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Discussion on Strangles and Placentitis
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Member:
judyhens
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Posted on Tuesday, Jan 19, 2016 - 5:42 pm:
One of the horses we are importing from Europe was diagnosed with Strangles the second day in NYC quarantine. They indicated she had to have been exposed during her 4 week quarantine in Madrid or during transport to Amsterdam for the flight. Said 3 - 14 day incubation period. She is a six year old mare due to foal in 20 days. So...she is currently in Cornell in isolation. They didn't start antibiotics until after the CEM swabs were taken (negative), but started them at that time because the mare was apparently getting quite ill. Since antibiotics were started about a month ago - and a lot of prayers given for their health and well-being - the mare has really turned around. Described as bright, eating well, and the nodes are shrinking. The pregnancy seems to be progressing as it should. The last report was the fetal heart rate was stable, the foal was moving, and the mare appeared to be getting larger. They are continuing IV antibiotics 4 X day and Regumate since they were worried about placentitis secondary to the strep infection. Some echogenicity of fluid. Since she is 320 days today, we have decided to leave her there for delivery. Have you or anyone on this thread had any experience with pregnant mares with strangles? Outcome for foals? At what point do you think it will be safe to bring them to Texas from NYC. IE, assuming the foal is fine, how old should the foal be to travel 27 hours? Since they are not stopping the antibiotics until the foal is delivered, I am assuming it will be at least an additional 4 weeks with 3 negative gutteral pouch washes before she can be transported commercially. Otherwise we will have to transport privately. At that point we will have to weigh the difference in cost between leaving her there longer and private transport. She will be in isolation there or at our local tertiary care center until we get the requisite number of negative cultures. Only then will she come to our ranch. The advantage of getting her to our vet hospital is the ability to interact with the foal. Any info on pregnant mares and strangles would be appreciated. I assume the foal will get a lot of strangles antibodies in the colostrum. :-)
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Member:
dres
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Posted on Tuesday, Jan 19, 2016 - 7:15 pm:
oh what bad luck here ... i have no answers , but glad you are keeping the mare there ... i might suggest , that when she is cleared that maybe you board her somewhere out there to cut costs ? maybe someone or the clinic can recommend ... this is a hard time of year to be traveling ... sending well wishes your way ..
On the first day God created horses, on the second day he painted them with spots ...
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Member:
judyhens
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Posted on Wednesday, Jan 20, 2016 - 10:09 am:
Yes. Walter (my honey) actually discussed that with the vet in charge yesterday. Since she has now been at Cornell a month, the vet agreed to check and see if there is anything we can change to cut costs. We do have insurance on the mare, but will reach the annual limit very shortly. It is a long journey, but they make multiple stops. The unknown of course is whether or not the antibiotics have eradicated the strep completely. And we won't know that until she is off antibiotics for awhile. Importation isn't such an easy process! How are you doing Ann? Long time since we have communicated via horse advisor. :-)
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Member:
dres
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Posted on Wednesday, Jan 20, 2016 - 10:57 am:
not much activity here anymore Judy, a lot of us have let our membership go ... Dr. O is not as active as he once was either .. 
All is pretty quiet here ... my sassy mare reinjured her same leg last year and i am back to the dreaded rehab .. sadly tho , two flat tires on the same leg makes it difficult to come back to where we left off this time .... . we had a great few years tho 
Thanks for asking ... . i am letting my membership go just sent you a message via your web page ... . respond if you want to continue our friendship ..
On the first day God created horses, on the second day he painted them with spots ..
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Member:
judyhens
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Posted on Wednesday, Jan 20, 2016 - 11:06 am:
Would love to! So sorry about your mare. For such big creatures, they certainly have a knack at self destruction! Let's stay in touch. :-)
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Member:
judyhens
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Posted on Wednesday, Jan 20, 2016 - 11:38 am:
Hey Ann, I didn't receive a message thru my website. Did you send it to the yahoo email?
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Member:
dres
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Posted on Wednesday, Jan 20, 2016 - 12:01 pm:
1spotsrock@gmail.com ....
email me you got this please.
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Moderator:
DrO
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Posted on Wednesday, Jan 20, 2016 - 5:28 pm:
Hello Judy,
There are surprisingly no published clinical reports though there is one on foals picking up a good antibody response from vaccinated mares. Thinking back I cannot think of any such cases either. The work done and the great support she is getting from Cornell is strong;y suggestive of a good outcome. As to the other questions I would continue to follow the recommendations from them. The one question I have is are the sm lymph nodes normal yet? It sounds like abiotics were started a little later than I would have liked and they may be the best indicator on ongoing walled off infection. What antibiotics and dosage rates are they using?
DrO
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Member:
judyhens
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Posted on Thursday, Jan 21, 2016 - 10:29 am:
Looking at her last bill, it looks like she is on Regumate, Pentoxifylline,Pfizerpen,Omeprazole,and I thought they added Gentamicin at one point (when they noticed the fluid had more speckles in it), but I may be wrong because I don't see it on the bill. We were told a week or so ago that the nodes were shrinking every day,but were still not quite normal. Two ruptured for sure. Not sure about the others. No current nasal discharge or other symptoms. The antibiotics were not started in the normal NYC quarantine because one ruptured on the second day there and they felt it was better to ride it out. But, since the import tests were negative, they had to get her out of there into CEM quarantine. No one (of course) wanted to take her except Cornell where she has been for weeks. When she initially got there they took the cem cultures (which were all negative) and started antibiotics as soon as the last culture was taken. I believe they told me that they were taking the cultures right after midnight so antibiotics could be started shortly after midnight. Anyway, she seems to be doing well now. Just a tough situation since she can't travel normally until she is definitely negative. They say they think everything would be negative right now because of the antibiotics, so those tests won't be done until after the foal is born. 322 days today! No sign of imminent delivery.... :-) The staff at Cornell does communicate regularly and we are pleased with their care. I just haven't been able to find anything on the web re: a similar situation. Guess it is very rare to have this happen. Thanks for your interest.
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