which was very pruritic and it spread to her chest.
Owner applied Blue Kote after all other efforts failed to clear it up and
it seemed to help or the problem was resolving already.
Progress Notes - 12/26/02
Temp 103.8
Finale is a 6yr old doe presented today with
a 5 day history of being unable to walk normally.
The owner noticed her on Sunday 12/22/02 leaning on a hay feeder.
She has slowly gotten worse. The
owners have found her leaning to the left side and walking toward the left, not
putting as much weight on the right side. She
is eating hay and rain well, but not drinking much.
She is currently 2 2 ½ months pregnant.
She has a skin problem, which is resolving.
It started approx. 2 mo. Ago with what was thought to be a scratch on her
neck,
which was very pruritic and it spread to her chest.
Owner applied Blue Kote after all other efforts failed to clear it up and
it seemed to help or the problem was resolving already.
(Pictured to the left is finale and a new lesion on her right side, note the straight line appearance) She is in the back seat of the car on her way to Ohio State, she could not walk at this point.
Observations: T= 103.8, P= 180, R=36 She was down on admission and unable to rise, although she would move her legs (front primarily to try to get up and seemed a bit ataxic. She had an intention tremor (slight) in her head and twitching of her neck muscles. PLRs were sluggish. Panniculus reflex was difficult to assess, as it was present in some areas and absent in others. But it generally seemed less caudal to the Thoracolumbar yxn. She had tail and anal tone. Alopecia was present on left neck extending the full length of the neck and she had a strip of alopecia on her right flank. She was pruritic.
Assessment: DDX: Brain abscess, Spinal trauma, Bacterial Meningitis, CAE, Polioencephaolmalesia, Listeria, lead toxicity, scrapie, Meningeal worm.
Treatment:
Nuflor 2700mg SQ x 1 dose (to last 4 days)
Dexamethasone 10mg SQ SID
Thiamine 3ml SQ SID x 3 days
Panacur 250lb dose SID x 4 days
Additional:
Thoracolumbar X-rays no lesions
CSF cyto, WBC=1125/ul, RBC = 212, 400/ul
unsure whether this is due to blood
contamination or chronic inflammation (i.e.. Meningitis)
Finale is a 6yr female goat presented yesterday for neuro problems (being down, ataxic, unable to get up) for 5 days duration. Today, after being helped to stand, she stood for 30 seconds then fell to her left side. She is ataxic in all 4 limbs and weak in her rear legs.
T= 101.3, P= 132, R= 40, heart and
lungs auscultation normal. Normal
ruminations, eating very well. Still
some tremors of the limbs and head. CSF
analysis blood contamination, possible meningitis
Assessment: Seems to have slightly
improved today. Still cannot get up
on her own Most likely DDX, CAE, meningitis, CNS mass (abscess or neoplasia),
Meningeal worm.
Treatment:
3cc Thiamine, SQ
5cc Dexamethasone SQ
250lb Panacur Paste PO
2 ml Ivomec SQ
CSF profile:
CK 1181 consistent with traveling Meningeal worm.
Cell counts: 33% Eosinophils possibly parasites
(Meningeal worm)
Finale seems to e a little stronger but
cannot stand in the rear with out assistance or stay standing.
Shes eating well.
T = 101.3, P = 120, R = 36, heart and lungs normal with normal
ruminations.
Waiting to see if treatments improve neuro
state.
Treatment:
5cc Dexamethasone SQ
3cc Thiamine SQ
250 lb dose panacur paste PO
Progress Notes : 12/29/02, Temp 101.0
This morning, after being stood with
assistance, Finale stood for 1 minute before laying down on her left side.
Neuro status
slightly improved
Treatment:
5cc Dexamethasone SQ
3cc Thiamine SQ
250 lb dose panacur paste PO (last dose)
Progress Notes :
12/30/02, Temp 101.5
Finale is a 6yr old female dairy goat with a
9 day history of being unable to walk or get up on her own.
P = 132, R = 30, she
still has the intention tremor of her head, and is very pruritic (she has a
history of skin disease that is resolving but unknown cause)
She does seem stronger today and can ambulate around the stall with only
support of her tail and hind limbs. (holding her up with her tail and she walks
close to the wall for support)
Assessment: Her neurological status appears to be slowly improving diagnosis = Meningeal worm due to high eosinophil count of CSF. Need to access skin condition.
Treatment:
5cc Dexamethasone SQ
3cc Thiamine SQ
Get her up a couple times a day either in sling or
just standing with support. Need to
have Dr. Hull reassess her today and determine need to continue medications.
Improvement was noted by Dr. Hull. Finale was able to stand on her own while leaning against the
wall for 1 minute.
Progress Notes :
12/31/02
Finale is a 6yr old female dairy goat who
presented at OSU 5 days ago for posterior ataxia and weakness.
Primary differential is Meningeal worms based on a high percentage of
Eosinophils in the CSF.
P = 128, R = 40, Intention
tremors of the are present. She
attempted to rise on her own but was only able to push herself into a dog
sitting position, then immediately slumped back to the floor.
Appetite good, Attitude QAR. She
was able to stand with tail support and she stumbled around the stall.
Her strength and coordination are slowly improving.
Finale continues to improve neurologically.
Primary ddx is still Meningeal worms.
Panacur treatment is completed, continue treatment for other diagnosis.
Skin condition has not been evaluated
Treatment:
5cc Dexamethasone SQ (last
dose)
3cc Thiamine SQ
(last dose)
Walked with support three times today
Progress Notes, week one
First days home and her progress
More recent cases of Meningeal worm.