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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.
An atypical presentation of a mesenteric Meckel’s diverticulum in a 7-year-old warmblood mare: case report.
BMC veterinary research    October 29, 2020   Volume 16, Issue 1 409 doi: 10.1186/s12917-020-02631-w
Stas E, Kranenburg L, Witt P, de Grauw J, van den Brand J, Ensink J, Brommer H.Meckel's diverticula are a rare cause of small intestinal strangulation, diagnosed at laparotomy or necropsy. This congenital anomaly of the gastrointestinal tract originates from a remnant of the vitelline duct. In reported equine cases, they present as a full-thickness diverticulum on the antimesenteric border of the distal jejunum or proximal ileum. Methods: On laparotomy a Meckel's diverticulum positioned at the mesenteric side was found to be the cause of small intestinal strangulation. This position is very uncommon and to the best knowledge of the authors there is no unambiguous descrip...
Acute interstitial pneumonia in foals: A severe, multifactorial syndrome with lung tissue recovery in surviving foals.
Equine veterinary journal    October 27, 2020   Volume 53, Issue 4 718-726 doi: 10.1111/evj.13355
Punsmann S, Hoppe J, Klopfleisch R, Venner M.Acute interstitial pneumonia in foals has been sparsely described in literature, and the individual authors disagree on the underlying aetiology. Histopathological follow-up from surviving foals is not available. Objective: Description of clinical and histopathological findings in the course of acute interstitial pneumonia and in recovery. Investigating the aetiology and possible triggering factors of acute interstitial pneumonia. Methods: Case series. Methods: Post-mortem examination of nine affected foals; seven died during the acute phase, and two had recovered from acute interstitial pneum...
An Unusual Case of Testicular Disorder in Sex Development of Arabian Mare (64,XX SRY-Negative).
Animals : an open access journal from MDPI    October 25, 2020   Volume 10, Issue 11 1963 doi: 10.3390/ani10111963
Peretti V, Satué K, Ciotola F, Cristarella S, De Majo M, Biondi V, D'Anza E, Albarella S, Quartuccio M.A 3-year-old Arabian mare underwent medical examinations due to the presence of abnormalities of the reproductive apparatus and stallion behavior (nervous temperament, aggressiveness, masculine attitude). During the clinical visit, an anovulvar distance shorter than normal was observed; moreover, vulvar lips were dorsally fused except for the lower neckline, showing a blind ending from which a penis-like structure protruded. The ultrasound examination revealed the presence of a cervix and corpus of a uterus, hypoplastic uterine horns, and small gonads with an echogenicity similar to a testis. ...
First report of pulmonary disease associated with Nicoletella semolina in a horse in New Zealand.
New Zealand veterinary journal    October 25, 2020   Volume 69, Issue 1 65-69 doi: 10.1080/00480169.2020.1811795
Riley CB, Aldrich ED, Pemberton SL, Mirza AA. A 9-year-old warmblood gelding with a history of chronic intermittent tachypnoea and dyspnoea was presented for evaluation and removal of a mass on the left side of the neck. A fibrous mass adherent to the left jugular vein developed and was removed surgically 6 weeks later, at which time the owner requested an evaluation of the cause of the persistent respiratory signs first noted on primary admission. Clinical findings included coarse lung sounds on thoracic auscultation, tracheal wheeze, and an abnormal trans-tracheal aspirate. These findings, in addition to the results of ultrasonographi...
Postpartum Polyneuropathy in a Mare: A Case Report.
Journal of equine veterinary science    October 24, 2020   Volume 96 103309 doi: 10.1016/j.jevs.2020.103309
de Medeiros Assis D, Fernandes de Freitas R, Rodrigues do Nascimento MJ, Santana Pereira C, Isidro da Nóbrega Neto P, Arcoverde Maciel T....Obstetric paralysis is a generic term used to describe postpartum locomotor alterations resulting from nerve damage, widely reported in cattle, but rare in equines. The aim of this study is to report a case of a peripheral polyneuropathy in a primiparous mare, 3 years old, of Mangalarga Marchador breed, after a dystocia lasting approximately 12 hours. At the time of delivery, the head of the fetus was exposed in the vulva and there was flexion of the thoracic limbs. These events culminated in a framework of extreme abduction of the pelvic limbs, thus generating functional impotence and leadin...
Rhabdomyolysis and Acute Renal Failure Associated with Oxytetracycline Administration in Two Neonatal Foals Affected by Flexural Limb Deformity.
Veterinary sciences    October 22, 2020   Volume 7, Issue 4 160 doi: 10.3390/vetsci7040160
Ellero N, Freccero F, Lanci A, Morini M, Castagnetti C, Mariella J.Oxytetracycline (OTC) administration has become a frequent practice in equine neonatology for the treatment of flexural limb deformity. The cause of this condition remains unclear but clinical studies revealed that following IV administration of OTC a relaxation of the metacarpophalangeal joint occurs in foals affected by flexural deformity. Studies concluded that OTC administration in neonatal foals did not adversely affect the kidneys. Other adverse effects of OTC have never been reported. This report presents two cases with different outcomes of 3-day-old foals which presented acute collaps...
Non-weight bearing ultrasonographic examination allows the diagnosis of longitudinal fiber disruption (split) in equine suspensory ligament branches not visible on weight bearing examination. Werpy N, Chapman K, Griffith L.When evaluating suspensory ligament branch splits, there is a discrepancy between high field MRI findings and weight bearing ultrasonographic imaging characteristics. In this descriptive and retrospective case series, ultrasonographic examination was performed on suspensory ligament branches with the limbs in weight bearing and non-weight bearing positions. Suspensory ligament branch splits were defined as linear regions of decreased echogenicity when imaged with the limb in a weight bearing position that increased in size and became anechoic with the limb in a non-weight bearing position. Thi...
Comparative Analysis of Intestinal Helminth Infections in Colic and Non-Colic Control Equine Patients.
Animals : an open access journal from MDPI    October 19, 2020   Volume 10, Issue 10 doi: 10.3390/ani10101916
Gehlen H, Wulke N, Ertelt A, Nielsen MK, Morelli S, Traversa D, Merle R, Wilson D, Samson-Himmelstjerna GV.All around the world, intestinal helminths constitute one of the most prevalent life-long occurring infections and re-infections affecting all horse age groups. A range of parasite species among strongyles, ascarids, and tapeworms is known to have the potential to cause colic in horses. However, there is a lack of current scientific evidence on the actual relevance of helminth infection levels in the context of colic in horses kept during prevailing epidemiological conditions. Thus, a prospective case-control study on the occurrence of intestinal helminths in a total of 620 mainly adult equine...
Primary Hyperparathyroidism in a Quarter Horse Mare Associated With a Chief Cell Adenoma.
Journal of equine veterinary science    October 17, 2020   Volume 95 103302 doi: 10.1016/j.jevs.2020.103302
Darby S, Porter E, Beatty SSK, Dark MJ, Smith A, Toribio RE, Gomez DE.Primary hyperparathyroidism is rare in large animal species, and little is known regarding its pathophysiology, endocrine and electrolyte derangements, diagnosis, medical management, and prognosis. This report describes the clinicopathologic diagnosis of a parathyroid (PT) gland chief cell adenoma in a 12-year-old Quarter Horse mare, including PT hormone (PTH) and electrolyte disarrangements associated with the neoplasia, the surgical removal of the adenoma, and medical management of the case. This report also describes for the first time the use PTH immunohistochemistry to confirm the nature ...
Equine Sinus Surgery.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 613-639 doi: 10.1016/j.cveq.2020.08.003
Pigott J.The anatomy of the equine paranasal sinuses is critical to understand to assess the extent of the disease process, the optimal surgical approach, and the ability to drain through the normal nasomaxillary pathway. By following established anatomic landmarks, direct sinus access can be used to further explore the sinus compartments, remove compromised cheek teeth, remove any purulent debris or feed contamination, and establish drainage. Many complications can be avoided or minimized by thoroughly evaluating all sinus compartments and critically assessing the ability of the sinus to drain.
Arthroscopic removal of a solitary osteochondroma interfering with the podotrochlear apparatus in a foal.
Veterinary surgery : VS    October 14, 2020   Volume 50 Suppl 1, Issue Suppl 1 O128-O137 doi: 10.1111/vsu.13522
Ysebaert MP, Johnson JP, Abbas G, Cavalcante PH, King R, Oikawa M, Puchalski S, David F.To report the diagnostics, surgical treatment, and outcome of a juvenile foal with solitary osteochondroma (SO) interfering with the podotrochlear apparatus. Methods: Case report ANIMAL: One 36-day-old Arabian colt. Methods: Clinical, radiographic, ultrasonographic, computed tomographic, and histopathologic examinations were required to characterize and treat an SO located at the palmar aspect of the diaphysis of the second phalanx of the left forelimb. This SO caused severe distal interphalangeal joint (DIPJ) inflammation, marked interference with the podotrochlear apparatus, and associated l...
Dental Radiography and Radiographic Signs of Equine Dental Disease.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 445-476 doi: 10.1016/j.cveq.2020.08.001
Baratt RM.Radiography is an important imaging modality and is available to most equine veterinarians providing primary care. Diagnostic radiographic imaging of the equine skull and dentition requires careful positioning and technique. This article is aimed at providing the veterinarian with instructions and guidelines for obtaining diagnostic skull and dental radiographs and a discussion of the radiographic signs of dental disease with case-based examples. The limitations of radiography are discussed with regard to determining the need for adjunct diagnostic techniques and more advanced imaging techniqu...
Equine dental and skeletal fluorosis induced by well water consumption. Kelly LH, Uzal FA, Poppenga RH, Kinde H, Hill AE, Wilson WD, Webb BT.Two horses that consumed well water with high fluoride content exhibited clinical signs of chronic dental and skeletal fluoride toxicosis and were later euthanized and autopsied. Both horses had degenerative disease of multiple joints and multiple dental defects. Elevated fluoride concentrations were found in bone and tooth samples of both horses, well water, and feed. Microscopically, abnormalities were noted in bone and tooth samples, and consisted mostly of foci of cement necrosis and hypercementosis. Horses exhibiting bilateral, highly symmetrical dental and/or skeletal lesions, with chron...
Update on Equine Odontoclastic Tooth Resorption and Hypercementosis.
The Veterinary clinics of North America. Equine practice    October 14, 2020   Volume 36, Issue 3 671-689 doi: 10.1016/j.cveq.2020.08.006
Limone LE.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a progressive, painful disease, affecting incisors, canines, and cheek teeth. Examination findings include gingival inflammation, gingival recession and/or hyperplasia, subgingival swelling, bulbous enlargement of teeth, associated periodontal disease, pathologic tooth fracture, and/or tooth mobility and loss. Current hypotheses include biomechanical stresses and secondary bacterial involvement. Early recognition allows case management, but it is a progressive disease. Owner education is crucial; horses with complete or multi...
Improvement of the clinical signs of gait abnormality after treatment with levothyroxine in a horse with shivering and hypothyroidism.
Acta veterinaria Hungarica    October 13, 2020   Volume 68, Issue 2 147-153 doi: 10.1556/004.2020.00026
Saadi A, Dalir-Naghadeh B, Akbari H, Rashedi M, Mohammadi R.An 11-year-old Hanoverian gelding used for jumping was evaluated for gait abnormalities and hoof problems in the hindlimbs. Clinical examinations revealed signs consistent with shivers. A thyroid gland enlargement was noticed, baseline serum thyroid hormone (TH) concentrations were low, and a low response to thyrotropin-releasing hormone administration was observed. Hypothyroidism was suspected. The horse was treated with levothyroxine for 1 year. TH concentrations returned to the normal range by week 4 of treatment. Thirty weeks after the initiation of levothyroxine therapy, the gait abnormal...
Ceftiofur Side Effect in a Mare-Case Report.
Journal of equine veterinary science    October 12, 2020   Volume 95 103295 doi: 10.1016/j.jevs.2020.103295
Pradella GD, Taschetto PM, Duarte CA, da Silva Azevedo M, Góss GC.Adverse drug reactions in horses are rare. The antimicrobials are in the list of the most common drugs associated with reaction in horses. The aim of this report is to describe the clinical presentation of an adverse drug reaction after the intramuscular administration of ceftiofur hydrochloride. A 5-year-old crioulo broodmare at one day postpartum presented signs of difficulty to walk, positive pulse in the four limbs, and heart rate of 80 beats per minute (bpm), with a history of fighting with another mare. The clinical suspicions were rhabdomyolysis and laminitis. Initially a dose of flunix...
Primary cardiac hemangiosarcoma in a horse: echocardiographic and necropsy findings.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    October 8, 2020   Volume 32 66-72 doi: 10.1016/j.jvc.2020.09.008
Beaumier A, Dixon CE, Robinson N, Rush JE, Bedenice D.Cardiac hemangiosarcoma, especially primary, is infrequently reported in the horse and remains a diagnostic challenge because of vague clinical signs and difficulty to reach an antemortem diagnosis. A 17-year-old American Quarter Horse gelding was presented with a history of tongue swelling and secondary aspiration pneumonia. Initial assessment indicated dehydration, and thoracic ultrasound revealed an abnormal structure within the myocardium alongside the previously suspected aspiration pneumonia. A subsequent, complete echocardiogram identified a large, heterogeneous, ill-defined mass invadi...
Occurrence of Intrauterine Purulent Concrements in a Maiden Mare-A Case Report.
Journal of equine veterinary science    October 8, 2020   Volume 95 103278 doi: 10.1016/j.jevs.2020.103278
Köhne M, Tönissen A, Unruh C, Pruß D, Sieme H.Pyometra is an uncommon condition in mares associated with various symptoms. Here, we report a case of a 13-year-old Icelandic barren maiden mare with recurrent vaginal discharge. Ultrasonographically, the mare displayed intrauterine spherical masses of inhomogenous texture, which were identified as purulent concrements in hysteroscopy. The purulent concrements were successfully removed via uterine lavage after endoscope-assisted comminution. Microbiologic examination of the concrements revealed growth of Streptococcus equi subspecies zooepidemicus, Actinobacillus species, Pseudomonas aerugino...
Radiographic findings and anatomical variations of the caudal cervical area in horses with neck pain and ataxia: case-control study on 116 horses.
The Veterinary record    October 8, 2020   Volume 187, Issue 9 e79 doi: 10.1136/vr.105756
Beccati F, Pepe M, Santinelli I, Gialletti R, Di Meo A, Romero JM.Abnormalities of the ventral lamina of the sixth cervical vertebra (AVL-C6) are thought to exert abnormal stress on the articular process joints (APJs) of the cervicothoracic junction. The aim of the study was to investigate the association between AVL-C6 and radiographic findings in the caudal cervical area and between clinical signs of neck pain and ataxia and radiographic findings. Methods: Medical records of horses subjected to cervical radiography were reviewed. Horses were classified into those with neck pain (group C), those with ataxia (group A) and healthy horses (group H). Presence o...
Outbreak of equid herpesvirus 1 abortions at the Arabian stud in Poland.
BMC veterinary research    October 6, 2020   Volume 16, Issue 1 374 doi: 10.1186/s12917-020-02586-y
Stasiak K, Dunowska M, Rola J.Equid herpesvirus 1 (EHV-1) infections are endemic worldwide, including Poland. Many are subclinical, but some are associated with respiratory disease, abortion, neonatal foal death, or neurological disease. We describe an outbreak of abortions in Arabian mares at a well-managed State stud farm in Poland. Methods: Eight of 30 pregnant mares aborted and one gave birth to a weak foal that died within 72 h after birth. EHV-1 was isolated from all fetuses as well as from the diseased foal. All viruses belonged to the N variant based on the predicted open reading frame (ORF) 30 amino acid sequenc...
Subcutaneous neurofibroma as a cause of lameness in a warmblood horse: Neurofibroma in a horse.
Journal of equine science    October 5, 2020   Volume 31, Issue 3 45-48 doi: 10.1294/jes.31.45
Rinnovati R, Xenos S, Beltrame A, Marigo A, Forni G, Morini M.A neurofibroma was excised from the subcutis on the medial side of the left thigh of a 15-year-old Warmblood gelding, which had shown lameness of the left hind limb. No other source of lameness was found. Two weeks after surgery, the horse was sound at a lameness examination.
Inconsistencies in horse coat color registration: A case study.
Journal of equine science    October 5, 2020   Volume 31, Issue 3 57-60 doi: 10.1294/jes.31.57
Silva ILS, Junqueira GSB, Oliveira CAA, Costa RB, DE Camargo GMF.Grullo is a dun dilution on a black coat that is common in the Campolina horse: an autochthonous Brazilian breed. The aims of this case study were to evaluate inconsistencies in grullo coat color registration and to explain their possible causes. A total of 3,270 grullo Campolina horses were evaluated. To confirm the genetic possibility of having grullo animals, the coat color genotypes of parents were inferred by phenotype and compared with those of progeny. A total of 242 horses that were registered as grullos could not have this coat based on their parents' information. Possible explanation...
Detection of a Putative Novel Papillomavirus Type within a Large Exophytic Papilloma on the Fetlock of a Horse.
Pathogens (Basel, Switzerland)    October 5, 2020   Volume 9, Issue 10 816 doi: 10.3390/pathogens9100816
Munday JS, Hardcastle MR, Sim M.A 10-year-old horse presented with two 3-cm diameter exophytic masses over the fetlock. Histology was consistent with a hyperplastic squamous papilloma and numerous cell changes consistent with papillomavirus (PV) infection were visible. Partial sequences of PV L1 and E1 ORFs were amplified using consensus PCR primers. The sequences were most similar to Equus caballus type 1 (EcPV1). However, as the sequences were only around 73% similar to EcPV1, they appear to be from a novel PV type that is likely to be within the genus. The papillomas were treated with topical imiquimod and resolved withi...
Active immunisation against GnRH as treatment for unilateral granulosa theca cell tumour in mares.
Equine veterinary journal    October 2, 2020   Volume 53, Issue 4 740-745 doi: 10.1111/evj.13352
Behrendt D, Burger D, Gremmes S, Szunyog K, Röthemeier S, Sieme H.Stallion-like or aggressive behaviour in mares affected by unilateral granulosa theca cell tumour (GTCT) is well-known, but use of a GnRH-vaccine as an alternative to surgical removal of the neoplastic ovary has not been investigated. Objective: To determine the effect of immunisation against GnRH on ovarian size, testosterone concentration, Anti-Müllerian hormone (AMH) concentration, and owner-reported behaviour in four mares affected by unilateral GTCT. Methods: Retrospective case report. Methods: A presumptive diagnosis of GTCT was made in four mares based on clinical signs, behavioural ch...
Surgical excision of a malignant metastatic melanoma located in a skeletal muscle of the lateral thorax of a horse.
Veterinary medicine and science    September 29, 2020   Volume 7, Issue 2 297-302 doi: 10.1002/vms3.366
Billi T, Karadima V, Tyrnenopoulou P, Apostolopoulou EP, Brellou GD, Diakakis N.A 20-year-old grey Warmblood gelding that had history of dermal melanomatosis. To report surgical treatment of a 6-cm large malignant metastatic melanoma located in the cutaneous trunci muscle of the left lateral thorax of a horse. A 20-year-old grey Warmblood gelding was referred for evaluation of a large, rapidly growing, thoracic mass. Clinical examination revealed an ovoid, firm, non-painful, movable mass, approximately 6 cm in diameter, located in the cutaneous trunci muscle of the left lateral thorax. Multiple melanocytic nodules were also found at the perianal region and ventral tail. ...
Arthroscopic evaluation of the metacarpophalangeal and metatarsophalangeal joints in horses with parasagittal fractures of the proximal phalanx.
Equine veterinary journal    September 24, 2020   Volume 53, Issue 4 746-751 doi: 10.1111/evj.13343
James FM, Smith MRW, Wright IM.Fractures of the proximal phalanx are one of the most common long bone fractures of Thoroughbred racehorses. Although the degree of disruption and damage to the articular surface is generally considered a major prognostic determinant, associated arthroscopic findings have not previously been reported. Objective: To describe the metacarpo/metatarsophalangeal (MCP/MTP) joint lesions associated with parasagittal fractures of the proximal phalanx arthroscopically identified at the time of fracture repair and compare radiographic and arthroscopic appearance of complete fractures. Methods: Retrospec...
Fetal lesions of EHV-1 in equine.
Anais da Academia Brasileira de Ciencias    September 18, 2020   Volume 92, Issue suppl 2 e20180837 doi: 10.1590/0001-3765202020180837
Ali AA, Refat NA, Algabri NA, Sobh MS.EHV-1 infection is responsible for huge economic losses in equines due to abortion and neonatal mortality. In this study, we describe 4 cases of abortion and neonatal deaths from pregnant mares and a she-donkey from different localities in Egypt during the period from May 2015 to October 2017. Attempts were made to isolate and identify EHV-1, in addition to compare the different pathological lesions in various tissues of the necropsied cases. EHV-1 was successfully isolated from two aborted fetuses and one dead neonatal foal from mares, beside one aborted fetus from a she-donkey. The positive ...
Management of Subchondral Lucencies of the Medial Aspect of the Equine Antebrachiocarpal Joint.
Journal of equine veterinary science    September 17, 2020   Volume 94 103266 doi: 10.1016/j.jevs.2020.103266
Santschi EM, Juzwiak JS, Honnas C, Walker WT, Hunter B, Whitman JL, Prichard MA, Morehead JP.The objective of this study is to describe the management and outcomes of eight horses with subchondral lucencies (SCLs) of the medial aspect of the antebrachiocarpal (ABC) joint. The medical records and radiographs of the carpi of 8 horses with SCLs of the medial aspect of the ABC joint were reviewed. Follow-up clinical information was obtained for 6-60 months (the median duration of 14 months). Treatment was successful if radiographic healing was apparent or lameness was reduced or eliminated. Four horses had SCLs in the distomedial radius (DMR) and four in the proximal aspect of the radio...
Idiopathic multifocal myocardial atrophy with fibrosis and fatty infiltration involving Purkinje fibres in a 13-year-old Arabian broodmare: Histopathological features.
Veterinary medicine and science    September 17, 2020   Volume 7, Issue 1 3-8 doi: 10.1002/vms3.350
Goto Asakawa M, Mehmood W, Ali M, Oikawa MA.Myocardial atrophy with fibrosis and fatty infiltration involving the cardiac conduction system is relatively unusual in horses. We herein report of such a case in a 13-year-old Arabian broodmare that had spontaneously died on a paddock. An autopsy revealed multifocal myocardial atrophy with concomitant fibrosis and fatty infiltration in both the ventricles and interventricular septum. The Purkinje fibres in the ventricles and interventricular septum were surrounded by thick fibrous or adipose tissues adjacent to atrophic myocardial cells. Myocardial fibrosis and fatty infiltration were likely...
Use of saline contrast ultrasonography in the diagnosis of complete jugular vein occlusion in a horse.
Open veterinary journal    September 15, 2020   Volume 10, Issue 3 308-316 doi: 10.4314/ovj.v10i3.9
Corda A, Columbano N, Secchi V, Scanu A, Parpaglia MLP, Careddu GM, Passino ES.Thrombophlebitis and thrombosis are the most common causes of jugular vein occlusion in horses. Medical and surgical treatments aim to recanalize the occluded vessel and reduce proximal venous congestion and edema. The present report describes a clinical case of equine jugular vein thrombosis (JVT) with complete vein occlusion diagnosed by saline contrast ultrasonography (SCU) and confirmed by contrast venography. Our results demonstrated that the SCU test can be easily performed and objectively interpreted using standard ultrasound equipment; it is not expensive and it does not require x-ray...
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