ASSOCIATION BETWEEN RADIOGRAPHIC PATTERN AND OUTCOME IN FOALS WITH PNEUMONIA CAUSED BY Rhodococcus equi.
Summary of "ASSOCIATION BETWEEN RADIOGRAPHIC PATTERN AND OUTCOME IN FOALS WITH PNEUMONIA CAUSED BY Rhodococcus equi."
Our objective was to characterize the association between types of radiographic findings and outcome in foals with pneumonia caused by Rhodococcus equi. Admission lateral thoracic radiographs of 62 foals with culture-confirmed R. equi pneumonia were reviewed retrospectively. A scoring system was developed to individually assess the severity of alveolar pattern, interstitial pattern, tracheobronchial lymphadenopathy, pleural effusion, and the number of nodular opacities and cavitary lesions. Individual scores were added to obtain a total radiographic score ranging from 0 (normal) to 22. Forty-three of 62 foals (69%) survived to discharge. The median total radiographic score of nonsurvivors (14; range, 9-16) was significantly (P = 0.007) higher than that of survivors (11; range, 4-15). Foals with a total radiographic score of greater than or equal to 15 were 6.15 times (95%
CI:
1.35 to 28.2) less likely to survive than foals with a lower score (P = 0.019). A multivariate logistic regression model was used to identify the potential associations between specific types of radiographic lesions and outcome. The model was statistically significant (P = 0.002) and correctly classified 75.8% of foals. Only severity of alveolar pattern and number of cavitary lesions made statistically significant contributions to the model. There was no significant association between concurrent isolation of other bacteria along with R. equi and the types or severity of radiographic lesions. Based on the results of this study, severity of alveolar pattern and number of cavitary lesions are the radiographic findings significantly associated with a poor outcome in foals with R. equi pneumonia.
Affiliation
From the Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, GA, 30602.
Journal Details
This article was published in the following journal.
Name: Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International V
ISSN: 1058-8183
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22742474
- DOI: http://dx.doi.org/10.1111/j.1740-8261.2012.01964.x
Medical and Biotech [MESH] Definitions
Radiographic Magnification
Use of optic and geometric techniques to enhance radiographic image quality and interpretation. It includes use of microfocal X-ray tubes and intensifying fluoroscopic screens.
Berylliosis
A form of pneumoconiosis caused by inhaled rare metal BERYLLIUM or its soluble salts which are used in a wide variety of industry including alloys, ceramics, radiographic equipment, and vacuum tubes. Berylliosis is characterized by an acute inflammatory reaction in the upper airway leading to BRONCHIOLITIS; PULMONARY EDEMA; and pneumonia.
Radiographic Image Interpretation, Computer-assisted
Computer systems or networks designed to provide radiographic interpretive information.
Pneumonia, Lipid
Pneumonia due to aspiration or inhalation of various oily or fatty substances.
Pneumonia, Rickettsial
Pneumonia caused by infection with bacteria of the family RICKETTSIACEAE.
PubMed Articles
BACKGROUND: Isolation of multiple bacterial species is common in foals with Rhodococcus equi pneumonia. HYPOTHESIS: There is no association between isolation of other microorganisms and outcome. ANIMA...
The use of streptolysin O (SLO) as an adjunct therapy for Rhodococcus equi pneumonia in foals.
Rhodococcus equi is a soil borne bacterium that causes severe morbidity and death in young foals. The economic costs of the disease include loss of life, treatment expenses, veterinary monitoring expe...
Changes in faecal bacteria and metabolic parameters in foals during the first six weeks of life.
Many foals develop diarrhoea within the first two weeks of life which has been suggested to coincide with postpartum oestrus in their dams. To analyse the pathogenesis of this diarrhoea we have determ...
Lateralized suckling in domestic horses (Equus caballus).
Brain lateralization enables preferential processing of certain stimuli and more effective utilization of these stimuli in either the left or the right cerebral hemisphere. Horses show both motor and...
Ophthalmic lesions in neonatal foals evaluated for nonophthalmic disease at referral hospitals.
Objective-To determine types and frequency of ophthalmic lesions detected in neonatal foals evaluated for nonophthalmic disease at 3 veterinary referral hospitals and to investigate associations betwe...
Clinical Trials
The Efficacy of Zinc as Adjunct Therapy in the Treatment of Severe Pneumonia in Children
Pneumonia is a leading cause of morbidity and mortality in children in developing countries. Zinc deficiency leads to impairment in tissue repair and immunodeficiency in children.At least...
Community Acquired Pneumonia in Telemark and Ostfold
The aim of the study is to investigate the bacterial causes in community acquired pneumonia in adults admitted to hospital in two counties in Norway and to look at possible factors that ma...
Pravastatin and Ventilatory Associated Pneumonia
Statins present anti-inflammatory and immunomodulatory effects. They may modify the regulation of cytokines, (released from the cellular damage) and may reduce the production of C-reactiv...
Men Undergoing Radical Prostatectomy
The purpose of this study is to see if the protein pattern in your blood can predict whether or not your prostate tumor is aggressive. We will use a new and very sensitive technique, calle...
Zinc as Adjunct to Treatment of Pneumonia
The propose of this study is to evaluate if zinc given as an adjunct to standard treatment of severe pneumonia in young children shortens the duration and reduces treatment failure, and if...
