Clinical Management of a Postpartum Hemorrhagic Mastitis-like Condition in a Dairy Cow: A Case Report from Bangladesh

Postpartum hemorrhagic mastitis is uncommon but causes serious consequences to dairy cattle that produce bloody milk, systemic illness, and serious threats to animal welfare and productivity. This case study is related to a 3‐year‐old cow with dark crimson, clotted milk and a high temperature postparturition (300 kg at calving). The condition was likely associated with inappropriate veterinary care during pregnancy. A multimodal treatment approach was initiated. Marbofloxacin (2 mg/kg IM, q24h for 7 days) was administered for controlling the infection. Flunixin meglumine (2.2 mg/kg IV, q24h for 5 days) and promethazine hydrochloride (1 mg/kg IM, q24h for 5 days) were administered to restrict inflammation and hypersensitivity, respectively. Tranexamic acid (10 mg/kg IM, q12h for 3 days) was administered to check bleeding. Symptomatic treatment consisting of intravenous saline (5 L IV, q24h for 3 days), calcium (0.5 mL/kg IV, q24h for 5 days) and nutritional supplement (Availa-4) (30 gr orally, q24h for 10 days) led to recovery and restored the body's homeostasis. The cow fully recovered and returned to normal milk yield within 10 days. This case study emphasizes the importance of multimodal therapeutic interventions, as well as skilled veterinary care to avoid complications, that ensures the dairy herd’s health and productivity.