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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.
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015. Atrial fibrillation is a common equine arrhythmia. Quinidine alone, or with digoxin are common treatments. Studies on outcome in Warmblood populations in which duration of the AF is often unknown are limited. Objective: To identify the factors that are associated with the success of full treatment cardioversion with oral medication, and establish whether there are differences in these factors between institutions. Methods: Retrospective case series using patient records of Equine University Clinic of Utrecht University and Rossdales Equine Hospital, Newmarket. Methods: Forty-nine horses treate...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015. Transcranial magnetic stimulation (TMS) is an electrophysiological technique used to elicit motor evoked potentials (MMEPs) to evaluate the functional integrity of the descending motor fibres in the spinal cord. Successful application of the technique was reported in horses with spinal cord compression. However, limited data are available on the correlation of TMS with histopathological changes. Objective: To determine sensitivity of TMS for assessing the integrity of the spinal cord in horses with compressive lesions of the spinal cord. Methods: Case series. Methods: The study was conducted o...
Clinical Research Abstracts of the British Equine Veterinary Association Congress 2015. Colic remains a life-threatening condition in the horse. Ischaemia and reperfusion following correction of small intestinal strangulation may produce oxidative stress. The ability to withstand oxidative stress depends on antioxidant levels and may be linked to horse survival. Objective: To measure peripheral antioxidant levels in horses undergoing exploratory laparotomy with small intestinal strangulation. Methods: Case-control study. Methods: Blood and plasma were collected from horses undergoing exploratory laparotomy for small intestinal strangulation and stored at -80°C. Controls involved...
Primary gastric rupture in 47 horses (1995-2011). The purpose of this retrospective case-control study was to identify factors associated with primary gastric rupture and to investigate if there were differences between etiologies of primary gastric rupture. Compared to the general colic population, Quarter horses were under-represented and Friesians and draft breeds were over-represented in 47 cases of primary gastric ruptures. Horses with primary gastric rupture typically presented with severe clinical and clinicopathological derangements. There were 24 idiopathic gastric ruptures, 20 gastric impaction associated ruptures, and 3 perforating...
[Yellow oat grass intoxication in horses: Pitfalls by producing hay from extensive landscapes? A case report]. Vitamin-D intoxication by yellow oat grass is often reported under the syndrome of enzootic calcinosis in ruminants in the upper regions of the Alps. The intake of Trisetum flavescens in ruminants and horses induces calcification of soft tissue, including vessels, tendons and ligaments, lung, heart and kidneys. Clinical symptoms, including a reluctance to move, inappetence, body-weight loss and impaired organ function, are frequently observed. To date, there are only a very few case reports about yellow-oat-grass intoxication in horses. The present case report describes Vitamin-D intoxication ...
Differential diagnoses, investigation, and management of a periocular swelling close to the nasolacrimal duct in a horse – A case report of Dacryops. To describe the differential diagnoses, investigation, and management of a periocular swelling close to the nasolacrimal duct in a horse that was consistent with a nasolacrimal duct dacryops (lacrimal cyst). A 16-year-old gelding, Connemara cross presented with a history of a periocular swelling rostroventral medial to the right eye that had been sampled by the referring veterinary surgeon. A cystic lesion was diagnosed following standing computed tomography. Surgical removal of the cystic lesion was performed, and the tissue was submitted for histopathologic and immunohistochemical examinatio...
Surgical resolution of accidental intramuscular injection of Gudair® vaccine in a mare. This case report describes the accidental intramuscular administration of 20 mL Gudair® vaccine to a 7-year-old Standardbred mare and successful treatment of the resulting inflammatory reaction by radical surgical resection.
Suspected ivermectin resistance in a south-east Queensland Parascaris equorum population. There have been several international reports of macrocyclic lactone (ML)-resistant Parascaris equorum over the past decade, but the resistance status of Australian P. equorum populations is largely unknown. A case of apparent reduced efficacy of ivermectin against P. equorum in Australia was investigated. Results: A faecal egg count reduction test carried out on a group of weanling foals in south-east Queensland showed the efficacy of ivermectin to be 65%. Conclusions: The case highlights the need to review current worm control strategies, especially for young horses.
Peri-anaesthetic complications in an equine referral hospital: Risk factors for post anaesthetic colic. Peri-anaesthetic complications are relatively common in equine patients and further investigations are warranted to identify manageable risk factors. Objective: To report morbidity and mortality rates and identify associated risk factors for horses undergoing general anaesthesia, within a predominantly racing Thoroughbred (TB) population. Methods: Single centre retrospective observational study. Methods: Anaesthetic and case records of all horses ≥12 months old undergoing general anaesthesia at Newmarket Equine Hospital between August 2010 and April 2012 were analysed, excluding emergency ab...
Imaging Diagnosis – Use of Multiphase Computed Tomographic Urography in the Diagnosis of Ureteral Tear in a 6-Day-Old Foal. A 6-day-old foal was evaluated for depression and inappetence. After initial stabilization, the filly developed a hypochloremic metabolic alkalosis and persistent hypercreatinemia. Abdominal ultrasound revealed fluid accumulation around the left kidney and a well-defined rounded fluid filled structure dorsal to the urinary bladder. Computed tomography revealed a partial tear of the left ureter with distension of the retroperitoneal membrane. Exploratory celiotomy was performed to allow left kidney nephrectomy. At 6 months follow-up, the filly was growing normally without complications. Ultraso...
On-site veterinary medical evaluation and care of working dogs and horses at the 2012 Republican National Convention. To describe on-site veterinary medical care for working dogs and horses deployed for the 2012 Republican National Convention (RNC) in Tampa, Fla, August 24 to 30, 2012. Methods: Retrospective case series. Methods: 130 dogs and 45 horses. Methods: Data collected included breed, age, history, task assignment, reason for evaluation, and physical examination findings. A patient encounter report was recorded each time an animal was seen by veterinary staff for a physical evaluation. Results: 46 of the 130 (35%) dogs and all 45 (100%) horses underwent at least 1 on-site veterinary evaluation, for a ...
Keratoconjunctivitis in a group of Icelandic horses with suspected γ-herpesvirus involvement. The role of equid γ-herpesviruses on ocular surface diseases has been disputed, because the diagnosis is usually based on clinical symptoms and detection of viral DNA from samples obtained from live animals. Objective: To describe the clinical course, results of polymerase chain reaction (PCR) analysis, in situ hybridisation, cell culture and pathohistological findings of select cases in a presumed outbreak of herpesvirus infection in a group of 15 Icelandic horses. Methods: Case series. Methods: Pooled ocular and nasal swabs and peripheral blood mononuclear cells of horses diagnosed clinica...
Equine Dermatophytosis due to Trichophyton bullosum, a Poorly Known Zoophilic Dermatophyte Masquerading as T. verrucosum. Trichophyton bullosum is a zoophilic dermatophyte from the Arthroderma benhamiae complex with a poorly known distribution. In this study, we report a case of dermatophytosis caused by T. bullosum in a 6-year-old male horse who had a skin lesion located in a saddle area. The infection spread rapidly to the upper chest and to both sides of the trunk. The dermatophyte was isolated in culture and identified by sequence analysis of the internal transcribed spacer regions (ITS rDNA). To date, this is the first verified case of animal infection due to T. bullosum in Europe following the 2012 report o...
Serum Surfactant Protein D and Haptoglobin as Potential Biomarkers for Inflammatory Airway Disease in Horses. The identification of serum biomarkers of lung inflammation would facilitate the diagnosis of inflammatory airway disease (IAD) in horses. Objective: Horses with IAD have higher serum concentrations of markers of inflammation compared to controls. Methods: Twelve horses with IAD and 10 control horses. Methods: This was a prospective case-control study. Blood and BALF were collected from horses with IAD and controls. Serum concentration of surfactant protein D (SP-D), haptoglobin, serum amyloid A (SAA) and of the soluble form of triggering receptor expressed on myeloid cells 1 (sTREM-1) was mea...
Elevated testosterone levels in a racing horse due to an XY testicular disorder of sexual development. A female thoroughbred successful in horse racing was positively tested for high testosterone values. This horse neither showed stallion-like-behaviour nor signs of ambiguous external genitalia. The karyotype of this horse was 2n = 64,XY and the sex-determining region of Y (SRY) PCR was positive. Hair samples tested for naturally testosterone revealed values normal for stallions, and tests for eight synthetic testosterone esters remained negative. The phenotype, ultrasonographic examination, hormone status, cytogenetic evaluation and molecular diagnostics lead to the diagnosis of an XY testicul...
Novel treatment of equine odontoclastic tooth resorption and hypercementosis of incisor teeth in a 22-year-old Arabian mare. Equine odontoclastic tooth resorption and hypercementosis is a rarely reported condition in the incisor and canine teeth of older horses. Histologically, there is internal and external resorption of the tooth with formation of excessive cementum. Once lesions become infected or supragingival this condition is very painful. The clinical manifestation, diagnosis and treatment of hypercementosis in an Arabian mare are described. La résorption dentaire odontoclasique et l’hypercémentose représentent une affection rarement signalée des dents incisives et canines chez les chevaux âgés. Sur ...
The Use of Recombinant Tissue Plasminogen Activator (rTPA) in The Treatment of Fibrinous Pleuropneumonia in Horses: 25 Cases (2007-2012). Information about treatment protocols, adverse effects and outcomes with intrapleural recombinant tissue plasminogen activator (rTPA) use in horses with fibrinous pleuropneumonia is limited. Objective: Describe factors that contribute to clinical response and survival of horses treated with rTPA intrapleurally. Methods: Horses with bacterial pneumonia and fibrinous pleural effusion diagnosed by ultrasonography, that were treated with rTPA intrapleurally. Methods: Retrospective multicenter case series from 2007-2012. Signalment, history, clinical and laboratory evaluation, treatment, and outcom...
Visual expertise for horses in a case of congenital prosopagnosia. A major question in the domain of face perception is whether faces comprise a distinct visual category that is processed by specialized mechanisms, or whether face processing merely represents an extreme case of visual expertise. Here, we examined O.H, a 22 years old woman with congenital prosopagnosia (CP), who despite her severe deficits in face processing, acquired superior recognition skills for horses. To compare the nature of face and horse processing, we utilised the inversion manipulation, known to disproportionally affect faces compared to other objects, with both faces and horses. O....
Anatomical variations in epididymal-testicular fusion in stallions and their possible clinical significance. Fusion anomalies of the epididymis with the testis may be clinically relevant in horses. However, anatomical variations in epididymal-testicular fusion have not been classified, and their clinical significance is unknown. Objective: To describe anatomical variations and clinical significance of epididymal-testicular fusion in stallions. Methods: Anatomical study of testes from castrations, and description of 2 clinical cases with atypical epididymal-testicular fusion. Methods: A total of 104 testes were obtained from equine castrations. Eight patterns of epididymal-testicular fusion were ident...
Equine atypical myopathy caused by hypoglycin A intoxication associated with ingestion of sycamore maple tree seeds. Evidence suggest there is a link between equine atypical myopathy (EAM) and ingestion of sycamore maple tree seeds. Objective: To further evaluate the hypothesis that the ingestion of hypoglycin A (HGA) containing sycamore maple tree seeds causes acquired multiple acyl-CoA dehydrogenase deficiency and might be associated with the clinical and pathological signs of EAM. Methods: Case report. Methods: Necropsy and histopathology, using hematoxylin and eosin and Sudan III stains, were performed on a 2.5-year-old mare that died following the development of clinical signs of progressive muscle stif...
Use of a minimally invasive fasciotomy technique for treatment of antebrachial compartment syndrome in two horses. An 18-year-old Paint stallion (horse 1) and a 17-year-old Morgan gelding (horse 2) were evaluated because of an acute onset of severe unilateral forelimb lameness. Results: Both horses were unable to bear weight on the affected forelimb and had a dropped elbow appearance. Radial nerve paralysis, triceps myopathy, and fractures of the humerus and ulna were ruled out. The caudal aspect of the affected antebrachium of each horse was very firm to palpation and became firmer when weight was shifted onto the limb. Ultrasonographic examination revealed swelling and suspected intramuscular hemorrhage ...
Early herniorrhaphy of large traumatic abdominal wounds in horses and mules. Surgical treatment of traumatic abdominal hernias is usually delayed for 2-3Â months following injury. The residual defects are then repaired by herniorrhaphy or mesh herniorrhaphy. Objective: To describe the outcome following herniorrhaphy (without a mesh) within 21Â days of initial injury to repair external traumatic lateral abdominal hernias in horses and mules. Methods: Descriptive case series. Methods: Twenty-two cases were included. Surgical treatment involved exposure of the hernia sac and closing of the abdominal wall defect with interrupted Mayo mattress or cruciate sutures after redu...
The centrodistal joint interosseous ligament region in the tarsus of the horse: Normal appearance, abnormalities and possible association with other tarsal lesions, including osteoarthritis. There have been no detailed descriptions of the radiological appearance of the centrodistal joint interosseous ligament region in horses with and without distal tarsal joint pain. Objective: To describe the normal radiological appearance of the centrodistal joint interosseous ligament region; to determine the prevalence of mineralisation or ossification of the interosseous ligament; and to describe radiological abnormalities surrounding the interosseous space and concurrent radiological abnormalities in the tarsus. The association between interosseous ligament region abnormalities and radiolog...
[Death of two mares with retained fetal membranes]. Retained fetal membranes in mares is a relative frequent disease which can lead to severe complications. Two case studies are described in which mares died acutely despite intensive care. Pathological examination confirmed severe hemorrhage as the cause of death in both animals.
Clinical characteristics of horses and foals diagnosed with cleft palate in a referral population: 28 cases (1988-2011). The objective of this case series was to characterize the population, case presentations, and outcomes of 28 equids diagnosed with cleft palate over a 25-year period. The incidence of cleft palate was 0.04%. The median age at presentation was 2 mo (range: 1 d to 3 y). Fifty percent of the animals were < 2 mo old, 21% were ≥ 2 mo but < 1 y old, and 29% were 1 y of age or older. Males and females were nearly equally represented. Short-term outcomes included euthanasia in 50%, surgical repair in 11%, supportive care in 4%, and no treatment in 32% of cases; 46% of the animals survived to d...
Autologous vaccination for the treatment of equine sarcoids: 18 cases (2009-2014). The purpose of this retrospective case series was to assess the outcome of an autologous vaccination procedure on single and multiple sarcoid lesions, determine complication rate, and report owner satisfaction. Medical records (18 cases) from January 2009 through May 2014 were evaluated to identify horses undergoing the procedure. Signalment, number, size, anatomic location of lesions, and type of historical treatment were recorded. Follow-up was obtained via standardized owner survey, veterinary examination, and digital images. Data recorded and analyzed included ancillary therapies post-proc...
Chronic Pancreatitis with Acinar-Ductal Metaplasia and Ductal Dysplasia in a Horse. A 16-year-old Friesian gelding with relapsing colic was humanely destroyed during diagnostic laparotomy due to suspected abdominal neoplasia. On post-mortem examination, the pancreas appeared as a firm mass (20 × 8 × 8 cm). The cut surface had a lobular structure with multiple cavities. Histological examination revealed severe chronic fibrosing pancreatitis with acinar-ductal metaplasia and duct dysplasia, which was considered to be the cause of the recurrent colic. Formation of tubular complexes within a background of acinar-ductal metaplasia is similar to the regressive lesions detect...
Endoscopic Balloon Dilation of Esophageal Strictures in 9 Horses. Medical treatment of esophageal strictures in horses is limited and the use of balloon dilatation is described in few cases. Long-term follow up after balloon dilatation and the use of intralesional corticosteroids has not been evaluated. Objective: To describe the use of endoscopic guided, esophageal balloon dilatation in horses for cervical and thoracic esophageal strictures and administration of intralesional corticosteroids at the time of dilatation. Methods: Nine horses from the hospital population with benign esophageal strictures. Methods: Retrospective study: Medical records were revie...
