1. Case Report: Nuchal Bursitis Associated With Borrelia burgdorferi Infection in a Horse
- Author
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Amy L. Johnson, Toby Pinn-Woodcock, Cassandra Guarino, Julia Miller, and David G. Levine
- Subjects
lyme multiplex assay ,Pathology ,medicine.medical_specialty ,Bursitis ,ospF ,Veterinary medicine ,Case Report ,poll evil ,Serology ,Lyme disease ,antibody ,Borrelia ,SF600-1100 ,medicine ,equine ,General Veterinary ,biology ,business.industry ,Borrelia Burgdorferi Infection ,Horse ,bacterial infections and mycoses ,medicine.disease ,biology.organism_classification ,lyme disease ,biology.protein ,ospA ,Veterinary Science ,Antibody ,business ,Ceftiofur - Abstract
Cases of cranial nuchal bursitis associated withBorrelia burgdorferiinfection have not been thoroughly described. Here, we describe the case of a 17-year-old mare that was presented for low head carriage, dull demeanor, and resistance to haltering. Imaging supported a diagnosis of nuchal bursitis, and bursoscopy with surgical debridement of the nuchal bursa was performed.B. burgdorferiwas identified by molecular diagnostics in serial samples of the bursal fluid, with no other organisms identified. Serology revealed significant elevation in antibodies directed against OspA ofB. burgdorferi, but not the typical infection markers, OspC and OspF. Intravenous ceftiofur was administered for 80 days, and the nuchal bursa was directly injected with ceftiofur. The mare recovered and was able to return to work with no recrudescence of clinical signs over the following year to date. Infection withB. burgdorferishould be considered as a differential in cases of septic nuchal bursitis.
- Published
- 2021