Page 19 - Spring 19

pathologies presented before the patient was treated with homeopathy.
Year 2009.
The patient lives in a stable, eats alfalfa and oats. A ring has been placed on the penis to prevent masturbation. The patient was treated six months ago for kidney disease (decay and dark urine symptoms) there is no other data about kidney disease. Due to a left laryngeal hemiplegia the patient was operated for this condition. After that, the patient was able to run a race.
December 2010
The patient had a 40°C fever for 20 days; Penicillin and streptomycin was giving without remission. The fever temporarily remitted with Dipirone [Metamizole, Ed]. The doctor administer 7 day of Ceftiofur (cephalosporins of third generation) without favourable response. The Clinic decides to admit the patient for a complete work-up and intensive care.
When the patient arrived at the hospital he was dehydrated, with a 80 BPM heart rate, inappetence, hyperthermia, hyperventilation and preputial oedema. On
Fig.2 Right hemithorax
auscultation he presented with mixed sibilant rales [crackles, crepitations, Ed] in both hemitoraces and pleurodynia in the left thorax.
Fluid therapy and complementary studies were performed.
Blood tests: leukocytosis, anemia
Ecography: Left hemithorax with pleural effusion. Right hemithorax with pleural effusion and fibrin septa.
Fig. 3 Obtaining 30 litres from right thorax
Puncture
• Left thorax: sero-sanguineous fluid extraction.
• Right thorax: extraction of yellowish liquid, fetid.
Placement of bilateral thoracic drainages, obtaining 20 litres from left thorax of serum sero-sanguinolento, foamy and right thorax 30 litres of yellow amber liquid, putrid smell.
Washing of both parts is performed with warm physiological solution, intravenous fluid therapy and antibiotic therapy:
• Penicillin G sodium 10 mill. UI/6 hs.
• Gentamicin 6.6 mg/kg/24 hs.
• Metronidazole 15 mg / kg / 8hs
• Dexamethasone 0.2mg / kg / 24hs
• DMSO 500mg / kg / 12 hs (10% dextrose at 5%)
Two days after starting the treatment, the blood parameters improved. The treatment was continued with antibiotics, right hemithorax continues to drain, a second drain is placed in the first dorsal.
Day 15 of hospitalisation since no noticeable improvement was observed the patient was discharged. The horse owner decided not to continue with the treatment due to the high medical expences.
Echography
• Left thorax without particularities • Right thorax liquid and fibrin
A new catheter is placed in right hemitorax and Trimetoprimsulfa and Metronidazole is infused through the catheter. The patient improves with better mood, increased weight and the character improves. Washing is carried out for a month.
Echography
• Left thorax without particularities.
Fig.1 Left hemithorax
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