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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.
Internal fixation of a tibial fracture in an adult horse. A 3-year-old Thoroughbred mare was examined because of hindlimb lameness from incomplete fracture of the tibia, which became a complete diaphyseal fracture during the examination. The fracture was repaired by open reduction and internal fixation with lag screws and 2 neutralization plates. A cranial approach was used and the plates were placed craniolateral and medial on the tibia. At 18 months after surgery, there was no evidence of complications resulting from the fracture or its repair. It was concluded that a cranial approach with craniolateral and medial plate placement allows easier inse...
[Two cases of tetany in the horse (author’s transl)]. Two cases of tetany in the horse are reported. The two patients were thoroughbreds. One was eight and the other thirteen years old. The mares were in heat and were brought to the service (stud) station to be mated. Both patients were nursing a foal. One was a four-week-old foal and the other was seven weeks old. The calcium level of the serum had dropped in the two patients, to 4.0 mg and 5.4 per ml. respectively. The magnesium level was 1.0 mg and 1.9 mg per 100 ml. respectively. The animals responded satisfactorily to intravenous infusion of calcium borogluconate and magnesium chloride. One ...
Lymphosarcoma with leukemia in a horse. A 17-year-old Arabian gelding was presented because of CNS depression and weight loss. Physical examination revealed generalized lymphadenopathy, pitting edema, and ascites. The diagnosis of lymphosarcoma with leukemic manifestations was based on cytologic and histopathologic examination of lymph node biopsy samples and a peripheral leukocyte count of 98,300/microliters, 94% of which were mature lymphocytes. These circulating lymphocytes lacked B-lymphocyte markers and did not respond to mitogenic stimulation, indicating functional incompetence. Though ultrastructural findings were equivocal, ...
Brain abscess in three horses. Three horses with brain abscesses had different clinical manifestations: 1 had a protracted clinical course whereas 2 had a short clinical course. Clinical signs in 2 horses (1 acute case, 1 chronic case) included unilateral loss of vision, head tilt, circling, abnormal mental status, and ataxia. The 3rd horse had bilateral loss of vision, altered mental status, and apparent deafness. Results of cerebrospinal fluid analysis were inconsistent. The horse with the protracted clinical course had paradoxic central vestibular disease.
Acute vitamin D2 (ergocalciferol) toxicosis in horses: case report and experimental studies. Acute accidental vitamin D2 (ergocalciferol) toxicosis was diagnosed in a 6-month-old foal with extensive lesions of soft tissue mineralization. In an experimental study, three 18-month-old horses were given ergocalciferol per os at a rate of 9,300, 22,200, or 47,200 IU/kg of body weight/day for 21 days. Clinical signs or lesions were not seen in horses given the low and intermediate doses, whereas the horse receiving the highest dose developed clinical signs and lesions similar to those noted in the foal. Signs included depression, loss of appetite, weakness, limb stiffness with impaired mobi...
Medical management of congestive heart failure in a horse. A 4-year-old Quarter Horse gelding with atrial fibrillation, mitral regurgitation, and signs of bilateral congestive heart failure was initially treated IV with digoxin and furosemide. After parenteral digitalization, a daily maintenance dose of digoxin was administered orally at a rate of 21.7 micrograms/kg of body weight. At this dosage, a steady-state serum digoxin concentration of 2.3 ng/ml was achieved without clinical signs of toxicosis. The furosemide dosage was decreased and eventually discontinued as clinical improvement occurred. Clinical signs of congestive heart failure were contro...
Equine abortion associated with Enterobacter agglomerans. During a 20 month period Enterobacter agglomerans was
isolated from 17 cases of equine abortion. In 8 cases E
agglomerans was isolated in pure culture and in 9 cases it was
isolated in mixed culture from the foetus and/or foetal
membranes. Fifteen cases had histological evidence of foetal
infection and/or placentitis.
The occurrence of E agglomerans in pure culture, associated
with inflammatory lesions in the foetus and foetal membranes,
suggests it to be a cause of abortion in mares.
Split-thickness autogenous skin transplantation in the horse. Single or multiple split-thickness autogenous skin transplants were applied to 20 limb wounds of 17 horses. The surface area of the wounds ranged from 25 to 200 sq cm. Grafts 0.635-mm thick were collected by use of an electric dermatome and were expanded on a mesh dermatome. The expanded mesh grafts were applied to wounds on 3 horses 4 days after injury. For the other 14 horses, grafts were applied after a granulation tissue bed had formed. The grafts were secured to the recipient beds with sutures and a dressing composed of a foam pad and elastic adhesive tape or with the dressing alone. Furt...
Surgical arthrodesis for the treatment of bone spavin in 20 horses. During a 3 year period 20 horses with bone spavin were treated by surgical arthrodesis of the affected joints. The horses chosen for surgery were those with osteoarthritis, but with little or no evidence of periostitis. Whenever possible they were examined periodically during the postoperative period to evaluate the lameness and to assess the progress of ankylosis by radiography. Three of the horses were still lame 12 months later. The remainder returned to normal work, although one subsequently developed spavin in the other hock and was destroyed. The earliest return to soundness was 3 1/2 mo...
Intussusception associated with Anoplocephala perfoliata infection in five horses. Intussusception associated with Anoplocephala perfoliata infection was found in 5 horses. The unusual types of intussusception and the presence of tapeworms at the leading edge of the intussuscipiens suggested tapeworms as the cause of the problem. Lesions attributable to tapeworm attachment on the mucosa were found to fit a mechanical model of intussusception. Treatment of two of the horses and some of their pasturemates with pyrantel pamoate caused elimination of intact tapeworms.
Noniatrogenic rectal tears in three horses. Rectal tears were detected in three horses treated for colic. Based on historical, clinical, and postmortem findings, the tears could not be attributed to the attending veterinarian and were therefore not iatrogenic (physician induced). One tear was attributable to an infarction that presumably resulted from thromboembolism; 1 tear occurred without any evidence of external cause and resulted in such severe peritonitis that the cause and resulted in such severe peritonitis that the cause could not be determined, and 1 tear occurred during rectal palpation by the owner, before he called the vete...
Phenoxybenzamine for the treatment of severe nonresponsive diarrhea in the horse. Phenoxybenzamine, an alpha adrenergic antagonist, was administered IV to 6 clinically normal horses, 5 horses with experimentally induced diarrhea, and 7 horses with naturally-occurring diarrhea. It was established that a total of 2 mg of phenoxybenzamine/kg of body weight given in divided doses resulted in alpha adrenergic blockage of approximately 72 hours' duration, tranquilization, and mild constipation in the normal horse. The 5 experimental cases of diarrhea were involved in a laminitis research protocol in which laminitis was induced by oral carbohydrate overload. In all 5 of those case...
Paradoxic hypercalcemia and hypophosphatemia associated with chronic renal failure in horses. Chronic renal failure associated with hypercalcemia and hypophosphatemia was diagnosed in 6 horses. The renal lesions in 5 of the horses were classified as chronic glomerulonephritis and in the sixth, as chronic interstitial nephritis/pyelonephritis. There was no evidence of primary hyperparathyroidism or pseudohyperparathyroidism, thus suggesting that hypercalcemia associated with advanced renal failure in horses is related to a unique role of the equine kidney in calcium homeostasis.
Gentamicin toxic nephropathy in horses with disseminated bacterial infection. Three clinical cases of toxic nephropathy in young horses were ascribed to gentamicin toxicity. Criteria for defining gentamicin-induced nephrotoxicosis were a serum urea nitrogen value greater than the pretreatment value or cylindruria, hematuria, and proteinuria in the absence of pyuria and bacteriuria. Recommended doses of gentamicin had been given in all cases. The nephropathy was reversible in 1 case in which the toxicosis was detected early and was treated by volume diuresis and drug withdrawal.
Complications of cleft palate repair in large animals. Seven foals, 2 horses, and 2 calves were presented to the George D. Widener Hospital for Large Animals at New Bolton Center and the Large Animal Clinic at Auburn University for surgical repair of cleft palate. All animals had preexisting pneumonia. Initial repair of cleft palate in 6 foals, 2 horses, and 2 calves was performed via mandibular symphysiotomy. Primary repair of cleft soft palate in a foal was attempted through a pharyngotomy incision after fracture of the basal hyoid bone; however, exposure was inadequate and mandibular symphysiotomy had to be done. Dehiscence of a portion of the ...
Renal dysfunction in a case of purpura haemorrhagica. A four-year-old thoroughbred was presented with clinical manifestations of purpura haemorrhagica. Evidence of renal involvement consistent with glomerulopathy and nephrotic syndrome, characterized by heavy proteinuria and azotaemia, became apparent and may have been exacerbated by diuretic therapy. Autopsy revealed membrano- and mesangial proliferative glomerulonephritis and chronic pleuritis. Circulating immune complexes may have been responsible for the renal diseases and the purpura.
Use of a gold compound for the treatment of pemphigus foliaceus in a foal. A 4-month-old foal was examined because of generalized exfoliative dermatitis, with thick scales, extensive crusting, and oozing of serum. A diagnosis of pemphigus foliaceus was made by histologic and immunopathologic examinations of skin biopsy specimens. The foal was treated with a gold compound, aurothioglucose (1 mg/kg once weekly for 14 weeks). For the initial 5 weeks, high-dose glucocorticoid treatments also was used. The skin disorder resolved entirely after 12 weeks of treatment.
Renal dysfunction in a case of purpura haemorrhagica in a horse. A four-year-old thoroughbred was presented with clinical manifestations of purpura haemorrhagica. Evidence of renal involvement consistent with glomerulopathy and nephrotic syndrome, characterised by heavy proteinuria and azotaemia, became apparent and may have been exacerbated by diuretic therapy. Autopsy revealed membrano- and mesangial proliferative glomerulonephritis and chronic pleuritis. Circulating immune complexes may have been responsible for the renal diseases and the purpura.
