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Vet. Sci. 2018, 5(3), 64; https://doi.org/10.3390/vetsci5030064

Mitral Kissing Vegetation and Acquired Aortic Valve Stenosis Secondary to Infectious Endocarditis in a Goat with Suppurative Mastitis

1
Department of Clinical Veterinary Sciences, School of Veterinary Medicine, The University of the West Indies, EWMSC, Mt. Hope, Trinidad and Tobago
2
School of Veterinary Medicine, The University of the West Indies, EWMSC, Mt. Hope, Trinidad and Tobago
3
Fundació Hospital Clínic Veterinari, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, 08290 Barcelona, Spain
4
Hospital Clínico Veterinario, Dpto. de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, Alfara de Patriarca, 46115 Valencia, Spain
*
Author to whom correspondence should be addressed.
Received: 31 March 2018 / Revised: 22 May 2018 / Accepted: 31 May 2018 / Published: 10 July 2018
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Abstract

A six-year-old female goat was presented to the veterinary teaching hospital of the University of the West Indies with a history of progressive hind-limb paresis lasting two weeks. The doe developed a grade 6/6 holosystolic murmur during hospitalisation. Echocardiography revealed vegetative growths attached to cusps of the mitral and aortic valves. There was an accelerated aortic flow at 2.9 m/s and aortic insufficiency. The aortic vegetation was prolapsing into the left ventricle during diastole, causing it to contact the septal mitral valve leaflet. A diagnosis of mitral and aortic vegetative endocarditis, with a mitral kissing vegetation and mild aortic stenosis, was reached. The patient was placed on broad-spectrum antimicrobials. A short-term follow-up showed no resolution of clinical signs, and the animal eventually died. Post-mortem examination showed severe vegetative, fibrino-necrotic, aortic and mitral valve lesions. The goat also had a severe fibrino-suppurative mastitis. Histopathology confirmed the lesions to be vegetative endocarditis. View Full-Text
Keywords: caprine; echocardiography; left ventricular outflow tract; valvular stenosis; secondary mitral infection; mitral kissing vegetation; aortic stenosis; mastitis; infective endocarditis caprine; echocardiography; left ventricular outflow tract; valvular stenosis; secondary mitral infection; mitral kissing vegetation; aortic stenosis; mastitis; infective endocarditis
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MDPI and ACS Style

Watson, A.; Sookram, V.; Driscoll, M.; Morris, M.; Suepaul, R.; López-Alvarez, J.; Corradini, I. Mitral Kissing Vegetation and Acquired Aortic Valve Stenosis Secondary to Infectious Endocarditis in a Goat with Suppurative Mastitis. Vet. Sci. 2018, 5, 64.

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