modenato”.
  • Of the total number of foals selected for the study, 42.1% had R. equi pneumonia while 57.9% had pneumonia caused by another bacteria.

Findings of the Study

  • One of the critical findings of this study was that the foals with R. equi pneumonia had a significantly higher total nucleated cell count and neutrophils’ percentage than the foals with pneumonia caused by a different bacterium.
  • Moreover, the research found that the proportion of macrophages was significantly lower in the foals with R. equi pneumonia than those with pneumonia caused by other bacteria.

Implication of the Study

  • This study underlines the potential of bronchoalveolar lavage, a simple procedure requiring minimal equipment, for determining the specific cause of pneumonia in foals. It can help identify the bacteria involved before culture results are available.
  • The significant differences noted in the cellular composition of BALF between foals with R. equi pneumonia and those with other bacterial pneumonias can serve as a diagnostic distinction while waiting for culture results.

Cite This Article

APA
Vitale V, Sgorbini M, Cuteri V, Preziuso S, Attili AR, Bonelli F. (2019). Cytological Findings in Bronchoalveolar Lavage Fluid of Foals With Pneumonia Caused by Rhodococcus equi and Other Bacteria. J Equine Vet Sci, 79, 9-12. https://doi.org/10.1016/j.jevs.2019.05.009

Publication

ISSN: 0737-0806
NlmUniqueID: 8216840
Country: United States
Language: English
Volume: 79
Pages: 9-12
PII: S0737-0806(19)30378-8

Researcher Affiliations

Vitale, Valentina
  • University Veterinary Teaching Hospital, Sydney School of Veterinary Science, University of Sydney, Camden, NSW, Australia.
Sgorbini, Micaela
  • Department of Veterinary Medicine, San Piero a Grado, PI, Italy.
Cuteri, Vincenzo
  • Infectious Diseases Laboratory, School of Biosciences and Veterinary Medicine, University of Camerino, Matelica MC, Italy.
Preziuso, Silvia
  • Infectious Diseases Laboratory, School of Biosciences and Veterinary Medicine, University of Camerino, Matelica MC, Italy.
Attili, Anna Rita
  • Infectious Diseases Laboratory, School of Biosciences and Veterinary Medicine, University of Camerino, Matelica MC, Italy.
Bonelli, Francesca
  • Department of Veterinary Medicine, San Piero a Grado, PI, Italy. Electronic address: francesca.bonelli@unipi.it.

MeSH Terms

  • Actinomycetales Infections / veterinary
  • Animals
  • Bronchoalveolar Lavage Fluid
  • Horse Diseases
  • Horses
  • Retrospective Studies
  • Rhodococcus equi

Citations

This article has been cited 4 times.
  1. Villalba-Orero M, Gómez CA, Valero-Gónzalez M, Venegas N, Criado G, Martín-Cuervo M. Blood parameters in neonatal foal and colostrum quality as possible early markers for increased risk of developing Rhodococcus equi pneumonia. Front Vet Sci 2025;12:1654052.
    doi: 10.3389/fvets.2025.1654052pubmed: 40948621google scholar: lookup
  2. Hildebrandt D, Venner M, Hart KA, Berghaus L. Plasma C-reactive protein and interleukin-6 concentrations in foals during health and respiratory disease. Equine Vet J 2026 Mar;58(2):372-379.
    doi: 10.1111/evj.70000pubmed: 40684375google scholar: lookup
  3. da Silveira BP, Cohen ND, Lawhon SD, Watson RO, Bordin AI. Protective immune response against Rhodococcus equi: An innate immunity-focused review. Equine Vet J 2025 May;57(3):563-586.
    doi: 10.1111/evj.14214pubmed: 39258739google scholar: lookup
  4. Clinquart J, van Leenen K, Bokma J, Pardon B. Differentiating airway inflammation in calves based on cluster analysis of bronchoalveolar lavage fluid cytology. J Vet Intern Med 2023 Nov-Dec;37(6):2610-2622.
    doi: 10.1111/jvim.16855pubmed: 37731196google scholar: lookup