Brain Abscess in a 4-Month-Old Filly: A Case Report

Although recognized as a possible complication to sepsis, there are few published reports on brain abscesses in foals. This case report describes a 4-month-old Icelandic filly that, as a neonate, had a history of pyrexia and lameness, which resolved with antibiotic treatment. Approximately 3 months later, the foal developed neurological signs which were initially attributed to trauma; she was referred for further investigation. The clinical signs were consistent with a lesion of the right forebrain. Computed tomography examination revealed a mass, approximately 6 cm in diameter, located in the right cerebral hemisphere craniolateral to the right lateral ventricle. Because of the poor prognosis, the foal was killed, and a postmortem was performed. The findings confirmed the presence of an abscess of the right cerebral hemisphere, leading to severe atrophy of the cortex and dilation of both lateral ventricles. The left hemisphere was moderate-to-severe atrophic and had displaced to the left. Streptococcus equi subspecies zooepidemicus was isolated in pure culture from the abscess. The clinical features of the foal were compared with the pathological findings.