Multifocal osteomyelitis and abdominal abscessation in a warmblood foal

Abstract

To the authors’ knowledge, this is the first report, in which a simultaneous occurrence of Salmonella-associated multifocal osteomyelitis and intra-abdominal abscessation in a foal presenting with weight loss, diarrhea and fever is described. No evidence of failure of passive immune transfer had been present at birth. Radiographic examination revealed multifocal type P osteomyelitis. Bacterial culture of synovial fluid revealed a Salmonella spp. Antibiotic treatment was adjusted based on the sensitivity results; however without clinical improvement. The foal developed abscess formations within the left femoral region, and finally a Salter Harris type I fracture of the left femur. Euthanasia was elected based on this finding. Post-mortem computed tomography revealed a large mass within the caudal abdomen that extended into the left pelvic and hind limb region, as well as multifocal osteomyelitis. Pathological examination identified the mass as a large abscess with multiple fistula tracts. Salmonella spp. was additionally cultured post mortem.