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Jejunal obstruction caused by a Pythium insidiosum granuloma in a mare.

Abstract: An 8-year-old Missouri Fox Trotter mare was examined because of intermittent, low-grade abdominal pain and weight loss for 3 months. Incomplete jejunal obstruction, caused by a granulomatous mass in the wall of the jejunum, was identified during exploratory celiotomy. Pythium insidiosum was identified as the cause of the granuloma. This case suggests that enteric pythiosis may develop in horses that are geographically distant from the Gulf Coast.
Publication Date: 1994-07-15 PubMed ID: 7928616
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Summary

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This research study is about a case of a <a href="/missouri-fox-trotter-breed-profile/" title="<a href="/missouri-fox-trotter-breed-profile/" title="Missouri Fox Trotter Breed Guide: Characteristics, Health & Nutrition”>Missouri Fox Trotter Breed Guide: Characteristics, Health & Nutrition”>Missouri Fox Trotter mare that manifested intermittent abdominal pain and weight loss attributed to a partial blockage of the jejunum by a Pythium insidiosum granuloma. The work implies that horses even distant from the Gulf Coast might be at risk of developing a similar condition.

About the Patient

  • The subject of the study is an 8-year-old Missouri Fox Trotter mare.
  • The mare exhibited symptoms of intermittent, low-grade abdominal pain and weight loss for a duration of 3 months.

Exploratory Celiotomy Findings

  • An exploratory celiotomy – a surgical incision into the abdomen – was carried out on the mare.
  • The procedure led to the identification of an incomplete jejunal obstruction. The jejunum is a part of the small intestine, and an obstruction can cause a blockage in the flow of food material, leading to abdominal pain and weight loss.
  • The blockage was attributed to a granulomatous mass found in the wall of the jejunum. Granulomas are immune system responses that result in an inflammation of tissue, and they typically form to wall off foreign substances.

Identification of Causative Agent

  • Pythium insidiosum was identified as the organism causing the formation of the granuloma.
  • This organism is a pathogenic water mold, typically causing a condition known as pythiosis in animals.
  • Pythiosis can lead to the development of granulomatous masses, causing disease in the gastrointestinal tract of horses and other animals.

Implication of the Study

  • This case study suggests that enteric pythiosis (pythiosis of the intestines) may develop in horses that are far from the Gulf Coast.
  • This observation challenges the traditional belief that Pythium insidiosum primarily affects animals in the Gulf Coast area.
  • Thus, the case emphasizes the importance of Pythium insidiosum as a potential cause of disease in horses, regardless of their geographical location.

Cite This Article

APA
Purcell KL, Johnson PJ, Kreeger JM, Wilson DA. (1994). Jejunal obstruction caused by a Pythium insidiosum granuloma in a mare. J Am Vet Med Assoc, 205(2), 337-339.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 205
Issue: 2
Pages: 337-339

Researcher Affiliations

Purcell, K L
  • Department of Veterinary Medicine and Surgery, College of Veterinary Medicine University of Missouri, Columbia 65211.
Johnson, P J
    Kreeger, J M
      Wilson, D A

        MeSH Terms

        • Animals
        • Female
        • Granuloma / complications
        • Granuloma / microbiology
        • Granuloma / veterinary
        • Horse Diseases / etiology
        • Horse Diseases / microbiology
        • Horses
        • Intestinal Obstruction / etiology
        • Intestinal Obstruction / microbiology
        • Intestinal Obstruction / veterinary
        • Jejunal Diseases / etiology
        • Jejunal Diseases / microbiology
        • Jejunal Diseases / veterinary
        • Mycoses / complications
        • Mycoses / microbiology
        • Mycoses / veterinary
        • Pythium / isolation & purification

        Citations

        This article has been cited 6 times.
        1. Pereira DIB, Botton SA, Ianiski LB, Braga CQ, Maciel AF, Melo LG, Zambrano CG, Bruhn FRP, Santurio JM. Equidae pythiosis in Brazil and the world: a systematic review of the last 63 years (1960-2023). Braz J Microbiol 2024 Sep;55(3):2969-2981.
          doi: 10.1007/s42770-024-01435-6pubmed: 38967702google scholar: lookup
        2. Hostetter JM, Uzal FA. Gastrointestinal biopsy in the horse: overview of collection, interpretation, and applications. J Vet Diagn Invest 2022 May;34(3):376-388.
          doi: 10.1177/10406387221085584pubmed: 35354416google scholar: lookup
        3. Yolanda H, Krajaejun T. Global Distribution and Clinical Features of Pythiosis in Humans and Animals. J Fungi (Basel) 2022 Feb 11;8(2).
          doi: 10.3390/jof8020182pubmed: 35205934google scholar: lookup
        4. Yolanda H, Krajaejun T. History and Perspective of Immunotherapy for Pythiosis. Vaccines (Basel) 2021 Sep 26;9(10).
          doi: 10.3390/vaccines9101080pubmed: 34696188google scholar: lookup
        5. Nolf M, Maninchedda U, Belluco S, Lepage O, Cadoré JL. Cecal vascular hamartoma causing recurrent colic in an Arabian mare. Can Vet J 2014 Jun;55(6):547-50.
          pubmed: 24891636
        6. Salas Y, Márquez A, Canelón J, Perazzo Y, Colmenárez V, López JA. Equine pythiosis: report in crossed bred (Criole Venezuelan) horses. Mycopathologia 2012 Dec;174(5-6):511-7.
          doi: 10.1007/s11046-012-9562-7pubmed: 22772508google scholar: lookup