Multisystemic granulomatous inflammation in a horse

A one-year-old Thoroughbred filly was examined because of poor body condition and reluctance to move its neck. Complete blood count revealed leukocytosis (15,700 WBC/microliters) and hyperproteinemia (8 g/dl). Radiography of the cervical vertebrae revealed multifocal lesions of bone lysis surrounded by zones of sclerosis. The horse was euthanatized and necropsied. Granulomatous lesions were identified in the heart, spleen, lungs, bones, and lymph nodes. The multifocal granulomatous inflammatory lesions in this horse were suggestive of mycobacteriosis.