Clinical, pathological, and genetic characterization of Listeria monocytogenes causing sepsis and necrotizing typhlocolitis and hepatitis in a foal.

Listeria monocytogenes was isolated from the blood, lungs, and liver of a 5-week-old American Quarter Horse filly that presented with a 2-day history of fever, lethargy, ataxia, and seizure activity. The foal was born on a well-managed breeding facility to a multiparous mare with no periparturient complications. At 8 hr of age, the foal had an adequate passive transfer of immunity (immunoglobulin G > 2,000 mg/dl). Since the time of birth, the foal reportedly had mild, intermittent diarrhea that responded to gastrointestinal protectants and probiotics. Despite prompt and aggressive treatment after hospital referral, the foal's condition deteriorated, and the foal was humanely euthanized. Postmortem gross and histopathologic examination revealed severe hepatitis with necrosis and fibrinonecrotic typhlitis and colitis. In addition to a positive blood culture for L. monocytogenes, immunohistochemistry confirmed the presence of this bacterium in the liver, cecum, and colon. Furthermore, a multiplex polymerase chain reaction identified the etiologic organism as a virulent L. monocytogenes strain.