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Symptoms are similar to other respiratory infections, which include fever, headache, muscle aches and difficulty breathing.

The horse developed pleuropneumonia - a bacterial respiratory infection - after the race.

Recently, he went to hospital after coughing up blood, and was told he had pneumonia - but rather than being kept in hospital, he was discharged into the care of Washwood clinic's respiratory service.

From there, they sneak past the protective barrier lining the respiratory system and head to the lymph nodes in search of cells that express a particular protein called signaling lymphocytic activation molecule, or SLAM.

When Rafa arrived in October 2023, he was suffering from post-traumatic stress disorder, respiratory problems caused by allergies, nightmares and insomnia, according to a psychological evaluation written by his therapist at the orphanage.