
This is a typical location of an early abscess illustrating why this illness is called pigeon fever. The abscess is in the pectoral area, so it sticks out like the chest of a pigeon.
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"Pigeon Fever," (AKA dry-land distemper) is a colloquial term used
to define a condition affecting horses. The term came about because the typical
location of the lesion, which starts out as a deep abscess, is in the pectoral
area. However, these abscesses can occur on any part of a horse.
The abscesses are caused by a bacteria, corynebacterium
pseudotuberculosis, which can be found in the environment. The bacteria are
thought to gain entrance into the body from fly wounds in the area of the navel.
Flies are definitely a vector for spreading this infection in my opinion. Most
outbreaks in my area (California’s Central Coast) occur in late summer and fall.
The organism settles in a local lymph node in the lymphatic
drainage chain of the underside of the belly. That is why most abscesses are
seen in the chest or back in the area of the mammary gland or scrotum, depending
on gender. However, I see lesions of this disease on all parts of the horse,
which may imply flies contaminating any small break in the skin.
This particular bacteria infects cells, which are filtered out in
regional lymph nodes and causes a reaction by the body to wall off the
infection. There’s good news and bad news about that scenario. The good news is
the infection is walled off, so it stays localized. The bad news is that it’s
very difficult for antibiotics to penetrate to the infection and cure it.
So the typical treatment is to wait until the abscess matures,
breaks and drains. One can apply hot compresses to try and speed up the process,
but I would warn you that some horses resent any manipulation of these early
abscesses, because they are literally "sore as a boil."

This shot shows a healing abscess in an atypical area. These abscesses are similar to a strangles lesion, which is why it’s also called dry-land distemper. Strangles was historically called distemper.
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Giving antibiotics in the early stages of these abscesses is
usually counterproductive. The antibiotics may look to be helping by reducing
some of the swelling, but you don’t usually kill the nidus of the infection, and
the abscess will flare up once antibiotics are stopped. Once the abscess breaks
and drains, it should be flushed well and treated with a topical wound agent.
Fly repellants are indicated to keep down the fly contamination and threat of
spreading the disease.
These are atypical infections with this disease that can be more threatening
because of
location. Structures such as tendon sheaths, walls of lymphatic
channels or internal organs are examples. In these cases, one needs intensive
long-term antibiotics under supervision by your veterinarian. Horses having had
this infection seem relatively immune to it for a few years. While there is no
vaccine currently available, to prevent this infection, fly control can be
helpful in minimizing its incidence.