Re. Toribio et al., CONGENITAL-DEFECTS IN NEWBORN FOALS OF MARES TREATED FOR EQUINE PROTOZOAL MYELOENCEPHALITIS DURING PREGNANCY, Journal of the American Veterinary Medical Association, 212(5), 1998, pp. 697
Three weak, recumbent neonatal foals with skin lesions, including a th
in wooly coat, were born to mares being treated for equine protozoal m
yeloencephalitis. Mares received sulfadiazine or sulfamethoxazole-trim
ethoprim, pyrimethamine, folic acid, and vitamin E orally. Foals were
anemic, leukopenic, azotemic, hyponatremic, and hyperkalemic. Serum fo
late concentrations in the 3 foals and 2 mares were lower than those r
eported in the literature for clinically normal broodmares. Treatment
was unsuccessful. For each foal, necropsy revealed lobulated kidneys w
ith thin cortices and a pale medulla, and the spleen and thymus were s
mall. Histologic examination revealed marked epidermal necrosis withou
t inflammatory cells, thin renal cortices, renal tubular nephrosis, ly
mphoid aplasia, and bone marrow aplasia and hypoplasia. These observat
ions indicate that oral administration of sulfonamides, 2,-4-diaminopy
rimidines (pyrimethamine with or without trimethoprim), and folic acid
to mares during pregnancy is related to congenital defects in newborn
foals.