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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.
Serum amyloid A alone or in combination with white blood cell count and fibrinogen is associated with inflammatory disease status in horses undergoing elective anesthesia. The objective of this study was to assess the clinical utility of common systemic inflammatory markers (WBC count [WBCC], plasma fibrinogen, and serum amyloid A [SAA]) for the detection of disease in patients undergoing general anesthesia. Unassigned: A retrospective review of 1,002 surgical case records (February 2021 to June 2023) was performed. Systemically stable equine patients undergoing elective orthopedic and soft tissue procedures and that had WBCC, fibrinogen, and SAA evaluated preoperatively were eligible for inclusion. Disease status (healthy vs disease) was recorded for each case ...
Equine viral arteritis in horses undergoing pre-export testing in Spain (2016-2023): Seroprevalence estimates and diagnostic performance of a commercial indirect ELISA. Equine viral arteritis (EVA) is a contagious disease that affects equine reproduction and international trade. Despite its importance, epidemiological data from Spain are limited. This study aimed to assess EVA seroprevalence and evaluate the diagnostic performance of a commercial ELISA in horses before export. Methods: From 2016 to 2023, 5000 serum samples from horses across 16 Spanish autonomous communities were tested using a commercial indirect ELISA. Samples with inconclusive results, or those submitted with specific requests, underwent virus neutralisation testing (VNT). Diagnostic perfo...
Multisystemic and cerebral infection associated with Halicephalobus gingivalis in Brazilian Criollo horses. Halicephalosis is a rare cosmopolitan disease affecting equids, cattle, and humans, manifesting as meningoencephalitis. This study reports the detection of Halicephalobus gingivalis infection in two adult horses with neurological clinical signs in Rio Grande do Sul state, in the Southern Brazil. It underscores the pathological main findings and phylogenetic analyses. In both cases, the horses exhibited severe neurological manifestations and were euthanized due to poor prognosis. Pathological findings revealed gross brain lesions, in addition, alterations in the kidneys and lymph nodes. Histopa...
First documented cases of equine leishmaniasis caused by Leishmania (Mundinia) martiniquensis in France. In this study, we describe the first documented cases of equine cutaneous leishmaniasis caused by Leishmania (Mundinia) martiniquensis in France and provide clinical and parasitological data relevant for the recognition of this emerging infection in horses. Three horses presenting localized cutaneous lesions were diagnosed with L. martiniquensis infection in different regions of France without spatial or temporal clustering. Lesions were clinically nonspecific and initially compatible with common equine dermatological conditions, including sarcoid-like tumors. Histopathological examination rev...
Case Report : Streptococcus equi subspecies zooepidemicus bacteriemia and spondylodiscitis following direct contact with a horse. Streptococcus equi subspecies zooepidemicus is a zoonotic pathogen that commonly colonizes the respiratory tract and oral cavity of horses. Human infections are rare and most frequently present as bacteremia, meningitis, or pneumonia. Methods: We report the case of an 88-year-old patient who developed Streptococcus equi subspecies zooepidemicus spondylodiscitis after direct and exclusive contact with a live horse. Clinical, microbiological, and radiological findings were reviewed. Results: Blood cultures identified Streptococcus equi subspecies zooepidemicus. Magnetic resonance imaging confirm...
Thymidine kinase 1 activity in serum and body cavity fluids of horses with lymphoma. The accuracy of serum thymidine kinase 1 (TK1S) as a biomarker of lymphoma in horses is variable. The value of measurement in body cavity fluid (TK1F) has not been established. Objective: (1) TK1F and TK1S will be higher in horses with lymphoma compared to diseased controls (DCs); (2) TK1F will be higher than TK1S; and (3) there will be a strong correlation between both measurements. Methods: Twenty animals in the lymphoma and 31 animals with nonneoplastic, gastrointestinal/respiratory disorders in DC group. Methods: This was a cross-sectional study using prospectively collected data and sampl...
Pancreatic α-cell dysfunction associated with equine insulin dysregulation. Insulin dysregulation (ID) in horses is characterised by insulin resistance and exaggerated insulin responses, yet the underlying endocrine mechanisms remain incompletely understood. In humans, α-cell dysfunction characterised by exaggerated glucagon secretion contributes to metabolic disease; however, the role of pancreatic α-cell function in equine ID has not previously been investigated. Objective: To investigate whether horses with moderate to severe ID exhibit α-cell dysfunction, characterised by fasting and postprandial hyperglucagonaemia as well as impaired postprandial glucagon supp...
Diagnostic Performance of Digital Tomosynthesis for Detecting Osteophytes and Subchondral Bone Changes in the Equine Distal Interphalangeal and Metacarpophalangeal Joints. Osteoarthritis is a common cause of equine lameness and can involve periarticular osteophytes and subchondral bone (SB) changes. This exploratory ex vivo study evaluated the diagnostic performance of digital tomosynthesis (DT) for detecting these findings in the distal interphalangeal and metacarpophalangeal joints, using computed tomography (CT) classifications as the reference. Sixteen distal forelimbs from nine adult horses underwent imaging with both modalities under simulated weight-bearing conditions. Three independent observers graded osteophytes and SB changes, and the scores were dich...
Equine Metabolic Syndrome and Insulin Dysregulation. Equine metabolic syndrome (EMS) is defined as a collection of metabolic and clinical features that contribute to the development of hyperinsulinemia-associated laminitis (HAL). Insulin dysregulation (ID) is the hallmark feature of EMS and a risk factor for development of HAL. There are several diagnostic tests that can be used to diagnose various forms of ID in horses and ponies. Treatment of EMS/ID includes providing an appropriate diet, exercise program, and pharmacologic intervention in some severe cases.
Diagnostic Accuracy of Scintigraphy for Detecting Morphological Variation of the Sixth Cervical Vertebral Ventral Lamina in Horses: A Retrospective Study. Morphological variations or transposition of the ventral lamina of the sixth cervical vertebra (C6) are well documented in horses. Radiography remains the primary modality for identifying these osseous variations, whereas scintigraphy provides a functional assessment of bone activity; however, its diagnostic accuracy for this condition has not been established. This retrospective single-center study evaluated the diagnostic performance of scintigraphy compared with radiography for detecting C6/C7 ventral laminar anomalies and determined an optimal C6:C7 uptake ratio cutoff. Thirty-four horses ...
Correction: Development of an indirect ELISA for the detection of venezuelan equine encephalitis virus specific antibodies in horses. [This corrects the article DOI: 10.1371/journal.pone.0338819.].
Equine alveolar echinococcosis: a focus on epidemiology, clinical and pathological features, and diagnostics. Here, we review equine alveolar echinococcosis (AE), focusing on its epidemiology, clinical and pathological features, and diagnostic challenges, through comparisons with AE in other host species. AE is a zoonotic disease caused by the larval form of the tapeworm. Horses are considered dead-end hosts, in which AE infection can be detected at slaughter, highlighting their potential as sentinel animals in endemic areas. Equine AE is typically asymptomatic and is generally only found incidentally during meat inspection or necropsy. Standard diagnosis involves histopathology and conventional poly...
Musculoskeletal Assessment of Forelimbs and Hindlimbs in Mounted Police Horses using Infrared Thermography. Infrared thermography (IRT) has become established as a complementary tool in equine veterinary medicine, allowing for the early detection of thermal changes associated with musculoskeletal inflammatory processes. Objective: This study aimed to apply infrared thermography to characterize the surface thermal profile of the forelimbs and hindlimbs of mounted police horses, considering clinical classification, anatomical region, body side, and repeated evaluations over time. Methods: The research was conducted at the Military Police Cavalry in Manaus (AM), Brazil, involving 20 adult horses submit...
Clinical Signs as an Indication of the Presence of Gastric Ulcers in Horses: True or False? Equine Gastric Ulcer Syndrome (EGUS) and its related diseases, Equine Squamous Gastric Disease (ESGD) and Equine Glandular Gastric Disease (EGGD), can be found in horses worldwide, with increased prevalences in racehorses and animals subjected to heavy training loads. Clinical signs of the disease are vague and nonspecific, and most horses affected by the disease are asymptomatic. In this retrospective study, our aim was to determine the percentages of pleasure and breeding horses showing signs compatible with gastric ulcers, and to correlate these signs with the presence of ESGD, EGGD, and bo...
Computed tomographic findings in 1600 cases of equine sinonasal disease and associations with case outcome. No study has described the computed tomographic (CT) sinonasal findings in a large cohort of referred sinonasal disease cases. Objective: To report the CT imaging findings in equine sinonasal disease and examine associations between case outcome and CT findings. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on sinonasal disease cases which had undergone CT imaging. Case outcome was obtained from clinical records, and/or by contacting clients and referring veterinarians. Multivariable logistic regression analysis was used to exami...
Limited evidence for exposure of horses in the United Kingdom to influenza D virus. Since it was first detected in 2011, antibodies to influenza D virus (IDV) have been found in several species, although cattle are the major host. In cattle, IDV is typically associated with mild respiratory signs, but it is clinically significant as a component of bovine respiratory disease complex. Although antibodies to IDV have been detected in equids, no association of IDV with naturally occurring respiratory disease in horses has yet been demonstrated. Objective: The aim of this study was to determine whether IDV may be a causal agent of equine respiratory disease in the UK. Methods: Nas...
Associations between treatments and response to treatments from a large multicentre study of equine sinonasal disease. No large study has examined the treatment and response to treatment of horses with sinonasal disease confirmed by computed tomography (CT). Objective: To report the treatment and response to treatment of referred cases of equine sinonasal disease. To explore associations between case outcome and clinical and endoscopic features, CT findings, disease subtypes, and treatments in a multivariable model. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on cases of sinonasal disease, all of which underwent CT imaging. Case outcome was obt...
Diagnosed causes of sinonasal disease in 1600 horses and associations with clinical signs, computed tomographic findings and case outcome. The diagnosis of equine sinonasal disorders has been greatly enhanced by using computed tomographic (CT) imaging. Objective: To explore associations between specific diagnoses and clinical and CT findings and between specific diagnoses and case outcome in equine sinonasal disease. Methods: Retrospective case series. Methods: Data were collected from medical records from 19 equine hospitals on cases of sinonasal disease, all of which underwent CT imaging. Case outcome was obtained from clinical records, and/or by contacting clients and referring veterinarians. Logistic regression analysis was u...
Fatal equine gas gangrene associated with Clostridium septicum in the Brazilian Amazon: clinicopathological and molecular characterization of a 20-case series. Clostridial gas gangrene is an acute necrotizing infection of skeletal muscle characterized by rapid tissue destruction and severe systemic toxemia in horses; however, systematically documented case series from tropical settings remain scarce. Here, we describe a clinicopathological and molecularly confirmed series of 20 fatal equine gas gangrene cases diagnosed in the eastern Brazilian Amazon (Pará State) between 2018 and 2026. Horses presented with abrupt onset of severe lameness, rapidly progressive swelling of a limb or muscle group, and palpable subcutaneous crepitus, frequently followin...
Identification and phylogenetic analysis of Mannheimia haemolytica isolated from nasal samples of horses. The Mannheimia genus, which is part of the upper respiratory tract microbiota, harbours species that have the potential to cause progressive infections, such as haemorrhagic septicaemia and enzootic pneumonia, when the host immune system is suppressed. Among these species, Mannheimia haemolytica is considered the most pathogenic, and horses can be a host for this agent. This study aimed to investigate the occurrence of Mannheimia haemolytica in horses with and without respiratory clinical signs and to assess the potential pathogenic significance of isolates recovered from animals through serot...
Bacterial Pneumonia in Horses: Insights from a 10-Year European Single-Centre Retrospective Study. Bacterial pneumonia in horses typically occurs secondary to predisposing factors that compromise defence mechanisms. This 10-year retrospective study evaluated bacterial pneumonia in 81 horses treated at the equine clinic of Freie Universität Berlin from January 2015 to December 2024. Horses infected with primary pathogens such as or ssp. were not included in the study. The most common predisposing events were aspiration, mainly following oesophageal obstruction (37.0%), post-anaesthetic disease (27.2%), primary respiratory signs (24.7%), and other conditions (11.1%). Horses with aspiratio...
Pulmonary cryptococcosis with an endobronchial cryptococcoma in a Warmblood mare. This report describes pulmonary cryptococcosis with a large endobronchial cryptococcoma in an 8-year-old Warmblood mare. The mare was presented initially with fever and lethargy, and clinical signs typical of bacterial pneumonia. Markedly elevated serum amyloid A (SAA) concentrations indicated a severe systemic inflammatory response. Over a period of 6 wk, the condition progressively worsened and was refractory to multiple courses of broad-spectrum antimicrobial therapy as administered in a field setting. Diagnostic imaging following referral revealed extensive consolidation of the left lung a...
Centrifugation of peritoneal fluid improves visual assessment of strangulating lesions in equine colic. Early and accurate recognition of a strangulating lesion is essential to expedite surgical intervention in horses presenting with colic. Objective: To evaluate the use of a colour grading scale in the visual assessment of peritoneal fluid, before and after centrifugation, and assess its ability to predict the presence of a strangulating lesion. Methods: Prospective clinical study. Methods: Peritoneal fluid samples from 231 equids presenting with colic were visually analysed immediately after collection and assigned a numerical value based on a developed colour scale. Peritoneal fluid was centr...
Hidden Tarsal Lesions: The Role of Flexed and Oblique Radiographs in Young Horses. Radiographically apparent tarsal lesions associated with developmental orthopedic disease and joint sepsis are common in young horses. Standard radiographic projections are routinely used to identify osseous changes but may fail to detect lesions due to superimposition and complex anatomy. This retrospective case series describes plantar trochlear ridge lesions in young horses that were not identified on standard four projection radiograph series but were detected using flexed lateromedial and flexed oblique projections. Cases were selected based on persistent clinical signs localizing to the ...
Evaluating ex vivo toll-like receptor agonist response as a potential biomarker in equine gastric ulcer syndrome. Equine gastric ulcer syndrome (EGUS) is highly prevalent in horses. Despite its presumed painful nature, evaluation of objective biomarkers associated with EGUS presence and severity remains limited. The objective of this study was to investigate the potential of interleukin-1 beta (IL-1β) release by peripheral blood mononuclear cells (PBMCs) following ex vivo stimulation of toll-like receptors 2 and 4 (TLR2 and TLR4) as a potential biomarker for EGUS status, with gastric lesions used as a proxy for presumed EGUS-associated pain. Venous blood was collected from 77 horses, PBMCs were isolated ...
An atypical extrapulmonary presentation of rhodococcus equi infection in a foal: a case report. Rhodococcus equi infection in foals is primarily associated with pulmonary disease but may also present with extrapulmonary manifestations (Giguère et al. 2011; Reuss et al. 2009). Hemolytic anemia is a rare and poorly described complication, with only a single previous report of presumed immune-mediated hemolytic anemia in foals affected by R. equi. This case report describes the clinical presentation, diagnostic findings, disease progression, and postmortem examination of a 4-month-old Holsteiner foal with confirmed R. equi infection and severe anemia consistent with a presumed immune-media...
Non-coding RNA profiles associated with equine osteoarthritis: a systematic review. Non-coding RNAs (ncRNAs) play a role in the pathogenesis of osteoarthritis (OA) by regulating gene expression related to inflammation, chondrocyte apoptosis, and extracellular matrix degradation. In horses, OA is a leading cause of lameness and poor performance, with no current treatments halting disease progression and no clear biomarker available. Although some studies have investigated expression profiles of ncRNAs in equine OA, there is a need to systematically review previous efforts and synthesize information to identify potential ncRNAs to target in future research. Unassigned: The sear...
Development and Evaluation of an Indirect ELISA for Strangles Based on an Untagged EQ8-SclF Fusion Protein. Strangles, caused by subsp. (), is a highly contagious respiratory disease that causes substantial economic losses to the horse industry worldwide. Serological diagnosis currently relies mainly on the imported IDvet dual-antigen sandwich ELISA kit, which shows good diagnostic performance but is expensive and lacks a domestic alternative in China, thereby limiting its routine use in primary veterinary settings. The aim of this study was to develop a domestic indirect ELISA based on novel antigen targets and an untagged antigen purification strategy. Using comparative bioinformatics analyses, ...
Depth and distribution of colonic sand accumulation in a desert population of horses and its association with diagnosis of sand colic. To describe patient and management characteristics associated with radiographic sand accumulation in a desert population of horses, as well as identify factors independently associated with a diagnosis of sand colic and need for surgical intervention. Unassigned: Horses were prospectively allocated into 3 groups: control horses, horses with sand colic, and horses with non-sand-associated colic. Signalment, radiographs, and management outcomes were compared between groups. Unassigned: Median depth of sand was significantly greater in horses diagnosed with sand colic compared to other groups (11...
