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Topic:Clinical Pathology
Clinical pathology in horses involves the study and analysis of biological samples to diagnose and monitor diseases and health conditions. This discipline encompasses various laboratory tests and procedures that assess the physiological and biochemical status of equines. Common analyses include hematology, biochemistry, urinalysis, and cytology, each providing insights into different aspects of equine health. Hematology evaluates blood components, such as red and white blood cells and platelets, to identify conditions like anemia or infection. Biochemistry tests measure enzymes, electrolytes, and metabolites to assess organ function and metabolic status. Urinalysis examines urine samples for indicators of renal function and systemic diseases. Cytology involves the microscopic examination of cells from tissues or fluids to detect abnormalities. This page aggregates peer-reviewed research studies and scholarly articles that explore the methodologies, applications, and diagnostic value of clinical pathology in equine medicine.
Evaluation of systemic inflammatory response syndrome criteria in horses with colic associated with acute gastrointestinal disease. Systemic inflammatory response syndrome (SIRS) is a severe clinical condition commonly observed in horses with acute gastrointestinal disease associated with colic and is linked to increased risk of organ dysfunction and mortality. Early identification of SIRS and reliable prognostic indicators are essential to improve clinical management. This study aimed to assess the occurrence of SIRS in adult horses with colic, evaluate its association with outcome, and investigate the prognostic value of selected clinicopathological variables. Unassigned: A total of 41 adult horses admitted for acute gas...
Viral Hepatitis. Since 2012, 2 viral causes of hepatitis have been identified in horses. Much remains to be discovered about their transmission, risk factors for clinical disease, diagnosis, and treatment approaches. Equine parvovirus-hepatitis has been identified as the cause of acute hepatic necrosis, previously known as Theiler's disease. Equine hepacivirus is recognized as a cause of chronic fibrosing hepatitis. Diagnosis relies on ruling out other causes of hepatitis and documenting infection by serum or liver polymerase chain reaction. There is no direct antiviral for either condition and treatments are ...
Development of a prognostic scoring system for systemic inflammatory response syndrome in donkeys. Systemic inflammatory response syndrome (SIRS) is associated with increased mortality in horses with gastrointestinal (GI) disease. However, there are no data relating to naturally occurring SIRS in donkeys. Objective: To determine SIRS frequency in donkeys with GI disease. To develop a donkey-specific prognostic SIRS score. Methods: Retrospective case series. Methods: Clinical records from donkeys presenting with GI disease in two independent cohorts (development cohort: nโ=โ400, UK; validation cohort: nโ=โ36, Australia) were reviewed. Age, sex, heart rate, respiratory rate, rectal te...
Prognosis of Equine Liver Diseases. Prognostic information in equine liver disease can be gleaned from historical, clinical, clinicopathological, ultrasonographic, and histopathological features. However, given the multiple causes and subtypes of liver disease affecting horses worldwide, prognostic data might not be suitable for universal application across all cases. Most evidence has been established for horses with chronic hepatopathies and extrapolation to acute cases should be avoided. In chronic liver disease the presence and severity of clinical signs and serum markers including total globulins, albumin, and bile acids ar...
Equine Liver Histopathology. This review summarizes best practices for equine liver biopsy, including when to perform a biopsy, techniques for sample collection and handling, and strategies to optimize diagnostic yield. It discusses the interpretive framework used by pathologists, common diagnostic challenges, and prognostic scoring systems. Limitations such as sampling error and variability among observers are considered alongside ancillary testing, immunohistochemistry, and in situ hybridization. Emphasis is placed on the importance of communication between clinicians and pathologists to maximize diagnostic and prognost...
Activity of 1,2-o-dilauryl-rac-glycero-3-glutaric acid-(6′-methylresorufin) ester lipase in peritoneal fluid may be associated with strangulating lesions, pancreatic fibrosis, and negative outcome in horses with colic. To compare plasma and peritoneal 1,2-o-dilauryl-rac-glycero-3-glutaric acid-(6'-methylresorufin) ester (DGGR) lipase activity between horses with and without colic signs and document pancreatic histopathology in a subset of horses. Unassigned: This prospective, cross-sectional study included university-owned or donated healthy horses and client-owned horses presenting to the veterinary teaching hospital for colic. Peritoneal WBC and lactate concentrations and plasma and peritoneal DGGR lipase activity were measured. Pancreatic tissue was collected via convenience sampling. Pancreatic fibrosis ...
Visceral disseminated hemangiosarcoma causing severe bicytopenia in a mare. Hemangiosarcoma is an uncommon but highly aggressive malignant vascular neoplasm in horses, most often identified as a disseminated process at postmortem examination. This report describes an adult Warmblood mare presenting with acute hemorrhagic diarrhea, severe anemia, and thrombocytopenia associated with disseminated hemangiosarcoma likely originating in the transverse colon with metastasis to the liver and lungs. This case highlights gastrointestinal hemangiosarcoma as a potential differential diagnosis in horses with unexplained bicytopenia and hemorrhagic enteropathy.
Eastern equine encephalitis-104 horses (1979-2017). Eastern equine encephalitis (EEE) is a highly fatal neurologic disease of horses, but data describing clinical presentation, epidemiology, and prognostic factors are limited. Objective: Describe the clinicopathologic and epidemiologic features of horses with EEE and identify factors associated with survival. Methods: One hundred four horses diagnosed with EEE presented with signs of diffuse brain disease. Methods: Retrospective case series of horses evaluated at a Veterinary Teaching Hospital (1979-2017). Medical records were reviewed for clinical findings, diagnostic results, and outcomes. Lo...
Short-term clinical responses in horses and ponies treated with canagliflozin: A clinical field study. Treatment with the sodium-glucose co-transporter 2 (SGLT2) inhibitor canagliflozin in insulin dysregulated (ID) horses has shown promising results in randomised clinical trials. Larger field studies are needed to further evaluate treatment responses and potential adverse effects under real-world conditions. Objective: To assess the short-term effects of canagliflozin on postprandial glucose and insulin responses in client-owned horses and ponies with ID using a single-sample feed-challenge test (FCT), and to characterise treatment-associated changes in bodyweight, liver enzyme activities, and ...
First confirmed report of equine coital exanthema in Uruguayan horses. Equine Coital Exanthema (ECE) is a contagious venereal disease caused by Equid alphaherpesvirus 3 (EHVโ3). Although ECE is self-limiting, it causes significant economic losses to the global equine industry due to the temporary segregation of affected mares and stallions from breeding activities. This report describes the epidemiological, clinical, histological, and molecular findings from an outbreak of ECE in Uruguayan horses. Seven days following the introduction of a stallion, five mares developed extensive papular and vesicular dermatitis in the vaginal and perineal regions. The stallion...
[Retrospective evaluation of equine blood cultures sampled between 2022 and 2024]. In this study, the results of equine blood cultures sampled during the period from 2022 to 2024 were evaluated. Samples were submitted as routine samples by veterinary practices to a veterinary diagnostic laboratory in Germany. The study focused mainly on the differentiation of the bacterial isolates. In order to place the results in a clinical context, the study was complemented by a questionnaire sent to the practices enquiring for sepsis-associated clinical signs. Unassigned: The study was carried out retrospectively. A total of 199 blood culture samples submitted by practices located in Ge...
Molecular and serological survey on Theileria equi and Babesia caballi infecting Arabian horses in the northern provinces of Syria. Equine babesiosis is one of the prevalent diseases in horses worldwide, but its presence in Syria generally and in the northern region specifically is not known. In Syria, the civil war has severely disrupted veterinary services, hence disease control measures, creating a fertile ground for the spread of tick-borne diseases. Unassigned: This study aimed to conduct a comprehensive molecular and serological survey of and . in Arabian horses from the northern provinces of Syria, regions heavily impacted by the war. Unassigned: A total of 110 Arabian horses, aged between 2 and 10 years, were inc...
Validation of a stall-side immunoglobulin assay for use in equine reproductive management. Equine foals receive IgG from mare colostrum through passive transfer. Failure of passive transfer (FPT) is a significant risk to the foal's life, leaving them vulnerable to infection and sepsis. Radial Immunodiffusion (RID) and immunoturbidimetric assays quantify IgG present in a foal sample but require a laboratory to complete. Accurate, reproducible, stall-side testing to rapidly quantify IgG would allow for expedited clinical decisions, with potential to improve equine foal care and survival. Objective: To evaluate the analytical and clinical performance of a stall-side IgG lateral-flow te...
Transference of diagnostic thresholds for equine plasma ACTH from the Immulite 1000 to Immulite 2000XPi and Tosoh AIA systems. Diagnosis of PPID in horses relies on measurement of plasma adrenocorticotrophic hormone (ACTH) concentrations. Because measured ACTH values vary between analytical platforms, and published diagnostic thresholds apply almost exclusively to the Immulite 1000 chemiluminescent assay (CLA), there is a need for validated, assay-specific thresholds for contemporary analysers. This study aimed to transfer and validate established Immulite 1000 diagnostic thresholds for plasma ACTH to three contemporary systems (Immulite 2000XPi, Tosoh AIA-900, and Tosoh AIA-360) using the Clinical Laboratory Standard...
Successful Use of Vincristine in a Quarter Horse Gelding with Immune-Mediated Thrombocytopenia. This case reports the successful use of vincristine in a Quarter Horse with presumed immune-mediated thrombocytopenia. A 15-year-old Quarter Horse gelding presented for a pinch skin graft procedure on the left forelimb over the cannon bone. On day 10 of hospitalization, the horse developed a fever (102.6ยฐF, RI: 99-101ยฐF), and severe petechiae of the mucous membranes. A complete blood count (CBC) (Advia 2120i) revealed a severe thrombocytopenia (16,000 platelets/ฮผL, RI:100,000-400,000/ฮผL). Diagnostic testing was negative for Anaplasma phagocytophilum by PCR, Theileria equi and Babesia cabal...
Case Report: Neurologic signs following rattlesnake envenomation. Rattlesnake envenomation is a common emergency in horses in California. Rattlesnakes belong to a group of venomous snakes: pit vipers. The Northern Pacific Rattlesnake (), a subspecies of the Western Rattlesnake, is the most widespread rattlesnake in California (1). A 5-year-old miniature horse mare presented for a presumed Western Rattlesnake bite. The owners found the horse the morning of presentation with severe facial swelling and the horse was housed in an area where rattlesnakes are commonly observed. The horse was reported to be normal the day prior to presentation. On blood examination...
Longitudinal assessment of hemostatic adaptations in pregnant mares: Evidence of a physiological hypercoagulable state. Pregnancy triggers intricate hemostatic adjustments that support placental maturation and prepare the maternal organism for delivery. We hypothesized that pregnant mares would progressively shift toward a procoagulant state throughout gestation, reflected in changes to coagulation and fibrinolytic markers. To test this hypothesis, 15 clinically healthy Spanish Purebred pregnant mares were monitored monthly from conception to term, alongside 15 non-pregnant controls of similar age and breed. A comprehensive hemostatic profile-including platelet (PLT) count, prothrombin time (PT), activated part...
Adult Equine Optic Nerve Head Measurements Using Spectral Domain Optical Coherence Tomography. To compare equine optic nerve head (ONH) measurements using spectral domain optical coherence tomography (SD-OCT) to detect clinically relevant ONH cupping. Methods: Forty-five eyes from 34 horses were categorized as CONTROL or CUPPED based on indirect ophthalmoscopy and were measured using SD-OCT: Bruch's membrane opening (BMO), optic cup width (OC), anterior laminar depth (ALD), prelaminar thickness (PLT), and cup-to-disk ratio (OC: BMO) at superior (sup.), central (ctr.), and inferior (inf.) ONH locations. Results: The OC:BMO was 0.61โยฑโ0.09 (sup.), 0.64โยฑโ0.09 (ctr.), and 0.55โ...
Malignant Ovarian Teratoma in a Lusitano Filly: Diagnostic Challenges and Clinical Significance. An 8-month-old Lusitano filly (a young female horse) was referred with a five-day history of abdominal distension, respiratory distress, and hyporexia. Clinical and ultrasonographic examinations revealed ventral edema, anemia, leukocytosis, hypoalbuminemia, and bilateral pleural effusion. The filly subsequently developed progressive clinical deterioration, including persistent hyporexia, scant fecal output, and acute colic with nasogastric reflux, followed by sudden respiratory decompensation, collapse, and death. Post-mortem examination revealed a large, multilobulated abdominal mass involvin...
[Puncture wounds of the equine hoof – a retrospective study of 96 cases – Part 1: Prevalence, clinical findings and diagnostic investigations]. Penetrating wounds of the hoof are common and potentially life-threatening injuries in equine veterinary practice. The aim of this study was the systematic data analysis of horses presenting to the clinic with a solar puncture wound.In this retrospective study, patient data from horses presented with a puncture wound to the hoof in the period from September 2008 to August 2024 were collected. The analyzed data covered signalment, intended use, and insurance status. The following were also considered: previous history including the period between injury and presentation to the clinic, affected ...
Multi-state equine botulism outbreak in the United States linked to contaminated feed: an epidemiologic, clinicopathologic, and regulatory investigation. A multi-state outbreak of equine botulism occurred between December 2022 and March 2023 in the United States. Follow-up and testing were performed on 42 horses, including 24 that died or were euthanized in the outbreak that affected ~98 horses. Affected horses had all been exposed to the same commercial feed. Clinical signs included progressive muscle weakness and tremors, recumbency, and colic. No significant gross or microscopic abnormalities were observed on autopsy. Feces and gastrointestinal content were tested for various infectious agents, including botulinum toxin; fecal samples from 2...
Metastatic adenocarcinoma in the parotid gland in a horse – clinical and pathological findings. This case report details the findings of a metastatic adenocarcinoma of the parotid gland, a rare neoplasm in horses with limited treatment options. A 12-year-old, Criollo breed, gelding was presented with an enlarged left parotid gland that had been previously treated for 6 months without response to treatment. Based on the results of the diagnostic procedures performed, the horse underwent a total sialadenectomy and died of hypovolemic shock in the recovery room. Post-mortem examination revealed metastatic neoplastic infiltration of the submandibular lymph nodes and the lymphatic network at ...
New Diagnostic Score for Sepsis in Adult Horses with Acute Gastrointestinal Disease. Colic is a leading cause of mortality in horses, particularly when associated with systemic inflammation and organ dysfunction. In human medicine, these complications are associated with sepsis, defined as organ dysfunction caused by a dysregulated, life-threatening host response to infection. However, no consensus sepsis score exists for adult horses. This retrospective study aimed to develop a diagnostic sepsis score for adult horses. Medical records from 295 horses admitted for colic to the Oniris equine emergency department (Nantes, France) between July 2011 and November 2021 were analyzed...
Starch Overload and Cecal Alkalinization: Impacts on the Intestinal Microbiota and Health of Horses. Starch overload induces dysbiosis primarily through a reduction in cecal pH. This study aimed to evaluate the cecal microbiota following excessive starch intake, with or without the administration of an intracecal buffering solution. We hypothesized that the buffering solution would mitigate changes in the intestinal microbiota and associated clinical signs. Ten horses were randomly assigned to two groups, each receiving distinct treatments (Group I: saline solution [WSa] and starch-buffer [SB]; Group II: buffer-water [WB] and starch-saline [SSa]). Following starch overload (17.6 g/kg body wei...
Sequential measurement of serum amyloid A concentrations in ill hospitalized neonatal foals. In hospitalized foals, limited data are available on the utility of sequential measurement of SAA concentrations and the value of these data in a clinical setting. Objective: To determine serum amyloid A (SAA) concentrations in ill neonatal foals at multiple timepoints during hospitalization, and to evaluate a potential association with systemic inflammatory response syndrome (SIRS) status, blood culture (BC) result, and survival. Methods: Hospitalized ill foals (nย =ย 90, โคโ14ย days). Methods: In this retrospective study, foals were classified based on SIRS criteria: "SIRS" or "NonSIRS," ...
Reference intervals for serum macro- and microminerals in clinically healthy horses in Northwestern Spain: Influence of age, sex, breed and diet. Serum mineral concentrations are key indicators of nutritional status, metabolic function and health in horses; however, contemporary reference intervals (RI) derived from large, well-characterised populations remain scarce. Objective: To establish serum RI for macro- and microminerals in clinically healthy horses in Northwestern Spain and to evaluate the influence of sex, age, breed and diet on mineral status. Methods: Blood samples were collected from clinically healthy horses (n = 211), and serum concentrations of essential macrominerals (calcium [Ca]; phosphorous [P]; magnesium [Mg]; sodiu...
Equine neorickettsiosis: A global perspective of the natural habitat of the bacteria and clinical disease. Equine neorickettsiosis (EN) is an infectious, non-contagious systemic disease of horses caused by the closely related obligatory intracellular bacterial species Neorickettsia risticii and N. findlayensis. Clinical cases are considered endemic in multiple regions across the United States and Canada, as well as in parts of South America, including Uruguay and Brazil. Neorickettsia spp. are obligate endosymbionts of digenean trematodes, which have complex life cycles involving a molluscan first intermediate host, a wide range of invertebrate or vertebrate second intermediate hosts, and a vertebr...
Evaluation of multiple methods for the diagnosis of equine Hemomycoplasmosis in Misan, Iraq. Hemomycoplasmosis caused by Hemotropic mycoplasmas, or Hemoplasma, which were previously classified as Eperythrozoon spp., are uncultivable parasites that infect the cell wall of erythrocytes in many susceptible mammals, including cattle, buffalo, goats, sheep, horses, cats, dogs, and even camels, and can be transmitted to humans. Unassigned: The purpose of the present work is to display and evaluate the different diagnostic criteria for detecting the most precise method for diagnosing Hemomycoplasma in horses. Unassigned: Different diagnostic methods were used to diagnose equine Hemomycoplasm...
