Botulism in foals less than 6 mo of age is readily treated, and the survival rate is more than 95% in foals receiving appropriate treatment. Nursing care, IV fluid support, nasogastric or nasoesophageal tube feeding, broad-spectrum antimicrobial coverage (excluding aminoglycoside and tetracycline classes), oxygen therapy, and the administration of botulism antitoxin are important therapies. Approximately 33% of affected foals may require positive pressure mechanical ventilation.
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