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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.
Repair of a fracture of the deltoid tuberosity of the humerus in a pony. ALTHOUGH diaphyseal and distal metaphyseal fractures of
the equine humerus have been discussed in the literature
(Johnson, Lowe, Fessler and Amstutz 1974; Vaughan and
Mason 1975; Turner 1984), reports of humeral fractures of
other configurations are rare. Allen and White (1984) described
the successful surgical treatment of a chip fracture of the greater
tubercle of the humerus. This report describes the clinical
features and treatment of a fracture of the deltoid tuberosity.
Two cases of abnormal equine pregnancy associated with excess foetal fluid. THE accumulation of a gross excess of fluid in the amniotic or
allantoic cavities is not uncommon in bovidae, although the
latter occurs most frequently. The resulting pathological
conditions are usually referred to as hydrops amnii and
hydroallantois, respectively. They are often associated with
abnormalities of the foetus in cattle (Vandeplassche el ul1965;
Roberts 1971) and hydro-allantois is quite common in twin
pregnancies (Roberts 1971).
This article describes two cases of excess foetal fluid in the
mare, both of which were associated with abnormal
pregnancies.
Generalized avian tuberculosis in a horse. THE horse appears to possess a strong innate resistance to
tuberculosis because the disease is infrequently recognised even
in countries where the condition is common in other species
(Luke 1958). Reports of the disease are now scarce and earlier
records of infections in horses usually implicated the bovine
strain of Mycobacterium tuberculosis, although avian and
human strains have been isolated. Of 55 equine cases reviewed
by Griffith (1937), 53 were caused by the bovine strain and two
were independently infected with avian and human strains.
Since the implementation of the bovine tu...
Equine pythiosis in Costa Rica: report of 39 cases. Thirty-nine pythiosis equine cases, were studied at the Veterinary Medicine School of the National University of Costa Rica, between 1981 and 1984. Lesions were located in different parts of their anatomy: anterior and posterior extremities, abdomen, thorax, breast and mammary gland, and were characterized by their tumoral appearance with necrotic tissue in which yellow-white coral-like necrotic masses, called kunker or leeches were shown. Splendore-Hoeppli like phenomenon and eosinophilic inflammatory reaction around the hyphae, was microscopically observed. Pythium sp. (Hyphomyces destruens)...
Iopamidol myelography in the horse. The use of the non-ionic, water-soluble contrast agent iopamidol for myelography in seven horses is described. Contrast columns of diagnostic quality were produced in all seven cases and the procedure did not invoke any adverse reactions in the five cases which were recovered from general anaesthesia. It is concluded that iopamidol is a safe and effective contrast agent for myelography in the horse.
Type II renal tubular acidosis in a mare. Persistent, severe metabolic acidosis complicated the operative and postoperative period in a 4-year-old mare with colic. On the basis of clinical and laboratory findings, a renal tubular disorder was diagnosed. Renal tubular acidosis is rare in horses. In the only report found on the subject, type I renal tubular acidosis was described in 2 horses. Bicarbonate titration studies in our case helped document type II renal tubular acidosis in this mare.
Bacteria in enteric lesions of horses. Thirty-three species of bacteria were isolated from the gastrointestinal mucosa of 23 adult horses and two foals. The bacteria isolated could be related to gross and microscopical lesions in some cases. Clostridium perfringens type A, Actinobacillus equuli, Salmonella typhimurium and Campylobacter coli biotype 1 could all be associated with gastrointestinal lesions. C jejuni biotype 1 and Aeromonas hydrophila were both recovered in this study and have been identified as causes of enteritis in horses or in other species. The case of C coli enteritis appears to be the first such report. The diff...
Gastroenterostomy for treatment of gastroduodenal ulcer disease in 14 foals. Gastroenterostomy was performed in 14 foals to treat gastric outflow obstruction caused by advanced gastroduodenal ulcer disease. The onset of excessive salivation and teeth grinding, without response to medical treatment, combined with endoscopic and radiographic evidence of gastric outflow obstruction, were indications for surgical intervention. Successful outcome in 5 foals was attributed to early diagnosis, patient stabilization, early surgical correction, and postoperative management including antibiotics and antiulcer medication.
Problems associated with the interpretation of the results of regional and intra-articular anaesthesia in the horse. The difficulties associated with the interpretation of the results of regional and intra-articular anaesthesia are discussed with reference to eight lame horses. The clinical and radiographic features of each horse are described, together with the results of anaesthesia. One horse had clinical and radiographic signs consistent with navicular disease but it was not possible to relieve the lameness. Two horses had fractures of bones within the foot but lameness was not improved by palmar (abaxial sesamoid) nerve blocks. One horse had more than one cause of lameness. Four horses had joint patholo...
Bilateral hypoplasia of the soft palate and aryepiglottic entrapment in a horse. Endoscopic examination of a 7-year-old gelding with weight loss indicated a palatal defect with a prominent tissue mass at the caudomedial margin of the defect. At necropsy, the condition was determined to be bilateral hypoplasia of the soft palate.
Near circumferential retroperitoneal rectal tear in a pony. A 13-year-old, 370-kg, Appaloosa gelding with mild colic of 4 days' duration was found to have a near circumferential retroperitoneal rectal tear. Accumulation of feces at the site of the repair had created a large perirectal cavity. Removal of feces and cleansing of the perirectal cavity were performed daily. Sutures were placed to stabilize, but not reappose, the torn ends of the rectum. The perirectal cavity filled with granulation tissue, and the rectal tear healed.
Ultrasound science for the veterinarian. In order to successfully sort out the information, both real and bogus, in an ultrasonic image, one must have a fundamental understanding of the physical and electronic events that produced the image. We have looked at the basic science, signal processing, some case examples of ultrasound science in practice, and some popular illusions. It is a good starting place for the newcomer to ultrasonic imaging.
Diabetes mellitus associated with bilateral granulosa cell tumors in a mare. Both ovaries in a 10-year-old American Saddle Horse mare were determined to be larger than normal. The mare had problems with infertility during the preceding 3 years. Clinical evaluation revealed that the mare was polyuric, polydypsic, hyperinsulinemic, and hyperglycemic, and had reduced tolerance to exogenous glucose. Bilateral granulosa cell tumors were identified on histologic examination of the ovaries. The precise mechanism for the secondary diabetes mellitus was not determined; however, the cause was suspected to be a result of the synthesis and release of a hormonal substance by the tu...
Dietary sodium bicarbonate as a treatment for exertional rhabdomyolysis in a horse. A 3-year-old mare repeatedly had clinical signs of rhabdomyolysis on mild exertion. Serum creatine kinase and aspartate transaminase activities were high at rest. Responses to dietary sodium bicarbonate were tested through 7 alternating periods of supplementation of a basal ration of timothy hay and oats. Physical signs; venous blood pH and gases; blood glucose and lactate; serum electrolytes, enzymes, and creatinine; and urine pH were monitored before and after exercise. Dietary sodium bicarbonate raised resting venous blood pH and bicarbonate slightly and significantly increased urine pH fro...
Large colon resection and anastomosis in horses. Large colon resection and anastomosis was performed in 11 horses at various levels of the colon, using several surgical methods. The level of resection ranged from the pelvic flexure to the cecocolic ligament. Nine of 11 horses survived and at follow-up (4 months to 7 years) were free of clinical signs referable to disease of the gastrointestinal tract. Seven horses could be evaluated as to athletic or reproductive function and all returned to original potential.
Vertebral body osteomyelitis in the horse. Over a 4-year period, vertebral body abscess was diagnosed in 5 young cattle. The laboratory findings in most of these cases did not suggest a diagnosis of vertebral body abscess. The most important basis for diagnosis of this condition was a thorough neurologic examination. In 4 cases, necropsy revealed abscesses in the lungs or thoracic cavity as well, suggesting that a history of pneumonia preceding paresis may favor the diagnosis of vertebral body abscess.
Intramuscular hemangiosarcoma with pulmonary metastasis in a horse. Intramuscular hemangiosarcoma resulting in severe anemia and thrombocytopenia was diagnosed in a 3-year-old Thoroughbred filly. Necropsy revealed multiple tumors within skeletal muscles and multiple pulmonary metastases.
Hindlimb hyperesthesia associated with rabies in two horses. Rabies was diagnosed in 2 adult Quarter Horses with hindlimb hyperesthesia and progressive weakness. Microscopic examination of the cord and brain of the first horse revealed nonsuppurative meningomyelitis and ganglioneuritis in the cord extending cranially to the 6th cervical segment. Fluorescent antibody test results of both horses were positive for rabies in hindlimb peripheral nerve specimens, but negative in sections of the upper lip. Salivary gland, cerebrum, cerebellum, hippocampus, musculocutaneous nerve, cornea, and optic nerve specimens were tested for rabies by fluorescent antibody ...
Multiple myeloma in a horse. Multiple myeloma was diagnosed in a 22-year-old Arabian mare with a history of chronic weight loss. Quantitative immunoglobulin analysis revealed monoclonal gammopathy (IgG(T), 9,800 mg/dl). Due to progressive weight loss, the horse was euthanatized. Microscopy of tissues revealed plasma cell infiltrates in bone marrow, spleen, pituitary gland, adrenal cortex, muscle of the tongue, and bronchial, renal, and mesenteric lymph nodes.
Slab fractures of the fourth and intermediate carpal bones in five horses. Fractures of the fourth carpal bone were diagnosed in 5 horses; 3 fractures were associated with fracture of the intermediate carpal bone. The diagnosis was delayed in all 5 horses, apparently because of the moderate nature of the clinical signs. Open surgical reduction with lag screw type fixation was used in all horses. Because of delayed treatment, transfixation of carpal bones (necessary for stability), and surgical trauma, degenerative joint disease with osteophyte formation occurred in all 5 horses. None of the 5 horses was able to begin or return successfully to work, although 4 of the ...
Bone scintigraphy as an aid in the diagnosis of occult distal tarsal bone trauma in three horses. History, physical examination, and bone scintigraphy were used to diagnose central and/or third tarsal bone trauma in 3 acutely lame horses. In all 3 cases, the results of initial radiographic examination were negative. Bone scintigraphy revealed focal, intense radioisotope uptake at the level of the distal tarsal bones in the 3 horses. Radiographs obtained 4 weeks after injury in one horse demonstrated a slab fracture of the central tarsal bone. Conservative management of the tarsal bone disease resulted in acceptable return to function in all 3 horses.
A case of guttural pouch mycosis in a horse. A case of guttural pouch mycosis in an 11-year-old horse is described. The fungus isolated was identified as Emericella nidulans. Housing under bad hygienic conditions without ventilation for three years might have been a predisposing factor.
