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Peer-reviewed veterinary case report

Severe combined immunodeficiency in a Fell pony foal.

Journal:
Journal of veterinary medicine. A, Physiology, pathology, clinical medicine
Year:
2006
Authors:
Jelìnek, F et al.
Affiliation:
Veterinary Histopathological Laboratory
Species:
horse

Plain-English summary

A five-day-old Fell pony filly developed yellow, watery diarrhea but showed no other signs of illness at first. After four days, the diarrhea stopped, but by the 11th day, the foal became apathetic and then very tired, with muscle weakness and a return of severe diarrhea. Despite treatment, her condition worsened, and by 21 days old, she died from symptoms related to intestinal colic and pneumonia. Blood tests showed low red blood cell counts and issues with her immune system, indicating severe combined immunodeficiency, which is a serious condition affecting the body's ability to fight infections. Unfortunately, the treatment did not work, and the filly did not survive.

Abstract

Five days after birth of a viable Fell pony filly, yellow watery diarrhoea appeared without any signs of systemic disease. Four days later the diarrhoea ceased. On 11th day, the animal showed apathy, and a few days later, the foal was very lethargic, suffered from muscular weakness and severe watery diarrhoea that reappeared. The illness did not respond to therapy. At the age of 21 days the filly spontaneously died under symptoms of intestinal colic and pneumonia. Haematological examinations revealed lower numbers of erythrocytes as well as non-selective lymphopenia. Phagocytic activity was slightly increased, lymphocyte activity was inhibited. Histopathology showed severe alteration of the lymphatic organs. T and B lymphocytes and antigen-presenting macrophages were not arranged in characteristic areas, and the quantity of these cells was lower than would be expected. Histopathological changes in lymphatic organs resembled those described in the literature as severe combined immunodeficiency.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/16466458/