Chronic Hyperproteinemia Associated with a Probable Abdominal Abscess in an Appaloosa Stallion

摘要: History A 12-year-old Appaloosa stallion used for pleasure riding and at stud in a small breeding operation had history of weight loss that started 93 days before presentation. Initial signs were refusal food reluctance to move. The horse was stretching its neck forward exhibiting abdominal discomfort. When the referring veterinarian (RDVM) examined horse, it febrile, with pale mucous membranes tense abdomen. Rectal palpation normal. Nasogastric intubation revealed no reflux. Laboratory tests submitted by RDVM showed low normal white blood cell count left shift, hypokalemia, hyperbilirubinemia, total protein (Tables 1 2). treated flunixin meglumine on 2-week course procaine penicillin G. slight improvement horse’s condition noted day � 89. complete (CBC) serum chemistry panel 89 presentation mild shift moderate hyperbilirubinemia (see Tables Forty-three presentation, all four legs swollen found reluctant move tight circles sore right paralumbar area. test results 2) anemia, hyponatremia, 9.7 g/dL (normal range: 5.6–8.0 g/dL), 2.4 albumin 2.6–4.1 g/ dL), positive titer equine protozoal myelitis (EPM). trimethoprim sulfa from 37 through 29 without improvement. On 35, evaluated another veterinarian. CBC, chemistry, cervical radiographs, bilateral hock radiographs done. hocks be arthritic