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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.
Adverse drug reactions: report of the Australian Veterinary Association Adverse Drug Reaction Subcommittee, 1993. Fifty-nine reports of suspected adverse drug reactions (ADRs) were received by the Adverse Drug Reaction Subcommittee of the Australian Veterinary Association from April 1992-March 1993 inclusive. The number of reports received/number of animals involved per species was: dogs (30/43); cats (11/14); horses (8/10); cattle (9/30); ferret (1/1). Of these, 37 (63%) were classified as definite ADRs and 12 (20%) as probable ADRs. In 10 (17%) reports an ADR could not be substantiated or there was insufficient information available to make a decision. Twenty-three reports involved apparent hypersensiti...
[Dermonecrosis along the course of the caudal branch of the lateral saphenous vein in foals due to a Staphylococcus aureus infection]. Necrosis of the skin on both lateral aspects of the hind limbs following the caudal branch of the lateral saphenous vein in 22 suckling foals is described. The first clinical signs were observed on days 2-5 post natum. S. aureus was isolated from the wounds. Decubitus in the region of the malleolus lateralis tibiae was considered the starting point of an ascending infection. This type of dermonecrosis was only observed in boxes with hard floors where the straw bedding was pushed aside by the lying foals regularly, never, however, in boxes with deep and permanent sawdust or straw bedding. Thera...
Jean-François Bouley (Bouley jeune). Pioneer investigator in intermittent claudication. Reports of pathologic investigations as to the cause of intermittent claudication in horses were made in France in October, 1831, by veterinarian Jean-François Bouley. Obstructive clots in the femoral arteries were found to be responsible for the muscular changes causing limping. Bouley's work in the horse was used by Charcot in 1858 to understand the mechanism of claudication in the case of a soldier with gunshot wound in whom a traumatic aneurysm, clotting, and ischemia of the legs developed. This was not, however, the first medically reported case of human claudication from vascular occlus...
Echinococcus granulosus (Taeniidae) and autochthonous echinococcosis in a North American horse. We report the first documented case of autochthonous echinococcosis in a horse of North American origin. Three fully mature and viable unilocular hydatid cysts of Echinococcus granulosus (Batsch, 1786) were an incidental finding at necropsy in the liver of a 14-yr-old gelding thoroughbred that had been foaled in Virginia and raised in Maryland. Protoscolices were armed with 2 rows of 28-37 rostellar hooks; small hooks measured 23-30 microns; large hooks measured 26-33 microns. Morphologically, these were compatible with rostellar armature considered typical for the equine strain of E. granulos...
Pneumocystis carinii pneumonia in a thoroughbred foal. Typical Pneumocystis carinii pneumonia was found in a male thoroughbred foal (46 days old) suffering from diarrhea and hypogammaglobulinemia after birth. The characteristics of the organisms were demonstrated by Grocott methenamine silver staining, and scanning and transmission electron microscopy. The present focal had no histological lesions suggesting immunodeficiency. However, he could not get adequate colostrum from his dam, because she died of hemorrhagic shock due to immuno-mediated thrombocytopenia at delivery. This condition was considered to have predisposed the foal to the pneumonia...
Scintigraphic and ultrasonographic diagnosis of soft tissue injury in a thoroughbred horse. A 2.5-year-old female Thoroughbred horse was referred to the veterinary teaching hospital for right front limb lameness of 1 year duration. Physical examination and diagnostic nerve blocks failed to localize the origin of the lameness. Scintigraphy with 99mTc-MDP suggested increased radionuclide uptake in the palmar metacarpal soft tissues of the right front limb. Ultrasonographic examination revealed hypoechoic lesions in the superficial digital flexor tendon and the suspensory ligament, suggesting tendinitis and desmitis. Combined imaging modalities improved detection and characterization of...
Enterolithiasis in two zebras. Enterolithiasis, as a cause of colic, was diagnosed and treated during surgical intervention in 2 Grant's zebras (Equus burchelli bohmi). The zebras were part of a wild herd in a zoo in the western United States. The clinical signs of enterolithiasis in both zebras were similar to those reported for horses. Analysis of the enterolith from 1 zebra revealed a composition identical to enteroliths that have been analyzed from horses. Three other zebras from this herd had enteroliths at necropsy. Enterolithiasis should be considered as a differential diagnosis for zebras with low-grade obstructive ...
The first case of equine motor neuron disease in Japan. A 9-year-old male horse showed emaciation, weakness and trembling and was euthanatized. Histopathological examinations revealed loss, swelling and chromatolysis of motor neurons throughout the spinal ventral horns, axonal degeneration of the ventral spinal roots. Eosinophilic cytoplasmic inclusions were distributed in degenerated spinal ventral neurons. Ultrastructurally, the inclusions consisted of aggregations of granular dense material and a few vesicles. They reacted positively with polyclonal antibody against ubiquitin. The present case was diagnosed as equine motor neuron disease, which ...
Adrenocortical carcinoma in a 12-year-old mare. A 12-year-old Dutch warmblood mare was examined because it had suffered colic intermittently for a few years and had lost weight in the previous two months. Palpation per rectum revealed a large firm mass in the left sublumbar region; the mass was classified post mortem as an adrenocortical carcinoma. The basal plasma cortisol concentration (at 10.00) of the mare was 94 nmol/litre, within the normal range. As in another case of adrenocortical neoplasm, a functional tumour could not be demonstrated. Only one of the 21 horses with a neoplasm of the pituitary-adrenocortical axis examined by the a...
Prevalence and factors associated with development of laminitis in horses with duodenitis/proximal jejunitis: 33 cases (1985-1991). Medical records of 116 horses admitted to the Texas Veterinary Medical Center between Jan 1, 1984 and Dec 31, 1991 with duodenitis/proximal jejunitis (DPJ) were reviewed. The prevalence of laminitis was 28.4% (33/116; 95% confidence interval: 20.2 to 36.6%). The prevalence of DPJ and DPJ-associated laminitis did not appear to vary significantly by year during the study period. Anamnesis, physical examination, clinicopathologic data, and initial treatment recorded at the time of admission were reviewed to determine risk factors associated with development of laminitis associated with DPJ. A tre...
Epidemiology of equine motor neuron disease. Equine motor neuron disease (EMND) is a newly recognized neurodegenerative disorder of bulbospinal motor neurons in the horse. We conducted a case-control study to identify intrinsic factors associated with the risk of this disorder. Seventy-four cases and 160 controls were assembled. Controls included horses diagnosed with equine protozoal myelitis, equine degenerative myeloencephalopathy, and cervical stenotic myelopathy during the same time period as the cases. Logistic regression analysis was used to evaluate the association of each hypothesized factor while simultaneously controlling for ...
An analysis of 75 cases of intestinal obstruction caused by pedunculated lipomas. A retrospective study of 75 cases of pedunculated lipoma obstruction (PLO) of the intestine was conducted. Age, breed and sex distributions were compared to the non-PLO colic population. Horses in the PLO group were significantly older than in the non-PLO colic group (P < 0.001). A significant increase in risk of PLO was associated with geldings (O.R. 2.32) and with ponies (O.R. 3.75). Of the 75 PLO cases analysed, 69 were strangulating, 70 involved small intestine and 5 involved small colon. Cases of strangulation obstruction tended to have lipomas originating distant to the mesenteric border...
Ameloblastomas in the horse: a critical review and report of an additional example. Previously published cases of ameloblastoma in the horse are reviewed in detail for their acceptability as examples of that tumor; an additional one is described. So far, this rare equine lesion has been shown to have two histologic patterns. The first consists of islands and sheets of epithelium that exhibit the basal cell characteristics of ameloblastoma; the central cells comprise stellate reticulum. The second exhibits these basal cell features less markedly and the central cells are spindle-shaped and closely packed. The biologic behavior of the equine ameloblastoma is thought to be the s...
Large granular lymphocyte neoplasia in an aged mare. No abstract available
[Pathology of cardiac ventricular aneurysms in the horse]. The authors describe pathologic and histopathologic findings of three cardiac aneurysms in horses, two of which in the left ventricle and one in the right ventricle. The aneurysms were always associated with multiple foci of myocardiac fibrosis. A hypothesis concerning histogenesis of the lesion is formulated.
Squamous cell carcinoma of the larynx and pharynx in horses. Medical records were reviewed for 11 horses with squamous cell carcinoma of the larynx and/or pharynx. The average age at presentation was 15.3 years. No breed or sex predilection was present. At presentation, 6 of 11 horses were dyspneic and 4 horses had inspiratory stridor. Endoscopy was performed in all cases and was more useful in demonstrating a mass in the laryngopharyngeal region than laryngeal or guttural pouch radiography. Surgical excision was attempted in 3 horses and in 1 horse alleviated clinical signs for 4 months. Ten horses were euthanatized and 1 horse died. Results of this st...
Cystic adenomatous hyperplasia of the equine allantois: a report of eight cases. No abstract available
An unusual manifestation of nettle rash in three horses. Three horses with an apparent neurological disorder resulting from nettle rash showed signs of ataxia, distress and muscle weakness, and two of them had urticaria. In each case the condition resolved within four hours, with no long term problems or recurrence.
[Adverse effects of veterinary drugs]. We report cases of adverse reactions, some of which serious, of four frequently used therapeutic substances in several animal species. In order to avoid similar cases we discuss special measures or alternative therapies.
Incarceration of the jejunum in the epiploic foramen of a four month old foal. A 4-month Arabian filly presented for abdominal pain of 30 hours duration was found to have tachycardia, tachypnea, congested mucous membranes and gross abdominal distension. Further examination disclosed gastric reflux and small intestinal distension. Dehydration, prerenal azotemia, electrolyte abnormalities and metabolic alkalemia were observed. There was a progressive nonresponse to analgesic medication and deterioration in the foal's physiologic condition consistent with a small intestinal strangulating obstruction. Surgical exploration was declined. Necropsy examination revealed incarcera...
[The discovery of a horse skeleton from the 17th century in Kiesen in Bern canton]. In 1968 a skeleton of a horse was found in Kiesen (Switzerland). This discovery could be dated by radiocarbon method: According to that this 13 years old gelding with a withers-height of 135 to 140 cm must have lived during the first third of the 17th century. Apparently it died by an accident. The bones are fully documented with pictures and scales and the findings described and discussed in detail.
Solitary osteochondroma of the nasal bone in a horse. A 3-year-old Appaloosa stallion with a 4 cm x 4 cm x 2.5 cm mass protruding from his nasal bone was evaluated. Radiographs revealed an osseous mass, with a radiopaque outer margin and several radiolucent areas within the body of the mass. The mass was surgically removed and evaluated histopathologically. The histopathological diagnosis was osteochondroma. This case represent the first reported occurrence of an osteochondroma arising from intramembraneous bone in the horse.
Idiopathic peripheral neuropathy in a horse with knuckling. We report the pathological findings of the skeletal muscle and peripheral nerves from a male 14-months-old thoroughbred horse showing idiopathic knuckling. The affected animal, when in staining position, presented knuckling at the fetlock joint of both forelegs, and dragged both fore- and hindlegs when attempting forward movement. The skeletal muscles demonstrated neurogenic atrophy characterized by the scattering of single angular fibers, groups consisting of five to ten angular fibers, and multiple fascicles of atrophic and hypertrophic fibers. The severity of changes tended to be a distal g...
Ultrasonographic assessment of the proximal digital annular ligament in the equine forelimb. Ultrasonography was used with 6 normal cadaver forelimbs of Dutch Warmblood horses to delineate the ultrasonographic anatomy of the palmar pastern region, with emphasis on the proximal digital annular ligament. Using a 5.5 MHz sector scanner, the thin proximal digital annular ligament was not visible on offset sonograms. Only if the digital sheath in the normal limb was distended was the distal border of this ligament outlined. In all normal limbs the palmarodistal thickness of the combined skin-proximal digital annular ligament layer in the mid-pastern region was 2 mm. The flexor tendons and ...
Penetration injury of the pyramis caused by a kick from a racehorse. A 56-year-old man presented with an unusual cranial penetration injury due to a horse's hoof. The CT number of the hoof was 269, and thus clearly not that of a wooden fragment or bone. An emergency operation was performed to remove the foreign body. The operation went well, and no infection developed. Eight months later he could walk unaided and had only mild disorientation.
