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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.
Tick-borne bacterial and protozoal pathogens in horses in Austria – A cross-sectional study on current and past infections and potential risk factors. Tick-borne bacterial and protozoal pathogens are a major threat to equine health worldwide. In Austria, studies on pathogens such as piroplasms, Anaplasma phagocytophilum and Borrelia spp. in horses are scarce and do not cover the countrywide horse population. To address this, blood samples from horses without prior record of infection with tick-borne pathogens (n = 588) were tested for the presence of Theileria equi, Babesia caballi or A. phagocytophilum DNA by PCR and for specific antibodies against these pathogens and Borrelia burgdorferi with commercially available assays. While no DNA of ...
Auscultatory findings and left atrial function as indicators of mitral valve regurgitation severity in horses. Mitral valve regurgitation (MR) is frequently detected in horses, but its classification and prognostication remain challenging. This study investigated whether auscultatory findings and left atrial function are associated with MR severity. Methods: Fifty controls (no/trivial MR) and 101 MR horses (58 mild, 36 moderate, seven severe) were retrospectively evaluated. All were in sinus rhythm and underwent auscultation and echocardiography. Mitral regurgitation severity was graded using a scoring system. Systolic murmur characteristics (duration, type and grade) were recorded. Left atrial functio...
Prevalence of Clostridioides difficile in hospitalized neonatal mare-foal pairs from Alberta and direct comparison of fecal culture with toxin gene detection. is an important pathogen in the feces of adult horses and foals. It can be clinically diagnosed using several testing methods, including culture isolation and, more commonly, direct toxin gene detection from feces using molecular methods. The importance of monitoring shedding in foals or dams during hospitalization remains unclear. The objectives of this study were to determine the prevalence of fecal shedding in mare-foal pairs and to compare detection using isolation and a commercial real-time polymerase chain reaction (qPCR) for toxin A and B genes in feces. Foals and their mares admitte...
Diagnosis of bacteraemia in neonatal foals using 16S rRNA high-throughput sequencing. Sepsis is an important cause of morbidity and mortality in foals. Early diagnosis can improve outcome but is complicated by non-specific clinical signs and delayed confirmation of infection via blood culture. Molecular assays represent a rapid and more sensitive alternative. Objective: To evaluate and compare bacterial load and composition in blood and blood culture media (BCM) of sick and healthy foals using molecular assays and to compare results with traditional bacterial culture. Methods: Cross-sectional observational clinical study. Methods: Thirteen septic foals, 10 sick non-septic and 8...
Using a wearable electrocardiogram (ECG) patch adapted for 7-day monitoring in the horse. Arrhythmias can cause poor performance and sudden death in horses. Long-term (>24 h) electrocardiogram (ECG) monitoring has been used to identify arrhythmias in humans and is superior to short-term monitoring for transient arrhythmia detection. Televet is the current equine gold-standard ECG device. The Cardea SOLO™ (CS) is a single-use monitor with automated ECG analysis software allowing ECG monitoring for 7 days. Objective: Our objective was to validate the performance of the CS compared to the Televet. Methods: Method validation. Methods: ECGs were performed on 12 healthy horses s...
Vietnam’s Horse Sector: A Comprehensive Review of History, Production Systems, Health Challenges, and Research Priorities. Horses in Vietnam have a long historical presence and continue to hold economic, socio-cultural, and medicinal importance across diverse regions. Despite these roles, comprehensive scientific information on equine development, including health and disease patterns, reproductive performance, genetic resources, and biomedical applications, remains limited and fragmented. In this review, we summarize existing knowledge on equine populations, production systems, and their development in Vietnam, as well as their roles in cultural practices, livelihoods, and traditional medicine. We then identify m...
A point-based laminitis risk scoring system and machine learning framework for prediction of laminitis in horses. Laminitis is a painful and potentially life-threatening inflammatory condition of the equine hoof, and its detection remains a major challenge in veterinary practice. Although several risk factors have been reported, the prediction of the onset of laminitis in a subclinical stage using routine clinical data is still limited. This study aims to address this gap by developing an interpretable machine learning (ML) framework for the prediction of the risk of laminitis in horses. A point-based risk scoring system was first constructed using multivariate logistic regression to quantify the contribu...
Diagnostic criteria for equine thoracolumbar myofascial pain syndrome: A foundational study. Diagnostic criteria for myofascial pain syndrome (MPS) are well established in humans but remain underexplored in horses. This study aimed to identify which MPS clinical signs were present in the equine thoracolumbar region, assess internal coherence among clinical indicators, and explore the diagnostic relevance of owner-reported behavioural, signalment, management, and clinical variables. A population of 120 horses underwent a static physical assessment of the thoracolumbar region. Owner-reported horse behaviours were collected through a questionnaire. Taut band, hypersensitive spot, local t...
Biomarkers of equine asthma: A review of the current literature. Equine Asthma (EA) is a common, lower airway disease. Yet current diagnostic standards rely on bronchoalveolar lavage fluid (BALF) cytology, which is moderately invasive and not always feasible in field conditions. This review aimed to synthesize current evidence on candidate biomarkers of EA, with a primary focus on blood-based matrices and BALF, while also including data on biomarkers measured in tracheal wash (TW), saliva and exhaled breath condensate (EBC), where available. Searches were performed in PubMed, Scopus and Google Scholar, and original studies in horses with mild-to-moderate or...
Ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis caused by chronic infection with Serratia odorifera in a racehorse. We investigated a case of severe infection in a racehorse. The horse had developed progressive lameness associated with swelling of the left tarsal region, which progressed to ulcerative dermatitis, tendinitis, tenosynovitis, and desmitis. The plantar side of the superficial digital flexor (SDF) tendon was visible through the skin ulcer, and coalescing nodules were present in the dermis. The horse was euthanized and an autopsy was performed. Grossly, in addition to the changes described above, severe edema of the soft tissues was associated with the ulcer. Microscopically, necrotizing and ulc...
The effects of upper airway obstruction on oxygen consumption and ventilatory variables in Colombian criollo horses. While conditions associated with upper airway obstruction (UAO) are reported in Colombian Criollo horses, their effect on ventilation and performance is unknown. Objective: To investigate how oxygen consumption ($dot{rm V}$O2), ventilation,, and exercise-induced pulmonary hemorrhage (EIPH) are affected by UAO in horses performing at natural gaits. Methods: Twenty-three client-owned Colombian Criollo horses. Methods: A cross-sectional observational study assigned horses to a control (C), or UAO group after overground endoscopy. All horses performed a standardized submaximal exercise test while ...
Development of a rapid and highly accurate diagnostic test for detecting Theileria equi in horses using recombinase polymerase amplification (RPA) combined with nucleic acid lateral flow immunoassay. Equine piroplasmosis (EP) is a protozoan disease in horses, mainly caused by Theileria equi, and is associated with non-specific signs such as fever, anemia, and edema. The lack of specific clinical signs, coupled with the high prevalence of carrier horses, highlights the critical need for a rapid and highly accurate diagnostic test for the detection of Theileria equi. Existing methods, including molecular, serological, and microscopic techniques, require specialized equipment, skilled personnel, and considerable time. The current study aims to develop a rapid and accurate assay for the detect...
Synovial transcriptomic biomarkers predict structural severity in equine osteochondral fragment-induced experimental osteoarthritis. Develop a global joint score (GJS) reflecting equine osteoarthritis (OA) structural severity and identify clinical or molecular parameters predicting disease severity. Unassigned: A retrospective analysis was performed using data from horses (n = 104; 58 females and 46 geldings; 2 to 5 years old) undergoing experimental OA induction via surgical osteochondral fragment creation in the middle carpal joint and high-speed treadmill exercise over 70 days. Longitudinal measures included subjective lameness examinations (lameness, effusion, and flexion), synovial fluid (SF) and serum glycosaminoglyca...
Signal-averaged electrocardiography in horses: characteristics of ventricular late potentials in healthy Thoroughbreds and horses with cardiac abnormalities. Sudden death in horses, often attributed to lethal arrhythmias, poses significant welfare and economic risks, yet its prediction remains challenging. This study aimed to characterize ventricular micro-potentials using signal-averaged electrocardiography (SAECG) and evaluate their potential for assessing sudden death risk. High-resolution orthogonal X-, Y-, and Z-lead ECGs were recorded in 24 healthy Thoroughbreds (aged 2-31 years), one horse with bupivacaine-induced myocardial injury, and three horses with persistent pathological murmurs. SAECG parameters, including filtered QRS duration (fQRS...
Evaluation of oxidative stress in ill neonatal foals: a preliminary study. Oxidative stress both contributes to and results from sepsis pathophysiology, but its role in ill foals remains poorly characterized. Objective: Ill foals will exhibit decreased antioxidant defense activity and increased oxidative products compared with healthy foals, and these changes will be associated with higher sepsis scores, lower survival scores, and non-survival. Methods: Twenty-six foals < 14 days old: 16 hospitalized foals (11 sick non-septic, 5 septic; median age, 1.5 days; range 1-13) and 10 healthy Standardbred foals (2 days old). Nine of 16 ill foals survived to discharge...
Evaluation of a canine Coll2-1 ELISA kit for use in equine serum and its correlation with radiographic joint disease. This study evaluated an enzyme-linked immunosorbent assay (ELISA) for the detection of Coll2-1, a peptide fragment of type II collagen released during cartilage degradation in horses using a kit originally developed for dogs. Objective: The objectives of this study were to: 1) assess the analytical applicability of the canine Coll2-1 ELISA in equine serum and 2) explore the correlations between Coll2-1 concentrations and radiographic scores of osteoarthritis (OA) in horses. Methods: Twelve Lusitano stallions, of similar age and workload but presenting different radiographic scores were include...
An unusual presentation of a sarcoid in Australia. Sarcoids are a common skin tumour affecting all equids. To date, only one case of a sarcoid in the oral cavity of the horse has been reported. In the present case, an oral sarcoid was identified using histology and polymerase chain reaction to detect bovine papillomavirus type 2 DNA. The lesion was known to be incompletely surgically excised and did not recur over a 15-month period. This case report describes the first oral sarcoid identified in Australia.
Development of an indirect ELISA for the detection of venezuelan equine encephalitis virus specific antibodies in horses. Venezuelan equine encephalitis virus (VEEV) is a re-emerging zoonotic pathogen to which equines are most susceptible mammals hosts with a high mortality rate raging from19 to 83%. The virus, transmitted between vertebrates and mosquitos, causes unpredictable sporadic epizootic outbreaks in equids and humans across Central and South America. Although VEEV is not currently circulating in Europe the combination of global change, increasing international trade and the presence of potentially competent vectors (mosquitoes of the genera Aedes and Culex), raises a non-negligible risk of its introduct...
A multimodal approach to equine thoracolumbar myofascial pain: integrating clinical examination, AI-based gait analysis, and the ridden horse pain ethogram. Myofascial pain syndrome (MPS) is considered highly prevalent in horses, yet it is frequently underdiagnosed due to limited understanding of its clinical presentation and functional consequences, as well as the inherent challenges associated with its clinical assessment and objective measurement. In equines, the relationship between palpation-based MPS indicators, gait asymmetries, and pain-related behaviours during ridden work remains unclear. The primary aim of this study was to evaluate the association between thoracolumbar palpation pain scores and gait asymmetries measured in-hand and dur...
Radiographic identification and description of the equine middle conchal sinus (ethmoidal sinus): Implications for diagnosing middle conchal sinusitis. The middle conchal sinus (MCS) (ethmoidal sinus) remains one of the least understood equine paranasal compartments. Despite recognition of its involvement in sinonasal disease, disorders of the MCS often remain underdiagnosed in the absence of computed tomographic (CT) imaging due to limited anatomical understanding and challenges with radiographic visualisation. Objective: The objectives of the study were (1) to characterise the radiographic features and anatomical location of the MCS in horses and (2) to illustrate the practical relevance of the anatomical and radiographic findings in two cl...
Age-Related Comparative Study of C-Reactive Protein, Lipid Profile Biomarkers, and Strongyle Nematode Gastrointestinal Parasitic Burden in Horses. Gastrointestinal (GI) parasitic infection remains one of the most prevalent and economically significant health challenges in equine populations. The infective stages of GI parasites can activate systemic inflammatory responses and disrupt lipid metabolism leading to exacerbation of parasitic infection. Moreover, age-related low-grade chronic inflammation may further contribute to the persistent infection which impacts the health status of individual horses. Objective: This study examined serum levels of the inflammatory marker C-reactive protein (CRP) and lipid profile parameters to identify ...
Reduced centrifugation duration improves diagnostic performance of an equine tapeworm egg counting technique. Anoplocephala perfoliata, can cause severe health problems in horses. Standard coprological tests have performed poorly for detecting A. perfoliata, and while a centrifugation-enhanced flotation technique is superior to other techniques, it is time consuming due to three 10-minute centrifugation steps. This study aimed to evaluate modifications of this technique that reduce the centrifugation durations to 5 and 1 min, respectively. Fecal samples were collected from ten adult A. perfoliata egg count positive mares and divided into 9 subsamples to allow for three replicate counts for each of th...
First molecular detection of Theileria haneyi infection in horses in Southern Spain. Equine piroplasmosis (EP) is a tick-borne disease of equids caused by the hemoparasites , and . , a close relative of that causes mild clinical signs under experimental conditions, has been reported in several countries, adding complexity to EP ecology, diagnosis, and treatment. However, its presence in Spain remains unknown, which is concerning given the country's importance in equine genetics and international trade. Hereby, we investigated the presence of in blood samples from equids in Spain. Unassigned: Blood samples from 222 equids (218 horses, two donkeys, two mules) suspected of EP a...
Molecular and parasitological evidence of Leishmania (Mundinia) martiniquensis infection in a horse from Brazil. Leishmania (Mundinia) martiniquensis is an emerging human pathogen with increasing reports of infection in domestic animals. This study describes a naturally infected mare from Brazil with no history of international travel, presenting with persistent nodular cutaneous lesions and cervical lymph node enlargement, without evidence of systemic involvement. Considering the endemicity of cutaneous and visceral leishmaniasis in the study area, as well as previous reports of equine leishmaniasis, infection by Leishmania (Leishmania) infantum was initially suspected. Anti-L. (L.) infantum antibodies ...
Development of a prognostic scoring system for systemic inflammatory response syndrome in donkeys. Systemic inflammatory response syndrome (SIRS) is associated with increased mortality in horses with gastrointestinal (GI) disease. However, there are no data relating to naturally occurring SIRS in donkeys. Objective: To determine SIRS frequency in donkeys with GI disease. To develop a donkey-specific prognostic SIRS score. Methods: Retrospective case series. Methods: Clinical records from donkeys presenting with GI disease in two independent cohorts (development cohort: n = 400, UK; validation cohort: n = 36, Australia) were reviewed. Age, sex, heart rate, respiratory rate, rectal te...
Evaluation of two point-of-care molecular diagnostic platforms for rapid detection of equine Hendra virus. Hendra virus (HeV) is a lethal zoonotic pathogen endemic to eastern Australia, posing significant risks to equine and human health. Rapid field detection of HeV enables timely intervention and outbreak management. This study evaluated candidate point-of-care (POC) molecular diagnostic platforms for HeV detection in equine samples: including a loop-mediated isothermal amplification (DARQ RT-LAMP) assay and real-time reverse transcription quantitative polymerase chain reaction (RT-qPCR). Comparative analytical evaluation demonstrated that RT-qPCR exhibited superior analytical sensitivity relativ...
Equine Liver Histopathology. This review summarizes best practices for equine liver biopsy, including when to perform a biopsy, techniques for sample collection and handling, and strategies to optimize diagnostic yield. It discusses the interpretive framework used by pathologists, common diagnostic challenges, and prognostic scoring systems. Limitations such as sampling error and variability among observers are considered alongside ancillary testing, immunohistochemistry, and in situ hybridization. Emphasis is placed on the importance of communication between clinicians and pathologists to maximize diagnostic and prognost...
Derivatisation-free FIA-MS/MS assay for rapid simultaneous screening of atypical myopathy biomarkers and acylcarnitine profiles from dried blood spots. Atypical myopathy (AM) is a frequently fatal, toxin-induced disease in horses, characterised by acute progression and mortality rates exceeding 70% within 72 h. The disease is caused by ingestion of seedlings or seeds of certain maple species that contain the toxins hypoglycin A (HGA) and methylenecyclopropylglycine (MCPrG). Early diagnosis depends on reliable detection of these compounds and their metabolites. However, most available LC-MS/MS assays are limited by derivatisation requirements and dependence on serum and urine matrices. Here, a rapid derivatisation-free flow injection analysis...
Isolation and Identification of Emerging Equine Encephalosis Virus Serotype 6 in Israel, 2023. Equine encephalosis (EE) is an arthropod-borne viral disease resembling a mild form of African horse sickness disease, which affects all species of equids. Previously, only EEV serotype 4 (EEV-4) caused sporadic outbreaks of the disease in Israel. In the summer of 2023, EE was clinically diagnosed in horses and donkeys in Israel. For laboratory confirmation, tissue cultures were inoculated with whole-blood samples obtained from sick animals. Five EEV isolates were successfully recovered in tissue and confirmed by conventional RT-PCR and Sanger sequencing of several viral genes. BLAST analysis ...
Anatomical distribution of meconium detected by focused abdominal ultrasound in hospitalized healthy and sick neonatal foals. Meconium impaction is a common cause of neonatal colic in foals, yet its ultrasonographic appearance and distribution remain poorly characterized. Objective: This study aimed to describe the frequency, distribution, and ultrasonographic appearance of meconium in hospitalized neonatal foals using a standardized focused ultrasound (FUS) abdominal protocol. Methods: The FUS protocol included 9 acoustic windows (3 left-sided, 3 ventral, 3 right-sided) and was performed once during hospitalization by a single operator using a curvilinear transducer. Results: Thirty-six foals (16 healthy and 20 sick...
