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Topic:Case Reports
Case reports in equine medicine provide detailed accounts of individual horses' clinical presentations, diagnostic processes, treatments, and outcomes. These reports are valuable for documenting rare conditions, novel treatment approaches, or unique clinical insights that may not be captured in larger studies. By focusing on individual cases, these reports contribute to the broader understanding of equine health and disease management. They often include comprehensive information on the horse's history, clinical findings, diagnostic tests, therapeutic interventions, and follow-up evaluations. This page assembles peer-reviewed case reports and scholarly articles that explore diverse aspects of equine health, offering insights into specific medical scenarios and their implications for veterinary practice.
Improved isolation of Clostridium perfringens from foal faeces. There have been several case reports of foal diarrhoea associated with Clostridium perfringens. However, there has been no epidemiological assessment of the strength of the association of these bacteria with foal diarrhoea or of their relative importance. To prepare methods for such a study, the success of different cultural techniques for the isolation of C perfringens was examined with respect to the various physiological states of the bacteria. The germination and growth of C perfringens NCTC 8239 endospores of differing maturity were favoured by different pre-treatments which failed to rec...
Laparoscopic repair of scrotal hernia in two foals. Nonstrangulating indirect scrotal hernias were corrected in two 4-week-old Percheron foals by a laparoscopic technique. After laparoscopic reduction of herniated nonstrangulated small intestine each testes was retracted through the vaginal ring. The ligament of the tail of the epididymis was transected by electrocautery. The testicular vessels and nerves were isolated by cautery of the mesenteric portion of the mesorchium and then ligated. Staples were used to close the opening of the inguinal canal by apposing the peritoneal edges of the vaginal ring. Resection of umbilical stalk remnants via...
Topical treatment of Pseudomonas sp-infected corneal ulcers in horses: 70 cases (1977-1994). To determine which antimicrobial agents were most effective against Pseudomonas sp-infected ulcerative keratitis, and identify any trends in the various clinical conditions associated with these bacteria that might assist in effective treatment of the disease. Methods: Retrospective case series. Methods: 66 horses with 70 Pseudomonas sp-infected corneal ulcers. Methods: We reviewed medical records of horses admitted to the George D. Widener Hospital for Large Animals, University of Pennsylvania between July 1977 and December 1994. Records of horses that had Pseudomonas sp isolated from a corne...
Cervical meningomyelocele associated with spina bifida in a hydrocephalic miniature colt. Cervical meningomyelocele, spina bifida, and hydrocephalus were diagnosed in a newborn miniature colt that was unable to stand and had a cystic mass in the caudal portion of the dorsal cervical region. Results of physical examination and ultrasonographic imaging of the brain supported the diagnosis of hydrocephalus. Results of radiographic evaluation of the vertebral column were consistent with spina bifida at C5-C6. Fluid aspirated from the cervical mass resembled CSF. Radiography of the cervical region after injection of iohexol into the mass revealed herniation of the spinal cord through a ...
Corynebacterium pseudotuberculosis infection in horses: 538 cases (1982-1993). To describe clinical manifestations of Corynebacterium pseudotuberculosis infection in horses and to evaluate diagnostic methods for identification of this disease. Methods: Retrospective case series. Methods: 538 horses with a diagnosis of C pseudotuberculosis infection. Results: Median age of horses with external abscesses was similar to that in horses with internal abscesses. Breed and sex did not appear to be associated with infection. Cases were detected during all 12 months; however, the disease was most common in the fall and early winter, with the highest incidence in September, Octobe...
Tibial stress fractures in racing standardbreds: 13 cases (1989-1993). To determine clinical signs, radiographic and scintigraphic findings, and performance outcome of racing Standardbreds with tibial stress fractures. Methods: Retrospective case series. Methods: 13 racing Standardbreds with tibial stress fractures. Methods: Information concerning clinical signs, diagnostic evaluation, and recommendations was obtained by review of the medical records. Performance information before and after diagnosis of the fracture was collected from racing records, and follow-up information was obtained from the owners or trainers by use of a telephone questionnaire. Results: ...
Horseshoe characteristics as possible risk factors for fatal musculoskeletal injury of thoroughbred racehorses. To evaluate selected shoe characteristics as risk factors for fatal musculoskeletal injury (FMI) and specifically for suspensory apparatus failure (SAF) and cannon bone condylar fracture (CDY) of Thoroughbred racehorses in California. Methods: Case-control study. Methods: Thoroughbred racehorses (n = 201) that died of were euthanatized at California racetracks between August 1992 and July 1994. Methods: Shoe characteristics were compared between case horses affected by FMI (155), SAF (79), and CDY (41) and control horses that died for reasons unrelated to the appendicular musculoskeletal syste...
Pergolide treatment for Cushing’s syndrome in a horse. A 16-year-old, male, Hanoverian horse had a three-month history of weight loss, hirsutism and polyuria/polydypsia. Examinations revealed neutrophilia, lymphopenia, hyper glycaemia and abnormalities in hepatic function. A tentative diagnosis of hyperadrenocorticism was made. The results of thyroid-releasing hormone and combined dexamethasone suppression and ACTH stimulation tests suggested the presence of a pituitary adenoma. The horse was treated with pergolide and beneficial clinical and biochemical responses were observed within one to six months.
[Heart diseases in foals. A literature review exemplified by 2 case reports]. A review of the congenital and acquired heart diseases of foals is given on the basis of two patients. A 3-month-old foal with a history of collapse after exercise had a systolic murmur on all heart valves on both sides. Necropsy revealed endocarditis ulcerosa of the left atrioventricular valves. A 6-week-old foal with systolic murmur on the left atrioventricular valves and on the aorta showed, on ultrasonography, signs of endocarditis of the atrioventricular valves. This foal recovered after a long course of antibiotics.
Equine cryptococcal endometritis and placentitis with neonatal cryptococcal pneumonia. No abstract available
Removal of the premaxillae and rostral portions of the maxillae of a horse. The incisive bones (premaxillae) and rostral portions of the maxillae of a horse were infected with dermatiaceous fungi causing phaeohyphomycosis. The pre-maxillae were exposed by creating and reflecting labial and palatal mucoperiosteal flaps, and obstetrical wire was used to remove the affected bones. Labial and palatal flaps were apposed in 2 layers, using absorbable sutures. The sutured wound healed without complication. The horse was able to prehend hay and long grass without difficulty, and the owner considered the horse's facial appearance to be nearly normal. This technique may be usef...
Case control and historical cohort study of diarrhea associated with administration of trimethoprim-potentiated sulphonamides to horses and ponies. Trimethoprim-potentiated sulphonamides (TPS) are among the most frequently administered antimicrobials in equine medicine. Anecdotally, TPS has been implicated as a cause of mild to moderate diarrhea in horses. The purpose of this study was to document the prevalence of diarrhea in horses receiving TPS, to characterize the severity of the diarrhea, and to identify any other factors associated with the development of diarrhea. A 2-part study was designed to identify the prevalence of diarrhea associated with TPS in our clinic population. Part I was a case-control retrospective study of 135 reco...
Hypertrophic osteopathy (Marie’s disease) in Equidae: a review of twenty-four cases. The case records of 23 horses and one donkey affected by hypertrophic osteopathy (HO) (Marie's disease) were reviewed. All affected animals presented with limb swellings, which were bilaterally symmetrical and usually involved both fore- and hindlimbs. Associated signs included stiffness/lameness and weight loss. Radiological features included periosteal new bone formation over the diaphyses and metaphyses of affected bones. The metacarpal and metatarsal bones were most frequently affected. Articular surfaces remained free of disease. Seventeen animals were destroyed on humane grounds, 3 horse...
Laryngospasm, dysphagia, and emaciation associated with hyperkalemic periodic paralysis in a horse. An 18-month-old Quarter Horse gelding was examined because of weight loss and dysphagia of 1 month's duration. Clinical signs included lethargy, dehydration, ptyalism, and probable aspiration pneumonia. Severe dyspnea and cyanosis were evident after mild exercise. Endoscopy revealed laryngospasm and pharyngospasm. Because clinical signs and endoscopic findings were suggestive of hyperkalemic periodic paralysis (HPP), acetazolamide treatment was instituted. Marked improvement was observed within 48 hours. The horse was determined to be homozygous for HPP. It is likely that this horse's dysphagi...
[Detection of chlamydiae in animal and human semen using direct immunofluorescence]. Frequency of elementary and reticular chlamydial bodies was investigated by direct immunofluorescence tests in ejaculates collected from 52 men, 60 stallions, 42 bulls, and 66 boars using the kits of Progen Biotechnic GmbH and the microscope Labophot-2 Nikon. At the same time, qualitative semen tests, including ejaculate volume, sperm motility, percentage of live and dead sperms and morphological' analyses (Vĕzník and Svecová, 1992) were done. Repeatability of the findings was checked in a group of nine bulls housed at the institute and sampled at weekly intervals for 3 to 4 months (Tab. 1)...
Ultrasonography of the equine triceps muscle before and after general anaesthesia and in post anaesthetic myopathy. The ultrasonographic appearance of the equine triceps muscle of clinically normal horses, before and after general anaesthesia, was investigated and compared with 5 cases of post anaesthetic myopathy. The triceps muscle areas were examined bilaterally using a 7.5 MHz linear array probe in 2 different planes, with each limb both weightbearing and nonweightbearing. The triceps muscles of 4 unanaesthetised horses were scanned twice, 24 h apart. Six horses underwent general anaesthesia and were scanned pre-anaesthesia and at 1 and 24 h intervals after recovery. Blood samples were obtained in the u...
Nasal obstruction caused by nutritional osteodystrophia fibrosa in a group of Ethiopian horses. A severe, advanced case of nutritional osteodystrophia fibrosa is described in a 10-year-old gelding with primary upper respiratory obstruction and chronic weight loss, which was one of a group of similarly affected horses in Ethiopia. The diagnosis was based on the clinical signs, gross lesions, histopathology and management history. The affected bones had suffered severe mineral depletion.
[Ascites as a result of peritoneal mesotheliomas in a horse]. An abdominal tumor was suspected after clinical evaluation in an eight-year-old, bay-coloured hannoveranian gelding. The diagnosis was based on the symptoms of ascites, on the results of the transcutaneous abdominal ultrasound examination and on the characteristic changes in the serum-electrophoresis. Postmortem a peritoneal mesothelioma was diagnosed. This primary tumor of the peritoneum is rarely described in horses.
Hyperkalemic periodic paralysis episode during halothane anesthesia in a horse. A 7-month-old Quarter Horse filly was admitted for surgical repair of a right olecranon fracture. Anesthesia was achieved with xylazine hydrochloride, guaifenesin, ketamine hydrochloride, and halothane. Two and a half hours after induction of anesthesia, myotonia, muscle fasciculations, and sweating, concurrent with high serum potassium concentration and associated electrocardiographic changes consistent with hyperkalemic periodic paralysis, were observed. Treatment included intermittent positive-pressure ventilation, changing intravenous administration of fluids from lactated Ringer's solutio...
A mare with colic caused by an ovarian tumour. An 11-year-old Arabian mare had sudden signs of colic 10 days post partum. Rectal examination revealed a large mass in the abdomen. The mare was successfully operated on for a granulosa cell tumour of 31.5 kg. The large abdominal wound healed by primary intention.
A case-control study of the congenital hypothyroidism and dysmaturity syndrome of foals. A case-control study was conducted to identify risk factors for the congenital hypothyroidism and dysmaturity syndrome of foals. A questionnaire was used during personal interviews of foal owners and farm managers to collect information on animal signalment, farm environment, and mare management. Information on 39 foals with the congenital hypothyroidism and dysmaturity syndrome were compared with 39 control foals. Foals with the syndrome had a significantly (P < 0.0001) longer gestation (357.6 d) than control foals (338.9 d). Pregnant mares that were fed greenfeed, did not receive any supplem...
[Polydactyly in a foal–a case report]. Polydactylism, an excess deformity in a foal is described. The hereditary pathology and etiopathogenesis are discussed. A method of surgical correction of the deformed extremity is introduced. Indication and prognosis of the surgical correction of polydactylism and aspects concerning the breeding management are discussed.
Penetrating keratoplasty for treatment of recurrent squamous cell carcinoma of the cornea in a horse. Squamous cell carcinoma involving the cornea and conjunctiva of the left eye in a 14-year-old horse was treated by superficial keratectomy in combination with beta-radiation and radiofrequency hyperthermia. The tumor recurred 4 months later in the central cornea at the edge of the previous keratectomy site. Penetrating keratoplasty was performed in an effort to remove the tumor and retain a visual eye. The eye was visual 13 months after surgery. Mild fibrosis and vascularization were observed in the area of the penetrating keratoplasty.
Treatment of intrasynovial infection with gentamicin-impregnated polymethylmethacrylate beads. Gentamicin-impregnated polymethylmethacrylate beads were used in the treatment of infective synovitis in 12 horses and 10 cattle. They had either proved refractory to standard treatments (lavage, debridement, joint drainage and systemic antibiotics) or had evidence of osteomyelitis adjacent to a synovial cavity. All the animals were severely lame. All the cattle and six of the horses had radiological evidence of osteomyelitis in communication with a synovial cavity. The beads were placed intrasynovially under general anaesthesia and left in place for 14 days. One horse and one calf were euthan...
