Neonatal Respiratory Disorders

Question 1

Tx for R. equi pneumonia:

Answer 1

Macrolide (Clarithromycin) +/- Rifampin (Alternated tx time)
Flunixin or Firocoxib
Supportive Care
+/- Omeprazole

Question 2

Elevated fibrinogen AND Serum Amyloid A is indicative of:

Answer 2

Chronic (fibrinogen) and Active (SAA) inflammation

Question 3

What sample to take with suspected R. equi:

Answer 3

Transtracheal aspirate

Question 4

Why should you ask for an R. equi PCR in addition to bacterial culture?

Answer 4

R. equi is often overgrown (essentially hidden) on culture)

Question 5

What should be conveyed to owners with neonatal aspiration pneumonia?

Answer 5

Prognosis is guarded-poor.
Will be ~72 hours before improvement is seen
Will get worse before it gets better