Management of Clinical Case of Endometritis in a Cow: A Case Report

This clinical case reports the prompt actions taken to diagnose clinical case of endometritis in a cow where prompt treatments were able to solve the case successfully. A 3 year-old, Friesien-cross cow weighing 400kg with body condition score of 2 out of 5 was presented to the University Veterinary Hospital, Universiti Putra Malaysia with primary complain of inappetance. Clinical evaluation revealed that the heifer was pyrexic, dull and depressed with pale mucous membrane. The most prominent abnormality observed was the yellowish mucopurulent discharged from the vulva opening. As for diagnostic work-ups, rectal examination was performed where the uterus was having a doughy consistency during palpation. Mucopurulent discharged from the vulva was collected for bacteria isolation and antibiotic sensitivity test. The bacterial isolated from the pus were Arcanobacterium pyogenes which was resistant to streptomycin and sulfadiazine-trimethoprim and Eschericia coli that was resistant to streptomycin. Blood was also collected through jugular venipuncture for complete hematology and biochemistry analysis where the cow was having monocytosis, slightly elevated AST, hyperglobulinemia and hypoalbuminemia. Based on the history, clinical examination and laboratory findings the cow was diagnosed with clinical endometritis. For the treatment, Flunixin meglumine 1.1mg/kg was administered twice a day intramascularly for 3 days as anti-inflammatory, anti-pyrexic and analgesic. Broad spectrum long acting oxytetracycline 20mg/kg antibiotic was also given once intramascularly to treat current infections and to prevent secondary bacterial infections. In addition, Fercobsang 1ml/10kg was administered intramuscularly once as iron supplement. Furthermore, intrauterine wash was performed with 0.9% NaCL using a modified intravenous line where it was passed through the vulva into the uterine body. All the mucupurulent discharge was then irrigated by continuous flushing of 0.9% NaCL. Finally 20ml of Oxytetracycline 20mg/kg was flushed into the uterine body as the final lavage.