Ah, Rhodococcus equi, I can't say that I have missed you...
It is that time of year unfortunately when foals are old enough for Rhodococcus equi to rear its particularly ugly head. If this was an easy condition to diagnose and treat, we would all be better off. But it isn’t, and it isn’t likely to be any time soon. Originally known as Corynebacterium equi , R. equi was first proposed as a cause of purulent pulmonary disease in foals in 1923 by Magnusson. Since that time we have come to know a lot more about it, and how it doesn’t just take up residence in the lungs, but can go about anywhere it wants in a foal. The list of problems besides pneumonia in foals is long: abdominal abscesses, growth plate infections, submandibular lymph node abscesses and even bone infections are reported. Adult horse disease also occurs but is rare. Other species can be affected, and of great importance is R. equi infection of immune compromised humans. There isn’t anywhere far enough away to run from trouble, and...