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Topic:Diagnostic Technique

Diagnostic techniques in equine medicine encompass a range of procedures and tools used to identify diseases, injuries, or other health conditions in horses. These techniques include imaging methods such as radiography, ultrasonography, and magnetic resonance imaging (MRI), as well as laboratory tests like blood work and tissue biopsies. Each diagnostic method provides specific information that can aid in the assessment and management of equine health issues. Radiography is commonly used for evaluating bone structures, while ultrasonography is useful for soft tissue examination. MRI offers detailed images of both soft and hard tissues, though its use is limited by cost and availability. Laboratory tests can detect biochemical and hematological changes indicative of disease. This page compiles peer-reviewed research studies and scholarly articles that explore the development, application, and efficacy of various diagnostic techniques in equine veterinary practice.
Postmortem characterization of cranial nuchal bursa and ligament in healthy horses reveals subclinical gross and histopathologic abnormalities.
American journal of veterinary research    March 16, 2026   1-9 doi: 10.2460/ajvr.25.12.0442
Sfraga H, Demeter EA, Pinn-Woodcock T, Guarino C, Young R, Cronk B, Cercone M.To investigate the presence of subclinical cranial nuchal bursitis and characterize its histopathologic features and association with Borrelia burgdorferi. Unassigned: This was a prospective descriptive cadaver study on a convenience population of horses in a B burgdorferi-endemic region (15 horses: 5 geldings and 10 mares of various breeds; 4 to 29 years old). Horses without history or clinical signs of cranial nuchal bursitis underwent euthanasia and tissue donation. Cranial nuchal bursa, synovial fluid, and nuchal ligament were collected postmortem. The bursa and ligament were evaluated via...
Orthoflavivirus-associated neurological disease in a UK horse.
The Veterinary record    March 13, 2026   Volume 198, Issue 6 e236 doi: 10.1002/vetr.70525
Cornelisse K, Ionescu AM.Keesjan Cornelisse and Andra-Maria Ionescu discuss the clinical presentation, investigation and diagnostic approach to a case of orthoflavivirus infection in a horse in south-west England.
Detection of exercising ectopic atrial and ventricular beats using non-linear analysis of clinically normal racehorse electrocardiograms at rest or low-intensity exercise.
Scientific reports    March 13, 2026   doi: 10.1038/s41598-026-41281-0
Alexeenko V, Tavanaeimanesh H, Stein F, Gold J, Hughes L, McCue M, Marr C, Durward-Akhurst S, Jeevaratnam K.Cardiac arrhythmias are common in healthy athletic horses and may lead to poor athletic performance or exercise-associated sudden death. Early detection of high-risk horses is an important goal of cardiovascular diagnostics. We hypothesised that non-linear analysis of electrocardiogram disorderliness can be used to identify horses exhibiting intermittent ectopic atrial and ventricular heart rhythm abnormalities at exercise using brief, artifact-free recordings of normal sinus rhythm electrocardiograms collected at submaximal heart rates. In a convenience prospective cross-sectional study, ambu...
Prolonged wireless measurement of intragastric pH in foals.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalaf012 doi: 10.1093/jvimsj/aalaf012
Hodgson E, Romano TR, Stewart A, Bond S, Wise J.The pathogenesis of gastric ulceration is not well understood in foals, and its relationship with gastric acidity requires further investigation. A wireless capsule, designed for intraesophageal pH monitoring in humans, was adapted to measure intragastric pH in adult horses. Objective: To (1) determine the feasibility of wireless intragastric pH measurement in foals; (2) determine capsule attachment duration; and (3) describe the intragastric pH profiles recorded. Methods: Eight healthy foals aged 24-98 days. Methods: Prospective interventional study. Capsules were attached to the glandular g...
The effects of furosemide on pulmonary transmural pressure and exercise-induced pulmonary hemorrhage in supramaximally exercising thoroughbred racehorses.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalaf024 doi: 10.1093/jvimsj/aalaf024
Massie S, Léguillette R, Jones JH, Guigand C, Sides RH, Jones KB, Warlick LM, Thueson EL, Troudt TA, Bayly WM.Maximal intensity exercise in equine athletes induces pulmonary capillary stress failure and exercise-induced pulmonary hemorrhage (EIPH) secondary to excessive transmural pressure (Ptm). Furosemide decreases EIPH severity and pulmonary arterial (PAP) and pulmonary wedge (PAW) pressures. Objective: Assess the effects of furosemide on Ptm and EIPH during supramaximal exercise. Methods: Six fit retired Thoroughbreds with consistent EIPH Grade ≥ 2. Methods: Horses performed a controlled crossover design protocol, completing standardized treadmill tests (120%V̇O2max) before and 4 h after int...
Vectorcardiography at rest and during exercise in horses using the Delta (Δ) 12-lead configuration.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalaf008 doi: 10.1093/jvimsj/aalaf008
Paulussen E, Delhaas T, Decloedt A, van Loon G, Van Steenkiste G.Twelve-lead electrocardiography (ECG) is essential in human cardiology but remains poorly investigated in equine medicine due to a lack of standardization and inconsistent findings. Objective: Describe the normal vectorcardiogram (VCG) variation in horses at rest and during exercise using Delta 12-lead ECG, including repeatability and intra- and interobserver variations. Methods: One hundred two healthy Warmblood horses, aged 3-20 years, were examined at rest, of which 30 also during exercise. Methods: Prospective, observational study. Electrocardiograms were recorded using a Δ 12-lead confi...
Isolation and characterization of seminal extracellular vesicles subsets and their impact on sperm freezability in stallions.
Animal reproduction science    February 26, 2026   Volume 289 108160 doi: 10.1016/j.anireprosci.2026.108160
The ability of spermatozoa to withstand cryopreservation differs between stallions. While the underlying mechanisms of these differences are not fully understood, seminal plasma (SP) may play a crucial role in modulating sperm cryotolerance. Seminal plasma contains a heterogeneous population of extracellular vesicles (sEVs), nanometer-sized membrane particles that can transfer biomolecules to sperm modulating their function. This study aimed to isolate and characterize two sized-sEV subsets-small (S-) and large (L-)-from stallion SP, and to evaluate their involvement in sperm freezability. Sem...
Equine lameness detection and monitoring during diagnostic anaesthesia with an instrumented hoof boot.
Veterinary journal (London, England : 1997)    February 25, 2026   Volume 317 106614 doi: 10.1016/j.tvjl.2026.106614
Keller J, Hassenstein MJ, Jung K, Geburek F.Ground reaction forces are accepted as gold standard for objective assessment of weightbearing lameness but measurements at the hoof are limited to experimental devices. This study aimed to evaluate whether innovative instrumented hoof boots (IHBs) could detect and monitor lameness in horses during diagnostic anaesthesia. Twenty-six horses referred for lameness examination (15 front limbs, 17 hindlimbs) were equipped with IHBs and body mounted inertial sensors. Data were collected simultaneously before and after diagnostic anaesthesia until objectively considered positive. Recorded IHB data i...
A topographic analysis of skin thickness in horses.
Veterinary research communications    February 25, 2026   Volume 50, Issue 3 170 doi: 10.1007/s11259-026-11124-4
Hmb O, L W, M V, Jm W, Ct F.A systematic study of regional skin thickness in different types of horses has not yet been described. Knowledge about regional skin thickness has long been used in human medicine to optimise wound care and skin grafting outcomes and similar knowledge could prove useful in equine wound management. The objective of the current study was to report the topographical variation in skin thickness of Warmblood (WB) and Coldblood (CB) type horses and to compare different methods for measuring skin thickness. Horses free of skin conditions and euthanised for reasons unrelated to this study were include...
Transthoracic impedance in adult Thoroughbred horses is similar to other species.
American journal of veterinary research    February 20, 2026   1-6 doi: 10.2460/ajvr.25.12.0431
Shroff K, Underwood C, Stefanovski D, Hopster K, Slack J.To determine transthoracic impedance (TTI) in adult horses using an exponential biphasic defibrillator and investigate patient and technique factors influencing TTI. Unassigned: A randomized crossover design with 2 phases was used. Phase 1: TTI was measured in dorsal and lateral recumbency, with and without manual pressure on the electrodes in deceased horses immediately following euthanasia. Phase 2: TTI was measured in dorsal recumbency during inspiration and expiration using anesthetized live horses sourced from 2 terminal studies. Mixed-effects linear regression modeling was performed to a...
Utility of dynamic preload indices of hypovolemia in isoflurane-anesthetized horses.
Veterinary anaesthesia and analgesia    February 19, 2026   Volume 53, Issue 3 101205 doi: 10.1016/j.vaa.2026.101205
Byrne J, Guedes AG, Hickey C, Hatschbach E, Walters B, Rendahl A, Tearney C.To evaluate the utility of the dynamic indices, systolic pressure variation (SPV%), pulse pressure variation (PPV%) and plethysmographic variability index (PVI%) during induced hypovolemia, and to determine their correlation with cardiac output (CO) in anesthetized horses. Methods: Prospective experimental study. Methods: A group of eight healthy adult research horses. Methods: After sedation with intravenous (IV) xylazine, anesthesia was induced with IV ketamine and diazepam and maintained with constant-dose isoflurane delivered in 100% oxygen. Horses were positioned in dorsal recumbency, par...
The neutrophil-to-lymphocyte ratio is associated with disease severity and infectious etiologies of colitis in horses presenting with acute colitis.
American journal of veterinary research    February 18, 2026   1-9 doi: 10.2460/ajvr.25.12.0447
Samuels AN, Collins N, Albrecht M, Cuming R, Reed S, Gomez D, Toribio R.To evaluate associations between the neutrophil-to-lymphocyte ratio (NLR), nonsurvival, illness severity, and infectious etiologies. Unassigned: This was a retrospective multicenter study that included 100 healthy horses and 444 horses presenting with acute diarrhea to 5 equine referral hospitals. Inclusion criteria were diarrhea duration < 48 hours, complete hemograms, and outcome data. Illness severity was assessed using systemic inflammatory response syndrome. The results of pathogen testing for Salmonella spp, equine coronavirus, Clostridium spp, and Neorickettsia risticii/findlayensis ...
“Synthetic gp90 peptide ELISA for equine infectious anemia virus: Improved sensitivity and risk factor insights”.
Preventive veterinary medicine    February 16, 2026   Volume 250 106811 doi: 10.1016/j.prevetmed.2026.106811
Acevedo-Jiménez GE, Morales-González C, Akbarin MM, Rodríguez-Murillo C, González-Fernández VD, Avila-De la Vega LM, García-Flores MM....Equine infectious anemia virus (EIAV) is a globally significant equine pathogen, and its control relies on effective serological surveillance. The agar gel immunodiffusion (AGID) test, the WOAH-prescribed method, has limitations in sensitivity. This study developed and validated an indirect ELISA using a synthetic peptide derived from a conserved region of the EIAV gp90 surface glycoprotein. The assay was evaluated using 773 horse sera from the Metropolitan Zone of the Valley of Mexico and compared to the AGID test. The gp90-EIAV ELISA demonstrated a sensitivity of 85.3 % and a specificity o...
Evaluation of computed tomographic anatomy of the foot in Jeju horses.
Journal of veterinary science    February 10, 2026   Volume 27, Issue 1 e7 doi: 10.4142/jvs.25250
Kim T, Lee S, Seo JP.Foot diseases are common causes of lameness in horses. Computed tomography (CT) is a valuable tool for diagnosing musculoskeletal lesions in horses and providing a detailed evaluation of foot diseases. Objective: The objective of this study was to establish reference ranges related to the feet of normal Jeju horses by measuring the angles and length of the hoof, and the Hounsfield Unit (HU) value of soft tissues in the foot. Methods: Sixteen normal Jeju horses (mean age: 4.25 years; mean body weight: 282.06 kg) without lameness were examined using CT. After CT scanning, the angles and lengths ...
Advances in ELISA-based detection of equine leptospirosis.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    February 9, 2026   Volume 57, Issue 1 52 doi: 10.1007/s42770-025-01854-z
Cardoso TL, Wozeak DR, Pereira IL, da Silva Ribeiro LD, Rodrigues RO, Hartwig DD.Leptospirosis is a globally distributed zoonosis that affects both humans and animals, with being the main causative agent. In horses, the disease is associated with considerable economic losses. The Microscopic Agglutination Test (MAT) is the reference test for diagnosis but has limitations, emphasizing the need for effective diagnostic alternatives. In this study, was evaluated the use of a recombinant chimera, composed of ErpY-like and LemA proteins, as an antigen for ELISA-based detection of equine leptospirosis. The chimera was successfully expressed, purified and tested on 915 horse ser...
Enhancing African horse sickness virus detection: comparing and adapting PCR assays. Penzhorn L, Crafford JE, Guthrie AJ.African horse sickness (AHS) is the only equine disease for which the World Organisation for Animal Health (WOAH) gives official disease-free status, given that it poses a major threat to the equine industry. The disease is caused by AHS virus (AHSV; family , taxon species ), which is endemic in sub-Saharan Africa. Reverse-transcription quantitative real-time PCR (RT-qPCR) is a rapid, sensitive detection method used in the diagnosis of AHS and the certification of animals as negative for AHSV for the purpose of movement. Genetic variability of AHSV may influence the accuracy of RT-qPCR detecti...
The first molecular detection of equine piroplasmosis in Vietnam and genetic characterization of three co-circulating genotypes of Theileria equi.
Parasitology research    February 5, 2026   Volume 125, Issue 1 14 doi: 10.1007/s00436-026-08630-4
Dao TTH, Szűts T, Duong NN, Troung DTQ, Solymosi N, Takács N, Hornok S, Farkas R.Equine piroplasmosis, caused by , and , significantly impacts on the veterinary and economic aspects of the global horse industry. However, many countries, including Vietnam, have not yet conducted epidemiological surveys to determine the prevalence of these haemoparasites. This study aimed to detect and/or infections in horses and to identify their genotypes. Blood samples were collected from 154 apparently healthy horses in eight districts of Hanoi, Thai Nguyen, and Son La provinces located in the northern part of the country. Twenty-four horses (15.58%, 95%CI: 10.70–22.14%) were found ...
Activation of the S100A8/A9 Alarmin Amplifies Inflammatory Pathways in Equine Ascending Placentitis.
International journal of molecular sciences    February 4, 2026   Volume 27, Issue 3 1550 doi: 10.3390/ijms27031550
Scoggin KE, Rakha SI, Abdellatif AM, Adlan F, Helmy YA, Ruby R, Ball B, Boakari Y, Ali HE.Ascending placentitis is a significant cause of equine pregnancy loss, yet the upstream inflammatory triggers are poorly defined. Recently, we identified S100A8/S100A9 (S100A8/A9) alarmins as potential upstream regulators in a chronic equine placentitis model. The current study aimed to determine whether this upregulation is sustained in the acute model and in clinical cases, and to elucidate the expression of their downstream inflammatory mediators. Using an experimental model, we quantified mRNA expression in acute ( = 5) and chronic ( = 6) placentitis induced by ssp. . We found mRNA expre...
Prognostic Significance of Erythrocyte Sedimentation Rate for Survival in Equine Colic.
Animals : an open access journal from MDPI    February 3, 2026   Volume 16, Issue 3 476 doi: 10.3390/ani16030476
Meistro F, Rinnovati R, Blanc E, Berni P, Napoli S, Marcucci E, D'Angelo P, Ruggeri M, Spadari A, Gialletti R.Accurate early prognostic assessment is a central aspect of clinical decision-making in horses presenting with colic. Despite the availability of multiple clinical and laboratory parameters, reliable biomarkers that provide useful information at the time of admission remain limited. The erythrocyte sedimentation rate is a non-specific indicator of systemic inflammation that has recently been validated for automated point-of-care use in horses. Its behaviour in equine colic has not been previously characterised. This study included 85 horses admitted for colic at two university referral hospita...
How to perform a venogram of the equine foot.
Journal of the American Veterinary Medical Association    January 30, 2026   1 doi: 10.2460/javma.25.11.0755
Santonastaso A, Burns T, Claffey E.The objective of this video is to demonstrate a reliable technique for obtaining diagnostic venogram images of the equine foot. Venogram studies are indicated to assess vascular contrast filling of the equine digit, primarily in cases of laminitis. Unassigned: A healthy university-owned horse was used for demonstration purposes. The protocol was approved by the Virginia Polytechnic Institute and State University IACUC. Unassigned: The horse's shoes are removed, and the foot is cleaned of debris. The horse is sedated and a medial and lateral abaxial nerve block performed. The pastern is clipped...
Barrel racing horses demonstrate a high incidence of nonclinical postrace airway disorders.
Journal of the American Veterinary Medical Association    January 23, 2026   1-10 doi: 10.2460/javma.25.10.0712
Williams MR, Silverstone A, Burba DJ, McCarrel T, Schoonover MJ, Rudra P.To describe the prevalence of postrace airway abnormalities in a population of barrel racing horses competing in Oklahoma. Unassigned: A descriptive field study was conducted at a single event. Horses underwent resting endoscopy within 60 minutes of competition. Recordings were evaluated and numerical and/or binary scores assigned for pharyngeal lymphoid hyperplasia, recurrent laryngeal neuropathy, dorsal displacement of the soft palate, epiglottic entrapment, and exercise-induced pulmonary hemorrhage. Clients completed a questionnaire detailing the horse's medical history and run time. A line...
Three-dimensional anatomical description of the microarchitecture of the distal sesamoid bone in healthy and navicular syndrome-affected horses by computed microtomography.
Anatomical record (Hoboken, N.J. : 2007)    January 20, 2026   doi: 10.1002/ar.70143
Salinas P, Vergara MA, Tapia D.Navicular syndrome (NS) is a chronic, degenerative condition of the equine thoracic limb that compromises the distal sesamoid bone (DSB) and associated structures responsible for stabilization and load absorption during locomotion. Although historically attributed to vascular alterations, its etiology is now recognized as biomechanical, characterized by chronic overload of the deep digital flexor tendon. Conventional diagnostic techniques-radiography, scintigraphy, and ultrasonography-lack the sensitivity and precision required to detect early microarchitectural alterations. This study aimed t...
Comparative Analysis of Extracellular Vesicle Isolation From Equine Serum and Plasma Using Two Isolation Methods With Structural and Proteomic Validation.
FASEB journal : official publication of the Federation of American Societies for Experimental Biology    January 19, 2026   Volume 40, Issue 2 e71472 doi: 10.1096/fj.202504053R
Milczek-Haduch D, Żmigrodzka M, Kiełbik P, Świderska B, Olędzki J, Witkowska-Piłaszewicz O.Extracellular vesicles (EVs) are promising biomarkers and mediators of intercellular communication, but their isolation from equine biofluids remains challenging. This study compared two isolation workflows-size-exclusion chromatography (SEC) and differential ultracentrifugation followed by SEC (UC + SEC)-to evaluate their efficiency, reproducibility, and the proteomic composition of EVs derived from equine serum and plasma. Blood from six healthy horses was processed to obtain platelet-free plasma and serum. EVs were isolated using SEC or UC + SEC and characterized by transmission ele...
Effects of sample storage time and temperature on equine complete blood counts.
Journal of equine veterinary science    January 17, 2026   Volume 158 105782 doi: 10.1016/j.jevs.2026.105782
Friend MM, McGaffigan EM, Hall SM, Staniar WB, Smarsh DN.Equine blood samples are often collected in uncontrolled, distant environments and stored for later analysis. Objective: This study aimed to determine how sample storage methods influence complete blood count (CBC) parameters, hypothesizing that temperature and time elapsed from collection to analysis would affect CBC parameters. Methods: Blood samples were collected from 10 healthy Quarter Horse mares (age: 13 ± 4.5 years old) and stored in EDTA tubes at room temperature (22°C), above ice (8°C), refrigerated (4°C), or in contact with ice (2°C). The IDEXX ProcyteDx was used to obtain CBCs...
Validation of a handheld smartphone markerless gait-analysis tool using an estimated groundline in horses.
Equine veterinary journal    January 16, 2026   doi: 10.1002/evj.70149
Key K, Kirkegaard J, Berg K, Andresen KR, Skov Hansen S.A handheld smartphone-based computer vision algorithm (RealHorse® [RH]) offers accessible alternatives for equine gait analysis but requires validation against a gold-standard three-dimensional multicamera optical motion capture system (Qualisys® [QS]). Objective: To evaluate the accuracy and precision of RH in measuring vertical displacement signals (VDS) at the eye, withers, back and croup in horses trotting on a straight line and on a circle. Methods: Cross-sectional comparative validation study of a markerless computer vision algorithm. Methods: Fifty-nine horses were recorded while trot...
Two cases of primary hepatic neoplasia in young horses: Diagnostic challenges and clinical implications.
Journal of equine veterinary science    January 16, 2026   Volume 158 105783 doi: 10.1016/j.jevs.2026.105783
Siwinska N, Ciaputa R, Dlugopolska D, Paszkowska M, Haider W, Schwegler K.Primary hepatic neoplasms are rare in horses and often have a poor prognosis due to non-specific clinical signs and delayed diagnosis. This report describes two cases of primary hepatic neoplasia in young horses. The first case was a yearling Hanoverian filly presenting with non-specific clinical signs, including poor weight gain and inappetence, ultimately diagnosed with hepatoblastoma based on ultrasonographic findings and histopathological examination. The second case was a three-year-old Polish Sport Horse stallion that died suddenly, with post-mortem examination revealing advanced cholang...
Serological Assays to Measure Rabies Antibody Response in Equine Serum Samples.
Viruses    January 14, 2026   Volume 18, Issue 1 108 doi: 10.3390/v18010108
Beniwal N, Lal B, Mithina S, Verma CK, Kumar S, Phagna V, Jakhar K, Sonar S, Gupta V, Singh R, Kumar N, Tan CW, Thachamvally R, Singha H, Murzello K....Rabies is a neglected tropical zoonotic disease caused by rabies-virus (RV) infection and is responsible for almost 60,000 annual deaths globally, largely affecting the socio-economically disadvantaged population. Although fatality is preventable by immunization either before or after exposure with therapeutic antibodies, the high cost of prophylaxis or treatment limits their accessibility for the affected population. However, due to the almost 100% fatality rate in symptomatic individuals, almost 29 million annual vaccinations are performed, imposing high financial burden. Human transmission ...
Evaluation of Laboratory Techniques for the Diagnosis of Leptospira-Associated Equine Recurrent Uveitis (ERU) With Focus on the Goldmann-Witmer Coefficient.
Veterinary ophthalmology    January 10, 2026   Volume 29, Issue 1 e70132 doi: 10.1111/vop.70132
Kirmse L, Thieme K, Doherr MG, Eule JC.To evaluate different laboratory procedures for determining the etiologic diagnosis of equine recurrent uveitis regarding intraocular infection with Leptospira spp. and to establish a diagnostic guideline. Methods: Eighty horses with a history of ERU were ophthalmologically examined. Serum and aqueous humor were collected. Total protein, albumin level, and MAT against Leptospira spp. were evaluated on serum and aqueous humor. PCR for Leptospira spp., EHV-1 and -4 was performed on aqueous humor. Goldmann-Witmer coefficient (GWC) and C-value (CC) were calculated based on MAT. In 42 cases, an add...
Isolation of Madariaga Virus (MADV) in a Horse Coinfected with Equine Infectious Anemia in Venezuela: A Review of MADV Circulation in the Country.
Veterinary sciences    January 10, 2026   Volume 13, Issue 1 71 doi: 10.3390/vetsci13010071
Garzaro D, Rodríguez N, Medina G, Alcazar W, Gualdron M, Siem JA, Sulbaran Y, Barrios M, Liprandi F, Jaspe RC, Pujol FH.Madariaga virus (MADV), formerly known as the South American variant of Eastern Equine Encephalitis virus (EEEV), is an alphavirus that belongs to the family and has been periodically infecting equids in Venezuela since its first identification in 1975. This study reports the isolation and molecular characterization of MADV isolated from a horse in December 2024 in the context of MADV cases reported in Venezuela. Methods: Antibodies to the rabies virus were detected by indirect immunofluorescence, and to the Equine Infectious Anemia virus (EIAV) by passive immunodiffusion. MADV RNA was detect...
Outbreak of equine botulism type C associated with consumption of baleage in Brazil. Souza LL, Lima AS, Martins AS, Silva TA, Borsanelli AC, Dutra IS, Pupin RC, Gomes DC, Lemos RA.An outbreak of botulism occurred in March 2024 among horses at a Quarter Horse stud farm in Central-West Brazil. After ingesting baleage, 22 of 26 (85%) horses housed in stables and fed baleage became ill. The affected horses had dysphagia, muscular weakness, fasciculations, and progressive recumbency; 13 of 22 (59%) died within a few days. The diagnosis of type C botulism was established based on clinical and epidemiologic findings and confirmed by mouse bioassays, which indicated botulinum toxin type C in liver samples and intestinal contents. Furthermore, PCR testing identified toxigenic i...
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