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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.
Lag screw compression effectively treats proximal subchondral bone cysts and fissures in the first phalanx of mature performance horses.
Journal of the American Veterinary Medical Association    June 13, 2025   Volume 263, Issue 9 1127-1135 doi: 10.2460/javma.25.03.0134
Maguire M, Brusie R.To determine the outcome of skeletally mature performance horses with subchondral bone cysts and fissures in the proximal aspect of the first phalanx treated by lag screw compression. Unassigned: Case records of horses that underwent lag screw compression to treat subchondral bone lesions in the proximal aspect of the first phalanx were reviewed. Performance horses > 5 years old with lameness referrable to the fetlock region; radiographic or other advanced imaging evidence of subchondral bone lesions, with no other concurrent cause for lameness; and at least 6 months of follow-up data were inc...
Pseudomonas-Enterobacter Co-Infection Drives Cellulitis and Lymphangitis in Equines: A Case Report.
Veterinary sciences    June 11, 2025   Volume 12, Issue 6 574 doi: 10.3390/vetsci12060574
Huang X, Deng R, Huang H, Xie H, Chen A.This case report detailed a rare co-infection of and in a 9-year-old warmblood mare, leading to severe cellulitis and secondary lymphangitis following traditional hoof blood-letting therapy. The mare exhibited acute limb swelling, fever, cutaneous ulceration, lymphatic dysfunction and unknown anemia. Comprehensive diagnostics, including bacterial culture, whole-genome sequencing, anti-elastin antibody (AEAb) ELISA, and diagnostic imaging, confirmed the pathogens causing cellulitis and secondary lymphangitis. AEAb levels were elevated, correlating with lymphatic degradation, while radiography...
Computed tomography and nephrotomy in a Warmblood stallion with bilateral nephrolithiasis.
Journal of equine veterinary science    June 10, 2025   Volume 151 105627 doi: 10.1016/j.jevs.2025.105627
Schlote MT, Drozdzewska K, Ehrle A, Lischer C, Gehlen H.This case report describes the use of computed tomography for the diagnosis and surgical planning in a horse with bilateral nephrolithiasis. An adult Warmblood stallion (460 kg) was presented with chronic weight loss, hypercalcemia and azotemia. Ultrasonographic examination identified hyperechoic masses in both kidneys and dilation of the right renal pelvis. A solid mass was evident upon transrectal examination on the left side. Computed tomography (CT) of the caudal abdomen was performed and provided good quality images that facilitated exact determination of the size, position and extent of ...
Assessment of erector spinal muscles activation in pre and post training with surface electromyography in an equestrian athlete with recurring non-specific low back pain: a case report.
Journal of bodywork and movement therapies    June 9, 2025   Volume 44 444-451 doi: 10.1016/j.jbmt.2025.05.068
Curti F, Marsocci A, Massarelli D, Magnifica F.Several studies have highlighted the association between low back pain (LBP) and horse riding, but none have specifically analyzed the underlying causes. Furthermore, there is a lack of literature addressing LBP in equestrian athletes, as the focus is often placed on the health of the horse rather than that of the rider. This study aims to determine if surface electromyography can identify changes in spinal erector activation pre- and post-training in an equestrian athlete with recurring nonspecific LBP by measuring the flexion relaxation phenomenon (FRP). The patient, an equestrian athlete, e...
Severe urticaria in a horse after consumption of horseweed (Conyza canadensis (L.) Cronquist) – A case study.
Acta veterinaria Hungarica    June 5, 2025   Volume 73, Issue 2 81-85 doi: 10.1556/004.2025.01149
Cserhalmi D, Wermer K.Our paper presents a case study of a Welsh pony mare with grazing-induced severe urticaria. The main clinical signs were eye swelling, depression and extensive urticaria. Physical examination revealed no other abnormalities. Botanical sampling revealed horseweed (Conyza canadensis) as the most abundant species and a potential allergen plant due to sesquiterpene lactones (SQL). Differential diagnosis strongly suggested that the clinical signs were the result of a hypersensitivity reaction to this plant. Former studies brought controversial data about the toxic or allergic potential of horsewee...
Aspergillus nidulans as an agent of subcutaneous mycetoma in a horse.
Research in veterinary science    May 23, 2025   Volume 192 105719 doi: 10.1016/j.rvsc.2025.105719
Bordoni T, Dini FM, Morini M, Rinnovati R, Spadari A, Galuppi R.Mycetoma is a fungal chronic skin proliferative lesion rarely encountered in horses and often associated with fungi such as Scedosporium spp., Madurella spp., Phialophora spp., Curvularia spp., and less frequently with Aspergillus spp. A case of subcutaneous mycetoma in the cervical region in a 7-year-old male Quarter Horse, diagnosed through cytological, histological, cultural and molecular methods, is reported. Aspergillus nidulans, usually implicated in guttural pouch mycosis, was identified. This unusual case represents the second case report of mycetoma caused by Aspergillus nidulans in t...
Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer-assisted surgery in a Warmblood gelding.
Veterinary surgery : VS    May 23, 2025   doi: 10.1111/vsu.14273
Käfer-Karrer MJ, de Preux M, Van der Vekens E, Mattei LI, Kuhlmann J, Klopfenstein Bregger MD, Easley JT, Koch C.To describe the repair of a fractured cranial articular process (AP) of the sixth cervical vertebra (C6) with cortex screws placed in lag fashion using computer-assisted surgery. Methods: A 12-year-old Swiss Warmblood gelding. Methods: Case report. Methods: The gelding was presented with neck pain and ataxia after a fall. A fracture of the right cranial AP of C6 was identified on radiographs. The fracture was repaired by internal fixation with two 4.5 mm cortex screws of 58 and 48 mm length placed in lag fashion using computer-assisted surgery. Results: During general anesthesia, it was su...
Cutaneous Cauliflower-Like Lesions in a Horse Caused by Scedosporium apiospermum.
Mycopathologia    May 22, 2025   Volume 190, Issue 3 43 doi: 10.1007/s11046-025-00951-9
Grassi A, Turba ME, Maniscalco L.No abstract available
Ventriculophasic response in a horse with atrioventricular block.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    May 17, 2025   Volume 60 46-49 doi: 10.1016/j.jvc.2025.05.005
Liu J, Baumwart R, Kwon S.Ventriculophasic response (VR) in atrioventricular nodal (AVN) block is characterized by a shortening of the sinoatrial cycle length when a QRS complex is interposed between two P waves. This has been well documented in humans and dogs with AVN blocks but not in horses. Herein, we describe a horse with second-degree AVN blocks and constant PR intervals that exhibited 5:3 conduction and suspected VR at rest but less consistently after submaximal exercise. Proposed VR mechanisms include (1) inhibition of the Bezold-Jarisch reflex from reduced end-systolic volume during ventricular contraction; (...
Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
Animals : an open access journal from MDPI    May 16, 2025   Volume 15, Issue 10 doi: 10.3390/ani15101447
Vitale V, Velloso Álvarez A, de la Cuesta-Torrado M, Neira-Egea P, Vandecandelaere M, Tee E, Gimeno M, van Galen G.In human medicine, neurological diseases have been associated with transient cardiac abnormalities. In horses, myocardial disease is rarely diagnosed and has been associated with a wide variety of causes. The aim of this article is to describe three horses with no previous cardiac disease, which all developed severe cardiomyopathy following neurological disease. A 5-year-old Shetland pony stallion was diagnosed with cardiomyopathy with arrhythmias following an episode of seizures caused by an accidental intra-arterial xylazine injection. A 20-year-old crossbred mare was hospitalised for an ope...
Intracerebral hemorrhage (hemorrhagic stroke) secondary to Bothrops spp. snakebite envenomation in a horse.
Toxicon : official journal of the International Society on Toxinology    May 14, 2025   Volume 263 108408 doi: 10.1016/j.toxicon.2025.108408
de Sousa ALV, de Sousa DER, de Macêdo IL, de Albuquerque Cerqueira L, da Fonseca YNG, Oliveira AB, das Chagas LVS, Gonçalves GB, Veado HC....This report describes the first documented case of intracerebral hemorrhage (ICH) in a horse following Bothrops snakebite envenomation. A 3-year-old mare developed acute kidney injury, systemic hemorrhage, and neurological signs before euthanasia. Postmortem findings confirmed massive ICH with intralesional venom identified by immunohistochemistry. Delayed treatment and insufficient antivenom likely contributed to the outcome. This case highlights the potential for cerebrovascular complications following Bothrops snakebite envenomation in horses, which may present as subtle neurological signs....
Sinonasal angiofibroma in a horse.
Journal of comparative pathology    May 13, 2025   Volume 219 88-90 doi: 10.1016/j.jcpa.2025.05.003
Schollmeyer M, Liebler-Tenorio EM, Felton C, Kohl S, Ulrich R.A 34-year-old Haflinger gelding presented with a unilateral, expansile, intranasal mass that regrew after partial excision. After euthanasia, a large pedunculated mass that originated from the left caudal maxillary sinus and obliterated the left nasal cavity was seen by radiological and macroscopic examination. Histopathology revealed a poorly cellular, expansile, well-vascularized neoplasm composed of a loosely arranged meshwork of spindle cells and collagen fibres. Spindle cells were immunopositive for alpha-smooth muscle actin and occasionally for vimentin, whereas endothelial cells immunol...
Presumptive Lyme disease-associated eosinophilic synovitis in a horse.
Journal of equine veterinary science    May 6, 2025   Volume 150 105595 doi: 10.1016/j.jevs.2025.105595
Serpa PBS, Bogers S, Byron C, Cardona G, Patton M.A 1-year-old American Quarter horse was presented with acute onset of right hind lameness. On physical examination, there was synovial effusion of the right tarsocrural joint. Synovial fluid cytology revealed a marked eosinophilic synovitis. Serology indicated evidence of acute and chronic infection with Borrelia burgdorferi, although PCR of the synovial fluid was negative. The filly was treated with phenylbutazone and oxytetracycline, and repeated synovial cytology indicated improvement. The filly was discharged with a prescription of minocycline for 30 days. Despite initial improvement, recu...
Morel-Lavallée lesion on the craniomedial aspect of the stifle in a horse: diagnosis, surgical management and outcome.
Journal of equine veterinary science    May 5, 2025   Volume 150 105599 doi: 10.1016/j.jevs.2025.105599
Cantatore F, Marcatili M, Giacchi A, Stephenson R, Withers J.Morel-Lavallée lesions (MLLs) are post-traumatic, closed, degloving injuries observed in humans and cats. Morel-Lavallée lesions have never been reported in horses. An 8-year-old Warmblood gelding used for dressage presented with a large swelling on the craniomedial aspect of the stifle that did not respond to conservative treatment. Ultrasonography revealed a large anechogenic fluid-filled cavity with a well-defined capsule. Standing endoscopic examination revealed separation between the deep crural fascia, vastus medialis muscle and skin. Cytology of the fluid collected demonstrated a lymp...
Oral Extraction and Nasal Retrieval of a Fragmented Maxillary Fourth Premolar Tooth in a Horse Using Endoscopic Guidance: A Case Report.
Journal of veterinary dentistry    April 29, 2025   Volume 42, Issue 5 397-406 doi: 10.1177/08987564251334882
Clarysse M, Korsos S, Vlaminck L.This case report presents the removal of the left maxillary fourth premolar tooth (208) which had a chronic complicated crown root fracture in a 9-year-old Warmblood mare. Following a 14-month history of malodorous nasal discharge, clinical and radiographic examination allowed the diagnosis of a comminuted crown root fracture of 208 and oronasal fistula. Some root fragments inaccessible for oral extraction were subsequently removed using a transnasal approach through the existing oronasal fistulous tract using bronchoesophageal forceps under endoscopic guidance. The oronasal fistula was surgic...
S. suis serotype 2 meningitis in a patient with horse contact in a Japanese stable: A case report.
Diagnostic microbiology and infectious disease    April 25, 2025   Volume 112, Issue 4 116868 doi: 10.1016/j.diagmicrobio.2025.116868
Oshida J, Ito H, Ubukata K, Takata M, Ohkusu K, Ohba S, Saida A, Nakamura S, Kobayashi D.Streptococcus suis is a Gram-positive zoonotic pathogen primarily associated with pigs, but its potential transmission from other animals remains unclear. We report a case of S. suis serotype 2 meningitis in a 56-year-old Filipino stable worker with no known contact with pigs but a history of direct exposure to horses. He presented with fever and persistent headache following a head injury sustained one month prior. Cerebrospinal fluid (CSF) analysis revealed bacterial meningitis, and blood and CSF cultures identified S. suis serotype 2. Despite appropriate antibiotic therapy, the patient deve...
Chronic idiopathic myopathy in Icelandic horses: A case series.
Equine veterinary journal    April 24, 2025   Volume 57, Issue 5 1341-1346 doi: 10.1111/evj.14519
Hansen S, Hopster-Iversen C, Berg L, Fjeldborg J, Massey C, Piercy RJ, Carstensen H.Exertional myopathies are recognised as a cause of poor performance in equines. In Icelandic horses presenting reduced performance and/or multi-limb lameness, no specific myopathy has been identified. Objective: To characterise the clinical presentation and histopathological findings in muscle biopsy samples from Icelandic horses demonstrating poor performance. Methods: Case series. Methods: Phenotypic characteristics, clinical examination and diagnoses of 17 Icelandic horses were studied. All horses had a resting serum creatine kinase (CK) and aspartate transaminase activities measured, and C...
Agricultural Farm-Related Head Injuries in Rural India: A Case Series.
Korean journal of neurotrauma    April 22, 2025   Volume 21, Issue 2 137-151 doi: 10.13004/kjnt.2025.21.e11
Hakeem A, Kumar H, Anwer M, Khan AV, Kumar D, Sridhar R, Kumar A, Kumar A.Farm-related head injuries are a significant cause of death and disability in rural households. Traumatic brain injury can result in long-term disability. The use of modern farming equipment has increased in the Indian agricultural sector over the last few decades. Machines such as threshers and winnowing devices can cause open skull fractures or scalp avulsions, while the fall of heavy tools may lead to severe head trauma. Farm animals such as bullocks and horses can also inflict traumatic brain injuries with their pointed horns, through trampling, kicking, or rarely biting. We present a case...
[Guttural pouch mycosis in a warmblood foal – Occlusion of the internal carotid artery using transendoscopic clip application].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 15, 2025   Volume 53, Issue 2 132-137 doi: 10.1055/a-2519-7361
Himmele M, Engl JPM, Schwarz BC.The present report describes an 8-week-old warmblood foal presented following two episodes of epistaxis. The foal had a history of an umbilical infection, which had been treated with antibiotics when it was 8 days old. Four days before admission the filly showed severe, self-limiting epistaxis. The second hemorrhage occurred on the day of admission. The foal was lethargic and the remainder of the clinical examination unremarkable. A latero-lateral radiograph of the head revealed a fluid line within the guttural pouch. Endoscopy showed large amounts of blood within the pharynx and the upper thi...
What is the “train track” in the retained equine testis?
Journal of equine veterinary science    April 15, 2025   Volume 149 105573 doi: 10.1016/j.jevs.2025.105573
Giorgio SD, Monti S, Palmieri V, Marino G, Napoli E, Vullo C, Catone G.A 3-year-old Quarter horse stallion with unilateral left cryptorchidism was referred for the absence of the left testis in the scrotal bursa and an enlarged right testis. The ultrasonographic examination revealed the presence of the left testis at the abdominal level. Two small hyperechogenic lines were observed running parallel and resembling a cylindrical cavitary foreign body, within a non-homogeneous area with blurred margins. The testis was removed by laparoscopy and macroscopically, the testis's cut section revealed the presence of two live adult nematodes emerging from 2 mm blood-filled...
Corneal rupture in a 19-year-old Quarter Horse mare.
Journal of the American Veterinary Medical Association    April 11, 2025   1-3 doi: 10.2460/javma.25.02.0078
Stilz CR, Wright RI, Myrna KE, Carmichael KP.No abstract available
Use of the rectus sheath block for perioperative analgesia in three foals undergoing omphalectomy and cystoplasty.
Veterinary anaesthesia and analgesia    April 9, 2025   Volume 52, Issue 4 493-497 doi: 10.1016/j.vaa.2025.04.001
Bustamante R, Segura IÁ, Santiago I.Locoregional techniques promote multimodal analgesia and may reduce general anaesthetic requirements. However, there is limited evidence in foals. The rectus sheath block (RSB) is an interfascial plane block previously described in other species such as dogs, cats, pigs, and calves, and recently in foals, which targets desensitization of ventral abdominal midline. This block may provide an efficacious analgesic alternative for ventral celiotomies and umbilical surgeries. This case series reports the use of a bilateral RSB with 0.25-0.3 mL kg-1 bupivacaine (maximum dose of 2 mg kg-1) per hemiab...
An unusual case of a monorchid horse with an abdominally retained testicle. Sinovich M, Monné Rodriguez J, Pieńkowska-Schelling A, Schelling C, Kelly PG.Introduction Monorchidism is a rarely described condition in the horse and is not to be confused with cryptorchidism. The diagnosis is challenging and confirmed by surgery and histology in combination with hormonal assays. This report describes, to the best of the author's knowledge, the first case of monorchidism and abdominal cryptorchidism of the developed testicle in a horse. Methods An Irish Cob underwent laparoscopic castration for removal of bilateral cryptorchid testicles. At surgery the horse was diagnosed as a monorchid with the testicle retained intra-abdominally. Histopathological,...
Description of a Modified Two-Step Omphalectomy Technique Using the LigaSure™ Device to Remove the Whole Extrahepatic Umbilical Vein: A Case Series Study in Equine and Donkey Foals.
Animals : an open access journal from MDPI    March 28, 2025   Volume 15, Issue 7 doi: 10.3390/ani15070981
Buzon-Cuevas A, Duaso J, Sanchez de Medina A, Sierra JM, Perez-Ecija A, Mendoza FJ.Umbilical disorders are common in equids, although scarce information is available in donkeys compared to horses. Foals with these disturbances have high morbidity and mortality rates. The conventional omphalectomy technique does not remove the whole umbilical vein, which can lead to infection in the remnant vein or even liver abscess. At the moment, if the whole umbilical vein needs to be removed, a longer ventral midline incision must be performed, which is linked with several complications. This retrospective case series study focused on a modified two-step omphalectomy using the LigaSureTM...
Cutaneous non-tuberculous Mycobacterium ulcerans infection: A serious cause for concern.
Equine veterinary journal    March 24, 2025   doi: 10.1111/evj.14501
Bain ME, Alsop EJ, Knox CA, Tweedie MA, Knottenbelt DC.Mycobacterium ulcerans infection in horses is under-reported. Objective: To document the successful multimodal treatment of M. ulcerans and highlight the need for further investigation due to the zoonotic nature of M. ulcerans with its related potential public health concerns. Methods: Case report CASE DESCRIPTION: A 14-year-old gelding in the Southeastern region of Australia was diagnosed with M. ulcerans infection, initially presenting as a non-healing wound of the right flank progressing to extensive necrotic ulceration. Ziehl-Neelsen and Wade-Fite stained incisional biopsies revealed large...
Treatment of Iris Hypoplasia Using Semiconductor Diode Laser in the Horse Under Standing Sedation.
Case reports in veterinary medicine    March 24, 2025   Volume 2025 4021047 doi: 10.1155/crve/4021047
Hefner EM, Stoppini R, McMullen RJ. This study is aimed at describing two unique case presentations of iris hypoplasia and the use of semiconductor diode laser for treatment in the horse. One 20-year-old American Quarter Horse gelding and one 11-year-old pony mare were studied. The presenting clinical signs, surgical technique, and postoperative results for two cases of iris hypoplasia treated with diode laser are described. Immediate postoperative complications-postoperative ocular hypertension (POH), corneal edema, and epithelial bullae-were possible anticipated effects but were controlled with topical medications in the fi...
Correction: Severe subcutaneous infection with Clostridium septicum in a herd of native Icelandic horses.
Acta veterinaria Scandinavica    March 17, 2025   Volume 67, Issue 1 14 doi: 10.1186/s13028-025-00799-5
Oddsdóttir C, Sigurðardóttir ÓG, Friðriksdóttir V, Svansson V, Bragason BÞ, Björnsdóttir S.No abstract available
Bilateral intraocular choristoma in a 2-day-old foal. Morgan J, Curtis Shaw G, Weisman J, Cecere T, Carvallo-Chaigneau FR.A 2-d-old Warmblood colt was submitted for autopsy with a spectrum of bilateral ocular abnormalities. At postmortem examination, a constellation of lesions within the anterior segment included retention of ectodermal elements, compatible with choristoma. Ocular choristomas can be localized to different intraocular structures and are rare in equids. The morphologic features in our case were suggestive of abnormal corneal differentiation.
Successful Surgical Repair of Complete Duodenal Transection Caused by Horse Kick: A Case Report.
Surgical case reports    March 11, 2025   Volume 11, Issue 1 24-0059 doi: 10.70352/scrj.cr.24-0059
Asai Y, Tsunetoshi Y, Susa Y, Matsuzawa A, Miyazaki S, Itagaki Y, Yamamoto H, Kimura K, Kushiya H, Sato S, Okada N, Yamabuki T, Kato K, Kinoshita Y....Horse kicks are a rare cause of injury and tend to cause severe complications such as visceral organ injury. Traumatic duodenal injuries are associated with high mortality rates. Furthermore, their reconstructive procedures vary widely and require appropriate on-the-spot judgment by the surgeon. We experienced a case of blunt abdominal trauma with a complete transection of the first portion of the duodenum caused by a horse kick without any associated lesions. A good postoperative course was achieved by trimming the pyloric part of the stomach and performing an end-to-end anastomosis between t...
Preoperative computed tomography imaging for accurate diagnosis and surgical planning in equine cranial disorders: two case reports of congenital malformations.
Journal of equine science    March 10, 2025   Volume 36, Issue 1 33-37 doi: 10.1294/jes.36.33
Yamaga T, Tagami M, Takeyama A, Kato F, Suzuki T, Tagami M, Tsuzuki N.Computed tomography (CT) offers high-resolution, three-dimensional imaging, making it particularly valuable for assessing complex structures, such as the head, especially when conventional radiography and endoscopy are insufficient for a definitive diagnosis. Herein, we present two cases of equine cranial disorders resulting from congenital malformations. In case 1, which had a dentigerous cyst, CT images confirmed the location of the ectopic tooth within the skull and a detailed fistula tube. In case 2, which had temporohyoid osteoarthropathy, CT examination revealed that the stylohyoid bone ...