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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.
Vertebral fracture, extensor hypertonia of thoracic limbs, and paralysis of pelvic limbs (Schiff-Sherrington syndrome) in an Arabian foal. An Arabian foal, which was recumbent for 4 days, had signs of extensor rigidity of the thoracic limbs and hypotonic paralysis of the pelvic limbs. Survey radiography revealed a lesion at T15, with radiographic impression of a compression fracture or a hemivertebra. Postmortem examination revealed a fracture at T15. Clinical and pathologic findings in this case were compatible with the Schiff-Sherrington syndrome, which is characterized by thoracic limb extensor hypertonia associated with paraplegia from acute thoracolumbar trauma.
Paraphimosis in seven debilitated horses. This paper reports seven cases of penile paraphimosis which occurred in both entire and castrated horses in association with general debility. Two cases were discharged after treatment while still suffering from partial paralysis; one was discharged at the owner's request with complete paralysis; three were destroyed and one died during treatment. Identified causes of debility were malnutrition, severe parasitism, glucose malabsorption and salmonellosis.
Second-degree atrioventricular block observed in a Thoroughbred foal on 2.5 months of age. Electrocardiographic observation in 10 Thoroughbred horses has been carried out from fetal stages to 12 months after birth. In this observation a filly out of 10 foals at a resting state showed second-degree atrioventricular {A-V) block with sinus arrhythmia after 2.5 months of age. The number of dropped beats and the irregularity of sinus arrhythmia in these blocks were affected by the atrial rate, and several variations of Wenckebach phenomenon were shown under the influence of the artial rate. Electrocardiographic characteristics of second-degree A-V block in the present filly might be simi...
Tracheal compression secondary to abscessation of cranial mediastinal lymph nodes in a horse. Respiratory distress and laryngeal paralysis were found to be caused by a Streptococcus equi abscess of cranial mediastinal lymph nodes, putting pressure on the trachea at the thoracic inlet. Surgical drainage was required to relieve the compression, and long-term antibiotic therapy was used to treat the bacterial infection. The trachea returned to normal diameter but left laryngeal hemiplegia persisted. Peritracheal abscesses should be considered in the differential diagnosis of inspiratory dyspnea of the horse.
Assignment of foal paternity when a mare is bred to two stallions. Accuracy of assigning foal paternity to the second serving stallion for foals whose dams had been bred to two stallions within an interval of 1 to 45 days was investigated using breeding dates from 108 equine paternity cases solved by blood typing. One hundred two of the foals were sired by the second stallion but six foals (5.5%) were excluded as being by the second sires. Thus, breeding dates are not reliable as a sole source of information to assign equine paternity accurately.
Exsanguination due to gastric ulceration in a foal. An Arabian foal with a congenital heart disease died due to hemorrhage secondary to a large gastric ulcer. Previously, death of foals with gastric ulcers has been due to diffuse peritonitis resulting from gastric ulcer perforation. The foal in this case report died due to hemorrhage secondary to a large gastric ulcer.
Diskospondylitis in five horses. Diskospondylitis was diagnosed in 5 horses admitted to the Purdue University Large Animal Clinic during a 3-year period. Each horse had evidence of cervical pain. Clinical signs and radiography were useful for identifying the diskospondylitis. Cerebrospinal fluid was normal.
Axial sesamoid injuries associated with lateral condylar fractures in horses. Axial sesamoid injuries were found in 4 of 18 horses with lateral condylar fractures of the metacarpus or metatarsus. The injuries appeared as axial sesamoid fractures or progressive demineralization of the axial border of one of the sesamoids. None of the horses with axial sesamoid injuries returned to performance soundness. Axial sesamoid injury appeared to be an indication of severe fetlock trauma due to condylar fracture. Such injuries appeared to indicate a poor prognosis for return to performance soundness.
Nocardia asteroides infection in horses: a review. From 1965 to 1983, Nocardia asteroides infection was diagnosed in 16 horses at the Veterinary Medical Teaching Hospital, University of California, Davis. In 2 of the cases, the infection was traumatic in origin and local in extent; the horses recovered without relevant antimicrobial therapy. Fourteen horses had pulmonary or disseminated infections that ended fatally. All 14 had various degrees of immunosuppression. Of these, 8 were Arabian foals with combined immunodeficiency disease and 3 were aged horses with hyperadrenocorticism secondary to ACTH-secreting pituitary tumors. Of the other 3, ...
Surgical management of perineal lacerations and rectovestibular fistulae in the mare: a retrospective study of 47 cases. The case records of 47 mares with third-degree perineal lacerations or rectovestibular fistulae were examined to evaluate their fertility following surgical repair. Of 32 mares bred, 24 became pregnant, suggesting that surgical repair is indicated in any mare with sufficient genetic potential. Perineal trauma after surgical repair was recorded in 3 of 20 mares at subsequent parturition.
Bilateral degenerative coxofemoral joint disease in a foal. Bilateral degenerative coxofemoral joint disease and noninflammatory osteonecrosis in the femoral heads were diagnosed in a 5-month-old Standardbred colt. Cytologic evaluation and bacterial cultures of coxofemoral synovial fluid, and radiographic and pathologic examination of the coxofemoral joints were conducted. The cause was not determined; however, a thrombus found in association with 1 focus of osteonecrosis was suspected as an etiologic factor.
Necrosis and rupture of the aorta and pulmonary trunk in four horses. Four horses are described with rupture of the aortic arch and pulmonary trunk which resulted in a fistula between these vessels. Ruptures were located near the ligamentum arteriosum. Histological examination of the vessel walls revealed media necrosis which was probably due to intimal thickening and/or medial fibrosis of the vasa vasorum.
An unusual incidence of neurological disease affecting horses during a drought. The clinical, pathological and epidemiological factors were investigated in 12 horses presenting with severe neurological signs. Although the cases involved differing central (n = 1), spinal cord (n = 4) and peripheral nerve (n = 7) deficits in a number of instances, there were similar pathological findings. The possibility of a unifying aetiological factor, such as a toxicosis, is discussed because of the pathological similarities and as the cases appeared during an unusually long dry period.
[Thrombectomy of the descending aorta in the horse]. Thrombosis of the aorta as the cause of intermittent claudication in the horse appears to be rare. Two cases out of about 10 000 horses 1973-1984 are discussed. There are various views on its aetiology, whereby haemodynamic factors and disturbances of coagulation have been mentioned as well as parasites. For treatment surgical methods should be explored in addition to medical procedures. History, diagnosis and the attempt of an aortic thrombectomy in a 12 year old thoroughbred mare are described in this paper. A standardbred stallion was left untreated on owners wish.
[Enzootic calcinosis in the horse]. Cases of enzootic calcinosis in breeding mares in a Southwest German highland area are reported. The symptoms increased in the latter part of summer and existed in disturbances of movement, moderate kyphosis, sensitivity to palpation in the flexor tendons and, especially, the suspensory ligament, weight loss in spite of good food intake during summer-time and painful costal percussion; less clinical signs of renal and cardiac disorders were established. The sickness was caused by a high percentage of Trisetum flavescens in the feeding plants.
[Results of the surgical treatment of colic, represented by case material of 1983 from the Munich-Riem horse hospital]. The results of the ileus surgery in horses by a consistent performing of a known and standardised clinical and operative procedure are very good, provided that there are surgeons who have experience in abdominal surgery and that there is a co-operating team for the pre- and post-operative care.
Spontaneous craniofacial malformations and central nervous system defects in an aborted equine foetus. Developmental defects are rarely reported in the horse. Severe craniofacial and central nervous system defects in an equine foetus are described and their possible causation and pathogenesis are suggested.
[Esophageal obstipation in the horse]. Etiology and therapy of equine esophageal obstipation are described in 79 cases seen at the Veterinary Surgery Clinic of the University of Munich.
Arthrodesis of the pastern joint in the horse. Arthrodesis of the pastern joint was performed in six horses with a history of acute trauma and in 10 horses with a history of chronic lameness of one to six months duration. Five surgical techniques were employed: curettage of the joint, lag screw compression and immobilisation in a plaster cast; curettage, compression using a T plate and immobilisation; drilling, lag screw compression and immobilisation; lag screw compression and immobilisation; and curettage and immobilisation. Pre- and postoperative clinical course are described together with significant radiographical findings. The best r...
Isolation of Streptococcus pneumoniae type 3 from equine species. Streptococcus pneumoniae type 3 was isolated from seven tracheobronchial aspirates and one pleural tap of seven adult horses and one foal. There was no direct evidence in these horses that isolation of the pneumococcus was related to a specific disease syndrome. Presenting complaints included two horses with chronic cough, two horses with decreased exercise tolerance, one horse with exercise-induced pulmonary hemorrhage, and three horses with pneumonia. Antibiotic therapy resolved the primary clinical complaint. This is the first report of the isolation of S. pneumoniae type 3 from adult horse...
Experimental infection of mares with Haemophilus equigenitalis. Inoculation of Haemophilus equigenitalis into the uterus of 7 mares caused a disease clinically indistinguishable from contagious equine metritis. The duration of clinical signs varied from 4 to 11 days. The causative organism persisted for a relatively short time (2 to 10 weeks) in 5 mares, but in 2 others it established a carrier status and persisted until they were killed 6 and 10 months after infection. H. equigenitalis was recovered from the vestibule of the vagina and from a combined swab of the clitoral fossa and sinuses throughout the course of the infection. In some mares there were e...
Case-control study of risk factors associated with isolation of Salmonella saintpaul in hospitalized horses. In an investigation of a 1981-1982 outbreak of nosocomial Salmonella saintpaul infection in hospitalized horses at the University of California Veterinary Medical Teaching Hospital in Davis, California, a case-control study was performed using data gathered from the records of 33 cases and 132 controls. Multiple logistic regression risk analysis was used to identify factors associated with isolation of the organism, controlling for the effects of other, possibly confounding variables. Horses receiving parenteral antibiotics were at 10.9 times greater risk of having S. saintpaul isolated than w...
