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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.
Periorbital skull fractures in five horses. Periorbital skull fractures were diagnosed in 5 horses, and were associated with ophthalmic complications including corneal ulceration, uveitis, and entrapment of the eye by retrobulbar bone fragments. Physical examination was of greater diagnostic use than radiography. Surgical repair was performed on all horses and was associated with a more favorable postoperative appearance in horses treated acutely; however, the cosmetic results were considered acceptable in all horses. Major postoperative complications were not observed.
Postanesthetic hemorrhagic myelopathy in a horse. Acute hemorrhagic myelopathy developed in the sixth cervical to the eighth thoracic spinal cord segments of a 1-year-old Quarter Horse colt that was castrated under general anesthesia while in dorsal recumbency. Clinical signs were consistent with severe transverse myelopathy caudal to the brachial enlargement and cranial to the lumbosacral enlargement of the spinal cord. Histologic examination of the spinal cord revealed hemorrhage in the gray matter, with multiple blood-filled clefts in otherwise normal neuropil. Hemodynamic changes in the spinal cord associated with anesthesia and dorsal re...
Malignant melanoma of the coronary band in a horse. A malignant melanoma developed in the digit of a horse. Metastasis was extensive.
Eikenella corrodens osteomyelitis of the axis in a foal. Eikenella corrodens, a previously unrecognized pathogen in the horse, was isolated from the spinous process of the axis of a colt with signs of severe neck pain. Dorsal laminectomy (excising the infected spinous process and lamina) was performed and the colt was treated with antibiotics for 6 weeks. Recovery was uncomplicated.
Indolent-like corneal ulcers in 3 horses. Three horses were admitted with indolent-like corneal ulcers. All horses were treated topically with antibiotics. Two horses had ulcers with redundant epithelial borders, which were debrided with cotton-tipped applicators after topical anesthesia was induced. One ulcer healed after 2 debridements. Of 2 horses treated surgically, one had complications.
Osteopetrosis in two foals. This account describes two neonatal foals affected with osteopetrosis. One of these foals, a full term Peruvian Paso, was born alive, was bright and alert but was unable to stand and was euthanized at two days of age. The second foal, an Appaloosa, was also born alive at full term and was blind, weak, uncoordinated and unable to stand. Postmortem examination of both foals revealed generalized osteopetrosis and brachygnathia inferior. The osteopetrosis was characterized by failure of bone remodelling resulting in spicules of mineralized and nonmineralized cartilage covered by osteoid occupying ...
Risk factors for salmonellosis in hospitalized horses. A case-control study to identify risk factors associated with isolation of Salmonella was accomplished, using data from records of horses hospitalized in the period July 1971 through June 1982. Horses in which nasogastric tubes were passed were at 2.9 times greater risk of having Salmonella isolated, compared with horses that did not undergo this procedure. Horses treated with antibiotics parenterally were at 6.4 times greater risk, and those treated with antibiotics orally and parenterally were at 40.4 times greater risk of developing salmonellosis, compared with horses not receiving such tre...
Bilateral atavistic polydactyly in a colt and its dam. POLYDACTYLY is perhaps the most frequently reported congenital phalangeal anomaly in horses and, with reference to the stallion Boukephalos ridden by Alexander the Great, it has commanded attention since antiquity (Leipold and MacDonald 1971). Polydactylism is defined as the occurrence of a larger number of digits than typical for a certain species. It has been described in horse, cattle, swine, dog, cat, pigeon, poultry and guinea pig as well as in man (Wiesner and Willer 1974). In horses, the supernumerary digit is found in the forelimb in about 80 per cent of cases, and mainly on the medial...
Blind-end atresia coli in two foals. Blind-end atresia coli was observed in two genetically unrelated foals at about the same time and location. The two foals, one an Appaloosa and the other a Quarterhorse, were born 4 days apart on nearby but separate farms. The Appaloosa foal died after surgical anastomosis of the affected segments of the colon. The Quarterhorse foal was euthanized after the defect was found at laparotomy. Both foals were necropsied and representative tissues were examined histopathologically. Histopathologic results were unremarkable. No cause of the defects could be determined and the timing and geographical ...
Bilateral salpingitis, hydrosalpinx and oophoritis in a mare. Bilateral salpingitis, hydrosalpinx and oophoritis were diagnosed in a mare with concurrent lymphosarcoma. Salpingitis, hydrosalpinx and oophoritis are rare in the mare (1,2,3,5,8,9,11-13). Bilateral salpingitis is an important cause of infertility in all species and is most often due to ascending infection (3-5,10,11). The source of salpingitis in this mare probably was ascending infection from the uterus after parturition. The apparent infertility of the mare was attributed to debilitation from the lymphosarcoma and multiplicity of genital pathoses.
Shoulder lameness in horses: an analysis of 58 suspected cases. The results of a detailed investigation of 58 horses with suspected shoulder lameness are described. Lameness was found to originate distal to the shoulder region in 22 horses. No diagnosis was reached in five horses. Genuine shoulder problems occurred in 29 horses. The clinical signs of shoulder lameness are described and contrasted with lower limb lameness. The limitations of currently available diagnostic techniques are discussed. Problems identified in the shoulder region included osteochondritis dissecans, subchondral bone cysts, arthrosis, fracture, luxation, septic arthritis and soft ti...
Surgical arthrodesis for the treatment of osteoarthrosis of the proximal intertarsal, distal intertarsal and tarsometatarsal joints in 30 horses: a comparison of four different techniques. Over a period of seven years, 30 horses were treated by surgical arthrodesis for lameness resulting from osteoarthrosis of the proximal intertarsal, distal intertarsal and tarsometatarsal joints (bone and occult spavin). Twenty-five horses were affected in one hock only and five were affected bilaterally. Four different techniques for achieving arthrodesis were used. Fourteen out of 18 horses (78 per cent) with involvement of the distal intertarsal and tarsometatarsal joints only and six out of 11 horses (55 per cent) in which the proximal intertarsal joint was also involved became sound follo...
[Clinical aspects of ovary tumors in mares]. The present study comprises 31 mares, that showed a permanent unilateral enlargement of the ovary. In 29 patients the ovary in question was removed by a flanc laparotomy in the standing animal. In the histopathologic examination a granulosa cell tumor was diagnosed in 23 cases, a fibroma twice and a teratoma, hematoma, leiomyoma and a cystic ovary each once. Due to the endocrine activity of the granulosa cell tumor, the clinical picture was characterized by changed behaviour and atrophy of the contralateral ovary. Clinically the ovarial blastomas (teratoma, leiomyoma, fibroma) could not be dif...
Phalangeal and navicular bone hypoplasia and hoof malformation in the hind limbs of a foal. Anatomical anomalies in the hind feet of a seven month old Appaloosa foal were identified and investigated through the use of gross anatomical dissection, radiography and angiography. Abnormalities were restricted to the distal aspect of both hind legs, the right hind leg being more severely affected. Anatomically the right foot resembled that of an equine fetus of approximately 120 days gestational age. Disruption of vascular perfusion to hoof structures was evident in both hind legs and was related to areas of abnormal bone conformation as well as to areas of abnormal ossification and calcif...
Paroxysmal atrial fibrillation in racehorses. The paper describes five cases of atrial fibrillation detected after racing. In four of them, the arrhythmia disappeared spontaneously within 24 h and they were regarded as paroxysmal in type. In the fifth case, which won its race, the arrhythmia persisted for at least 45 h after racing. It was therefore regarded as an example of persistent atrial fibrillation. It was then treated with quinidine sulphate which restored sinus rhythm. It would seem that paroxysmal atrial fibrillation may be a cause of sudden decrease in racing performance.
[Occurrence of so-called spontaneous ruptures in the rectum of horses. 1. Pathologicoanatomic and experimental studies]. In the ampulla roof of the wave-like extending horse rectum the muscular coat is only weakly developed as a deltoid-shaped tuna muscularis area, thus forming a place of minor resistance. With regard to the degree of development of the muscular coat a rectal ampulla with a stable form and strong muscles can be distinguished from an ampulla with a labile form and weak muscles. The rupture of the intestinal wall in this region in the case of rupture-experiments as well as the frequent occurrence of diverticula reveals this area as being a place of minor resistance which requires extreme caution d...
Uterine rupture as a postpartum complication in two mares. Uterine rupture was diagnosed in 2 postpartum mares with hemorrhagic vaginal discharge. Both mares had abdominal pain, as evidenced by pawing, kicking at the abdomen, or attempting to roll. Peritoneal fluid analysis was useful in establishing a diagnosis. One mare had many RBC in the peritoneal fluid and was anemic; this mare was managed medically with oxytocin, antibiotics, and blood transfusion. The mare was able to raise her foal to weaning age. The second mare had many RBC, degenerate neutrophils, and intracellular and extracellular bacteria in peritoneal fluid. Surgical repair of the uter...
Use of dopamine hydrochloride during general anesthesia in the treatment of advanced atrioventricular heart block in four foals. Heart block is a relatively common arrhythmia in the adult horse. It may be a normal physiologic phenomenon or it may have pathologic implication. Four foals in which advanced heart block developed during anesthesia were unresponsive to atropine sulfate and supportive treatment alone. Resolution of the heart blocks was achieved after the addition of dopamine hydrochloride to the therapeutic regimen.
Complications associated with left dorsal displacement of the large colon in the horse. Four horses operated on for left dorsal displacement of the large colon (LDDLC) had major intraoperative or postoperative complications. One horse was euthanatized during surgery because of extensive necrosis of the large colon. Three horses that were discharged after surgical correction of LDDLC were readmitted with signs of abdominal pain between 5 weeks and 13 months after surgery. Two horses had recurrence of LDDLC, and the third horse had an omental adhesion attached to and obstructing the pelvic flexure. The displacements were corrected, the adhesion was broken down, and the horses were ...
Sudden death in training and racing Thoroughbred horses. We reviewed case records, necropsy reports, and histologic sections from 25 Thoroughbred racehorses that died suddenly at 3 Chicago racetracks. These were young horses ranging in age from 2 to 5 years. There were more females (n = 16) than males (n = 9), and the incidence of death increased slightly in the spring and summer. Twenty-one of the 25 horses died while racing or training. Only 8 of the 25 horses (32%) had lesions sufficient to account for the death. In 6 of those 8 cases, death was caused by massive thoracic or abdominal hemorrhage. The site or nature of the vascular defect in these...
Possible pemphigus foliaceus in a horse. The research article describes the possibility of a horse affected by pemphigus foliaceus, a type of uncommon skin disease that is normally observed in humans, characterized by shallow erosions, scales, […]
[Frontal sinusitis in a horse with a neurological complication]. The case of a horse affected with frontal sinusitis, in which neurological complications occurred following trepanation, is reported. The previous history of the animal as well as the clinical, radiological and pathological findings are discussed.
