Amigo (James Conklin, owner)
17 year old Gelding Quarter Horse
Approximately 1150 to 1200 pounds, 16 hands high
No previous medical history
Date
May 31
June 1
June 2
June 3
June 4
June 5
June 6
June 7
June 8
June 9
June 10
June 11
Symptoms
Fever 106 degrees
Decreased appetite
Lethargic
Slow gait
Fever 105 degrees
Decreased appetite
Lethargic
Slow gait
Running nose and eyes
Normal urination and BM, +
Bowel Sounds
No changes
Improved appetite
More alert
Improved gait
Normal urination and BM, +
Bowel Sounds
No changes
Multiple raised welt like
eruptions (pea to dime sized)
over both sides of the neck
Welts noticed on hind quarters
No changes
No changes
Significant swelling in sheath,
hind legs, across abdomen, front
legs, and chest.
Fever 103 degrees
Decreased appetite
Lethargic
Great difficulty walking
Welt like eruptions still apparent
Increased urination following
Lasix
No changes
Swelling decreasing in hind legs,
front legs, abdomen, and chest –
sheath still moderately swollen
Febrile (over 100 degrees)
More alert
Improved appetite
Slightly improved gait
Treatments
Examined by Dr. *** – 1 gallon mineral
oil administered via NG tube
Drew blood for West Nile Virus – (neg)
Bute for fever
Examined by Dr. ***–
Treatment Course:
Tucoprim daily x 5 days in feed
Bute 1 gram BID x 6 days
Last dose of Tucoprim
Last dose of Bute
Examined by Dr. **** Lasix IV,
Banamine,– Dexamethasone IV
Drew H&H and chem. panel
(hemoglobin 6.3, hematacrit 17, elevated
CK)
Drew Coggins test – negative
Treatment Course:
PCN 20cc IM (300,000 units per cc) QD
x 5 days
Hose down legs daily
Examined by Dr. ***** –
Dexamethasone IV
Treatment Course:
Dexamethasone (2mg/cc) 10cc x 4 days
June 12
June 13
June 14
June 15
June 16
Welts still apparent
Normal urination and BM
No change
All swelling reduced with
exception of slight swelling in
sheath.
Welts drying up on neck and
hind quarters
Further improvement in gait
Improved appetite
Very alert
Normal urination and BM, +
Bowel sounds
No changes
Improved gait
Improved appetite
No changes
June 17
June 18
June 19
June 20
No changes
No changes
No changes
Slow gait
Lethargic
Swelling in abdomen
Normal Urination and BM, +
Bowel Sounds
June 21
No changes
Grazing in pasture
Improved gait
More alert
Abdominal swelling improved
Grazing in pasture
No changes
Grazing in pasture
No changes
No changes
Welts drying up
No changes
Decreased appetite
Lethargic
Resp. rate of 50+/min – down to
16/min after Bute
Temp 104.6 degrees – down to
99 degrees after Bute
Swelling in sheath, back, hind
legs, and neck
June 22
June 23
June 24
June 25
June 26
June 27
Started on Red Cell – 1 oz. daily
Started on Vitamin B-12 crumbles daily
Last dose of PCN
Last dose of Dexamethasone
Stopped Vit B-12 crumbles
Vitamin B-12 (2cc IM)
Vitamin B-12 (2cc IM)
Examined by Dr. ***** –
Dexamethasone IV
Treatment Course:
Bute 1 Gram BID x 6 days
Exercise to tolerance
Last dose of Bute
PCN (300,000 units per cc) 20cc IM
Bute 2 grams BID
30cc Oral Electrolyte paste
Epson salt soaks to legs
Hydrogen peroxide and water irrigation
to sheath
June 28
White fluid dripping somewhere
between anus and sheath
Barely able to walk
Temp 104 @ 0830
Swelling decreased in neck –
remains in legs and back
Sheath- increased swelling
Barely able to walk
No visible pus drainage today
Appears difficult to start
urination due to swelling
Urinating 2-3x day, normal BM,
+ Bowel Sounds
Bute 2 Grams 0830
Examined by Dr. ***** –
Dexamethasone IV
Treatment Course:
PCN (300,000 units per cc) 20cc IM x 5
days
Bute 1 Gram BID x 6 days
Dexamethasone – 10cc IM (2mg/cc)
QOD
Epson soaks and H2O2 irrigation of
sheath
Hydrocortisone cream to excoriated areas
of swollen sheath(in folds)
June 29
Swelling in legs and back remain
Sheath swelling increased
Improved appetite
0830 temp 101
1000 – HR 52, R = 16
1600 T= 104.6, HR = 100
1745 Temp 104.4
2000 Temp 101, HR = 92
2400 T 101, HR =92, R = 24
Appears difficult to start
urination due to swelling,
urinates 2-3x day
Bute 1 Gram @ 0830
PCN 20cc IM @ 1000
Vitamin B-12 (2cc IM) @ 1600
30cc Stress Paste @ 1600
Bute 1 Gram @ 1600
Red Cell @ 2000
Dexamethasone 10cc(2mg/cc) IM @
2000
Bute 1 Gram @2400
Epson soaks and H2O2 irrigation
Anti-fungal cream to excoriated areas of
swollen sheath(in folds)
June 30
0800: T = 99.8, HR = 88, R = 40
Swelling in back, sheath, and
legs are reduced, + Cough
Urinalysis – no bacteria, no
WBC, ++RBC, trace Glucose
1200 – T = 99.8,, HR = 88
1630 – T 100.2, HR=80, R = 48
2000 – T 101, HR = 80
0800 Bute 1 Gram
0900 – PCN IM
1200 – Red Cell
1200 -30cc Electrolyte paste
1200 – 10cc Dexamethasone