STUDIES OF BONE-MARROW AND LEUKOCYTE COUNTS IN PERIPHERAL-BLOOD IN FETAL AND NEWBORN FOALS

Clinical and pathological records of 124 foals were studied. The foals were assigned to six groups; normal, premature, dysmature, bacterially infected, neonatal maladjustment syndrome and Equid herpesvirus type 1 (EHV-1) infected. Also, 6 pony fetuses were sampled via catheters in the umbilical vein and artery between 280 and 310 days gestation. Bone marrow aspiration was performed on a further 14 foals. Premature foals had significantly lower neutrophil counts than normal foals up to 5 h. Foals with bacterial infections had significantly lower neutrophil counts up to age 12 h. EHV-1 infected foals had significantly lower neutrophil counts up to age 24 h and significantly lower lymphocyte counts than all other groups up to age 12 h. Premature foals showed a higher neutrophil count and neutrophil/lymphocyte (N:L) ratio in survivors compared with non-survivors when all ages were considered, although the differences were not significant before 35 h. Discriminant analysis showed a 99% chance that the EHV-1 group could be identified from all other groups except dysmature foals, where discrimination between the two groups was about 90%. In catheterized fetuses, age-related increases in neutrophil counts and the N:L ratio occur from 280 to 310 days of gestation. In one preparation available for study leading up to parturition, the N:L ratio widened during the 3 days pre-partum. The bone marrow aspirates showed no significant changes in the myeloid:erythroid (M:E) ratio during the first 4 days post partum. The left shift (LS) index was significantly higher in foals suffering bacterial infection compared with normal or dysmature foals. This study suggests that (1) lymphocyte count is a useful aid to the differential diagnosis of EHV-1 infection in foals; (2) neutrophil count of premature foals older than 35 h is useful for prognosis of survival and (3) the LS index of the bone marrow is probably a more reliable indicator of bacterial infection than peripheral white cell counts.