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Topic:Disease Management

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.
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...
Evaluation of long-term postoperative morbidity and survival after equine colic surgery using a complication severity classification.
The Veterinary record    January 17, 2026   doi: 10.1002/vetr.70174
Gandini M, Giusto G.Most studies on colic surgery outcome focus on short-term survival and complications. Long-term outcomes, particularly post-discharge morbidity, are poorly characterised despite their relevance. No standardised system has previously integrated both short- and long-term postoperative complications with survival outcomes. Therefore, this study aimed to evaluate long-term survival and morbidity in horses after colic surgery using the equine postoperative complication score (EPOCS), and to assess the association between complications and survival. Methods: The medical records of horses undergoing ...
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
Generalized steatitis in a miniature horse filly with laminitis and a positive outcome at 18-month follow-up.
The Canadian veterinary journal = La revue veterinaire canadienne    December 1, 2025   Volume 66, Issue 12 1292-1296 
Johnson A, Karam B, Schroeder O, McKaig L, Loesch K.A 12-month-old miniature horse filly was presented because of laminitis, suspected lymphangitis, and pyrexia. Although the filly's initial physical examination and diagnostic tests suggested an infectious etiology, ultrasonographic findings were suspicious for generalized steatitis. This was confirmed histopathology. The filly experienced full recovery with continued resolution of clinical signs at 18 mo after presentation. This case included aspects similar to those of previously reported clinical presentations, as well as long-term follow-up in a breed that is not overrepresented, providing...
Complications Associated with Equine Diagnostic and Elective procedures.
The Veterinary clinics of North America. Equine practice    November 10, 2025   Volume 41, Issue 3 453-472 doi: 10.1016/j.cveq.2025.08.012
Morales CJ, Costa LRR.The practice of medicine has always been associated with complications. In fact, in its early stages, these complications contributed to the understanding of certain diseases and advancement of the medical field. In equine practice, virtually every procedure carries an associated risk. In fact, even procedures that would have minimal risk in human medicine may pose significant risk in equine practice owing to the unique nature of the horse. For instance, a simple rectal palpation could result in a rectal tear following an unexpected movement of the patient. Thus, extrapolations of complication...
Lethal Sycamore maple intoxication in a grazing three-month-old foal.
Journal of equine veterinary science    October 30, 2025   Volume 155 105713 doi: 10.1016/j.jevs.2025.105713
Janzen N, Sander J, Terhardt M, Mallek M, Smith H, Witt P, Theelen MJP.The case of a young foal poisoned by maple toxin is described. It showed signs of myopathy caused by ingesting life-threatening amounts of maple toxin. Some maple trees (Acer species) can pose a health risk to grazing horses. The leaves, seeds and shoots contain hypoglycin A (HGA) and methylencyclopropylglycine (MCPRG) and can cause life-threatening atypical myopathy.
Iatrogenic aspiration pneumonia in six horses: A retrospective case series.
Journal of equine veterinary science    October 30, 2025   Volume 155 105712 doi: 10.1016/j.jevs.2025.105712
Vainio KME, Määttänen MK, Mykkänen AK, Huupponen AK, Niinistö KE.Iatrogenic aspiration pneumonia is rarely reported in horses, with most cases involving lipoid pneumonia from accidental mineral oil administration. Objective: Our aim is to describe horses with iatrogenic aspiration, highlighting clinical findings, treatment, outcomes, and prognostic differences based on the aspirated material. Methods: Management of 6 horses treated at the University of Helsinki Equine hospital due to iatrogenic aspiration between 2018 and 2023 are reported. Results: Of the six horses, three survived, two of whom regained full athletic function. Survivors received water, or ...
Biological effects of β-D-glucans from natural sources on equine health and performance: A review.
Research in veterinary science    October 28, 2025   Volume 197 105947 doi: 10.1016/j.rvsc.2025.105947
Piecuch A, Szterk A.This review highlights the role of β-glucans-specifically β(1 → 3), β(1 → 6), and β(1 → 4)-glucans-as water-soluble dietary fibres in animal nutrition and health. Sourced from yeast, plants, seaweed, and mushrooms, β-glucans differ in structure depending on origin, which affects their solubility and biological activity. Recent studies emphasize their therapeutic potential in horses, particularly for managing gastric ulcers, viral infections, immune dysfunction, and poor performance. The review summarizes data on effective dosages, formulations, and sources of β-glucans tailor...
A Meta-Analysis of International Flunixin Pharmacokinetics in Horses: Toward Regulatory Harmonization and Individualized Detection Times Using Bayesian Paradigm.
Drug testing and analysis    October 25, 2025   Volume 18, Issue 1 32-50 doi: 10.1002/dta.3961
Kuroda T, Knych HK, Noble GK, Minamijima Y, Leung GN, Nomura M, Mizobe F, Ishikawa Y, Kusano K, Toutain PL.Flunixin meglumine is widely used to manage pain and inflammation in horses, and its regulation requires robust pharmacokinetic analysis for harmonization. In this study, we conducted a meta-analysis of flunixin disposition using plasma and urine concentration data from 65 horses across four countries to robustly estimate pharmacokinetic parameters in setting screening limits (SLs) for controlling medications in horses. A population (POP) model was developed using nonlinear mixed-effects model analysis. The irrelevant plasma concentration (IPC) and irrelevant urine concentration (IUC) were det...
Revitalizing equine metabolism: how SHBG improves mitochondrial function and reduces inflammation.
BMC veterinary research    October 21, 2025   Volume 21, Issue 1 620 doi: 10.1186/s12917-025-05033-y
Bourebaba N, Domagała J, Bourebaba L.Equine metabolic syndrome (EMS) is associated with chronic low-grade inflammation, disruptions in mitochondrial dynamics and function, and an increased risk of developing laminitis. Recent research has highlighted that reduced levels of sex hormone-binding globulin (SHBG) in the bloodstream are linked to higher susceptibility to obesity, insulin resistance, and diabetes, potentially contributing to broader metabolic imbalances. This study aimed to evaluate whether exogenously administered SHBG could protect adipose-derived stem cells from horses affected by EMS (EqASC) against mitochondrial dy...
Recent advances in intestinal helminth parasites of horses in the Asia-Pacific region: Current trends, challenges and future directions.
International journal for parasitology. Drugs and drug resistance    October 17, 2025   Volume 29 100622 doi: 10.1016/j.ijpddr.2025.100622
Abbas G, Nielsen MK, E-Hage C, Ghafar A, Beveridge I, Bauquier J, Beasley A, Wilkes EJA, Carrigan P, Cudmore L, Jacobson C, Hughes KJ, Jabbar A.Over the past 25 years, significant progress has been made in understanding and managing equine gastrointestinal parasites in the Asia-Pacific region, particularly in Australia and New Zealand. This review synthesises current knowledge of the epidemiology, diagnostic methods, anthelmintic resistance (AR), and control strategies for major equine intestinal parasites, including cyathostomins, Parascaris spp., Anoplocephala perfoliata, and Strongyloides westeri. Recent studies highlight substantial regional variation in parasite prevalence, egg shedding and cyathostomin population composition, sh...
Incorporating a Behavioral Medicine Approach in the Multi-Modal Management of Chronic Equine Gastric Ulcer Syndrome (EGUS): A Clinical Commentary.
Animals : an open access journal from MDPI    October 17, 2025   Volume 15, Issue 20 3019 doi: 10.3390/ani15203019
Klinck M, Lovett A, Sykes B.Equine gastric ulcer syndrome (EGUS) refers to mucosal gastric disease in horses, including equine squamous gastric disease (ESGD) and equine glandular gastric disease (EGGD), which present as two distinct disease entities differing in pathophysiology and approach to disease management. Both diseases are a source of pain in affected horses, partly explaining why EGUS continues to receive substantial attention in the equine medical, welfare and equitation research sectors. There is a complex interplay between EGUS and a variety of physical and psychological stressors. Horses with EGUS are often...
Controlling drug-resistant bacteria in Arabian horses: bacteriophage cocktails for treating wound infections.
Frontiers in veterinary science    October 15, 2025   Volume 12 1609955 doi: 10.3389/fvets.2025.1609955
Khalid E, Tartor YH, Ammar AM, Abdelaziz R, Mahmmod Y, Abdelkhalek A.Antimicrobial resistance is a major global health issue requiring a coordinated response. This study investigated for the first time the prevalence, antimicrobial resistance phenotypes of bacteria causing infections in Arabian horses, and the potential of bacteriophage therapy for wound treatment. One hundred clinical samples from infected Arabian horses, presenting respiratory disorders, diarrhea, abortion, wound, and ocular infection, were examined using direct sample multiplex PCR and phenotypic methods. Antimicrobial susceptibility testing of the recovered isolates was performed using pane...
Surgical repair of bilateral lateral patellar luxation in a foal using block-recession trochleoplasty and polypropylene mesh reinforcement: Case report and review of literature.
Journal of equine veterinary science    October 14, 2025   Volume 155 105707 doi: 10.1016/j.jevs.2025.105707
Memarian P, Basso G, Rigo M, Falomo ME, Isola M.Patellar luxation is a rare orthopedic condition in horses, with congenital lateral patellar luxation being the most frequently reported form. A few sporadic reports have described surgical options for addressing equine patellar luxation. This report details the clinical presentation of a 2-month-old Italian Trotter foal diagnosed with bilateral lateral patellar luxation. Staged surgical correction of both stifles was performed, including block recession trochleoplasty combined with the application of polypropylene mesh for reinforcing medial imbrication sutures. Intra- and post-operative eval...
Wearable smart textile band for continuous equine health monitoring.
Biosensors & bioelectronics    October 10, 2025   Volume 292 118073 doi: 10.1016/j.bios.2025.118073
Park T, Hong S, Murray L, Lee J, Shah A, Mesa JC, Lee H, Couetil L, Lee CH.Continuous physiological monitoring is well-established in human healthcare for early disease detection and management. However, translation of these technologies to large animals such as equines remains underdeveloped due to anatomical constraints, dense hair coat coverage, and requirements for unimpeded mobility. Equines, particularly racehorses, are prone to asthma and cardiovascular abnormalities, with nearly 80 % affected by mild to moderate asthma, impacting performance and long-term health. Despite the need for continuous monitoring, existing solutions require shaving hairs, often lack...
Effects of the Sodium-Glucose Cotransporter-2 Inhibitor Velagliflozin on Insulin Concentrations in Horses With Insulin Dysregulation.
Journal of veterinary internal medicine    October 9, 2025   Volume 39, Issue 6 e70256 doi: 10.1111/jvim.70256
Thane K, Voth R, Klee R, Warnken T, Chukwu V, Frank N.Sodium-glucose cotransporter-2 inhibitors (SGLT2i) are promising treatments to manage hyperinsulinemia in horses with insulin dysregulation (ID). Objective: The SGLT2i velagliflozin decreases insulin concentration in horses with ID. Methods: Privately-owned adult horses (n = 37) with laboratory-confirmed ID (low-dose oral sugar test insulin concentration > 75 μIU/mL). Methods: Double-blind randomized placebo-controlled trial. Horses received placebo (n = 19) or velagliflozin 0.3 mg/kg PO q24h (n = 18) for 20 weeks (Study Period 1, SP1) immediately followed by a 20-week ope...
Antimicrobial use in equine patients at a veterinary teaching hospital in the northeastern United States reveals opportunities for enhanced stewardship.
Journal of the American Veterinary Medical Association    October 8, 2025   Volume 264, Issue 2 1-8 doi: 10.2460/javma.25.06.0373
Velarde PS, Cummings KJ, LaPointe C, Perkins GA.To assess the use of systemic antimicrobial agents in equine patients and identify areas where their use could be reduced. Unassigned: A retrospective study evaluating the electronic medical records for all equine visits in which systemic antimicrobials were given at a veterinary teaching hospital for 1 year (2021). Negative binomial regression analysis was used to evaluate factors associated with antimicrobial prescription rate. Unassigned: Systemic antimicrobials were prescribed for 33.5% (543 of 1,622) of equine visits. For most visits (89.1%), ≤ 3 antimicrobials were given. The antimicro...
Equine Asthma Is Characterised by Severity-Dependent Correlations Between Blood Neutrophil Cholesterol Content and NET Formation.
European journal of immunology    October 7, 2025   Volume 55, Issue 10 e70072 doi: 10.1002/eji.70072
Meiseberg LK, Mergani A, Delarocque J, Imker R, Köhn D, Wanes D, Bonilla MC, Veldhuizen EJA, von Köckritz-Blickwede M, Ohnesorge B, de Buhr N.Equine asthma (EA) is the most prevalent chronic lung disease in horses. Neutrophils are the main effector cells in severe EA. Neutrophil extracellular traps (NETs) have been described as contributors to severity in human asthma and chronic obstructive pulmonary disease. Thus, we aimed to investigate if NET-related factors in equine neutrophils, blood and bronchoalveolar lavage fluid (BALF) allow us to differentiate EA severities and to identify NET-related mechanistic insights in EA. We quantified NETs and NET-related factors in the blood and BALF of eight healthy horses and 18 horses with di...
Evaluation of Owner-Reported Clinical Signs and Fecal Occult Blood Tests as Predictors of Equine Gastric Ulcer Syndrome in Competition Dressage Horses.
Journal of veterinary internal medicine    October 7, 2025   Volume 39, Issue 6 e70248 doi: 10.1111/jvim.70248
Frippiat T, Bonhomme M, Dyson S, Votion DM.Equine gastric ulcer syndrome (EGUS) adversely affects the health, welfare, and performance of sports horses, requiring gastroscopy for definitive diagnosis. Owners frequently consider girth aversion as highly suggestive of EGUS. Objective: To evaluate whether owner-reported clinical signs or fecal occult blood tests (FOBTs) can help identify horses needing gastroscopy for EGUS diagnosis or monitoring treatment, thereby reducing unnecessary procedures in unaffected horses. Methods: Eighty competition dressage horses referred by veterinarians for EGUS evaluation. Methods: Case-control study in...
Comparative analysis of 3 qPCR primer-probe sets for the detection of equid alphaherpesvirus 1. Kambayashi Y, Bannai H, Nemoto M, Kawanishi N, Niwa H, Tsujimura K.With the revision of the World Organisation for Animal Health (WOAH) Terrestrial Manual on equine rhinopneumonitis in 2024, 3 recommended qPCR primer-probe sets were added for the detection of equid alphaherpesvirus 1 (EqAHV1; formerly equine herpesvirus 1 [EHV1]; family , taxon species ), also known as equine abortion virus. We compared the sensitivity and specificity of the 3 qPCR primer-probe sets to determine the most reliable set. Sets gB1H and gB1P, which target the glycoprotein B () gene of EqAHV1, detected all 10 copies and even lower copy numbers. In contrast, set gC1 (ISO 17025-accre...
Influence of Extended Photoperiod Using Blue Light Masks on Hypertrichosis, Coat Condition and General Health Parameters in Horses with Pituitary Pars Intermedia Dysfunction.
Animals : an open access journal from MDPI    October 5, 2025   Volume 15, Issue 19 2905 doi: 10.3390/ani15192905
Parmantier S, Kyriazopoulou P, McClendon M, Adams A, Murphy BA.Fifty-two horses aged >15 years, diagnosed with pituitary pars intermedia dysfunction (PPID), and displaying hypertrichosis were recruited via an online survey of PPID horse owners. From mid-December, group T ( = 29) wore Equilume light masks extending photoperiod to 15 h daily, while group C1 ( = 23) remained under natural photoperiod. As 85% (44/52) of recruited study horses received pergolide medication, a second unmedicated PPID research herd (C2; = 17) was recruited and remained under natural photoperiod. Hair coat samples, shedding and body condition scores were collected monthly by own...
Selected microRNAs as biomarkers in sarcoid-affected horses under immunotherapy with a mistletoe extract. Beermann A, Hamza E, Reinhard S, Koch C, Oberhänsli T, Unger L.We investigated microRNAs (miRNAs) as potential prognostic biomarkers for equine sarcoid (ES) disease. In a breed-, age-, and sex-matched case-controlled study involving 45 ES-affected and 15 control horses, we assessed the diagnostic, prognostic, and theragnostic value of 3 miRNAs (eca-miR-127, eca-miR-379, eca-miR-432) in horses treated with European mistletoe () extract versus placebo. Whole-blood miRNA concentrations were measured using reverse-transcription quantitative real-time PCR (RT-qPCR) at 3 different times. We found that eca-miR-432 expression was lower in ES-affected (median =â...
A high proportion of bacterial isolates from septic neonatal foals in Ontario express multidrug resistance and low susceptibility to first-line antimicrobials.
Journal of the American Veterinary Medical Association    October 1, 2025   Volume 264, Issue 2 1-8 doi: 10.2460/javma.25.05.0339
Espinosa Seoane D, Riley CB, Kenney DG, Spencer A, Arroyo LG.To describe common bacterial isolates cultured from sick neonatal foals and their antimicrobial susceptibility and resistance patterns. Unassigned: Medical records of foals ≤ 30 days of age, admitted to the Ontario Veterinary College from 2020 to 2023, and with a positive aerobic bacterial culture and susceptibility testing performed (Kirby-Bauer method) were included. A descriptive analysis of species isolated and antimicrobial and multidrug resistance profiles was performed. Unassigned: 62 samples from 60 predominantly Thoroughbred (42% [25 of 60]) neonatal foals (median age, 8 days) yield...
Complications of the Recumbent Horse: Diagnosis and Management.
The Veterinary clinics of North America. Equine practice    September 30, 2025   Volume 41, Issue 3 619-632 doi: 10.1016/j.cveq.2025.08.009
Delvescovo B, Bouton J.This issue focuses on the potential complications caused by prolonged recumbency in horses. It discusses how managing a recumbent horse involves treating the primary illness while also preventing and addressing secondary issues that can arise from recumbency itself. The authors explore the underlying pathophysiology of these complications, along with strategies for prevention and treatment. By understanding these aspects, veterinarians can improve care and outcomes for horses that are immobilized for extended periods. The issue provides insights into the most common complications and emphasize...
Hidden menace: Understanding the devastating consequences of dourine disease in horses.
Open veterinary journal    September 30, 2025   Volume 15, Issue 9 3931-3942 doi: 10.5455/OVJ.2025.v15.i9.2
Rimayanti R, Khairullah AR, Mustofa I, Utomo B, Lestari TD, Utama S, Akintunde AO, Mulyati S, Hernawati T, Dawood AQ, Riady G, Khan IU, Rasad SD.... is a protozoan parasite that causes the sexually transmitted disease known as "dourine" in horses. This chronic illness is directly spread from one animal to another during mating. Doflein proposed the name in 1901. Despite being distributed worldwide, the broad use of artificial insemination technology over the past three decades has resulted in only a few cases being documented. The condition is typically fatal and is characterized by gradual emaciation, nervous system involvement, and edematous lesions of the genitals. The incubation period between exposure and the onset of clinical sympt...
BCG Immunotherapy in Equine Sarcoid Treatment: Mechanisms, Clinical Efficacy, and Challenges in Veterinary Oncology.
Viruses    September 29, 2025   Volume 17, Issue 10 1322 doi: 10.3390/v17101322
Monteiro MM, de Castro ELA, Pereira AJM, Thiesen R, Thiesen RMC, Salvarani FM.Equine sarcoids are the most common dermatological neoplasm in horses worldwide, associated with bovine papillomavirus (BPV) infection and characterized by high recurrence rates after conventional therapies. Bacillus Calmette-Guérin (BCG) immunotherapy has historically been used for sarcoid treatment, yet its role in contemporary veterinary oncology remains debated. This narrative review critically examines the immunological mechanisms, clinical efficacy, and limitations of BCG in equine sarcoid therapy, while integrating insights from comparative oncology and One Health perspectives. A syste...
Real-time fluorometric isothermal assays for detection of Streptococcus equi subspecies equi and Streptococcus equi subspecies zooepidemicus in horses: Validation, comparison and evaluation of their clinical application.
Australian veterinary journal    September 29, 2025   Volume 104, Issue 3 158-166 doi: 10.1111/avj.70022
Jelocnik M, Hall C, Dennis S, Mitchell K, Blishen A, Mashkour N, Anstey SI, Jenkins C, Jeffers K, El-Hage C, McMillan D, Gilkerson J.Infectious diseases significantly impact equine health and welfare, causing illness and death, and loss of productivity globally. One such disease is 'strangles', a highly contagious upper respiratory condition in horses caused by Streptococcus equi subspecies equi (SEE). Diagnostic methods for this pathogen include sensitive molecular assays and less reliable bacterial isolation and biochemical testing. However, the presence of closely related streptococci, such as Streptococcus equi subspecies zooepidemicus (SZOO), may confound diagnosis. Rapid assays for SEE are crucial for outbreak control...
Accidents, Injuries, and Complications in Equine Sports Medicine Practice.
The Veterinary clinics of North America. Equine practice    September 26, 2025   Volume 41, Issue 3 529-543 doi: 10.1016/j.cveq.2025.08.001
Allen TS, Johnson S.The physical stresses on equine athletes are unique and differ across various disciplines. Recognizing these differences is essential for early detection of injuries and effective management of the competition horse's health. Equine sports medicine involves specific challenges and risks that can be reduced through proper care, careful attention to technique, and a deep understanding of the demands of each sport. Proper training, regular monitoring, and sport-specific expertise are crucial in preventing injuries and ensuring optimal performance. By focusing on these aspects, veterinarians and t...
Complications in the Critically Ill Equine Patient.
The Veterinary clinics of North America. Equine practice    September 26, 2025   Volume 41, Issue 3 595-618 doi: 10.1016/j.cveq.2025.08.008
Mazur SE, Toribio RE.Complications in critically ill equine patients are often related to the underlying disease process but can also be a consequence of diagnostic and therapeutic interventions. Complications can be specific to the affected organ or body system; however, in critically ill patients, they frequently affect the vasculature, acid-base, electrolyte, and fluid balance, energy homeostasis, and coagulation, with systemic consequences. Infrequent monitoring, late detection, failure to adapt therapies, hematologic and biochemical abnormalities, coagulopathies, and systemic inflammation can all contribute t...
Adverse Effects and Drug Reactions in Equids.
The Veterinary clinics of North America. Equine practice    September 24, 2025   Volume 41, Issue 3 653-674 doi: 10.1016/j.cveq.2025.08.011
Wilson KE, Davis JL.Adverse drug events (ADEs) are any harms caused by medical interventions used for treatment, prevention, or diagnosis. These events can happen due to human error or as unintended, harmful reactions to drugs when given at normal therapeutic doses. This review focuses on common ADEs associated with drugs frequently used in equine practice. Recognizing and understanding the manifestations of ADEs can help with early detection and more effective management, ultimately leading to better outcomes for equine patients. Additionally, knowledge of the potential harmful effects of drugs also aids in appr...