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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.
Removal of ureteral calculi in two geldings via a standing flank approach.
Journal of the American Veterinary Medical Association    October 20, 2012   Volume 241, Issue 9 1214-1220 doi: 10.2460/javma.241.9.1214
Frederick J, Freeman DE, MacKay RJ, Matyjaszek S, Lewis J, Sanchez LC, Meyer S.Two geldings, aged 11 and 17 years, were examined for treatment of ureteroliths located approximately 10 cm proximal to the bladder. Results: Ureteral obstruction was an incidental finding in 1 horse that was referred because of urinary tract obstruction and a cystic calculus. This horse did not have clinical or laboratory evidence of renal failure, although severe hydronephrosis was evident on transabdominal ultrasonography. The second patient had a serum creatinine concentration of 6.3 mg/dL (reference range, 0.8 to 2.2 mg/dL) and mild hydronephrosis of the affected left kidney. Results: In ...
Minimally invasive repair of a calcaneus fracture in a Standardbred foal.
Journal of the American Veterinary Medical Association    October 20, 2012   Volume 241, Issue 9 1209-1213 doi: 10.2460/javma.241.9.1209
Bonilla AG, Smith KJ.A 4-month-old Standardbred colt was examined because of a fractured right calcaneus of 8 days' duration with increased distraction of the fracture fragment evident on sequential radiographs. Results: The foal was severely lame with diffuse periarticular tarsal swelling. Radiographically, a complete, displaced long oblique fracture of the right calcaneal body was evident. Because the fracture gap was increasing with time and lameness remained severe, despite medical management, surgical repair was recommended. Results: The foal was anesthetized, and minimally invasive fracture reduction and int...
[Successful treatment of an equine sarcoid. Case report on a combined surgical and photodynamic therapy].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    October 19, 2012   Volume 40, Issue 5 309-313 
Reschke C.The case report describes the surgical and photodynamic treatment (PDT) of an equine sarcoid in a 6-year-old gelding. A mass on the ventral prepuce, several tumours on the lateral aspect of the prepuce and one sarcoid on the front aspect of the chest were treated. For PDT, Temoporfin (Fospeg® Biolitec AG, Jena) at a concentration of 0.15mg/ml was injected locally. The subsequent irradiation was performed using a red-light laser (652nm) with an energy density of 10J/cm². The mass on the ventral aspect of the prepuce and some of the lateral tumours displayed total remission. The remaining tumo...
Treponemes-infected canker in a Japanese racehorse: efficacy of maggot debridement therapy.
Journal of equine science    October 18, 2012   Volume 23, Issue 3 41-46 doi: 10.1294/jes.23.41
Kuwano A, Niwa H, Higuchi T, Mitsui H, Agne RA.A 3-year-old thoroughbred colt presented with canker on its left hind foot. Subsequent development of cottage cheese-like horns and dermatitis disturbed healing, despite the use of miscellaneous orthodox treatment approaches to the lesions. Histological examination revealed exudative and suppurative dermatitis, and proliferatively suppurative epidermitis infected with helically coiled treponemes. Total debridement under general anesthesia led to a temporary improvement, but the ground surface regenerated abnormal epidermis similar to that observed initially after surgery. Maggot debridement th...
Bilateral parotid duct transposition for keratoconjunctivitis sicca in a Connemara stallion.
Veterinary ophthalmology    October 15, 2012   Volume 16, Issue 4 303-311 doi: 10.1111/j.1463-5224.2012.01068.x
Montgomery K, Ortved K, DeVries J, Hackett R, Kern T, Irby N, Ducharme N.A 7-year-old Connemara stallion was presented with a 4 month history of blepharospasm, recurrent corneal ulcerations, mucopurulent ocular discharge, and keratoconjunctivitis sicca (KCS) in both eyes unresponsive to medical therapy. Ophthalmic examination revealed lackluster corneas, axial corneal scarring and pigmentation with associated neovascularization, and absolute KCS in both eyes. Computed tomography scan and endoscopic evaluation of the upper airway and guttural pouches revealed no structural abnormalities to indicate neurogenic KCS. The stallion was diagnosed with immune-mediated dacr...
Surgical treatment of septic physitis in 17 foals.
Australian veterinary journal    October 15, 2012   Volume 90, Issue 12 479-484 doi: 10.1111/j.1751-0813.2012.01000.x
Hall MS, Pollock PJ, Russell T.To document the progression and outcome after surgical curettage of septic physes in foals. Methods: Case series of 17 foals, aged <9 weeks, with septic physitis. Methods: All foals were treated surgically with curettage of physeal lesions. Combinations of systemic antibiotics, intravenous regional perfusion of antibiotic and antibiotic-impregnated polymethylmethacrylate beads were used as adjunct medical treatments. Tissue removed from the physis of three foals during surgery was sent for pathological analysis. Results: At follow-up, 15 of the 17 foals were alive. In the two foals with sep...
64, XX, SRY-negative, testicular DSD syndrome in a Lusitano horse.
Reproduction in domestic animals = Zuchthygiene    October 12, 2012   Volume 48, Issue 3 e33-e37 doi: 10.1111/rda.12094
Torres A, Silva JF, Bernardes N, Sales Luís J, Lopes da Costa L.Here is reported a disorder of sex development found in the Portuguese Lusitano horse breed. The complex genital phenotype included mammary glands, abdominal testes without epididymis, connected through oviducts to pelvic hypoplastic uterine horns and fused vulvar labia majora from which protruded ventrally a penis-like structure. This structure was presented in a reversed position, the urethral opening placed dorsally in the glans. However, it was functional both for micturition and erection. The horse exhibited female micturition posture and aggressive male-like behaviour, including flehmen,...
Case series of equine pituitary pars intermedia dysfunction in a tropical climate.
Australian veterinary journal    October 11, 2012   Volume 90, Issue 11 451-456 doi: 10.1111/j.1751-0813.2012.00997.x
Spelta CW, Axon JE.The clinical manifestations of equine pituitary pars intermedia dysfunction (PPID) in temperate climates are well described. The classic presentation is that of an older animal with hirsutism, laminitis, poor muscle tone, pendulous abdomen and weight loss. This case series highlights the additional clinical signs of anhidrosis and heat stress with secondary exercise intolerance that were seen as primary presenting problems in equids with PPID in the hot, humid conditions of a tropical climate. The clinical signs resolved with medical treatment for PPID.
Evaluation of foal production following intracytoplasmic sperm injection and blastocyst culture of oocytes from ovaries collected immediately before euthanasia or after death of mares under field conditions.
Journal of the American Veterinary Medical Association    October 9, 2012   Volume 241, Issue 8 1070-1074 doi: 10.2460/javma.241.8.1070
Hinrichs K, Choi YH, Norris JD, Love LB, Bedford-Guaus SJ, Hartman DL, Velez IC.To evaluate the efficiency of foal production following intracytoplasmic sperm injection (ICSI) and blastocyst culture of oocytes from mares that died or were euthanized under field conditions. Methods: Prospective case series. Methods: 16 mares (age, 3 to 19 years) that died or were euthanized for various causes. Methods: Ovaries were collected immediately before euthanasia (n = 10) or after death (6). Ovaries were transported to the laboratory for oocyte recovery (15 mares), or oocytes were recovered at a remote location and shipped to the laboratory (1). Oocytes underwent ICSI, and presumpt...
Acute deterioration and death with necrotizing enteritis associated with Lawsonia intracellularis in 4 weanling horses.
Journal of veterinary internal medicine    October 5, 2012   Volume 26, Issue 6 1476-1480 doi: 10.1111/j.1939-1676.2012.01002.x
Page AE, Fallon LH, Bryant UK, Horohov DW, Luna TW, Marsh PS, Slovis NM, Sprayberry KA, Loynachan AT.No abstract available
Treatment of equine sarcoids.
The Veterinary record    October 2, 2012   Volume 171, Issue 13 330 doi: 10.1136/vr.e6506
Scagliarini A, Bettini G, Savini F, Spadari A, Sonvico F, Balducci AG, Calbucci S, Colombo G.No abstract available
Intrathoracic pulsion diverticulum in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    October 2, 2012   Volume 53, Issue 4 408-411 
Yamout SZ, Magdesian KG, Tokarz DA, le Jeune SS.This is a report of a 12-year-old Swedish Warmblood gelding with a ruptured esophageal pulsion diverticulum associated with atypical clinical signs of colic and septic peritonitis on presentation. The location of this diverticulum at the hiatus was unique and was most likely responsible for the unusual presentation of this horse. Diverticule de Zenker intrathoracique chez un cheval. Ceci est un rapport d’un hongre de race Swedish Warmblood âgé de 12 ans présentant un diverticule de Zenker perforé associé à des signes cliniques atypiques de coliques et de péritonite septique à la pré...
Ultrasonographic visualization of colonic mesenteric vasculature as an indicator of large colon right dorsal displacement or 180° volvulus (or both) in horses.
The Canadian veterinary journal = La revue veterinaire canadienne    October 2, 2012   Volume 53, Issue 4 378-382 
Ness SL, Bain FT, Zantingh AJ, Gaughan EM, Story MR, Nydam DV, Divers TJ.Visualization of colonic mesenteric vasculature during transabdominal ultrasonographic examination of horses with colic can be a predictor of right dorsal displacement of the large colon or 180° large colon volvulus, or both. Medical records of 82 horses having had surgical treatment of colic and having received a transabdominal ultrasonographic examination on admission were reviewed. Colonic mesenteric vessels were sonographically identified coursing laterally on the right side of the abdomen in 24 of the 82 cases. Horses with colonic vessels identified on ultrasound were 32.5 times more lik...
Early experience with continuous positive airway pressure (CPAP) in 5 horses — a case series.
The Canadian veterinary journal = La revue veterinaire canadienne    October 2, 2012   Volume 53, Issue 4 426-429 
MacFarlane PD, Mosing M.This case series is the first report of the use of CPAP (continuous positive airway pressure) ventilation in adult horses. Two horses and 3 ponies anesthetized for orthopedic procedures in lateral recumbency received 10 cm H(2)O CPAP. During anesthesia, arterial oxygen partial pressure tended to increase and arterial carbon dioxide pressure tended to increase despite increased minute ventilation index. The measured cardiovascular parameters were within physiologic limits. Cette série de cas est le premier rapport sur l’utilisation de la ventilation spontanée en pression positive continue ...
Benign intraocular teratoid medulloepithelioma causing glaucoma in an 11-year-old Arabian mare.
Veterinary ophthalmology    October 1, 2012   Volume 16, Issue 4 297-302 doi: 10.1111/j.1463-5224.2012.01067.x
Leiva M, Felici F, Carvalho A, Ramis A, Peña T.An 11-year-old Arabian mare was presented for investigation of a visible, pale-colored intraocular mass in the right eye. Results: An intraocular mass was detected clinically and ultrasonographically as originating from the superior temporal quadrant of the ciliary body and iris and causing secondary glaucoma. The echodense mass was occupying the majority of the vitreous chamber and extended into the anterior chamber. The left eye appeared normal. Results: Enucleation was recommended for therapeutic and diagnostic purposes. No adjuvant treatment was given. Histopathological examination demonst...
Fatal musculoskeletal injuries of Quarter Horse racehorses: 314 cases (1990-2007).
Journal of the American Veterinary Medical Association    September 28, 2012   Volume 241, Issue 7 935-942 doi: 10.2460/javma.241.7.935
Sarrafian TL, Case JT, Kinde H, Daft BM, Read DH, Moore JD, Uzal FA, Stover SM.To determine major causes of death and the anatomic location of musculoskeletal injuries in Quarter Horse racehorses in California. Methods: Retrospective case series. Methods: 314 Quarter Horse racehorses with musculoskeletal injuries that were necropsied through the California Horse Racing Board Postmortem Program from 1990 to 2007. Methods: Postmortem pathology reports were retrospectively reviewed. Musculoskeletal injuries were categorized by anatomic region and described. The number of Quarter Horse starts and starters for the same period of time were obtained from a commercial database f...
Survival rates of mares and foals and postoperative complications and fertility of mares after cesarean section: 95 cases (1986-2000).
Journal of the American Veterinary Medical Association    September 28, 2012   Volume 241, Issue 7 927-934 doi: 10.2460/javma.241.7.927
Abernathy-Young KK, LeBlanc MM, Embertson RM, Pierce SW, Stromberg AJ.To assess survival-to-discharge rates of mares and foals and postoperative complications and fertility in mares following cesarean section (C-section). Methods: Retrospective case series. Methods: 95 mares. Methods: Medical and breeding records of mares that underwent C-section were reviewed; signalment, surgical technique, complications, survival-to-discharge rate, and pregnancy and foaling rates were recorded and evaluated. Foaling rates in the 3 years after C-section were compared with the cumulative foaling rate before C-section. Results: C-section was performed because of dystocia (n = 71...
Equine multinodular pulmonary fibrosis in association with asinine herpesvirus type 5 and equine herpesvirus type 5: a case report.
Acta veterinaria Scandinavica    September 25, 2012   Volume 54, Issue 1 57 doi: 10.1186/1751-0147-54-57
Back H, Kendall A, Grandón R, Ullman K, Treiberg-Berndtsson L, Ståhl K, Pringle J.A standardbred gelding with a history of 10 days pyrexia and lethargy was referred to the Equine Hospital at the Swedish University of Agricultural Sciences in Uppsala, Sweden.The horse had tachypnea with increased respiratory effort and was in thin body condition. Laboratory findings included leukocytosis, hyperfibrinogenemia and hypoxemia. Thoracic radiographs showed signs of pneumonia with a multifocal nodular pattern, which in combination with lung biopsy findings indicated Equine Multinodular Pulmonary Fibrosis (EMPF). EMPF is a recently described disease in adult horses with clinical s...
Farriery for hoof wall defects: quarter cracks and toe cracks.
The Veterinary clinics of North America. Equine practice    September 18, 2012   Volume 28, Issue 2 393-406 doi: 10.1016/j.cveq.2012.06.005
Pleasant RS, O'Grady SE, McKinlay I.Conditions that result in the loss of the structural integrity of the hoof wall, such as quarter and toe cracks, are not uncommon and usually manifest in lameness. The successful management of these problems involves identifying and addressing the underlying causes, stabilization of the foot, and committed follow-up.
Septic diseases associated with the hoof complex: abscesses, punctures wounds, and infection of the lateral cartilage.
The Veterinary clinics of North America. Equine practice    September 18, 2012   Volume 28, Issue 2 423-440 doi: 10.1016/j.cveq.2012.06.004
Redding WR, O'Grady SE.Hoof abscesses are probably the most common cause of acute severe lameness in horses encountered by veterinarians and farriers. Most affected horses show sudden, severe (acute) lameness; the degree of lameness varies from being subtle in the early stages to non-weight bearing. There is still debate between the veterinary and farrier professions as to who should treat a hoof abscess and the best method to resolve the abscess. Puncture wounds to the sole of the foot can introduce bacteria and debris to the solar surface of the distal phalanx and produce a fracture or a septic pedal osteitis.
Nonseptic diseases associated with the hoof complex: keratoma, white line disease, canker, and neoplasia.
The Veterinary clinics of North America. Equine practice    September 18, 2012   Volume 28, Issue 2 407-421 doi: 10.1016/j.cveq.2012.06.006
Redding WR, O'Grady SE.This article addresses nonseptic diseases associated with the hoof complex, namely keratoma, white line disease, canker, and neoplasia. Keratoma is an uncommon cause of lameness, which may be surgically removed. White line disease, a keratolytic process on the solar surface of the hoof, is treated with therapeutic farriery and resection of the hoof wall when appropriate. Equine canker is an infectious process that results in development of a chronic hypertrophy of the horn-producing tissues. Neoplasia involving the equine foot is rare, and melanoma is the most common type of neoplasm reported....
Treating laminitis: beyond the mechanics of trimming and shoeing.
The Veterinary clinics of North America. Equine practice    September 18, 2012   Volume 28, Issue 2 441-455 doi: 10.1016/j.cveq.2012.05.004
Baker WR.Laminitis is typically classified into developmental or prodromal, acute, subacute, and chronic phases. Scientific evidence regarding the pathophysiology of laminitis does exist, but it is often conflicting and dependent on the clinician's interpretation/understanding of the study or the model used for inducing laminitis. The diagnosis of laminitis consists of obtaining an accurate history, performing a thorough physical examination, and taking good-quality radiographs. The use of radiographs for diagnosis and interpretation of laminitis is an absolute necessity for the clinician. Laminitis is...
Evaluation of cardiac phenotype in horses with type 1 polysaccharide storage myopathy.
Journal of veterinary internal medicine    September 15, 2012   Volume 26, Issue 6 1464-1469 doi: 10.1111/j.1939-1676.2012.00988.x
Naylor RJ, Luis-Fuentes V, Livesey L, Mobley CB, Henke N, Brock K, Fernandez-Fuente M, Piercy RJ.Type 1 polysaccharide storage myopathy (PSSM1), an equine glycogen storage disorder caused by a gain of function mutation (R309H) in the gene encoding glycogen synthase (GYS1), is associated with the accumulation of amylase-resistant alpha-crystalline polysaccharide inclusions within skeletal muscle. Several glycogenoses in humans have a cardiac phenotype, and reports exist of horses with PSSM and polysaccharide inclusions in cardiac muscle. Objective: To investigate the hypothesis that horses with PSSM1 display a cardiac phenotype. Our objectives were to compare plasma cardiac troponin I (cTn...
Modified Kuhnt-Szymanowski surgical procedure for secondary cicatricial ectropion in a horse.
Veterinary ophthalmology    September 7, 2012   Volume 16, Issue 4 276-281 doi: 10.1111/j.1463-5224.2012.01061.x
Henriksen Mde L, Plummer CE, Brooks DE.A 1-year-old Dutch Warmblood gelding was presented to the University of Florida's Large Animal Hospital (UF-LAH) for correction of ectropion of the right lower eyelid. The ectropion was the result of a lower eyelid laceration. A primary repair was performed by the referring veterinarian; however, the horse prematurely removed the sutures and the wound healed with inversion of the eyelid margin. Surgical correction of the entropion, with removal of tissue from the lower eyelid, resulted in cicatricial ectropion. During the initial evaluation at UF-LAH, a corneal ulcer was noted in the right eye...
Pathology in practice. Granulomatous nephritis, lymphadenitis, and encephalitis with intralesional adult and larval H gingivalis.
Journal of the American Veterinary Medical Association    September 6, 2012   Volume 241, Issue 6 703-705 doi: 10.2460/javma.241.6.703
Umlauf TN, Rech RR, Pellegrini-Masini AM, Howerth EW.No abstract available
Concurrent ivermectin and Solanum spp. toxicosis in a herd of horses.
Journal of veterinary internal medicine    September 4, 2012   Volume 26, Issue 6 1439-1442 doi: 10.1111/j.1939-1676.2012.00996.x
Norman TE, Chaffin MK, Norton PL, Coleman MC, Stoughton WB, Mays T.Representatives from a herd of horses with acute onset of neurologic signs after administration of ivermectin presented for evaluation and treatment. Objective: Describe clinical signs of horses intoxicated by ingestion of Solanum sp. and administered ivermectin. Methods: Six of 11 affected unrelated horses presented for evaluation and treatment. The remaining 5 affected horses were treated at the farm. Four additional horses, housed separately, were unaffected. Methods: Case series is presented. Serum ivermectin concentrations were evaluated in the 6 hospitalized horses. The remnants of the t...
Healing of multiple fractured thoracic dorsal spinous processes in a Quarter horse.
The Canadian veterinary journal = La revue veterinaire canadienne    September 4, 2012   Volume 53, Issue 3 279-282 
Molnar R, Barber SM, Pharr JW, Panizzi L, Plaxton A.A Quarter horse gelding sustained fracture and displacement of spinous processes T2-T10. Radiographic evidence of healing was seen 3 mo following injury, and at 2 years post-injury all spinous processes had healed and undergone partial re-alignment. This re-alignment has not been reported before. Un hongre Quarter horse a subi une fracture et un déplacement des apophyses épineuses T2–T10. Les preuves radiographiques de la guérison ont été observées 3 mois après la blessure et 2 ans après la blessure toutes les apophyses épineuses avaient guéri et subi un réalignement partiel. Ce ...
Atypical myopathy: a review and description of the outbreak in the Netherlands during autumn 2009 and spring 2010.
Tijdschrift voor diergeneeskunde    August 31, 2012   Volume 137, Issue 8 514-521 
Sas AM, van der Kolk JH, Dank M, Westermann CM.This article reviews the literature on equine atypical myopathy (AM), an acute, severe rhabdomyolysis that occurs in horses at pasture. The prevalence, mortality, clinical signs, pathology, potential aetiology, typical aspects, diagnosis, treatment, and prognosis are described. Horse management, characteristic weather conditions, and possible preventive measures are also discussed. In addition, the characteristics of 54 highly probable or confirmed cases of equine AM occurring between autumn 2009 (27 cases) and spring 2010 (27 cases) in the Netherlands are described. Of the 54 affected horses,...
Eastern equine encephalitis: MRI findings in two patients.
Medicine and health, Rhode Island    August 30, 2012   Volume 95, Issue 7 227-229 
Ethier M, Rogg J.No abstract available
Extensive myenteric ganglionitis in a case of equine chronic intestinal pseudo-obstruction associated with EHV-1 infection.
Journal of comparative pathology    August 27, 2012   Volume 148, Issue 4 289-293 doi: 10.1016/j.jcpa.2012.07.004
Pavone S, Sforna M, Gialletti R, Prato S, Marenzoni ML, Mandara MT.A 7-year-old male trotter horse with a history of recurrent colic displayed clinical findings consistent with chronic intestinal pseudo-obstruction (CIP). At laparotomy, an impaction of the descending colon associated with marked atrophy of the right dorsal colon was found. The horse was humanely destroyed and tissues collected at necropsy examination revealed diffuse enteric ganglionitis comprising an infiltrate of CD3(+) T lymphocytes and plasma cells. At all levels of the intestinal tract the number of myenteric ganglia and of normal ganglion cells was decreased significantly. There were ch...
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