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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.
Surgical repair of iatrogenic soft palate defects in two horses. A 4-year-old Thoroughbred filly was referred for evaluation of a soft palate defect that had been created several weeks earlier during surgical correction of epiglottic entrapment, performed transorally. Surgical correction of the defect was performed via mandibular symphysiotomy. At 85 days after repair, the horse raced successfully. A 2-year-old Thoroughbred filly was admitted for evaluation and treatment of epiglottic entrapment. The soft palate was lacerated during transnasal division of the entrapping membrane. A 2-cm full-thickness soft palate laceration was repaired transorally.
Eosinophilic keratoconjunctivitis in a horse. An 11-year-old Quarter Horse gelding was evaluated because of a persistent, raised band of 1- to 2-mm subepithelial plaques of the left cornea. Cytologic examination of corneal scrapings revealed numerous eosinophils and segmented neutrophils, with few mast cells, plasma cells, and lymphocytes. Bacteriologic culture yielded sparse growth of alpha-hemolytic Streptococcus and Staphylococcus spp. Histologically, the plaques consisted of subepithelial foci of fragmented and degenerated collagen fibers infiltrated by eosinophils and neutrophils, with few lymphocytes, plasma cells, and macrophages. ...
Removal of inspissated purulent exudate from the ventral conchal sinus of three standing horses. Primary paranasal sinusitis, complicated by inspissated purulent exudate in a ventral conchal sinus, was diagnosed in 3 horses. Partial nasal obstruction, caused by axial deviation of the ventral concha, was detected endoscopically in 2 of the horses. A mass, dorsal to the maxillary molars, was detected via a lateral radiographic view of the skull of 3 horses and on the dorsoventral view of 1 of the horses. Inspissated purulent exudate was removed from the ventral conchal sinus of the horses via trephination of the conchofrontal sinus and penetration of the caudal wall of the ventral conchal s...
Three-dimensional sonographic imaging of the equine superficial digital flexor tendon. In a feasability study, a technique for constructing 3-dimensional sonographic images of the superficial digital flexor tendon (SDFT) was established in 6 clinically normal horses and applied to 7 horses with injured SDFT. Two-dimensional B-mode sonographic images were recorded on videotape as the sonographic transducer was manually moved along the palmar aspect of the metacarpal region. Selected videofields were digitized, and 3-dimensional images were constructed, using a computer work station and dedicated software program. The 3-dimensional images were of high quality and presented qualita...
Successful pregnancy after partial hysterectomy in two mares. Infertility was associated with a uterine mass in 2 Thoroughbred mares. Both mares had produced live foals, but had been barren for 2 years, despite repeated breedings. Each mass was removed through a right ventral paramedian incision. Histologic examination of the masses revealed a leiomyoma and an ovarian abscess. In 1 mare, approximately 30% of 1 uterine horn was removed because of tumor attachment; in the other mare, approximately 50% of 1 uterine horn was removed because of adhesions to the ovarian abscess. Pregnancy information was available for both mares for the 3 years after surgery; ...
Topical use of 5-fluorouracil for treatment of squamous cell carcinoma of the external genitalia of horses: 11 cases (1988-1992). Ten horses with histologically confirmed squamous cell carcinoma (SCC) and 1 horse with presumptive SCC of the external genitalia were treated with a combination of surgical debridement and topical administration of 5-fluorouracil, or with topical treatment alone. Tumor remission was obtained in all horses except 1 in which owner compliance was deficient, and no recurrences have been reported. Topical use of 5-fluorouracil as a chemotherapeutic agent for treatment of genital lesions of SCC in horses should be considered as a viable alternative to radical surgical excision.
Disseminated equine herpesvirus-1 infection in a two-year-old filly. No abstract available
Endocarditis and pulmonary aspergillosis in a horse. No abstract available
Endometrial polyps and endometritis in a thoroughbred filly. No abstract available
Management of equine sarcoids: 1975-93. Treatment options for equine sarcoids are briefly reviewed and the results of a retrospective study of 63 cases of equine sarcoid (66 lesions) treated by clinicians from the Rural Veterinary Centre, Camden, Australia from 1975 to 1993 presented. Five different treatments were employed in the management of these 66 lesions, including surgical excision alone or in combination with cryotherapy, radiotherapy, immunotherapy and tumour transfer to a subcutaneous site on the neck. The majority of cases were treated with surgical excision alone (18/66), excision followed by cryotherapy (31/66) and imm...
Osteochondral fragmentation of the plantar/palmar proximal aspect of the proximal phalanx in racing horses. The clinical presentation and outcome of treatment is presented for 26 cases of osteochondral fragmentation of the plantar/palmar proximal aspect of the proximal phalanx. Twenty-three were racing Standardbreds and three were racing Thoroughbreds. The most common reason for presentation was an inability to run straight at high speed. Only eight horses presented for lameness, although on examination 19 were lame. A positive flexion test was recorded in 90% of affected fetlock joints and effusion in 48%. Arthroscopic fragment removal was performed on 23 occasions in 21 horses and arthrotomy in on...
[Neurodegenerative disorders of the central nervous system in horses]. The most important neurodegenerative diseases of the horse are reviewed. In addition to the literature, neurodegenerative diseases occurring in patients (horses, Mongolian Przewalski-horses, and two zebras) referred to the Utrecht Veterinary Faculty are mentioned. Neurodegenerative diseases described are: I. ataxia associated with: A/ static stenosis, B/ dynamic stenosis, C/ lesions at various locations in the central nervous system, D/ equine herpesvirus infections, E/ equine degenerative myelo-encephalopathy, or F/ cerebellar abiotrophy; II. equine motor neuron disease; III. grass sickness o...
[Two congenital anomalies of the urinary tract in warmblood horses: ectopia ureteris and diverticulum vesicae]. Two cases of congenital anomalies of the urinary tract of horses are described. In case 1 there was an ectopia ureteris sinistri in an one-year-old mare. The animal showed urinary incontinence without affects of the general condition. The diagnosis was made by rectal, ultrasonic and vaginoscopic examination. Therapeutically a nephrectomy of the left kidney was carried out. In case 2 a six-year-old gelding had a congenital diverticulum at the neck of the urinary bladder. It showed colic during urination, dropping of urine and haematuria. The diagnosis was made by rectal exploration, ultrasonic ...
[Eumycotic mycetomas in horses caused by Curvularia verruculosa]. The fungus Curvularia verruculosa, which produces eumycotic mycetomas, was isolated from skin of horses with granulomatous lesions on the legs. The isolation was made in Sabouraud dextrose agar medium. The horses came from Comandante Fontana suburb, Formosa-Argentina. This finding would be the first report of Curvularia in horses in Argentina.
Histopathology of the brain-stem nuclei of horses with “Mal seco”, an equine dysautonomia. "Mal seco" is a disease of unknown aetiology affecting horses in Argentina. It is similar to grass sickness, a primary dysautonomia of horses in Europe. A histopathological study of the brain stem nuclei of three horses with "mal seco" was performed. Changes were found that consisted of chromatolysis, cytoplasmic vacuoles, eosinophilic sphaeroids, and pyknotic and eccentric nuclei. These changes were most severe at the oculomotor, vestibular and abducent nuclei. The results provide further evidence to suggest that "mal seco" and grass sickness may be the same disease.
Stringhalt secondary to trauma to the dorsoproximal region of the metatarsus in horses: 10 cases (1986-1991). A review of medical records was used to identify 10 horses in which stringhalt developed subsequent to trauma to the dorsal metatarsus. Six horses developed stringhalt within 3 months after injury, 3 horses developed stringhalt > 3 months after injury, and time from injury to stringhalt was unknown for 1 horse. Horses were treated with exercise, including daily hand-walking with pasture turnout, followed by lunging; or surgically, using lateral digital extensor myotenectomy. Of the horses treated with exercise, 1 had resolution of stringhalt, 2 improved but had residual stringhalt, and 1 ha...
Lead foreign body arthropathy in a horse. A diagnosis of degenerative joint disease secondary to an intra-articular metallic foreign body in the right metacarpophalangeal joint was made in a Quarter Horse gelding. Arthroscopy, performed to evaluate the joint and remove the foreign body, revealed yellow discoloration of the articular cartilage and synovium, and blunting and proliferation of the synovium. The foreign body was identified as a lead sphere. Microscopic examination of synovium revealed chronic synovitis, with accumulation of hemosiderin and multifocal, mild mineralization. Another pigment was evident extracellularly in the ...
Neurological manifestation of cholesterinic granulomas in three horses. Cholesterinic granulomas have been previously reported as an incidental post mortem in horses. Three adult horses with diencephalic dysfunction due to cholesterinic granulomas are described. All the horses exhibited profound depression, somnolence and reluctance to move. One horse experienced generalised seizures. Cerebrosinal fluid was xanthochromic with an elevated total protein in two of the cases evaluated. The large cholesterinic granulomas caused expansion of the lateral ventricle and secondary hydrocephalus due to the build up of cerebrospinal fluid behind the mass. Cholesterinic granul...
Pituitary abscess and basilar empyema in 4 horses. Abscess of the pituitary gland is a rare condition which has been
described in man (Domingue and Wilson 1977; Ahmed et al. 1989),
ruminants (Taylor and Meads 1963; Moriwaki er al. 1973; Lomas and
Hazell 1983; Perdrizet and Dinsmore 1986) and one horse
(Rumbaugh 1977). The some of infection may be either direct
extension from an adjacent focus or haematogenous spread from a site
elsewhere in the body. In man, pituitary abscess may result from
meningitis, sphenoid sinusitis (Selose et al. 1980), and osteomyelitis
(Rongetti and Daniels 1950). A review of 20 cases of pituitary abscess
in ...
Disseminated peritoneal leiomyomatosis in a horse. A 6-year-old female Quarter Horse became inappetent, lost weight, was febrile, and had abdominal enlargement and infrequent bouts of mild colic. Palpation per rectum detected a prominent, smooth-walled mass adjacent to the pelvic flexure of the colon. Analyses revealed the peritoneal fluid was apparently normal except for a high protein concentration. By the use of ultrasonography, the mass was observed adjacent to the body wall in many locations throughout the abdomen, appearing as an irregular, multiloculated structure composed of innumerable cysts of various sizes with interspersed, circula...
[Sporotrichosis in a horse]. A 9-year old male Arabian horse was referred to the Department of Large Animal Surgery of the University of Utrecht because of multiple nodules on the inner side of the right hind leg. The nodules seemed to follow a cutaneolymphatic pattern. Histopathology of a nodule showed a granulomatous inflammation with the presence of multinucleated giant cells. In PAS- and Grocott-stained sections, spheroid yeast-like organisms with some budding were found throughout the tissue. A preliminary diagnosis of sporotrichosis was made. A fresh nodule was cultured and the presence of Sporothrix c.f. schenckii ...
Surgical treatment for epiglottic entrapment in horses: 51 cases (1981-1992). Medical records of 51 horses with epiglottic entrapment were reviewed, and the outcome after surgical treatment was evaluated by use of results from a survey of owners and from race records. Horses with epiglottic entrapment and no additional problem (uncomplicated) of the nares, nasal passages, pharynx, or larynx (upper airway) that were treated by transoral axial division (group 1) or resection via laryngotomy (group 2), and horses with epiglottic entrapment complicated by an additional upper airway abnormality (group 3) were compared. The cost of treatment, duration of hospitalization, time...
Marked Acantholysis Associated with Dermatophytosis due to Trichophyton equinum in Two Horses. Resumen- Dos caballos adultos manifestaron un cuadro prurítico y de dolor asociado con una dermatitis generalizada de evolución rápida y consistente en la presencia de pápulas, pústulas y costras. El examen microscópico de extensiones citológicas a partir del exudado purulento reveló la presencia de numerosos queratinocitos acantoliticos, neutrófilos no degenerados y ausencia de microorganismos, lo que sugirió un diagnóstico de pénfigo foliáceo. Las biopsias de piel mostraron dermatofitosis, marcada acantolisis y crecióTrichophyton equinum en cultivos fúngicos. Las lesiones en a...
