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Topic:Disease Diagnosis

Disease diagnosis in horses involves the identification and characterization of illnesses through various diagnostic methods and tools. This process is essential for effective veterinary care and management of equine health. Techniques used in diagnosing diseases in horses include clinical examinations, laboratory tests, imaging modalities such as ultrasonography and radiography, and molecular diagnostics. Blood tests are frequently utilized to assess parameters such as complete blood count and biochemical profiles, which can indicate underlying health issues. Additionally, advancements in genetic testing and biomarker identification have enhanced the ability to detect specific diseases early. This page aggregates peer-reviewed research studies and scholarly articles that explore diagnostic methodologies, their applications, and their impact on equine health management.
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.
Sequential measurement of serum amyloid A concentrations in ill hospitalized neonatal foals.
Journal of veterinary internal medicine    March 6, 2026   Volume 40, Issue 2 aalag035 doi: 10.1093/jvimsj/aalag035
van den Brom-Spierenburg AJ, Siegers EW, Westermann CM, Vernooij JCM, Sloet van Oldruitenborgh-Oosterbaan MM, Theelen MJP.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 (n = 90, ≤ 14 days). Methods: In this retrospective study, foals were classified based on SIRS criteria: "SIRS" or "NonSIRS," ...
Equine neorickettsiosis: A global perspective of the natural habitat of the bacteria and clinical disease.
Veterinary microbiology    March 6, 2026   Volume 316 110963 doi: 10.1016/j.vetmic.2026.110963
Arroyo LG, Borges AS, Baird JD, Perry BD, Rikihisa Y, Greiman SE.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...
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...
Associations among beta-endorphin, ACTH, cortisol concentration, age, and clinical signs indicative of pituitary pars intermedia dysfunction in geriatric horses.
Journal of veterinary internal medicine    February 26, 2026   Volume 40, Issue 1 aalag023 doi: 10.1093/jvimsj/aalag023
Billmann P, Durham A, Christen G, Savioli G, Gross JJ, Gerber V, Fouché NE.Limited published data are available regarding the relationships among clinical signs associated with pituitary pars intermedia dysfunction (PPID), age, and concentrations of proopiomelanocortin-derived peptides and cortisol. Objective: Identify clinical signs associated with age, beta-endorphin (β-END), adrenocorticotropic hormone (ACTH), and cortisol concentrations and compare β-END and cortisol concentrations between horses with PPID and geriatric controls. Methods: A total of 113 horses aged 18-32 years. Methods: Cross-sectional study. Clinical signs were scored, plasma β-END, ACTH, an...
Ultrasonography accurately detects equine cervical articular process joint effusion with comparable performance to computed tomography.
Journal of the American Veterinary Medical Association    February 25, 2026   1-7 doi: 10.2460/javma.25.11.0762
McCosh KK, Selberg KT, Platt LA, Seabaugh KA.To compare effusion scores obtained via ultrasound (US) and computed tomography (CT) in equine cervical articular process joints (CAPJs). Unassigned: Cadaveric cervical specimens (skull through C7) from 6 horses were used. One specimen was used to establish maximal joint distension volume. In the main study phase, 50 CAPJs were randomly assigned to receive 0, 2, or 4 mL of positive contrast solution. The CAPJs were imaged via US and CT before and after injection. Effusion was subjectively graded on a scale of 0 to 4 for both modalities. Statistical analyses compared pre- and post-injection eff...
[Equine laryngeal dysplasia – overview of variable clinical presentation based on 6 cases].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 13, 2026   Volume 54, Issue 1 60-67 doi: 10.1055/a-2751-7292
Werner CA, Wimmer-Scherr CM, Schwarz BC.Equine laryngeal dysplasia (ELD) is the umbrella term for various malformations of laryngeal structures that arise from the 4th and 6th branchial arches during embryogenesis. The disease is rare and may be subclinical. In symptomatic patients with clinical signs, the clinical presentation is highly variable and is the result of functional limitations of the larynx as well as of the esophageal sphincter. The spectrum of signs may range from respiratory changes such as abnormal respiratory noise, coughing, and at times dyspnea all the way to poor performance, dysphagia, aerophagia, and colic. Th...
Acquired and Degenerative Conditions of the Cervical Vertebral Column in Horses.
The Veterinary clinics of North America. Equine practice    February 12, 2026   S0749-0739(25)00078-1 doi: 10.1016/j.cveq.2025.12.010
Schmidt S, Swagemakers JH, le Jeune SS.The cervical vertebral column in horses plays a crucial role in movement, posture, and performance and disorders affecting it can cause pain, ataxia, or lameness. This review discusses major acquired (traumatic, infectious, neoplastic) and degenerative (osteoarthritis, foraminal stenosis, intervertebral disc disease) conditions. Acquired lesions often arise from trauma, bacterial infection, or neoplasia, with clinical signs ranging from neck pain to neurologic deficits. Degenerative disorders, particularly osteoarthritis of articular process joints, are common in the caudal cervical spine and ...
Proteomic profiling of equine airway mucus reveals compositional changes in asthmatic phenotypes.
Scientific reports    February 10, 2026   Volume 16, Issue 1 5880 doi: 10.1038/s41598-026-38766-3
Bartenschlager F, Kuropka B, Schmitz P, Dumke F, Landmann K, Gruber AD, Weise C, Schnabel CL, Gehlen H, Mundhenk L.Mucus hypersecretion and accumulation are hallmark features of equine asthma (EA), a meaningful respiratory disorder in horses occurring in mild to moderate (MEA) and severe (SEA) forms. Changes of the proteomic composition of airway mucus in EA are poorly understood. Using label-free quantitative liquid chromatography-mass spectrometry, we analyzed airway mucus from SEA (n = 10), MEA (n = 6), and healthy (n = 8) horses. We identified and quantified 2,275 proteins including gel-forming mucins MUC5AC and MUC5B and membrane-bound mucins MUC1 and MUC4. Compared with healthy controls, ...
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...
Diagnosis of Equine Genital Leptospirosis (EGL) in mares with poor reproductive performance.
Veterinary microbiology    February 3, 2026   Volume 315 110924 doi: 10.1016/j.vetmic.2026.110924
Motta D, Aymée L, Roussouliéres I, Di Azevedo MIN, Jacob JCF, Lilenbaum W.Leptospirosis is a zoonotic disease caused by spirochetes of the genus Leptospira. Equine genital leptospirosis (EGL) has been described as a chronic and silent syndrome, presenting reproductive alterations such as abortion, stillbirth, placentitis, embryonic loss, repeat breeding syndrome, and subfertility. This study aimed to investigate the genital Leptospira infection in naturally infected mares with poor reproductive performance, as well as to genetically characterize the agents. A total of 41 mares with a history of poor reproductive performance were selected. Sera were collected for ser...
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...
Occurrence, antibiotic susceptibility and genetic variation of Streptococcus zooepidemicus in Finnish weanling horses with and without respiratory infection.
Acta veterinaria Scandinavica    January 27, 2026   Volume 68, Issue 1 7 doi: 10.1186/s13028-025-00839-0
Junkkari R, Mykkänen A, Sulku P, Rantala M, Pohjanvirta T, Eklund M, Pelkonen S, Grönthal T. subsp. (), an opportunistic pathogen often found in the stable environment and upper respiratory tract of young horses, can cause severe pneumonias in Equidae. In this study we investigated the occurrence, genetic variation and antimicrobial susceptibility of isolates from 63 weanling horses kept in loose housing or conventional stables. The bacterial isolates were typed by using pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). The possible associating factors (stable type, age, breed and clinical signs) for positive finding were analysed using logistic regre...
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...
What Is Your Diagnosis? Multiple Subcutaneous Lumps in a Horse.
Veterinary clinical pathology    January 16, 2026   doi: 10.1111/vcp.70069
Meistro F, Ralletti MV, Rinnovati R, Spadari A, Morini M.No abstract available
Functional and molecular characterization of equine intestinal organoids across media conditions and intestinal segments.
BMC veterinary research    January 16, 2026   Volume 22, Issue 1 142 doi: 10.1186/s12917-025-05222-9
Richardson LM, Gordon J, Davila C, Chamoun-Emanuelli AM, Zdyrski C, Whitfield-Cargile CM.Gastrointestinal (GI) disease is a major cause of morbidity and mortality in horses, with disruption of the intestinal epithelial barrier playing a central role in disease pathogenesis. A deeper understanding of the molecular and functional properties of the equine intestinal barrier is essential to improve diagnostics and therapeutics. While intestinal organoids have emerged as a promising tool for modeling GI physiology and disease, equine-specific data remain limited. Existing studies vary in methodology and often lack functional characterization, particularly across different intestinal re...
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...
Seroepidemiological survey of Rhodococcus equi infection in adult horses in Mongolia.
The Journal of veterinary medical science    January 15, 2026   Volume 88, Issue 3 482-484 doi: 10.1292/jvms.25-0393
Ganbaatar O, Batbaatar V, Kimura T, Ganzorig S, Tseren-Ochir EO, Suzuki Y, Takai S.ELISA antibody titers against Rhodococcus equi strain ATCC 6939 were measured in serum samples collected from 644 horses aged 1-21 years at 13 provinces and the capital of Mongolia, of which 631 (98%) samples showed values of approximately zero. The mean antibody titers in the 14 areas ranged from -0.08 to -0.01. Nine samples (1.4%) exhibited titers of 0.1-0.2, and surprisingly, four horses (0.6%) each aged 2, 5, 8, and 9 years demonstrated positive values in the range of 0.3-0.8. Considering the age resistance characteristic of this disease, the positive horses were hypothesized to exhibit no...
A case of Setaria equina in a 13-year-old, UK-resident mare.
Veterinary parasitology, regional studies and reports    December 4, 2025   Volume 67 101400 doi: 10.1016/j.vprsr.2025.101400
Healy SR, Yaffy D, Miller HG.Setaria equina is a species of filarial nematode parasite transmitted by mosquitoes, which infects horses and other equids. Adult worms reside in the abdominal cavity with apparently little pathogenic significance, but larvae can migrate to other regions of the body with resulting clinical disease. Cases in the UK are rare, with the last published report in 2001. A recent case of S. equina infection was detected in a 13-year-old, UK-resident mare during postmortem examination in Hertfordshire, UK. Adult worms were collected from the abdominal cavity, their DNA extracted and subjected to PCR an...
Treatment evaluation using ultrasonographic scanning of the spleen in Arabian horses affected by babesiosis.
Open veterinary journal    November 30, 2025   Volume 15, Issue 11 5799-5805 doi: 10.5455/OVJ.2025.v15.i11.35
Almaqhawi AA, El-Jalii IM, Al-Sabi MNS, Al-Ali A, Khalid AM, Abduljawad M, Shawaf T.Equine babesiosis is a widespread protozoan disease in Saudi Arabia. The most common finding of clinical babesiosis is splenomegaly, which can be detected using non-invasive splenic ultrasonography. Unassigned: This study aimed to investigate changes in the spleen size in horses infected with babesiosis using ultrasonography before and after treatment. Unassigned: This study employed 15 male and female Arabian horses. Each animal was examined clinically for clinical signs, and blood samples were collected in plain tubes to detect antibodies against . The spleens of healthy and affected horses ...
Charting the equine miRNA landscape: An integrated pipeline and browser for annotating, quantifying, and visualizing expression.
PLoS genetics    September 5, 2025   Volume 21, Issue 9 e1011835 doi: 10.1371/journal.pgen.1011835
Cullen JN, Cieslak J, Petersen JL, Bellone RR, Finno CJ, Kalbfleisch TS, Calloe K, Capomaccio S, Cappelli K, Coleman SJ, Distl O, Durward-Akhurst SA....MicroRNAs (miRNAs) are essential regulators of gene expression, yet few comprehensive databases exist for miRNA expression in non-model species, limiting our ability to characterize their roles in gene regulation, development, and disease. Similarly, isomiRs - length and sequence isoforms of canonical miRNAs with potentially altered regulatory targets and functions - have received even less attention in non-model species, including the horse, leaving a critical gap in our understanding of their biological significance. To address these challenges, we developed an open-source, containerized pip...
Traumatic brain abscess due to Streptococcus equi subspecies zooepidemicus in a Foal.
Veterinaria italiana    September 4, 2025   Volume 61, Issue 3 doi: 10.12834/VetIt.3725.34811.2
Poci Palumbo MI, Maciel Cavalcante R, Martins Amorim R, De Vasconcelos Machado VM, Sousa Rocha N, Garcia Ribeiro M, Cagnini DQ, Secorun Borges A.Bacterial infection of the equine central nervous system is rare. This report describes the clinical features, computed tomography (CT) findings, and postmortem results of a 3-month-old female Quarter Horse with an intracranial abscess. Clinical signs included seizures, depression, and bilateral blindness. CT imaging demonstrated a large space-occupying lesion in the left cerebral hemisphere, associated with a frontal bone fracture. Necropsy and histopathology confirmed the presence of an abscess secondary to head trauma. Bacterial culture identified Streptococcus equi subsp. zooepidemicus as...
The predictive ability of blood-based biomarkers to detect bacteremia in hospitalized neonatal foals.
Veterinary journal (London, England : 1997)    September 2, 2025   Volume 314 106427 doi: 10.1016/j.tvjl.2025.106427
Samuels AN, Collins NM, Hanlon K, Bartish C, Kelly P, Kamr AM, Toribio RE.Early and accurate identification of septicemia in neonatal foals improves survival. In human medicine, the neutrophil-to-lymphocyte ratio (NLR), neutrophil-to-monocyte ratio (NMR), monocyte-to-lymphocyte ratio (MLR), and plasma cell-free DNA (cfDNA) aid in early bacteremia detection. This study evaluated the diagnostic utility of these markers in conjunction with other clinical and hematological parameters in hospitalized foals < 5 days old to predict positive blood culture at admission and to distinguish between Gram-positive, Gram-negative, or polymicrobial bacteremia. A total of 391 foal...
Detection of Neorickettsia risticii in antemortem fecal and postmortem fetal samples, with genomic insights from complete genome sequencing of a strain recovered from an aborted equine fetus.
Veterinary microbiology    September 2, 2025   Volume 310 110705 doi: 10.1016/j.vetmic.2025.110705
Uprety T, Durazo J, Paul L, Metiner K, Ruby R, Loynachan A, Janes J, Kenndy L, Cassone L, Molly E, Quick M, Morgan J, Beyhan S, Erol E.Neorickettsia risticii (N. risticii) is an obligatory intracellular bacterium that causes Potomac horse fever (PHF), a disease clinically characterized by diarrhea, pyrexia, and laminitis in horses. Although sporadic reports of N. risticii infection have been linked to abortion in mares, a detailed retrospective study, including genomic analysis of the pathogen from an aborted fetus, has not been published. This study examined 546 fecal samples from clinically ill horses (January 1, 2017-December 31, 2024) and 833 colon samples from aborted equine fetuses (September 20, 2018-December 31, 2024)...
Associations between endometrial swab bacteriology and cytology findings and live foal rates in Thoroughbred broodmares in the United Kingdom.
Equine veterinary journal    September 1, 2025   Volume 58, Issue 2 348-358 doi: 10.1111/evj.70086
Fehin B, Scott CJ, Arango-Sabogal JC, de Mestre AM, Mouncey R.To date, relationships between pre-covering endometrial swab cytology and bacteriology and fertility outcomes in Thoroughbred broodmares in the United Kingdom are unknown and could aid clinical decision making. Objective: To investigate associations between cytology and bacteriology findings from the last endometrial swab taken in the breeding season (15 February to 15 July) and live-foal rates (predicted mean probability of producing a live foal) in UK Thoroughbred broodmares. Methods: Retrospective cohort study. Methods: Endometrial cytology and bacteriology findings were extracted from labo...
Effect of Long-Term Freezing on Indirect Fluorescent Antibody Titers for the Diagnosis of Equine Protozoal Myeloencephalitis.
Journal of veterinary internal medicine    August 30, 2025   Volume 39, Issue 5 e70225 doi: 10.1111/jvim.70225
Valderrama-Martinez C, Packham A, Smith W, Mendoza-Flores JE, Zheng S, Chigerwe M, Plancarte M, Aleman M.Long-term freezing storage can alter the stability of proteins, thereby compromising accurate determination of indirect fluorescent antibody test (IFAT) titers that support the diagnosis of equine protozoal myeloencephalitis. Objective: Assess the effect of long-term storage at -80°C on IFAT against S. neurona and N. hughesi in equine serum and cerebrospinal fluid (CSF). Methods: Paired serum and CSF (n = 46), and serum only (n = 25) samples. Methods: Prospective study of samples stored 6-12, 13-18, and 19-24 months. Comparing antibody titers across time points, McNemar and Wilcoxon...
Airborne detection of Equid alphaherpesvirus 1 at international equestrian events.
Equine veterinary journal    August 24, 2025   Volume 58, Issue 2 630-637 doi: 10.1111/evj.70078
Khan A, Jose-Cunilleras E, Hyde E, Olajide E, Polo MC, Goehring LS.Equid alphaherpesvirus 1 (EHV-1) remains a major concern for the equine industry, with recent outbreaks at international equestrian events highlighting the need for improved surveillance during competitions. Objective: To investigate EHV-1 and -4 presence in shared airspaces and environmental surfaces in direct contact with horses at international equestrian events; and to evaluate air sampling as a surveillance alternative to individual horse testing. Methods: Cross-sectional field study. Methods: Air (37) and surface samples (205) were collected from temporary stabling facilities across six ...
Suspected tickborne virus infection in a horse from Dartmoor.
The Veterinary record    August 15, 2025   Volume 197, Issue 4 151-152 doi: 10.1002/vetr.5905
Ionescu AM, Folly AJ, Johnson N, Cornelisse K.No abstract available
Alactic base excess is not a sensitive or specific diagnostic tool for outcome in horses with colic.
Frontiers in veterinary science    August 15, 2025   Volume 12 1618304 doi: 10.3389/fvets.2025.1618304
Crosby CE, O'Connor A, Munsterman AS.Colic is a significant source of morbidity and mortality in horses, and no single biomarker can distinguish surgical from medical colic or predict mortality. Alactic base excess (ABE) has shown an association with mortality and renal insufficiency in humans but has not been evaluated in veterinary species. The purpose of this study was to determine the value of ABE as a diagnostic tool for horses treated for gastrointestinal disease. Unassigned: This retrospective case series evaluated horses admitted for acute gastrointestinal disease over a 5-year period (2019-2024). Signalment, physical exa...
Lateromedial and oblique radiographs detect most fetlock pathologies as effectively as a full series in horses.
Equine veterinary journal    August 13, 2025   doi: 10.1111/evj.70073
Northwood A, Berner D.Radiographic protocols for the metacarpo-/tarsophalangeal joint during pre-purchase examinations (PPE) vary internationally, but their impact on pathology detection remains unclear. Optimising imaging protocols is essential to balance diagnostic accuracy with workflow efficiency and radiation exposure. Objective: To evaluate the effect of different radiographic view combinations on fetlock pathology detection and observer agreement in a PPE context; hypothesising that detection rates vary with view selection. Methods: Retrospective observational study. Methods: Two observers reviewed fetlock r...
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