Lymphangitis (Big Leg Disease) in Horses | Inside The Equine

Lymphangitis (Big Leg Disease)

Overview

Inflammation of the lymphatic vessels, usually secondary to bacterial infection (Staphylococcus, Streptococcus, Corynebacterium pseudotuberculosis) entering through a skin wound. Ulcerative lymphangitis (caused by C. pseudotuberculosis) is reportable in some jurisdictions. Sporadic lymphangitis causes severe, painful unilateral limb swelling. Chronic recurrence leads to permanent fibrosis (elephantiasis).

Signs & Symptoms

Acute: severe, painful, hot, unilateral limb swelling (2–3x normal); fever (103–106°F); depression; anorexia; marked lameness; serum oozing from skin; lymph node enlargement; may see nodular lymphatic cording. Chronic: permanent thickened limb ('stovepipe leg'); recurring episodes; fibrosis of subcutaneous tissue

Affected Structures

Frequently Asked Questions

What is Lymphangitis (Big Leg Disease) in horses?

Inflammation of the lymphatic vessels, usually secondary to bacterial infection (Staphylococcus, Streptococcus, Corynebacterium pseudotuberculosis) entering through a skin wound. Ulcerative lymphangitis (caused by C. pseudotuberculosis) is reportable in some jurisdictions. Sporadic lymphangitis causes severe, painful unilateral limb swelling. Chronic recurrence leads to permanent fibrosis (elephantiasis).

What are the signs of Lymphangitis (Big Leg Disease)?

Acute: severe, painful, hot, unilateral limb swelling (2–3x normal); fever (103–106°F); depression; anorexia; marked lameness; serum oozing from skin; lymph node enlargement; may see nodular lymphatic cording. Chronic: permanent thickened limb ('stovepipe leg'); recurring episodes; fibrosis of subcutaneous tissue