Disease management in horses encompasses the strategies and practices employed to prevent, control, and treat diseases affecting equine populations. This field involves understanding the etiology, transmission, and clinical presentation of various equine diseases, as well as implementing biosecurity measures and therapeutic interventions. Common diseases in horses include equine influenza, strangles, and equine herpesvirus. Effective disease management relies on accurate diagnosis, vaccination protocols, and the use of antimicrobials and other treatments. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, challenges, and advancements in managing diseases in equine health.
Bertone JJ.Antimicrobial treatment is an important component of infectious respiratory disease management. However, across all systems in horses there is substantial deficit in definitive information concerning the efficacy of antimicrobials. This disassociation between laboratory data and antimicrobial efficacy and the obstacles to effective antimicrobial treatment should be understood.
Traub-Dargatz J.This article describes the field investigation of horses with nasal discharge (serous, purulent, blood and feed). Flow charts on how to evaluate affected horses, and photographs of the examination procedures and of horses affected with nasal discharge are included.
Viel L.Equine allergic small airway disease is a highly prevalent respiratory condition among the stabled horse population. With the assistance of new diagnostic tools such as bronchoalveolar lavage, the condition can be recognized in young performing horses. The pathophysiological and clinical features resemble an earlier stage of chronic obstructive pulmonary disease as determined by the appearance of specific inflammatory cells. Although environmental management is paramount in controlling the disease, proper selective therapeutic regimens are as important to reduce the concurrent inflammation and...
Hoffman AM, Viel L.Field diagnostic tests for respiratory diseases are constantly evolving. With each new application, equine patients with sinusitis, acute and chronic bacterial and fungal pneumonia SAID, chronic obstructive pulmonary disease, pleuropneumonia or poor performance are managed with greater proficiency. All of these problems can be investigated adequately in the field. This article is a guide to sampling techniques relevant to the ambulatory clinician.
Rush BR.Pharmacologic manipulation of pulmonary immunity plays an important role in primary and adjunct therapy for equine respiratory disease. Frequent exposure to respiratory viral pathogens, strenuous exercise, long distance transport, and inhalation of harmful substances destroy various aspects of the pulmonary defense system and predispose performance horses to development of infectious and noninfectious respiratory disease. Pulmonary immunity may be bolstered by nonspecific immunostimulants to combat primary or secondary immunodeficiency. State of the art technology improves active and passive-s...
Demeulenaere D, Vercruysse J, Dorny P, Claerebout E.The control of naturally acquired cyathostome infections in horses by treatments with ivermectin and moxidectin was evaluated in three field studies. In a first study the efficacy of both drugs was assessed in a faecal egg count reduction test. Both ivermectin and moxidectin demonstrated efficacies greater than 99 per cent for up to 60 days after treatment. In a second study, the period required for strongyle eggs to reappear was estimated in horses treated either with ivermectin or moxidectin. For the horses treated with ivermectin the period varied between 10 and approximately 13 weeks, and ...
Helman RG, Edwards WC.To document clinical signs and gross pathologic changes associated with naturally acquired cantharidiasis (blister beetle poisoning) in equids. Methods: Retrospective study. Methods: 70 equids with laboratory-confirmed blister beetle poisoning. Methods: Medical records were reviewed to obtain history, physical examination findings, feeding practices, and diagnostic test and necropsy results. Results: 32 horses and 2 donkeys died from exposure to cantharidin, whereas 36 horses survived. Diet content varied, but alfalfa hay was the common component. Onset of signs of disease was rapid. Most equi...
Toews AR, Campbell JR.To assess the value of CBC as a preoperative test in healthy horses undergoing cryptorchidectomy. Methods: Retrospective study. Methods: 117 horses. Methods: Medical records were reviewed to identify horses that had had cryptorchidectomy. Of the 117 horses identified, 102 were found that did not have a known medical condition believed to adversely affect surgery. Preoperative CBC was assessed in terms of abnormalities detected and effects of these abnormalities on development of complications during and after surgery and patient management. Results: Of 102 CBC performed, 55 contained abnormali...
Harkins JD, Carney JM, Meier M, Leak SC, Tobin T.Lipopolysaccharide (LPS), or endotoxin, is a component of the cell wall of gram-negative bacteria and is toxic to humans and animals. The GI tract of horses contains large numbers of endotoxins which may cause disease if gut wall integrity is compromised. The objective of this study was to develop a unique therapeutic approach to the treatment of endotoxemia with a sulfonyl analog of the alpha-phenyl-N-tert-butyl-nitrone (PBN) spin-trap molecule which may prevent the LPS-induced cytokine cascade. Following challenge with 55 mg/kg LPS, the survivability of ICR Swiss mice was significantly impro...
Thomas HL, Livesey MA, Caswell JL.Multiple aneurysmal bone cysts (ABCs) are previously unreported in horses. An ABC was diagnosed in the left 3rd metacarpal of a Thoroughbred foal, which partially resolved following surgical curettage. A 2nd ABC developed in the left tibia, 7 wk postoperatively, and the foal was euthanized.
Dechan J.Medical management was unable to prevent the development of an extrapulmonary abscess in a 10-year-old Thoroughbred gelding with anaerobic pleuropneumonia. Intercostal thoracostomy achieved drainage of the abscess. Resolution of the abscess and subsequent bronchopleural fistulas was monitored by ultrasonography and video-endoscopy. The horse returned to training 4 mo after discharge.
Baird AN, Freeman DE.Rectal tears have important medicolegal implications, and severe tears have a poor prognosis. Prompt diagnosis, immediate application of first aid measures, early referral, use of appropriate definitive treatments, and aggressive aftercare will improve the prognosis. The grade of rectal injury will determine the definitive treatment, but there are few guidelines to determine which treatment is best in each case. Bypass procedures, such as colostomy and indwelling rectal liner, have their own advantages and disadvantages, but can facilitate healing and prevent life-threatening complications if ...
White NA, Dabareiner RM.Impactions have been reported in the stomach and all segments of the intestine. Impactions predominately occur just oral to sites of intestinal narrowing or active pacemakers. The most common sites of impaction are in the ileum, the cecum, and the large colon pelvic flexure. The treatment of gastrointestinal impactions depends on the segment affected and the amount of bowel damage which has occurred from distension. Many impactions respond to appropriate administration of analgesics, cathartics, and oral or intravenous fluids. The prognosis for impactions treated medically is better than for t...
Hance SR.Colopexy is a surgical procedure designed to create an adhesion from the ventral colon to the body wall to prevent recurrence of large colon volvulus or displacement, and is a useful technique to prevent recurrence of this disease. Colopexies usually are reserved for broodmares, because this is the population of horses that is most predisposed to recurrence of large colon volvulus.
Cohen ND.Understanding the epidemiology of equine colic is directly relevant to the management of individual horses with colic. In this article, the epidemiology of colic is reviewed with emphasis on epidemiologic studies that have identified specific factors associated with increased risk of colic and epidemiologic studies that are designed to predict the need for surgery and prognosis in horses with colic. Despite the magnitude of the problem of equine colic, much remains to be learned about the epidemiology of this disease.
Van Hoogmoed L, Snyder JR.The medical management of postoperative abdominal disorders remains a diagnostic and therapeutic challenge for the equine clinician. Recent advances in the development of techniques and medications to offset or attenuate ischemia-reperfusion injury, endotoxemia, and ileus are encouraging and potentially will decrease the incidence of additional complications.
Beelitz P, Gothe R.In this epidemiological study 127 horses from five breeding farms in Upper Bavaria were included. The horses were coproscopically examined in intervals of four weeks over a 16-month period. Since 1992 in all farms regular prophylactic treatments with anthelmintics have been carried out. In 127 horses at least five species were established, such as Parascaris equorum, Anoplocephala perfoliata, Gasterophilus intestinalis and small strongyles, whose third stage larvae were characterized by eight or twelve intestinal cells. Infections with small strongyles occurred most frequently, followed by G. ...
Riley RT, Showker JL, Owens DL, Ross PF.Fumonisin B(1), B(2), and B(3) are inhibitors of ceramide synthase, a key enzyme in the pathway for de novo sphingolipid biosynthesis. Corn, naturally contaminated with either predominantly fumonisin B(1) or pure fumonisin B(1), has been shown to cause equine leukoencephalomalacia (ELEM). It has been hypothesized that fumonisin-induced disruption of sphingolipid metabolism is an early event in the development of ELEM. Recently, it was shown that Fusarium proliferatum corn culture diets containing predominantly fumonisin B(2), but not diets which were predominantly fumonisin B(3), at 75 ppm (0....
Cable CS, Fubini SL, Erb HN, Hakes JE.The case records of 119 young horses (all less than age one year) that underwent an exploratory celiotomy during a 17 year period were examined to determine the surgical findings, short- and long-term outcome, and prevalence of small intestinal disease compared to previous reports in the mature horse. Physical and laboratory values were compared for long-term survivors vs. nonsurvivors and the frequency of post operative intra-abdominal adhesions was determined. The most common cause for exploratory celiotomy was small intestinal strangulation, followed by enteritis and uroperitoneum. Six hors...
Hartmann FA, West SE.Phenotypic and molecular techniques, including antimicrobial susceptibility testing, plasmid analysis, and pulsed-field gel electrophoresis (PFGE) were used to characterize 15 isolates of multidrug-resistant (MDR) Salmonella anatum cultured during a 16 mo period from horses and a veterinary clinic environment. The isolates were resistant to multiple antimicrobial agents and could be placed into 4 groups based on their antimicrobial resistance patterns. The isolates contained multiple plasmids ranging in size from 2 to > 100 kb that could be grouped into 3 different plasmid profile patterns;...
Baerg SD, Russell DA, LeVan LM, Kirker-Head CA.A 22-year-old thoroughbred gelding was presented for evaluation and treatment of chronic dental disease. The horse had a history of quidding and abnormal bite behavior. Intraoral examination revealed signs of chronic generalized gingival inflammation and severe dental caries affecting the maxillary and mandibular incisor teeth. Treatment was provided on two separate visits over an interval of four months. The first visit consisted of the surgical extraction of three unrestorable incisor teeth and restoration of six carious maxillary incisor teeth. The second visit consisted of conventional end...
Doherr MG, Carpenter TE, Wilson WD, Gardner IA.To determine whether horses with Corynebacterium pseudotuberculosis infections that were examined at a veterinary medical teaching hospital between July 1, 1992, and June 30, 1994 had patterns of temporal or spatial clustering. Methods: 134 case and 800 control horses randomly selected from all non-case horses admitted during the study period. Methods: Admission date and geographic location were determined. Scan, Cuzick & Edwards', and Knox tests were applied to determine whether case horses had patterns of temporal or spatial clustering. Results: For all windows > or = 3 days (134 case...
Ducharme NG, Lowe JE.Based on the clinical impression and the current knowledge of the clinical variables (rectal examination, abdominal distention, abdominal fluid, intractable pain) most likely to differentiate between medical and surgical cases, three decision trees are provided as a guide to making the management decision in a horse with abdominal pain. Prior elimination of horses with limited life expectancy because of age or function or where financial constraints are present is understood. It must be emphasized that most of the information presently available originates from referral centers where the preva...
De Almeida JC, Augusto Mde M, Da Silva TG, De Toledo PS, De Souza DF, Antunes J, Molento MB.The objective of this work was to determine the quantitative prevalence of Anoplocephala sp. in thoroughbred horses raised in São José dos Pinhais, PR using the modified centrifugal-flotation technique. Repeatability values for the eggs per gram (EPG) were evaluated at 28-day intervals. The coproparasitological tests were made in 28 one-year old animals, 25 two-year old animals and 28 mares during the 2007 period of January 31st and June 15th. In the comparison of EPG, all mares presented low values than the foals (P = 0.04). The prevalence results indicated 50, 18 and 40% Anoplocephala sp. ...
Kirkland PD.During the 2007 equine influenza (EI) outbreak in Australia, diagnostic laboratories and the use of appropriate tests played a pivotal role in the response to the crisis. This role began with the detection of EI virus in New South Wales (NSW) on the evening of 24 August 2007 and culminated in providing the final 'proof of freedom' from EI in March 2008. The tests that were used during the EI response were able to provide results quickly, and with high sensitivity and specificity. This section of the supplement describes the roles and functions of the Australian laboratories; tests used and the...
Symons JE, Fyhrie DP, Hawkins DA, Upadhyaya SK, Stover SM.Race surfaces have been associated with the incidence of racehorse musculoskeletal injury, the leading cause of racehorse attrition. Optimal race surface mechanical behaviors that minimize injury risk are unknown. Computational models are an economical method to determine optimal mechanical behaviors. Previously developed equine musculoskeletal models utilized ground reaction floor models designed to simulate a stiff, smooth floor appropriate for a human gait laboratory. Our objective was to develop a computational race surface model (two force-displacement functions, one linear and one nonlin...
Powell DG.Examples of equine disease surveillance at the local, regional, national and international level are discussed in this article. Reporting systems at each level are also considered, and the increasing importance of laboratory confirmed diagnoses is emphasized. The need to develop national disease reporting systems is addressed, particularly with respect to conforming to international trading standards.
Drummer HE, Reynolds A, Studdert MJ, MacPherson CM, Crabb BS.Sera from 33 Australian thoroughbred mares were tested during an outbreak of equine herpesvirus 1 (EHV1) abortion with an enzyme-linked immunosorbant assay (ELISA) for the presence of EHV1-specific antibodies. The ELISA used a recombinant EHV1 antigen derived from glycoprotein G (gG) and distinguished antibodies to EHV1 from those of the antigenically related and widespread herpesvirus EHV4. Sera were obtained from most of the mares on three occasions, three, 13 and 67 days after the first abortion. Mares which were negative in the ELISA were kept separate from mares which were positive. A sec...
Edwards WC, Edwards RM, Ogden L, Whaley M.Cantharidin content of male and female Epicauta occidentalis and E conferta was determined. Aspects of the life cycle of blister beetles, taxonomy, pheromonal and adaptive functions of cantharidin relative to the medico-legal aspects of cantharidin poisoning, prevention and control in horses are discussed.
Bliss G.The Department of Pharmacology at the North Carolina State University College of Veterinary Medicine is currently conducting stability studies of oral suspensions of pergolide for the treatment of Cushing's disease. While those results are not available at this time, this paper summarizes the results of a literature search on possible clinical treatments for equine Cushing's and is intended to provide insight into the pathophysiology of the disease. Pharmacological options for treatment of equine Cushing's are discussed.
Losinno SJ, Aguilar J, Carbonetti L, Ferniot E, San Esteban F, Flores Suares CM.Strategies for parasite control have undergone major changes in recent years, especially in Europe and the United States, replacing traditional approaches by schemes based on surveillance and selective therapy. A first step in helminth control planning is to understand and demonstrate how horse owners or trainers currently control nematodes. The aim of this study was to collect information, through a survey, about important aspects of routine anthelmintic strategies in sport horses in Argentina and other regional countries. A total of 100 surveys were sent. Sixty nine were responded, 53% of th...
Rubes J, Borkovec L, Horínová Z, Urbanová J, Proroková I, Kulíková L.Cytogenetic examinations were carried out in 13 cattle farms, two herds of horses, one stag farm and 13 pig farms in areas with different levels of environmental contamination. The frequency of aberrant cells per 100 mitoses was 3.67 +/- 1.89 in pigs (n = 260) and 4.16 +/- 2.4 in herbivores (n = 497). This is a significant difference (p < 0.01). Ten times higher frequencies of chromatid exchanges were found in pigs. The examined herds were classified into three groups by the level of environmental contamination (satisfactory, impaired and severely impaired environment). Significant differen...
Gieche JM.This article serves as a template for equine veterinarians to become proficient in basic intraoral premolar and molar extraction techniques of Equidae. Indications, equipment, and methodology are described. Numerous photos and videos are included to achieve a more immersive learning experience than can be accomplished with the written word alone. Clinicians performing these techniques will continue to improve their skillsets to achieve positive outcomes as case specifics become more challenging.
Cavens VJ, Gemensky-Metzler AJ, Wilkie DA, Weisbrode SE, Lehman AM.To describe the long-term histologic and intraocular pressure (IOP) lowering effects of diode laser transscleral cyclophotocoagulation (TSCP) on the normal equine eye. Methods: Eight normal adult horses. Methods: TSCP was performed in one randomly assigned eye. Sixty spots were treated at settings of 1500 ms and 1500 mW. Two horses were randomly selected for euthanasia at 2, 4, 12, or 24 weeks post-TSCP. Both eyes were enucleated and histologically evaluated. Intraocular pressure was measured by applanation tonometry prior to TSCP, immediately post-TSCP, twice daily for 7 days post-TSCP and th...
Keating DL, Lehman JS, Burk SV.Identification of factors associated with parasite infestation in horses could reduce frequency of anthelmintic administration and slow development of anthelmintic resistance. The study aim was to evaluate management factors, equine characteristics, and equine salivary cortisol concentrations for association with strongyle-type egg shedding levels. As immunocompromised horses appear to be more susceptible to parasite infestation, it was hypothesized that salivary cortisol concentration could be associated with parasite egg shedding. Saliva and fecal samples were collected from 200 horses acros...
Padalino B, Benedetti B, Felici M, Bicout DJ.To date, there is no official method for measuring horse welfare after transport. This study aimed to develop a scale to classify horses into four categories: good shape; light affected; affected; down (GLAD) based on their welfare impairment measured at unloading. To this end, 15 animal-based measures (ABMs), previously recorded from 1019 horses, were scored. Weight and severity scores provided by welfare experts, alongside the number of welfare principles highlighted by the ABM, were assigned to each ABM. The welfare impairment () of each horse was then calculated as the weighted sum of the ...
Pascoe RR.Within a group of 130 mares which, in the event, carried twin pregnancies, 29 (22.3 per cent) produced their twins following diagnosis of a single palpable follicle at service and a single pregnancy 42 days later. The whole group of 130 twin-pregnant mares gave birth to only 17 live foals (13 per cent). Breeding results for the following season were available for 102 of these mares, when 38 (37 per cent) produced live foals. Thus over the two seasons an average 23 per cent of this group produced live foals. In a second group, comprising 70 mares, twin pregnancy had been diagnosed in all of the...
Thomas HL, Trout DR, Dobson H, McFadden RC.To determine radiation exposure to personnel during fluoroscopic imaging of limbs of horses with a portable unit and to determine distance from the c-arm at which radioprotective clothing is not required. Methods: Repeated-measures cohort study. Methods: Part 1, 1 forelimb and 1 hind limb from each of 5 equine cadavers; parts 2 and 3, personnel involved during imaging of limbs of 5 and 9 horses, respectively. Methods: Radiation exposure rates were mapped around the suspended c-arm of a portable fluoroscopy unit during imaging of various joints of equine cadaver limbs. During similar examinatio...
Ramey DW.Current economic conditions make the practice of equine medicine challenging, to say the least. The downward trend in the US economy has had a huge impact on horse owners and equine veterinarians alike. Horses are expensive to keep; as such, economics are the driving factor in the problem of the unwanted horse. Under these conditions, efficient equine ambulatory practices are well-suited to weather the economic storm. As contributors to this issue of Veterinary Clinics of North America note, one can practice high-quality medicine and surgery without the overhead and expense of a large clinic. ...
Carpenter TE, McBride MD, Hird DW.We examined the risk of importing and mistakenly releasing equine infectious anemia virus (EIAV)-infected horses into California. A computer simulation model was constructed to evaluate current and alternative quarantine station procedures; 150,000 iterations were performed to simulate 15 different scenarios of 10,000 horses imported into the state over a 14-year period. Simulation results showed that under current conditions of low EIAV prevalence in exporting countries, increasing the quarantine period would not decrease the number of EIAV-infected horses mistakenly released from quarantine....
Beard W.Caslick's, episioplasty, urethroplasty, cervical, and rectovestibular laceration repair are, by preference, performed in the standing patient. Normal castration is performed routinely uneventfully in the standing patient. The duration of the procedures and the ease with which they are accomplished in a standing horse of normal temperament make general anesthesia unnecessary. More invasive procedures, such as removal of urinary bladder calculi in male horses or removal of a neoplastic ovary in a mare, can be accomplished in a standing patient but serious consideration should be given to the use...
Hryhorczuk DO, Withrow WA, Hesse CS, Beasley VR.The authors investigated an outbreaks of unusual illnesses in humans and horses residing within 1.3 km of a wire reclamation incinerator. The study included site visits; medical and veterinary examinations; analyses of furnace ash, fly ash, soil, and biologic samples for air residues. Tetrachlorodibenzo-p-dioxins (TCDDs) and tetrachlorodibenzofurans (TCDFs) were discovered in furnace ash, fly ash, soil, horse fat, and horse liver samples.
Lowden S, Heath T.In the horse ileum, lacteals in the villi are continuous with prelymphatic intercellular channels and a plexus of lymphatic sinuses in the lamina propria that encircle the domes of the follicle/dome structures and proprial follicles. These sinuses may act as the major entry site for many of the lymphocytes migrating from gut-associated lymphoid tissue via the lymphatic system. Vessels from this plexus penetrate the muscularis mucosae and lymph flows into lymphatic vessels within the interfollicular tissue between the follicles of both follicle/dome structures and lymphoglandular complexes (LGC...
Matthews S, Dart AJ, Dowling BA, Hodgson DR.Minimally displaced, spiral, radial fractures were diagnosed in three adult horses. Two horses had open fractures and in one horse the fracture was closed. A diagnosis was made on radiographs taken 24 h, 5, and 9 days after the fracture. There was minimal displacement of the fracture fragments despite the considerable time which had elapsed between fracture and diagnosis and an unfavourable prognosis with internal fixation, so conservative therapy was the preferred method of treatment. One horse developed a sequestrum and draining sinus, which was treated surgically under general anaesthesia 3...
van Wuijckhuise-Sjouke LA.Meconium constipation is observed in a number of foals during every foaling period. The literature on the clinical picture, methods of treatment and complications, is reviewed in the present paper. In addition, the cases of seventy-five foals are reviewed, in which meconium constipation was suspected and which were submitted to the Internal Disease Department of Large Animals during the period from 1972 to 1982. The clinical picture was found to be due to another disorder in nine cases. Treatment with castor oil and alcohol resulted in discharge of the meconium in fifty-eight cases. Complicati...
Mohan K, Muvavarirwa P, Pawandiwa A.Among the Actinobacillus spp. only A. lignieresii represents a homogenous and well studied taxon. However, haemolytic and non-haemolytic strains of A. equuli and A. suis are also isolated from a wide range of diseases in a variety of hosts. These isolates often pose problems in definitive identification. Consequently, several studies have been published, emphasizing the need for detailed studies to reclassify various members of this genus and also to assess their disease significance. We isolated 48 strains of Actinobacillus from clinical cases in horses, cattle, sheep, cat, pigs and ostrich. ...
Fox-Clipsham LY, Brown EE, Carter SD, Swinburne JE.The Fell and Dales are UK pony breeds that have small populations and may be at risk from in-breeding and inherited diseases. Foal immunodeficiency syndrome (FIS) is a lethal inherited disease caused by the recessive mutation of a single gene, which affects both Fell and Dales ponies and potentially other breeds that have interbred with either of these. FIS, previously known as Fell pony syndrome, is characterised by progressive anaemia and severe B lymphocyte deficiency. The identification of the causal mutation for this disease led to the recent development of a DNA-based carrier test. In th...
MacLeod JN, Kalbfleisch TS.The first equine reference genome was completed in 2007 and published in 2009. This major accomplishment has enabled equine science to advance in ways that broadly parallel the transformative impact that genomics has had on many animal species including humans. A conceptual overview of reference genomes, genome annotation, and the major implications for equine science is presented. The relationship between genomic sequencing and the accelerating application of precision P4 medicine is discussed in the context of human and equine patients. Emergent technologies built on the foundation of genomi...
Jackson K, Weber LM, Tennant M.Periodontal disease of equine cheek teeth is common and may lead to tooth loss if left untreated. Limited information is available comparing the effectiveness of treatment methods. The objective of this study was to retrospectively compare the effectiveness of 4 commonly used treatments in reducing periodontal pocket depth (in addition to routine dental treatment and occlusal equilibration). The 4 treatments compared were (1) removal of feed material, lavaging the pocket with dilute chlorhexidine, and then rinsing the mouth with chlorhexidine-containing mouthwash (CL); (2) CL plus placement of...
Tallon R, O'Neill H, Bladon B.Sagittal plane slab fractures of the third carpal bone are a recognised injury in the racehorse. Currently no published data exist for the UK Thoroughbred racehorse population. Objective: To document return to racing following sagittal slab fracture of the third carpal bone in a UK-based racehorse population, and to compare conservative and surgical management. Methods: Single centre retrospective study. Methods: Computerised medical and racing records were searched over a 15-year period for Thoroughbred racehorses with a simple sagittal slab fracture of the third carpal bone. Horses with comm...
