1. Miracle Case study of equine lymphangitis Kristy Crocker Penny Tompkins

2. http://www.percheronsa.co.za/history.php?header=History%20of%20the%20Percheron &history=Origin%20of%20the%20Percheron&pid=history

3. Lymphangitis Lymphangitis in horses is an inflammation and/or swelling associated with impairment of the lymphatic system, particularly in a limb. It is most commonly a bacterial infection. Commonly associated with a wound, which may be very minor. This is a likely entrance for bacterial access to the lymph ducts.

4. Background  From Seattle, Washington  7 year old mare  Diagnosed with mud fever in 9/18/2010  Difficulty keeping wounds open and clean  Vaccines up to date on all horses

5. Environment  Some pasture land  Often kept in corral  Soil damp, mostly muddy  4 other horses, all Friesian

6. Presenting Complaint  Lameness  Swelling  Sensitive to touch  Some discharge from wound

7. http://www.chronofhorse.com/forum/showthread.php?t=242016 http://www.horsesring.com/forums/showthread.php?34607-ziggy-injured

8. Clinical Signs  Swelling on right hind limb near fetlock joint  Lameness  Abrasion with purulent discharge  Some incrustation around abrasion  Hot and painful to touch  Extreme swelling in lymph tissue on affected limb  Temperature of 103 degrees F

9. Diagnostics  Previous history of Mud fever  Open wounds allowing bacteria access  Microbial culture of fluid sample  Ultrasonography to identify extent of abscess pockets

10. Treatment  Antibiotics: Doxycycline to fight the bacteria  NSAIDS: Flunixin (Banamine) to fight fever on inflammation  Supportive care of walking to get movement back to leg  Trental (pentoxyphylline) to help restore peripheral blood flow to the limb

11. Outcome  May be ongoing, client needs to pay close attention to the area for signs of re- infection  Several weeks of medication till symptoms subside  Recheck in one week

12. References  Pollock, Angie. 2010. Helium. Mud Fever in Horses, Causes, Signs, Prevention and Treatment. Retrieved on 10/24/2010 from http://www.helium.com/items/1193397-understanding-and-preventing- mud-fever-in-horses. http://www.helium.com/items/1193397-understanding-and-preventing- mud-fever-in-horses  Dodd, Patricia. June 8, 2010. suite101.com. Equine Lymphangitis – Causes, Symptoms and Treatment. Retrieved on 10/24/2010 from http://www.suite101.com/content/equine-lymphangitis---causes- symptoms-and-treatments-a246535. http://www.suite101.com/content/equine-lymphangitis---causes- symptoms-and-treatments-a246535  Marcella, Kenneth, L. May, 31, 2003. Thoroughbred Times. Veterinary Topics: A Case of Stovepipe Leg. Retrieved on 10/24/2010 from http://www.thoroughbredtimes.com/horse- health/2003/may/31/veterinary-topics-the-case-of-a-stovepipe-leg.aspx http://www.thoroughbredtimes.com/horse- health/2003/may/31/veterinary-topics-the-case-of-a-stovepipe-leg.aspx