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Topic:Clinical Signs
Clinical signs in horses refer to observable physical or behavioral manifestations that may indicate the presence of disease or injury. These signs can include a range of symptoms such as changes in appetite, alterations in gait, abnormal respiratory patterns, or variations in body temperature. Recognizing clinical signs is an integral part of equine veterinary practice, as they provide initial insights into the health status of the animal. Veterinarians rely on these signs to formulate differential diagnoses and guide further diagnostic testing. This page gathers peer-reviewed research studies and scholarly articles that explore the identification, interpretation, and diagnostic value of clinical signs in equine health management.
Equine maxillofacial intraosseous cystic lesions: a retrospective study of 17 cases. Cystic and pseudocystic masses of the equine maxilla and mandible are rare lesions that result in clinically significant morbidity and/or mortality for the patient. Previous literature consists of case reports or case series. Few studies have addressed the variety of cystic lesions and comparative features. The aim of this study was to retrospectively describe the clinical signs, imaging findings, histopathologic diagnoses, treatments, and clinical outcomes for cystic masses in the equine maxilla and mandible. Unassigned: Cases were recruited from six sources including a pathology laboratory, ...
Steamed hay for the prevention of severe equine asthma exacerbations. Steaming hay reduces respirable particles and is commonly used to feed horses with asthma. However, it showed inconsistent benefits in clinical studies. Objective: (1) To assess the effects of steamed hay on lung function and airway inflammation in horses with severe equine asthma (SEA) in remission; (2) To compare these effects with a dry hay diet. Methods: Cross-over in vivo experiment. Methods: Horses were fed steamed and dry hay for 4 weeks in a prospective, cross-over study, with a 4-week washout period. Lung function, bronchoalveolar lavage (BALF) cytology, and a 23-point weighted clin...
Effects of mixed polyphenol supplementation on lower airway inflammation in horses with Equine Asthma Syndrome. Equine Asthma Syndrome (EAS) is a chronic inflammatory respiratory disease of adult horses. While dietary polyphenols have shown anti-inflammatory effects in human asthma, their use in equine asthma has not been studied. Objective: To evaluate the effects of a mixed polyphenol supplement on systemic and pulmonary inflammation, bronchoalveolar lavage (BAL) cytology, and clinical respiratory signs in healthy and asthmatic horses. We hypothesized that polyphenol supplementation would decrease systemic and pulmonary inflammation in both healthy and asthmatic horses and would improve BAL cytology a...
Seropositivity for Pathogenic Leptospira in Dogs, Cats, and Horses at a Teaching Veterinary Hospital in Southern Chile. At a veterinary hospital in southern Chile, we conducted an epidemiological study involving domestic dogs, cats, and horses to determine the seropositivity for pathogenic spp., identify the infecting serogroups, measure antibody titers, and characterize seropositive animals by sex and age. None of the sampled animals showed clinical signs of leptospirosis. The microscopic agglutination test, using a panel of eight serogroups, was used for diagnosis. The seropositivity was 36.5% (95% confidence interval [CI] = 24.5-48.4) in dogs, 12.9% (95% CI = 2.6-23.1) in cats, and 45.2% (95% CI = 30.1-60.2...
Ivermectin toxicosis in a foal: Use of intravenous lipid emulsion therapy. This report describes a case of ivermectin toxicosis in a 4-day-old thoroughbred colt successfully treated with intravenous lipid emulsion (ILE) without complications. This case supports the use of ILE as a safe and effective therapy for the management of lipophilic drug toxicosis in foals. Key clinical message: Ivermectin toxicosis, though rare in equine neonates, can occur following accidental overdose and induces severe neurologic signs. In this case, ILE administration resulted in rapid neurologic improvement and complete recovery without adverse effects, supporting its use as a safe and e...
Emergence of Autochthonous Leishmania (Mundinia) martiniquensis Infections in Horses, Czech Republic and Austria, 2019-2023. We report 4 cases of equine cutaneous leishmaniasis caused by Leishmania martiniquensis in Czech Republic and Austria, outside the known endemic range of leishmaniases. The parasite should be considered as a potential cause of cutaneous lesions in horses; the risk for zoonotic transmission to immunocompromised humans is anticipated throughout central Europe.
High-field magnetic resonance imaging enables diagnosis of central tarsal bone fractures in performance horses with lameness localized to the proximal metatarsus and tarsus. Central tarsal bone (CTB) fractures are challenging to diagnose, and cross-sectional imaging is required for definitive characterization and surgical planning. This retrospective case series aims to provide the first description of high-field (3-T) MRI characteristics of CTB fractures, concurrent pathology, and clinical presentation in 8 performance horses. Unassigned: 8 horses (9 limbs) diagnosed with a CTB fracture on high-field MRI at one tertiary referral hospital between 2013 and 2023 were identified via electronic medical records search. Unassigned: Quarter Horses (6 of 8) used for Weste...
Equine Pituitary Pars Intermedia Dysfunction. Pituitary pars intermedia dysfunction (PPID) is a common, slowly progressive, neurodegenerative disorder of the older horse. Oxidative damage to the hypothalamic periventricular neurons results in loss of dopaminergic inhibition of the pars intermedia region of the pituitary gland. Consequently, there is increased production of the pro-opiomelanocortin (POMC)-derived hormones normally produced by this region, as well as initial melanocyte hypertrophy and hyperplasia, followed by adenomatous change. Clinical signs that are highly suggestive of the disease are generalised and regional hypertrich...
Seroprevalence and Passive Clinical Surveillance of West Nile Virus in Horses from Ecological High-Risk Areas in Western Romania: Exploratory Findings from a Cross-Sectional Study. This cross-sectional study evaluated the seroprevalence and clinical impact of West Nile virus (WNV) infection in horses from three ecologically high-risk counties in western Romania (Timiș, Arad, and Bihor) between 2023 and 2025. A total of 306 unvaccinated horses were tested using a commercial ELISA, with 8.17% testing positive for WNV antibodies, indicating prior exposure. Passive surveillance for clinical signs during mosquito seasons identified 16 horses with acute neurological symptoms, four of which were confirmed as clinical cases based on WNV-specific IgM positivity, suggesting proba...
Emergence of a new alveolar dental element after extraction of a molar tooth in a horse. A 2-year-old mixed-breed mare was examined at the property due to swelling and fistula on the right mandible. Oral examination and radiographs revealed the presence of an apical abscess involving the 410 tooth. The tooth was extracted entirely and confirmed radiographically. One year later, the owner reported a reoccurrence of clinical signs. A new radiographic evaluation revealed a radiopaque area in the alveolar socket of the 410 tooth filled with spongy-looking bone. An extraoral approach to the alveolar socket was performed, and the content removed had the appearance of a dental element.
First Equine Herpes Myeloencephalopathy (EHM) Outbreak in Chile. Equine herpes myeloencephalopathy (EHM) is a neurological disease in horses caused by Equine herpesvirus type 1 (EHV-1). It is a serious condition, often resulting in severe neurological deficits, and can be fatal. In this report, we discuss the first outbreak of EHM in Chile (clinical signs, epidemiology, diagnosis, and control measures). A total of 567 polo horses were kept at the facility: 58.4% mares, 41.6% geldings, and stallions. Mean age was 9.7 ± 0.132 years. Thirteen horses showed clinical signs of EHV-1, eight had fevers (1.4%), and eleven developed EHM (1.9%). Only six of the eleve...
Retrospective Evaluation of Synchronous Diaphragmatic Flutter in Horses: 37 Cases (2004-2022). To describe the clinical presentation of horses with synchronous diaphragmatic flutter (SDF) and identify clinical and laboratory variables associated with survival. Methods: Retrospective study from January 2004 to September 2022. Methods: Five large animal referral hospitals in the United States. Methods: Thirty-seven horses of various breeds and ages presenting with clinical signs of SDF, excluding animals participating in an endurance competition. All horses were >1 year of age. Methods: None. Results: Variables recorded and analyzed included signalment, clinical and laboratory data, trea...
Radiographic area of large intestinal sand accumulation in horses may determine clinical significance. Sand enteropathy is a common disease in horses worldwide. The presence of sand does not always cause disease. The amount of sand required to cause clinical disease is not well established. Objective: To establish a weight-indexed cut-off for the diagnosis of clinically relevant sand enteropathy based on radiographic area. Methods: Cross-sectional. Methods: Abdominal radiographs were acquired from clinically normal horses and compared with horses with clinical sand enteropathy. Sand area and sand area per kilogram of body weight were calculated. A receiver operating characteristic (ROC) curve w...
Assessment of Salivary Biomarkers of Gastric Ulcer in Horses from a Clinical Perspective. This study arises from the search for non-invasive diagnostic alternatives for equine gastric ulceration (EGUS), which is prevalent, clinically variable and only confirmed by gastroscopy. The aim is to quantify five salivary biomarkers (IL1-F5, PIP, CA VI, serotransferrin, albumin) under clinical conditions by validated assays and analyse their diagnostic value. Horses were grouped in No EGUS (neither clinical signs of EGUS nor gastric lesions), EGUS non-clinical (apparently no clinical signs of EGUS but with gastric lesions), and EGUS clinical (obvious clinical signs of EGUS and with gastric ...
Injection site abscesses associated with commensal and environmental bacteria following intramuscular vaccination in horses. Five previously healthy horses in Korea, including a 19-year-old mixed-breed gelding, a 16-year-old mixed-breed mare, a 13-year-old Thoroughbred gelding, a 12-year-old Belgian warmblood mare, and a 12-year-old Andalusian mare, developed subcutaneous abscesses in the left neck after receiving intramuscular vaccination without prior skin disinfection. The vaccination used was Equivac® 2 in1, containing toxoid and cell-free extract. Within one week, the horses developed localised swelling and/or abscessation at the injection site. One case involved a ruptured abscess, while the others presente...
Endoscopically assessed mucus parameters in equine asthma: Relationship to clinical history and cytological findings data. Mucus parameters are hallmark diagnostic features of equine asthma (EA). Objective: To investigate the relationship between mucus quantity score and mucus viscosity score with signalment, history, clinical findings and cytological parameters. Methods: Retrospective cross-sectional study. Methods: Mucus quantity and viscosity scores, signalment, history and clinical findings recorded for diagnostic purposes from up to 1599 samples, and cytological values of the corresponding bronchoalveolar lavage fluid (BALF) and tracheobronchial secretions were analysed. The cut-off value of a mucus quantity ...
Cardiac arrhythmia prevalence and risk factors in 24-h electrocardiograms of sedentary horses. Cardiac arrhythmias are common in horses, but their clinical relevance remains controversial. Objective: To describe prevalence and identify risk factors for arrhythmias that may warrant additional screening in a sedentary mixed-breed population of horses. Methods: Prospective cross-sectional. Methods: Ninety-four clinically healthy, university-owned, sedentary horses underwent 24-h ambulatory electrocardiograms and echocardiograms. Potential risk factors were recorded for all horses. Affected individuals were defined as those with >1 supraventricular premature complex/h or with any ventric...
Seroprevalence of Equine Influenza Virus Antibodies in Horses from Four Localities in Colombia. Equine influenza is a highly contagious disease caused by the equine influenza virus (EIV). The occurrence of EIV outbreaks in America is associated with low levels of vaccination coverage. In Colombia, no seroprevalence evaluation has been carried out to estimate the distribution of the virus within the country. Our aim was to perform a sero-epidemiological survey of equine influenza infections and to identify associated risk factors in horses from four departments of Colombia. Serological testing was carried out by using an ELISA for the detection of IgG antibodies against the influenza A vi...
West Nile Virus Antibody Prevalence in Horses During the 2023 Outbreak in Tunisia, North Africa. A total of 20 horses belonging to the Pasteur Institute of Tunis used for the production of therapeutic serum antiscorpion venom were tested for the presence of antibodies anti-West Nile virus (WNV) during the 2023 outbreak of West Nile disease that affected humans and horses in Tunisia. Of the 20 samples tested in November 2023 by enzyme-linked immuno-sorbent assay (ELISA), five were positive, leading to a seroprevalence of 25%. Since the number of horses is not substantial, all samples were tested also by virus microneutralization test (MNT) using the Tunisian strain of WNV lineage 1 isolate...
Serum and mucosal antibody testing to detect viral exposure in contact horses during an equine herpesvirus myeloencephalopathy outbreak. To apply equine herpesvirus type 1 (EHV-1) antibody testing in nasal swabs and serum in nonclinical horses during a naturally occurring outbreak of (EHV-1). Previous experimental EHV-1 challenge studies showed stable serum anti-EHV-1 antibody concentrations paired with rapidly increasing nasal mucosal antibodies (mucAbs) prevent EHV-1 infection, viral shedding, and cell-associated viremia. From this, we hypothesized that EHV-1 antibody testing can confirm exposure in non-clinical horses during an outbreak. Unassigned: 2 horses with neurological signs from 1 farm were admitted to an equine hosp...
Evaluation of use of respiratory physiotherapy in treatment of young foals with pneumonia. Pneumonia is a common condition in young, hospitalized foals, causing accumulation of inflammatory secretions to the airways. In humans, respiratory physiotherapy is commonly used as a supplementary treatment for pneumonia with varying results regarding its efficacy, but the efficacy in foals has not been assessed to date. Objective: This study aimed to evaluate the safety and efficacy of respiratory physiotherapy as a supplementary therapy method for young foals with pneumonia. Methods: A total of 44 foals with pneumonia aged under a month were used. The prospective intervention group receivi...
First Molecular Evidence of Equine Herpesvirus Type 1 (EHV-1) in Ocular Swabs of Clinically Affected Horses. Equine Herpesvirus Type 1 (EHV-1) is a significant pathogen within the subfamily, causing respiratory disease, abortions, and, in severe cases, equine herpesvirus myeloencephalopathy (EHM). While nasal swabs and blood samples are commonly used for real-time polymerase chain reaction (RT-PCR) diagnosis, variability in viral shedding necessitates exploring additional sample types. This study reports the first molecular detection of EHV-1 in ocular swabs from naturally infected horses during an outbreak in the Valencian Community in 2023. Nasal and ocular swabs were collected from ten symptomati...
Suspensory Ligament Injuries: Diagnosis and Treatment. The location of a suspensory ligament (SL) injury heavily influences the clinical presentation, prognosis, and treatment options. Diagnostic imaging is necessary to provide an accurate diagnosis and is critical to ensure the institution of the most appropriate treatment. The hindlimb proximal SL in particular can be challenging to diagnosis, carries a guarded prognosis, and typically requires aggressive treatment to achieve soundness.
Suspected marsh mallow (Malva parviflora) toxicosis in ponies-Case cluster including an asymptomatic survivor. There is limited published information on Malva parviflora toxicosis in horses. Four previously reported cases all resulted in death or euthanasia. The aim of this cluster investigation was to describe historical, clinical and clinicopathological findings of four ponies with suspected M. parviflora toxicosis and compare these to previously reported cases. Historical, clinical and clinicopathological findings were collated. Ponies were grazing pasture of approximately >90% M. parviflora. Pony 1 died rapidly without veterinary examination. Pony 2 was examined for prolonged recumbency attribut...
Metabolic, pathological, and genetic analyses of foals neonatal foals that died in Noma horses. We evaluated metabolic abnormalities in six neonatal Noma foals (Nos. 54-57, 62, and 66) that died shortly after birth, using laboratory tests, pathological examinations, serum amino acid (AA) analyses, gas chromatography/mass spectrometry (GC/MS), and genetic analyses. Nonspecific clinical symptoms, such as poor suckling and weakness, were commonly observed at birth. Sepsis caused by various bacterial infections was detected in foal Nos. 54, 62, and 66, while a heart malformation was identified in foal No. 57. Laboratory tests showed high aspartate transaminase, lactate dehydrogenase, and cre...
Computed tomography and nephrotomy in a Warmblood stallion with bilateral nephrolithiasis. 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 ...
Clinical Prevalence of Equine Coital Exanthema in a Thoroughbred Covering Station in Türkiye (2021-2024). Equine Coital Exanthema (ECE) is an endemic herpesvirus disease primarily affecting the external genitalia and impairing mating activities in horses. Its extremely contagious nature, latency and subclinical features can result in outbreaks and significant economic losses. Transmission occurs primarily through mating activities; therefore, robust biosecurity measures are crucial in breeding facilities. This study aims to determine the clinical prevalence of ECE among horses in a covering station in Türkiye from 2021 to 2024. It also aims to assess the efficacy of routine PCR implementation wit...
Review of published research on primary dysautonomia of domestic animals. An article published in 1992 by Marion M. Pollin and I.R. Griffiths reviewed the topic of primary dysautonomias of the autonomic nervous system of unidentified origin in multiple domestic species, specifically cats, dogs and horses. Thirty-one years later, we appear no closer to identifying the causal agents of these strikingly similar diseases. This article reviews the similarities and differences in clinical presentation and pathology of dysautonomia in canids, felids, equids, leporids and other less frequently reported species.
Severe urticaria in a horse after consumption of horseweed (Conyza canadensis (L.) Cronquist) – A case study. 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...
Comparative clinical, virological and pathological characterization of equine rotavirus A G3P[12] and G14P[12] infection in neonatal mice. Group A rotavirus (RVA) infections are a leading cause of neonatal diarrhoea in foals. Neonatal mice could serve as a useful tool to study the pathogenesis of equine RVA (ERVA) as well as a preclinical model for assessment of vaccine efficacy. This study aimed to comparatively evaluate the clinical, virological and pathological features of ERVA G3P[12] and G14P[12] infection in neonatal mice and compare them with porcine OSU G5P[7] and bovine UK G6P[5] RVA reference strains. Neonatal mice orally inoculated with equine, bovine and porcine RVA developed short-lived diarrhoea at variable rates, G...
