Amigo (James Conklin, owner)

17 year old Gelding Quarter Horse

Approximately 1150 to 1200 pounds, 16 hands high

No previous medical history

Date / Symptoms / Treatments
May 31 / Fever 106 degrees
Decreased appetite
Lethargic
Slow gait / Examined by Dr. *** – 1 gallon mineral oil administered via NG tube
Drew blood for West Nile Virus –(neg)
Bute for fever
June 1 / Fever 105 degrees
Decreased appetite
Lethargic
Slow gait
Running nose and eyes
Normal urination and BM, + Bowel Sounds / Examined by Dr. ***–
Treatment Course:
Tucoprimdaily x 5 days in feed
Bute 1 gram BID x 6 days
June 2 / No changes
June 3 / Improved appetite
More alert
Improved gait
Normal urination and BM, + Bowel Sounds
June 4 / No changes
June 5 / Multiple raised welt like eruptions (pea to dime sized) over both sides of the neck / Last dose of Tucoprim
June 6 / Welts noticed on hind quarters / Last dose of Bute
June 7 / No changes
June 8 / No changes
June 9 / 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 / 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
June 10 / No changes
June 11 / 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
Welts still apparent
Normal urination and BM / Examined by Dr. ***** – Dexamethasone IV
Treatment Course:
Dexamethasone (2mg/cc) 10cc x 4 days
June 12 / No change / Started on Red Cell – 1 oz. daily
Started on Vitamin B-12 crumbles daily
June 13 / 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 / Last dose of PCN
June 14 / No changes
June 15 / Improved gait
Improved appetite / Last dose of Dexamethasone
June 16 / No changes / Stopped Vit B-12 crumbles
Vitamin B-12 (2cc IM)
June 17 / No changes
June 18 / No changes
June 19 / No changes / Vitamin B-12 (2cc IM)
June 20 / Slow gait
Lethargic
Swelling in abdomen
Normal Urination and BM, + Bowel Sounds / Examined by Dr. ***** –
Dexamethasone IV
Treatment Course:
Bute 1 Gram BID x 6 days
Exercise to tolerance
June 21 / No changes
Grazing in pasture
June 22 / Improved gait
More alert
Abdominal swelling improved
Grazing in pasture
June 23 / No changes
Grazing in pasture
June 24 / No changes
June 25 / No changes
Welts drying up / Last dose of Bute
June 26 / No changes
June 27 / 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
White fluid dripping somewhere between anus and sheath
Barely able to walk / 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 / 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