Foal paralysis – why quick action is important

This infectious disease, medically known as foal septicemia, is often fatal and affects newborn foals up to 4 weeks of age. The pathogens enter the bloodstream in various ways and can spread throughout the entire organism. However, the disease most commonly manifests itself in the joints, which is why it is colloquially known as foal paralysis.

INHALT
Cause and origin Course and symptoms Diagnosis Treatment Forecast Prophylaxis
Cause and origin

Foal septicemia is caused by bacteria that lead to an infection of the entire body, which is why it is referred to as a generalized disease. The most common types of bacteria include streptococci, staphylococci, and E. coli, but other types can also occur. The pathogens are transmitted at different stages of pregnancy or birth. Before birth, there is a risk of infection via the mother's blood or via ascending infections of the cervix. During birth, germs can be transmitted through the highly colonized birth canal or after birth via the mucous membranes of the nose, mouth, eyes, or the umbilical stump.

Immediately after birth, the immune system of the newborn foal is not yet fully developed. It is therefore essential that the foal consumes its first milk, known as colostrum, within the first 2 to 4 hours in order to be supplied with protective antibodies. At a later stage, the antibodies cannot be absorbed by the foal's intestinal mucosa. If the colostrum is ingested too late or not at all, the foal is completely unprotected and highly susceptible to all kinds of pathogens. Poor birth and stable hygiene, long birth duration, birth injuries, and too low an antibody content in the mother's milk (due to early milk flow) can further promote infection.

Course and symptoms

The course of the disease depends on the time of infection. If the pathogens are transmitted to the unborn foal in the womb before birth, the foal is usually born in a weak condition and cannot be protected by the antibodies transmitted through the mother's milk. The first noticeable symptoms are lack of stamina, a reduced sucking reflex, and general lethargy. As the disease progresses, symptoms characteristic of the disease such as fever, diarrhea, pinpoint hemorrhages in the mucous membranes, breathing difficulties, and typical joint swelling appear.

If the foal is infected during or after birth, the newborn foal will initially behave normally after birth. The first signs of illness, such as fever, listlessness, or breathing problems, only appear after a few hours or days and are initially rather mild, so that in some cases they can even be overlooked and such a foal is sometimes only noticed due to the typical joint swelling.

If you notice one or more of the above symptoms in your foal, regardless of when they appear, please contact a veterinarian immediately, as the young patient's condition can deteriorate rapidly.

Diagnosis

A thorough clinical examination of both the foal and the dam provides the attending veterinarian with initial indications of possible causes and the course of the disease. It is extremely important to compile a detailed preliminary report, particularly with regard to the course of pregnancy and birth, as well as the initial care provided to the foal. If symptoms are severe and joint swelling is already present, the veterinarian can make a nearly certain diagnosis at this stage.

With the help of a rapid test, the amount of immunoglobulins (antibodies) in the foal's blood can be determined in the stable. If it is not too late, the foal can then be given colostrum pumped from the mare or a blood transfusion.

In all other cases, and to confirm the diagnosis, a blood test should always be performed.the blood test results provide valuable information about the antibody level, the stage of inflammation, and potential organ damage. A blood culture can also be used to detect certain pathogens in the blood.

Treatment

In most cases, intensive medical treatment in a clinic is recommended in order to provide the animal with the best possible care. This allows severely ill foals to be closely monitored and treated. The primary goal of treatment is to prevent further spread of the pathogen and protect the tissue from damage caused by bacterial toxins. The earlier treatment is started, the better the chances of recovery.

High doses of broad-spectrum antibiotics are used to combat the pathogens. Fluid and protein deficiencies are compensated for with appropriate infusion therapy. Depending on the severity of the infection and blood test results, plasma or blood transfusions may also be necessary. Joints that are already infected can be flushed arthroscopically under general anesthesia.

Forecast

The prognosis depends greatly on the condition of the foal, the time of diagnosis, the severity of the infection, and the response to treatment. If veterinary intervention occurs early, before joint involvement, the prognosis for a full recovery is favorable. Experience shows that the prognosis is poor in cases of multiple joint and body cavity inflammation. In most cases, these foals cannot be saved despite intensive therapy.

Prophylaxis

Foal septicemia is an infectious disease that can be reliably prevented in many cases through improved stable and birth hygiene and good birth management. Particular care should be taken to ensure that the pregnant mare is not exposed to unnecessary stress before birth, such as a change of stable, new neighbors, transport, or new feed, that the environment during birth is clean and dry, and that the foal's umbilical stump is correctly disinfected. Every foal and its mother should also be examined by a veterinarian within the first 24 hours after birth. This allows injuries or other abnormalities to be detected immediately and treated at an early stage if necessary.