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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.
Preliminary investigation of the area under the L-lactate concentration-time curve (LACArea) in critically ill equine neonates.
Journal of veterinary internal medicine    March 31, 2015   Volume 29, Issue 2 659-662 doi: 10.1111/jvim.12559
Wilkins PA, Sheahan BJ, Vander Werf KA, Castagnetti C, Hardy J, Schoster A, Boston RC.A variety of measures of L-lactate concentration ([LAC]) in the blood of critically ill neonatal foals have shown utility as prognostic indicators. These measures, evaluating either the severity of hyperlactatemia or the duration of exposure to hyperlactatemia, perform fairly well and have correctly classified 75-80% of foals examined in several studies. The area under the L-lactate concentration versus time curve (LACArea) encompasses both severity and duration of hyperlactatemia and should improve correct classification of patient survival. Objective: LACArea is larger in nonsurviving critic...
Application of in vivo microdialysis for investigation of unbound drug concentrations of intravenously administered sulfadimidine in the paranasal sinus mucosa of horses.
American journal of veterinary research    March 31, 2015   Volume 76, Issue 4 318-327 doi: 10.2460/ajvr.76.4.318
Bienert-Zeit A, Gietz C, Staszyk C, Kietzmann M, Stahl J, Ohnesorge B.To monitor concentrations of sulfadimidine in the paranasal sinus mucosa (PSM) of unsedated horses following IV administration of trimethoprim-sulfadimidine via in vivo microdialysis. Methods: 10 healthy adult horses. Methods: Concentric microdialysis probes were implanted into the subepithelial layers of the frontal sinus mucosa of standing sedated horses. Four hours after implantation, trimethoprim-sulfadimidine (30 mg/kg) was administered IV every 24 hours for 2 days; dialysate and plasma samples were collected at intervals during that 48-hour period and analyzed for concentrations of sulfa...
Prevalence of dental disorders in an abattoir population of horses in South Africa by oral examination of intact and bisected heads.
Veterinary journal (London, England : 1997)    March 27, 2015   Volume 205, Issue 1 110-112 doi: 10.1016/j.tvjl.2015.03.021
Vemming DC, Steenkamp G, Carstens A, Olorunju SA, Stroehle RM, Page PC.Dental care is an integral part of equine veterinary practice. The objectives of this cross sectional study were to describe the prevalence of dental disorders in an abattoir population of horses, and to compare oral examination of intact and bisected heads. Heads from 40 horses, 19 males and 21 females, were examined and divided into immature, adult or older horses based on dental age. Older horses had a significantly higher prevalence of infundibular caries (91.7%), diastemata (66.7%) and fractures (58.3%), whereas dental wear disorders affected all age groups. Gasterophilus spp. larvae were...
As time goes by. Many advances seen in equine medicine since AAEP’s founding 60 years ago.
Journal of the American Veterinary Medical Association    March 24, 2015   Volume 246, Issue 4 377-378 
Larkin M.No abstract available
Age-dependent expression of osteochondrosis-related genes in equine leukocytes.
Veterinary record open    March 24, 2015   Volume 2, Issue 1 e000058 doi: 10.1136/vetreco-2014-000058
Mendoza L, Piquemal D, Lejeune JP, Vander Heyden L, Noguier F, Bruno R, Sandersen C, Serteyn D.Osteochondrosis (OC) is a developmental disease in horses which has a significant impact on the horse's welfare and performance. The early disturbance in the process of endochondral ossification progresses to inflammatory and repair processes in older horses. Previously, differentially expressed genes in leukocytes of OC-affected horses have been identified. The aim of the present study is to detect age-related changes in these differentially expressed genes. Methods: The expression of OC-related genes was analysed by real-time PCR and subsequent statistical analysis (ΔΔCT) in the leukocytes...
Paroxysmal atrial fibrillation and clinically reversible cor pulmonale in a horse with complicated recurrent airway obstruction.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    March 23, 2015   Volume 43, Issue 2 109-114 doi: 10.15653/TPG-140075
Hanka J, van den Hoven R, Schwarz B.Cor pulmonale is considered an uncommon complication in horses with recurrent airway obstruction (RAO). This case report describes the history, clinical and further examination findings, treatment, progression and outcome of a horse diagnosed with cor pulmonale and paroxysmal atrial fibrillation of 2 days duration due to a severe exacerbation of RAO. To our best knowledge, this is the first report of RAO induced pulmonary hypertension in a horse causing atrial fibrillation. However, even severe cardiac changes due to respiratory dysfunction seem to be largely reversible in horses.
Proteomic alteration of equine monocyte-derived macrophages infected with equine infectious anemia virus.
Proteomics    March 21, 2015   Volume 15, Issue 11 1843-1858 doi: 10.1002/pmic.201400279
Du C, Liu HF, Lin YZ, Wang XF, Ma J, Li YJ, Wang X, Zhou JH.Similar to the well-studied viruses human immunodeficiency virus (HIV)-1 and simian immunodeficiency virus (SIV), equine infectious anemia virus (EIAV) is another member of the Lentivirus genus in the family Retroviridae. Previous studies revealed that interactions between EIAV and the host resulted in viral evolution in pathogenicity and immunogenicity, as well as adaptation to the host. Proteomic analysis has been performed to examine changes in protein expression and/or modification in host cells infected with viruses and has revealed useful information for virus-host interactions. In this ...
Cryptorchidectomy in equids: 604 cases (1977-2010).
Journal of the American Veterinary Medical Association    March 21, 2015   Volume 246, Issue 7 777-784 doi: 10.2460/javma.246.7.777
Hartman R, Hawkins JF, Adams SB, Moore GE, Fessler JF.To evaluate the management of equids undergoing cryptorchidectomy at a referral hospital. Methods: Retrospective case series. Methods: 604 client-owned equids. Methods: Medical records of all equids undergoing surgical treatment of cryptorchidism from 1977 to 2010 were retrospectively reviewed. Analyses of breed, location of retained testes, accuracy of palpation per rectum for determining the location of retained testes, surgical technique, and postoperative complications were performed. Results: The most frequently affected breed was the Quarter Horse (282/604 [47%]), which was significantly...
Bacterial isolates, antimicrobial susceptibility patterns, and factors associated with infection and outcome in foals with septic arthritis: 83 cases (1998-2013).
Journal of the American Veterinary Medical Association    March 21, 2015   Volume 246, Issue 7 785-793 doi: 10.2460/javma.246.7.785
Hepworth-Warren KL, Wong DM, Fulkerson CV, Wang C, Sun Y.To determine clinical characteristics, clinicopathologic data, and bacterial culture and antimicrobial susceptibility results associated with septic arthritis in foals ≤ 180 days old. Methods: Retrospective case series. Methods: 83 foals with septic arthritis. Methods: Medical records at 2 teaching hospitals between 1998 and 2013 were searched to identify those for foals ≤ 180 days old with confirmed infection of ≥ 1 synovial structure. Data extracted from the records included signalment, clinicopathologic information, bacteriologic culture and antimicrobial susceptibility results, and o...
Cerebral and brainstem electrophysiologic activity during euthanasia with pentobarbital sodium in horses.
Journal of veterinary internal medicine    March 19, 2015   Volume 29, Issue 2 663-672 doi: 10.1111/jvim.12570
Aleman M, Williams DC, Guedes A, Madigan JE.An overdose of pentobarbital sodium administered i.v. is the most commonly used method of euthanasia in veterinary medicine. Determining death after the infusion relies on the observation of physical variables. However, it is unknown when cortical electrical activity and brainstem function are lost in a sequence of events before death. Objective: To examine changes in the electrical activity of the cerebral cortex and brainstem during an overdose of pentobarbital sodium solution for euthanasia. Our testing hypothesis is that isoelectric pattern of the brain in support of brain death occurs bef...
Serum amyloid A, haptoglobin, and ferritin in horses with colic: Association with common clinicopathological variables and short-term outcome.
Veterinary journal (London, England : 1997)    March 19, 2015   Volume 205, Issue 1 50-55 doi: 10.1016/j.tvjl.2015.03.015
Dondi F, Lukacs RM, Gentilini F, Rinnovati R, Spadari A, Romagnoli N.Equine colic may be associated with an acute phase response (APR). Measurement of acute phase proteins (APPs) allows the detection of an APR and may help clinicians in monitoring the disease; however, the role of APPs in colic is unclear. This study aimed to evaluate the clinical usefulness of serum amyloid A (SAA), haptoglobin and ferritin in combination with an extended clinicopathological profile in equine colic. The medical records of 54 horses were retrospectively selected. Horses were grouped based on outcome (survivors vs. non-survivors), diagnosis (ischaemic/strangulating vs. non-ischa...
Updates on respiratory medicine and surgery.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 xv-xvi doi: 10.1016/j.cveq.2015.01.001
Reuss SM, Chesen AB.No abstract available
Update on interstitial pneumonia.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 137-157 doi: 10.1016/j.cveq.2014.11.006
Wilkins PA, Lascola KM.Interstitial pneumonias encompass a wide variety of acute and chronic respiratory diseases and include the specific diseases equine multinodular pulmonary fibrosis and acute lung injury and acute respiratory distress. These diseases have been diagnosed in all age groups of horses, and numerous agents have been identified as potential causes of interstitial pneumonia. Despite the varied causes, interstitial pneumonia is uniformly recognized by the severity of respiratory disease and often poor clinical outcome. This article reviews the causal agents that have been associated with the developmen...
Update on laryngeal disorders and treatment.
The Veterinary clinics of North America. Equine practice    March 15, 2015   Volume 31, Issue 1 13-26 doi: 10.1016/j.cveq.2014.11.009
McCarrel TM, Woodie JB.Laryngeal disorders are relatively common in the horse, and thorough diagnostic evaluation is essential to make an accurate definitive diagnosis and selection of appropriate treatment. The value of exercising endoscopy must not be overlooked, and the recent development of dynamic (overground) endoscopy is providing new insights into dynamic laryngeal lesions. The focus of this article will be on recently described disorders and treatments or modifications to existing treatments. It summarizes the numerous investigations attempting to perfect the laryngoplasty procedure for treatment of larynge...
Eastern equine encephalitis incubation time periods of 5 and 8 days.
The Pediatric infectious disease journal    March 12, 2015   Volume 34, Issue 4 459-460 doi: 10.1097/INF.0000000000000590
Sherwood JA, Oliver J.No abstract available
Navigational ultrasound imaging: A novel imaging tool for aiding interventional therapies of equine musculoskeletal injuries.
Equine veterinary journal    March 12, 2015   Volume 48, Issue 2 195-200 doi: 10.1111/evj.12410
Lustgarten M, Redding WR, Schnabel LV, Prange T, Seiler GS.Navigational ultrasound imaging, also known as fusion imaging, is a novel technology that allows real-time ultrasound imaging to be correlated with a previously acquired computed tomography (CT) or magnetic resonance imaging (MRI) study. It has been used in man to aid interventional therapies and has been shown to be valuable for sampling and assessing lesions diagnosed with MRI or CT that are equivocal on ultrasonography. To date, there are no reports of the use of this modality in veterinary medicine. Objective: To assess whether navigational ultrasound imaging can be used to assist commonly...
Localised mitogenic activity in horses following infection with Streptococcus equi.
Research in veterinary science    March 11, 2015   Volume 100 100-104 doi: 10.1016/j.rvsc.2015.03.015
McLean R, Rash NL, Robinson C, Waller AS, Paillot R.Streptococcus equi subspecies equi (S. equi) is the causative agent of strangles, a highly contagious upper respiratory disease of equids. Streptococcus equi produces superantigens (sAgs), which are thought to contribute to strangles pathogenicity through non-specific T-cell activation and pro-inflammatory response. Streptococcus equi infection induces abscesses in the lymph nodes of the head and neck. In some individuals, some abscess material remains into the guttural pouch and inspissates over time to form chondroids which can harbour live S. equi. The aim of this study was to determine...
Naturally-occurring forelimb lameness in the horse results in significant compensatory load redistribution during trotting.
Veterinary journal (London, England : 1997)    March 9, 2015   Volume 204, Issue 2 208-213 doi: 10.1016/j.tvjl.2015.03.005
Maliye S, Voute LC, Marshall JF.This study aimed to quantify the compensatory response to naturally-occurring forelimb lameness on load redistribution. Data from lameness investigations using an inertial sensor based system to monitor the response to forelimb diagnostic anaesthesia were reviewed. Horses with primary forelimb lameness were grouped for analysis as (1) all horses combined (n= 28), (2) forelimb-only lameness (n= 8/28), (3) forelimb-contralateral hindlimb lameness (n= 14/28), (4) forelimb-ipsilateral hindlimb lameness (n= 6/28). The effect of diagnostic anaesthesia on measures of head and pelvic movement ...
Myocardial insult and arrhythmias after acute hemorrhage in horses.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    March 5, 2015   Volume 25, Issue 2 248-255 doi: 10.1111/vec.12295
Navas de Solis C, Dallap Schaer BL, Boston R, Slack J.The objectives of this investigation were to: (1) Determine if acute hemorrhage is associated with increased plasma cardiac troponin I (cTnI) concentration or cardiac arrhythmias, (2) to describe the types of arrhythmias and their clinical course in horses following acute hemorrhage, (3) to determine the ability of clinical or clinicopathological variables to predict an increase in cTnI concentration and the presence of arrhythmias, and (4) to determine the associations of cTnI and cardiac arrhythmias with outcome. Methods: Prospective observational study. Methods: Large animal veterinary teac...
Association of catastrophic biaxial fracture of the proximal sesamoid bones with bony changes of the metacarpophalangeal joint identified by standing magnetic resonance imaging in cadaveric forelimbs of Thoroughbred racehorses.
Journal of the American Veterinary Medical Association    February 27, 2015   Volume 246, Issue 6 661-673 doi: 10.2460/javma.246.6.661
Peloso JG, Vogler JB, Cohen ND, Marquis P, Hilt L.To compare bony changes in the metacarpophalangeal joint (MCPJ) of racehorses with (cases) and without (controls) biaxial proximal sesamoid bone (PSB) fracture as determined by 2 grading scales applied to images of cadaveric forelimbs obtained by means of standing MRI (sMRI). Methods: Case-control study. Methods: Forelimbs from 74 Thoroughbred racehorses (21 cases and 53 controls) that were euthanized at a Florida racetrack. Methods: Both forelimbs were harvested from cases and controls. Each forelimb underwent sMRI to obtain images of the MCPJ. Two grading scales were described and used for i...
Hematologic and biochemical reference intervals for adult Friesian horses from North America.
Veterinary clinical pathology    February 26, 2015   Volume 44, Issue 2 194-199 doi: 10.1111/vcp.12248
Sample SH, Fox KM, Wunn D, Roth E, Friedrichs KR.Established breed-specific reference intervals (RI) are an important tool for monitoring the health of horses. There is a lack of published work on breed-specific RI for Friesian horses. Objective: The goal of this project was to determine hematologic and biochemical RI for Friesian horses residing in North America. Methods: Strict inclusion and exclusion criteria were established for selection of reference subjects and for blood specimen collection and handling. Blood samples from 123 healthy, adult (range 3-18 years, median 8 years) Friesian horses of both sexes (70 mares, 45 geldings, and...
Prospective, retrospective or clinical audit: A label that sticks.
Equine veterinary journal    February 25, 2015   Volume 47, Issue 3 257-259 doi: 10.1111/evj.12409
Wylie CE.No abstract available
Effect of flunixin meglumine and firocoxib on ex vivo cyclooxygenase activity in horses undergoing elective surgery.
American journal of veterinary research    February 25, 2015   Volume 76, Issue 3 208-215 doi: 10.2460/ajvr.76.3.208
Duz M, Parkin TD, Cullander RM, Marshall JF.To evaluate ex vivo cyclooxygenase (COX) inhibition and compare in vitro and ex vivo COX-1 inhibition by flunixin meglumine and firocoxib in horses. Methods: 4 healthy horses for in vitro experiments and 12 healthy horses (6 males and 6 females; 5 Thoroughbreds, 5 Warmbloods, and 2 ponies) undergoing elective surgery for ex vivo experiments. Methods: 12 horses received flunixin meglumine (1.1 mg/kg, IV, q 12 h) or firocoxib (0.09 mg/kg, IV, q 24 h). Blood samples were collected before (baseline) and 2 and 24 hours after NSAID administration. Prostanoids (thromboxane B2, prostaglandin E2, and p...
Semilobar Holoprosencephaly Associated with Multiple Malformations in a Foal.
Anatomia, histologia, embryologia    February 25, 2015   Volume 45, Issue 2 148-153 doi: 10.1111/ahe.12175
Pintore MD, Cantile C.A full-term male foal born in a farm holidays in Maremma (Tuscany, Italy) was euthanized shortly after birth due to the presence of several malformations. The rostral maxilla and the nasal septum were deviated to the right (wry nose), and a severe cervico-thoracic scoliosis and anus atresia were evident. Necropsy revealed ileum atresia and agenesis of the right kidney. The brain showed an incomplete separation of the hemispheres of the rostral third of the forebrain and the olfactory bulbs and tracts were absent (olfactory aplasia). A diagnosis of semilobar holoprosencephaly (HPE) was achieved...
Enhanced bone healing using collagen-hydroxyapatite scaffold implantation in the treatment of a large multiloculated mandibular aneurysmal bone cyst in a thoroughbred filly.
Journal of tissue engineering and regenerative medicine    February 25, 2015   Volume 9, Issue 10 1193-1199 doi: 10.1002/term.2006
David F, Levingstone TJ, Schneeweiss W, de Swarte M, Jahns H, Gleeson JP, O'Brien FJ.An unmet need remains for a bone graft substitute material that is biocompatible, biodegradable and capable of promoting osteogenesis safely in vivo. The aim of this study was to investigate the use of a novel collagen-hydroxyapatite (CHA) bone graft substitute in the clinical treatment of a mandibular bone cyst in a young horse and to assess its potential to enhance repair of the affected bone. A 2 year-old thoroughbred filly, presenting with a multilobulated aneurysmal bone cyst, was treated using the CHA scaffold. Post-operative clinical follow-up was carried out at 2 weeks and 3, 6 and...
An optimised injection technique for the navicular bursa that avoids the deep digital flexor tendon.
Equine veterinary journal    February 25, 2015   Volume 48, Issue 2 159-164 doi: 10.1111/evj.12402
Daniel AJ, Goodrich LR, Barrett MF, Werpy NM, Morley PS, McIlwraith CW.Injection of the navicular bursa is commonly performed from the palmar aspect of the limb, which results in penetration of the deep digital flexor tendon (DDFT). Objective: To report a radiographic guided injection from the lateral aspect of the limb that avoids puncture of the DDFT and to assess synovial and soft tissue penetration by the needle. Methods: Prospective clinical and cadaveric study. Methods: Prospective analysis of cadaver limbs and clinical cases in which the navicular bursa was injected from the lateral aspect. Cadaver limbs were placed in a stand to simulate weight bearing an...
Exercise-induced pulmonary haemorrhage: A progressive disease affecting performance?
Equine veterinary journal    February 24, 2015   Volume 47, Issue 3 339-340 doi: 10.1111/evj.12412
Robinson NE, Williams KJ, Stack A, Jackson WF, Derksen FJ.No abstract available
Improvement in Bilateral Carpal Valgus Deviation in 9 Foals After Unilateral Distolateral Radial Periosteal Transection and Elevation.
Veterinary surgery : VS    February 24, 2015   Volume 44, Issue 5 547-550 doi: 10.1111/vsu.12322
Baker WT, Slone DE, Ramos JA, Santschi EM, Lord LK, Adams SB, Lynch TM, Hughes FE.To evaluate the effect of periosteal transection and elevation in foals with naturally occurring carpal valgus deviation. Methods: Prospective clinical study. Methods: Foals (n = 9) with bilateral carpal valgus. Methods: Foals with bilateral carpal valgus had distolateral radial periosteal transection and elevation (PE) including distal ulnar transection on 1 limb. Foals were stall confined until the skin incisions healed, and then allowed free exercise in a small paddock or round pen. Dorsopalmar carpal radiographs were obtained at 14 day intervals to determine the carpal valgus angle (CV...
Experimental transmission of equine hepacivirus in horses as a model for hepatitis C virus.
Hepatology (Baltimore, Md.)    February 24, 2015   Volume 61, Issue 5 1533-1546 doi: 10.1002/hep.27689
Ramsay JD, Evanoff R, Wilkinson TE, Divers TJ, Knowles DP, Mealey RH.Equine hepacivirus (EHCV; nonprimate hepacivirus) is a hepatotropic member of the Flaviviridae family that infects horses. Although EHCV is the closest known relative to hepatitis C virus (HCV), its complete replication kinetics in vivo have not been described, and direct evidence that it causes hepatitis has been lacking. In this study, we detected EHCV in 2 horses that developed post-transfusion hepatitis. Plasma and serum from these horses were used to experimentally transmit EHCV to 4 young adult Arabian horses, two 1-month-old foals (1 Arabian and 1 Arabian-pony cross), and 2 foals (1 Ara...
The Equine Movement Disorder “Shivers” Is Associated With Selective Cerebellar Purkinje Cell Axonal Degeneration.
Veterinary pathology    February 24, 2015   Volume 52, Issue 6 1087-1098 doi: 10.1177/0300985815571668
Valberg SJ, Lewis SS, Shivers JL, Barnes NE, Konczak J, Draper AC, Armién AG."Shivers" is a progressive equine movement disorder of unknown etiology. Clinically, horses with shivers show difficulty walking backward, assume hyperflexed limb postures, and have hind limb tremors during backward movement that resembles shivering. At least initially, forward movements are normal. Given that neither the neurophysiologic nor the pathologic mechanisms of the disease is known, nor has a neuroanatomic locus been identified, we undertook a detailed neuroanatomic and neuropathologic analysis of the complete sensorimotor system in horses with shivers and clinically normal control h...