Christiaan Blignaut, 26 July 2024 Any thoughts? Spinal injury? Roy Bengis, [26 Jul 2024 at 12:38:14]: Epidural abscess? Christiaan Blignaut, [26 Jul 2024 at 14:05:11]: Osteomyelitis? Prognosis poor? I will immobilise and collect more information. Just thought I'd start with a few pointers Osama M. M., [26 Jul 2024 at 14:10:17]: Could you check for digital pulse of fore limb? Ilana van Wyk, [26 Jul 2024 at 15:44:23]: Equine Herpes Virus? What area are you in? I am not sure if zebras get it, but there have been a few cases in Mpumalanga over the last year in horses. Christiaan Blignaut, [27 Jul 2024 at 08:23:58]: We have EHV in this area, but this is not the normal presentation. Physical examination did not reveal much. The blood smear shows a severe leucocytosis. There is a weak pulse in hind limbs Henry Labuschagne, [27 Jul 2024 at 08:28:47]: Saddle thrombus should also be ruled out Erik Verrynne, [27 Jul 2024 at 09:40:59]: Hi Christiaan. History? How rapid was the onset of symptoms? Are there other stallions, is he a dominant stallion with a family group etc? Judging from the tail, he seems uncomfortable. The spine or hips is my first line DD’s, but it can be abdominally based as well. Do a rectal and feel the hips and spine and caudal abdomen. Christiaan Blignaut, [28 Jul 2024 at 16:10:05]: History: The owner noticed him remaining in the same area for a day or two. There was a sudden onset of paresis on Friday. I treated with Inflacam, Excede and vitamins. It seems to be improving, according to owner. I will do a follow up tomorrow. I suspect a saddle thrombus would progress to a paralysis? Rectal - I suppose you advise this to check for fractures? I experienced difficulty with radiographs. Not sure which other diagnostics I can use, so I reverted to ‘observe a response to treatment.’ Any advice on treatment options? Maybe corticosteroids? Erik Verrynne, [28 Jul 2024 at 17:13:28]: Or subluxations. Corticosteroids can be helpful. Henry Labuschagne, [28 Jul 2024 at 17:32:34]: Corticosteroids are not a good idea if a thrombus suspected. Rather use ACP and Aspirin. Erik Verrynne, [28 Jul 2024 at 17:33:44]: I doubt if it is a saddle thrombus. Prognosis in that case is anyway poor. Henry Labuschagne, [28 Jul 2024 at 17:40:17]: Colour flow doppler sonography. Erik Verrynne, [28 Jul 2024 at 19:56:53]: Henry. Where I come from there are only two conditions in zebra stallions. Either they get eaten by lions, or they kick or bite the hell out of each other. Pierre Nel, [29 Jul 2024 at 07:45:47 (09 Aug 2024 at 23:00:11)]: Actinobacillus equuli nephritis? Seen one or two with symptoms that looks more musculoskeletal or neurological but the kidneys were a mess, from which A. equuli was cultured. Also seen sleepy foal disease in zebra once Christiaan Blignaut, [29 Jul 2024 at 08:59:20]: Zebra is up and going 👍 Henry Labuschagne, [29 Jul 2024 at 09:05:56]: Amazing how those blood clots can dislodge. I am glad it ended well. As an afterthought, I think it also a good idea to add Vitamin E-Se combination to the treatment in those cases to protect muscles
