2022 article
Ante-mortem diagnosis of a doubly committed juxta-arterial ventricular septal defect resulting in bacterial endocarditis and septic arthritis in a Holstein heifer
Lyons, R. A. H., Simpson, K. M., Spraker, T. R., & Pierce, K. V. (2022, February 11). VETERINARY RECORD CASE REPORTS.
AbstractA 20‐month‐old Holstein heifer presented for evaluation of progressive hindlimb lameness that was localised to the left coxo‐femoral joint, with development of a fever, tachycardia and bruxism. Radiographs and ultrasound of the coxo‐femoral joint were relatively unremarkable. An echocardiogram showed a static left‐to‐right shunting ventricular septal defect (initially diagnosed via echocardiogram 1 year prior) and a new filling defect within the pulmonary trunk suggestive of pulmonary valve endocarditis. Blood culture was positive for alpha‐haemolytic Streptococcus spp. Euthanasia was elected and postmortem examination confirmed ventricular septal defect, pulmonary valvular endocarditis, septic arthritis of the left coxo‐femoral joint and positive cultures for alpha‐haemolytic Streptococcus spp. This case describes endocarditis, bacteraemia and septic arthritis in a heifer with a ventricular septal defect. As with other species, cattle with ventricular septal defects should be considered susceptible and predisposed to complications such as endocarditis; this information may be useful for prognostication and management decisions.