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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.
Radiation in Veterinary Practice: Paradigm Shift Toward Precision and Curative Approaches. Ionizing radiation therapy has undergone a clear paradigm shift in veterinary oncology and inflammatory disease management, moving from mainly palliative use toward structured, curative treatment programs. This review synthesizes current evidence on key modalities used in veterinary practice, including external beam radiotherapy, brachytherapy, systemic targeted radionuclide therapy, stereotactic radiosurgery, stereotactic body radiotherapy, radiosynoviorthesis, and low-dose radiotherapy. Each modality is discussed in relation to its physical and biological basis, major isotopes or beam types,...
Adult Equine Optic Nerve Head Measurements Using Spectral Domain Optical Coherence Tomography. To compare equine optic nerve head (ONH) measurements using spectral domain optical coherence tomography (SD-OCT) to detect clinically relevant ONH cupping. Methods: Forty-five eyes from 34 horses were categorized as CONTROL or CUPPED based on indirect ophthalmoscopy and were measured using SD-OCT: Bruch's membrane opening (BMO), optic cup width (OC), anterior laminar depth (ALD), prelaminar thickness (PLT), and cup-to-disk ratio (OC: BMO) at superior (sup.), central (ctr.), and inferior (inf.) ONH locations. Results: The OC:BMO was 0.61 ± 0.09 (sup.), 0.64 ± 0.09 (ctr.), and 0.55 ...
Fungal endometritis in broodmares: clinical presentation, prevalence in Ireland and diagnostic performance of cytology. Fungal endometritis is an uncommon uterine condition associated with poor fertility. Objective: This study aimed to 1) provide a descriptive summary of 11 cases of fungal endometritis, 2) assess prevalence trends of fungal endometritis over time, 3) assess fungal species distribution in diagnostic samples, and 4) evaluate the diagnostic accuracy of cytology. Methods: Study 1 reviewed records of 11 mares diagnosed with fungal endometritis for history, presentation, treatment, and outcome. Study 2 analysed 6,727 uterine samples (swabs and lavages; 2019-2024) for factors influencing fungal cultur...
Evaluation of episcleral silicone matrix cyclosporine implants for presumed equine immune-mediated keratitis: a retrospective study. Immune-mediated keratitis (IMMK) is a chronic inflammatory corneal disease in horses. Long-term topical therapy with cyclosporine is often impractical, highlighting the need for sustained-release alternatives. Objective: To assess clinical response, tolerability, and duration of effect of episcleral silicone matrix cyclosporine implants (ESMC) in horses with presumed IMMK. Methods: Medical records of 12 horses (14 eyes) treated between 2019 and 2023 were retrospectively reviewed. IMMK subtypes were classified as epithelial (n = 3 eyes), anterior stromal (n = 9), or mid-stromal (n =â€...
Modified mucosal digestion procedure improves precision of encysted larval cyathostomin counts in horses. With rising anthelmintic resistance in adult cyathostomins, the most pervasive equine parasites, the need to assess larvicidal efficacy has increased, yet available methods remain limited. Encysted larvae are quantified using mucosal digestion, wherein a 5% subsample of intestinal mucosa is processed, and a 2% aliquot is counted for early third stage (EL3) and late third stage/mucosal fourth stage (LL3/L4) larvae. This method is imprecise and post-treatment larval differences are often not observed. The following study aimed to assess standard and modified protocol precision and sensitivity. I...
Caudal esophageal achalasia in a Quarter Horse colt. Achalasia is the most common motility disorder of the esophagus in humans and has been diagnosed in cats and dogs. We describe a 4-month-old Quarter Horse colt with failure to thrive, recurrent colic episodes, and aspiration pneumonia, in which fluoroscopic evaluation identified a caudal esophageal motility disorder consistent with achalasia. Necropsy examination confirmed achalasia.
Generation of equine-specific local antibiograms: reproductive tract of mares and fillies in Western Australia. Antimicrobial resistance (AMR) may lead to increasing inefficacy and treatment failure of bacterial infections in the future. Antimicrobial stewardship (AMS) programmes are critical to ensuring the continued efficacy of available antimicrobials. There is a lack of published evidence-based data on the susceptibility of isolates from common reproductive infections encountered in mares. This study aims to provide equine veterinarians in Western Australia (WA) with the most appropriate first-line empirical antimicrobials for infections of the mare reproductive tract. Methods: A retrospective study...
Physical vs. Behavioral Clinical Signs in Horses with Squamous and Glandular Gastric Ulcers. Equine Gastric Ulcer Syndrome is a highly prevalent condition, yet its clinical diagnosis remains challenging due to the nonspecific nature of many associated signs. The relationship between the anatomical location of gastric ulcers and clinical presentation is still poorly defined. This retrospective study aimed to evaluate the association between gastric ulcer location and the clinical signs observed in horses. Medical records of 52 horses diagnosed with gastric ulcers by gastroscopy were retrospectively reviewed. Clinical signs were classified as physical, behavioral, or mixed, and ulcer lo...
Septic Endophthalmitis Following Suprachoroidal Cyclosporine Implant Placement in Two Horses With Equine Recurrent Uveitis. This article presents the clinical and histopathological findings from two horses that developed severe postoperative complications following suprachoroidal procedures routinely employed in the management of equine recurrent uveitis (ERU). Case 1 was a 5-year-old warmblood stallion that initially received a unilateral suprachoroidal triamcinolone injection, followed later by bilateral suprachoroidal cyclosporine implant (CSI) placement. At 9 weeks postoperatively, the right eye (which had undergone both procedures) developed secondary glaucoma necessitating enucleation. Case 2 was a 14-year-ol...
Small Genome-wide association study of insect bite hypersensitivity in Hucul horses. Insect bite hypersensitivity (IBH) is a prevalent allergic skin disease in horses that significantly affects animal welfare and shows evidence of genetic predisposition. Objective: Understanding the genetic basis of IBH can improve management and breeding strategies. The Equine80K BeadChip microarray was used to identify genomic regions associated with the occurrence of IBH in Hucul horses. Methods: Hair samples were collected from 127 Hucul horses, including both affected individuals and controls. DNA was extracted and genotyped. A genome-wide association study (GWAS) was performed to identif...
Successful resolution of natural Werneckiella equi infestation in two horses using pour-on Fipronil: A clinical observation. Werneckiella equi is an ectoparasite of equids, and control can be challenging because of the limited availability of licensed products. This case report describes the clinical observation of 1% fipronil pour-on against W. equi infestation in horses admitted to a veterinary hospital. Two horses were treated and observed between 2022 and 2023. Both exhibited pruritus, especially in the head, withers, and croup regions, and were diagnosed with severe W. equi infestation. The treatment consisted of a single topical application of 1% fipronil pour-on (1 mg/kg). Parasite reduction was assessed by c...
Assessment of the Welfare of Working Horses: Combining Clinical Evaluations with Indirect Indicators. Assessing the welfare of the working horses is crucial for identifying health and management issues and implementing effective solutions. This study evaluated the welfare of working horses in South Darfur, Sudan, by integrating clinical examination with indirect indicators through owner interviews. A total of 400 horse-owner pairs were included. Most horses (61.7%) worked every day, and 77% of owners reported using whips to encourage movement. Clinical assessment revealed that 29.0% of horses were thin, over half had dirty coats, 50.5% harbored external parasites, 43% had abnormal discharges, ...
Clinical nutrition in equine colic: a scoping review from an equine nutritionist’s perspective. Colic represents one of the leading causes of morbidity and mortality in equine medicine, with nutritional management recognized as a key modifiable factor influencing postoperative recovery. However, guiding principles for nutritional enteral support in horses after colic remain limited, and current practices are largely empirical. Objective: This scoping review aimed to (1) examine enteral nutritional support protocols reported in literature through a scoping review to map the available evidence on equine clinical nutrition in the context of colic, and (2) propose a physiology-based interpre...
Decoding moody mare syndrome: Retrospective study and tiered diagnostic framework. Behavioral issues, such as persistent or strong estrus, non-specific pain, and performance challenges in mares are frequently attributed to the estrous cycle. Objective: The objectives of this study were to analyze retrospective data on mares presented for estrus-related behavioral complaints, and to propose a structured diagnostic framework for categorizing cases during work-up at different levels of care. Methods: A retrospective study was conducted using patient records of a total of 14993 mares. Results: In this data set, behavioral problems, pain, or poor performance were not repeatably v...
Orthoflavivirus-associated neurological disease in a UK horse. Keesjan Cornelisse and Andra-Maria Ionescu discuss the clinical presentation, investigation and diagnostic approach to a case of orthoflavivirus infection in a horse in south-west England.
Equine Protozoal Myeloencephalitis: An Ancient Parasite Meets Modern Compounding. EPM remains particularly rampant in racing populations due to transport stress, young age, and congregate housing conditions. For compounding pharmacists, understanding that we're managing chronic parasite suppression - not achieving cure - fundamentally changes our approach to formulation strategy, stability assessment, and client counseling. The two formulations presented separately represent years of refinement, demonstrating compounding's essential role when commercial products fall short.
Theileria haneyi: An Emerging Equids Hemoparasite with Milder Virulence but Major Diagnostic and Therapeutic Implications. , a recently discovered tick-borne hemoparasite infecting equids globally, has significant implications for equine health. Although it is closely related to (sharing 23% genomic divergence), it establishes an asymptomatic carrier state in persistently infected horses, creating a silent transmission reservoir. Its discovery and unique genetics justify its classification as a new taxon. A critical diagnostic challenge is that the lack of the gene in prevents its detection by the standard cELISA, emphasizing the need for species-specific tools. Although species-specific PCR assays, including ...
Spontaneous regression of equine sarcoids is an exceptional event. Sarcoids are benign, yet locally aggressive skin tumours that commonly affect horses and other equid species. The lesions are induced by bovine papillomavirus types 1, 2, and probably 13 in conjunction with other factors including trauma and a genetic predisposition. Although sarcoids have a substantial impact on the health and welfare of affected equids, information on the immune response to bovine papillomavirus infection and resulting sarcoids is limited. However, there is evidence that sarcoid disease is associated with an impaired immune response to bovine papillomavirus infection. This o...
Starch Overload and Cecal Alkalinization: Impacts on the Intestinal Microbiota and Health of Horses. Starch overload induces dysbiosis primarily through a reduction in cecal pH. This study aimed to evaluate the cecal microbiota following excessive starch intake, with or without the administration of an intracecal buffering solution. We hypothesized that the buffering solution would mitigate changes in the intestinal microbiota and associated clinical signs. Ten horses were randomly assigned to two groups, each receiving distinct treatments (Group I: saline solution [WSa] and starch-buffer [SB]; Group II: buffer-water [WB] and starch-saline [SSa]). Following starch overload (17.6 g/kg body wei...
Modified Medial Canthoplasty for Correction of Euryblepharon in Two Horses. To describe a medial canthoplasty surgical procedure in two horses for correction of euryblepharon, secondary to microphthalmia, and following excision of retrobulbar fat prolapse. Methods: A 1 year old thoroughbred mare was presented for small globes and chronic ocular discharge bilaterally. Ophthalmic examination revealed microphthalmos, euryblepharon, medial canthal pocket syndrome, and dacryocystitis bilaterally with no visual impairments. A 2 year old Appaloosa gelding was presented for evaluation of a smooth, subconjunctival mass anterior to the right globe in the medial canthus. Oph...
Sequential measurement of serum amyloid A concentrations in ill hospitalized neonatal foals. In hospitalized foals, limited data are available on the utility of sequential measurement of SAA concentrations and the value of these data in a clinical setting. Objective: To determine serum amyloid A (SAA) concentrations in ill neonatal foals at multiple timepoints during hospitalization, and to evaluate a potential association with systemic inflammatory response syndrome (SIRS) status, blood culture (BC) result, and survival. Methods: Hospitalized ill foals (n = 90, ≤ 14 days). Methods: In this retrospective study, foals were classified based on SIRS criteria: "SIRS" or "NonSIRS," ...
Equine neorickettsiosis: A global perspective of the natural habitat of the bacteria and clinical disease. Equine neorickettsiosis (EN) is an infectious, non-contagious systemic disease of horses caused by the closely related obligatory intracellular bacterial species Neorickettsia risticii and N. findlayensis. Clinical cases are considered endemic in multiple regions across the United States and Canada, as well as in parts of South America, including Uruguay and Brazil. Neorickettsia spp. are obligate endosymbionts of digenean trematodes, which have complex life cycles involving a molluscan first intermediate host, a wide range of invertebrate or vertebrate second intermediate hosts, and a vertebr...
Survey on Faecal Microbiota Transplantation and Probiotic Use in Equine Practice in France and Belgium. Faecal microbiota transplantation (FMT) and probiotics are used in equine practice. Understanding veterinarians' perceptions and practices is crucial for effective implementation. Objective: (1) Evaluate the prevalence, usage patterns and perceived effectiveness of probiotics and FMT among equine veterinarians in France and Belgium. (2) Assess their knowledge, practices and influencing factors across demographics and settings. (3) Explore links between FMT protocols and treatment satisfaction. Methods: Cross-sectional survey. Methods: An online survey collected demographic data and responses o...
Septic arthritis caused by Streptococcus equi subspecies zooepidemicus: a case report. subspecies (SESZ) is an uncommon zoonotic pathogen in humans but can cause severe joint infections. Reported cases are often linked to exposure to horses, dairy products, or raw pork, though infections may occur without an identifiable animal source. Unassigned: An 84-year-old man with multiple comorbidities presented with acute left shoulder pain, fever, and chills. Synovial fluid aspiration yielded turbid fluid containing calcium pyrophosphate dihydrate crystals, while Gram stain was negative. Despite empiric broad-spectrum antibiotics, his symptoms persisted, requiring surgical irrigation...
Prolonged wireless measurement of intragastric pH in foals. The pathogenesis of gastric ulceration is not well understood in foals, and its relationship with gastric acidity requires further investigation. A wireless capsule, designed for intraesophageal pH monitoring in humans, was adapted to measure intragastric pH in adult horses. Objective: To (1) determine the feasibility of wireless intragastric pH measurement in foals; (2) determine capsule attachment duration; and (3) describe the intragastric pH profiles recorded. Methods: Eight healthy foals aged 24-98Â days. Methods: Prospective interventional study. Capsules were attached to the glandular g...
Evaluation of oxidative stress and antioxidant defense biomarkers in healthy and colic horses: correlation with type of colic and outcome. Colic is a major cause of morbidity and mortality in horses, with oxidative stress implicated in its pathophysiology. Objective: Evaluate biomarkers (BIOs) of oxidative stress and antioxidant defense in healthy horses and those with non-strangulating colic (NSC) and strangulating colic (SC) and assess correlations with survival. Methods: Seventy-one adult horses: 10 healthy and 61 colic-affected (42 NSC, 19 SC) admitted to 3 veterinary teaching hospitals. Methods: Prospective, multicenter cohort study. Blood samples were collected at admission (T0) and up to 96Â h post-admission. Biomarkers me...
Associations among beta-endorphin, ACTH, cortisol concentration, age, and clinical signs indicative of pituitary pars intermedia dysfunction in geriatric horses. Limited published data are available regarding the relationships among clinical signs associated with pituitary pars intermedia dysfunction (PPID), age, and concentrations of proopiomelanocortin-derived peptides and cortisol. Objective: Identify clinical signs associated with age, beta-endorphin (β-END), adrenocorticotropic hormone (ACTH), and cortisol concentrations and compare β-END and cortisol concentrations between horses with PPID and geriatric controls. Methods: A total of 113 horses aged 18-32 years. Methods: Cross-sectional study. Clinical signs were scored, plasma β-END, ACTH, an...
Clinical Manifestations and Behaviors Associated with Equine Head and Neck Disorders. Equine head and neck disorders can present with a wide range of clinical manifestations, depending on the structures involved and disease process. Important components of the gastrointestinal, respiratory, ophthalmological, neurological, and musculoskeletal systems are contained within the head and neck, and clinical signs of disorders will result in expected clinical signs. However, clinical manifestations of disease are sometimes subtle, and when not recognized can lead to behavioral changes including undesired behaviors and poor sleep. Recognizing behavioral phenotypes of horses with proble...
