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Retropharyngeal lymph node infection in horses: 46 cases (1977-1992)

L C Golland1, D R Hodgson, R E Davis

  • 1Department of Animal Health, University of Sydney, Camden, New South Wales.

Australian Veterinary Journal
|May 1, 1995
PubMed
Summary

Retropharyngeal lymph node (RPLN) infections in horses, often linked to strangles, commonly affect young horses. Surgical drainage and medical treatment, including antibiotics, proved effective for most RPLN cases.

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Area of Science:

  • Veterinary Medicine
  • Equine Health
  • Infectious Diseases

Background:

  • Retropharyngeal lymph node (RPLN) infections are a significant concern in equine health.
  • Strangles, caused by Streptococcus equi subsp equi, is a common predisposing factor for RPLN infections.

Purpose of the Study:

  • To retrospectively analyze cases of retropharyngeal lymph node infection in horses.
  • To identify common clinical signs, diagnostic methods, and treatment outcomes for RPLN infections.

Main Methods:

  • Retrospective review of 46 horses with RPLN infection from 1977-1992.
  • Analysis of clinical signs, diagnostic imaging (radiography), and diagnostic procedures (rhinopharyngoscopy, ultrasonography, haematology, cytology, microbial analysis).
  • Evaluation of treatment outcomes for medical (antibiotics, NSAIDs) and surgical interventions.

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Main Results:

  • Young horses (<1 year) were most commonly affected (46%).
  • Clinical signs included throat swelling (65%), respiratory distress (35%), and nasal discharge (20%).
  • Medical treatment (33%) and surgical drainage (61%) were the primary interventions, with high success rates.

Conclusions:

  • RPLN infections in horses present with characteristic signs and are often associated with strangles exposure.
  • Both medical and surgical treatments are effective, with surgical drainage being the most common approach.
  • Prompt diagnosis and appropriate treatment are crucial for favorable outcomes in horses with RPLN infections.