Page 503 - The Veterinary Care of the Horse
P. 503

ADULTS

        Botulism can affect any age of horse and the symptoms vary from mild weakness to rapid
  VetBooks.ir  collapse and death, depending on the dose of toxin. The following signs may be seen.

        •
             An abnormally low head carriage.
        •    Loss of tongue tone and weakness or paralysis of the pharyngeal muscles often leads to
             difficulties picking up and swallowing food. The horse may have a normal appetite but

             only be able to chew very slowly. Saliva or food may drop from the lips or appear at the
             nostrils. Affected horses often play with water but are unable to drink. If the tongue is

             gently pulled forwards, there is less resistance than normal and the horse may be slow to
             pull it back into the mouth.

        •    Bad breath from accumulated food retained in the mouth.

        •    Weak eyelid and tail muscles.
        •    Dilated pupils.

        •    A weak, short-striding and shuffling gait.

        •    Muscle tremors of the shoulder and flank muscles.

        •    Increasing weakness and fatigue.

        •    Lying down for long periods with increasing difficulty getting up.
        •    Difficulty breathing.




        In  the  advanced  stages,  there  may  be  paralysis  of  the  bladder,  little  gut  motility  and
        constipation.  Respiration  becomes  increasingly  difficult  and  the  horse  dies  of  respiratory

        failure.



        Diagnosis

        The diagnosis is made on the history and the clinical signs. In the UK the disease is usually

        associated with feeding big bale silage or haylage and it can affect a number of horses within
        a group simultaneously.

             A definitive diagnosis involves injecting mice with serum or plasma from the horse; if the
        mouse becomes paralysed the diagnosis is confirmed.




        Treatment

        •    Access to the source of the toxin should be stopped immediately

        •    Liquid paraffin or mineral oil given by stomach tube may reduce absorption of ingested
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