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Clostridial myonecrosis, haemolytic anaemia, hepatopathy, osteitis and transient hypertrophic cardiomyopathy after intramuscular injection in a Thoroughbred gelding.
[focal myositis]
A
9
-
year
-old
Thoroughbred
gelding
was
presented
for
swelling
over
the
left
neck
and
inappetence
.
There
was
recent
history
of
intramuscular
administration
of
flunixin
meglumine
into
the
left
neck
.
On
examination
,
there
was
evidence
of
focal
myositis
,
anaemia
,
haemolysis
and
pigmenturia
.
Culture
of
aspirated
fluid
from
the
left
side
of
the
neck
produced
a
heavy
growth
of
a
Clostridium
species
.
Complications
of
infection
included
haemolytic
anaemia
,
hepatopathy
,
osteitis
and
transient
hypertrophic
cardiomyopathy
.
Treatment
included
intravenous
fluid
therapy
,
antibiotics
,
anti-
inflammatory
drugs
,
blood
transfusion
and
surgical
debridement
.
There
was
complete
resolution
of
clinical
,
haematological
,
biochemical
and
echocardiographic
abnormalities
,
and
the
horse
returned
to
ridden
work
.
This
report
highlights
the
complications
that
can
arise
from
clostridial
myonecrosis
,
including
the
effect
on
the
myocardium
.
Diseases
Validation
Diseases presenting
"haemolytic anaemia"
symptom
focal myositis
kabuki syndrome
sneddon syndrome
waldenström macroglobulinemia
This symptom has already been validated