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Topic:Disease Treatment
Disease treatment in horses encompasses a range of medical interventions and management strategies aimed at addressing various health conditions affecting equine species. These treatments can include pharmacological approaches, such as the administration of antibiotics, anti-inflammatory drugs, and antiparasitic medications, as well as non-pharmacological methods like physical therapy, dietary adjustments, and surgical procedures. The selection of appropriate treatments depends on the specific disease, its severity, and the individual needs of the horse. This topic brings together peer-reviewed research studies and scholarly articles that explore the efficacy, safety, and advancements in therapeutic options for equine diseases, providing insights into best practices and emerging trends in equine veterinary medicine.
Neosaxitoxin Downregulates Inflammation in an Equine In Vivo Model of Osteoarthritis. Chronic synovial inflammation is a hallmark of osteoarthritis progression and is tightly regulated by synovial macrophages. Recently, voltage-gated sodium channels (NaV) have emerged as potent modulators of macrophage-driven inflammation, positioning them as novel therapeutic targets. Among selective NaV channel blockers, neosaxitoxin exerts remarkable anesthetic and immunomodulatory effects; however, its effects on joint inflammation upon intra-articular delivery remain unexplored. Using an equine model of bilateral carpal osteoarthritis, this study evaluated the immunomodulatory and tissue-p...
Clinical outcomes of a novel flowable calcium silicate cement in equine endodontic treatment. Orthograde endodontic treatment of equine cheek teeth is performed infrequently with variable success rates of obturation with calcium hydroxide paste (CHP). A novel flowable calcium silicate cement (eCSC) formulated for use as an obturation material in equine teeth has demonstrated acceptable canal filling volumes and evidence of dentinal tubule penetration. However, clinical outcomes of eCSC-obturated equine teeth have not been reported. Objective: To report the clinical outcomes of orthograde endodontic treatment using eCSC. Methods: Retrospective case series. Methods: Horses that underwent...
Cryopreserved umbilical allograft (equicenta® CTM) improves clinical outcomes compared with clinician-selected standard of care in performance horses: a pragmatic prospective controlled trial. This multicenter, prospective, controlled clinical study and client survey evaluated the safety and effectiveness of an equine umbilical tissue suspension (equicenta® CTM; eCTM, 2:1) compared with clinician-selected standard of care (SOC) for treating lame performance horses. Unassigned: This pragmatic, real-world, open-label study enrolled horses diagnosed with appendicular musculoskeletal conditions affecting the joints, tendons, or ligaments under owner consent and an intention-to-treat design with an optional crossover after no improvement at 12 weeks and per-protocol analyses at 26 ...
Intrauterine ozone therapy reduces bacterial load in mares with mixed bacterial endometritis: a longitudinal study. Mixed bacterial endometritis poses a therapeutic challenge in mares due to the coexistence of multiple pathogens with divergent antimicrobial susceptibility profiles. This study evaluated the effects of intrauterine ozone insufflation on uterine bacterial load and endometrial inflammatory response in mares with naturally acquired mixed bacterial endometritis. Fifteen mares with mixed bacterial infection were allocated to two treatment groups: a pathological control group receiving pure medical oxygen insufflation (PC; n = 6) and an ozone-treated group receiving 42 µg/mL ozone for three c...
The equine mesenchymal stromal cell (MSC) secretome modulates neutrophils and monocyte-derived macrophages and extracellular vesicles (EVs) impact macrophage viability. Neutrophil chemotaxis and phagocytosis are critical for protection against bacteria, but can be compromised by methicillin-resistant Staphylococcus aureus (MRSA). MRSA can also circumvent macrophage surveillance by affecting polarization and reactive oxygen species (ROS) production. We previously demonstrated that the secretome of equine mesenchymal stromal cells (MSCs), comprised of all secreted bioactive factors and collected as conditioned medium (CM), reduces the growth of MRSA both in vitro and in vivo. This study aimed to determine if the equine MSC secretome has additional anti-MRSA pro...
Favorable survival of horses with guttural pouch mycosis following hospital-based treatment. To report the clinical outcomes and survival time in horses undergoing treatment of guttural pouch mycosis. Unassigned: Client-owned horses with guttural pouch mycosis admitted between 2005 and 2024 for evaluation and treatment were identified by medical record search. Signalment, disease history, and surgical and treatment details were recorded. Owners were contacted for follow-up information. Unassigned: 41 horses with guttural pouch mycosis were identified, of which 28 had epistaxis or a history of epistaxis on presentation. Thirty-five horses underwent surgical treatment, and the procedure...
Penile and preputial pythiosis in Saudi Arabian horses: clinicopathological features and surgical outcomes. Pythiosis, caused by , is a chronic granulomatous disease of horses characterized by invasive, ulcerative, and pyogranulomatous cutaneous lesions. Involvement of the external genitalia is uncommon and remains poorly characterized, particularly regarding environmental exposure and treatment outcomes. This study aimed to describe the epidemiological pattern, clinicopathological features, diagnostic findings, and surgical outcomes of penile and preputial genital pythiosis in a hospital-presented horse cohort. Unassigned: A retrospective study was conducted on 123 horses presented with cutaneous u...
Altered gene expression in the liver and small intestine of horses with equine neuroaxonal dystrophy. Equine neuroaxonal dystrophy/degenerative myeloencephalopathy (eNAD/EDM) is the second most common diagnosis of spinal ataxia in horses in the United States. The disease develops due to a combination of vitamin E deficiency and an unknown genetic risk factor(s), and there currently is no effective treatment. Objective: We performed transcriptomic profiling of the liver and small intestine of horses with and without eNAD/EDM, as both tissues are the main locations for absorption, metabolism, and delivery of vitamin E to the nervous system. Methods: Case-control exploratory study. Methods: Post...
Clinical and microbiological evaluation of a phytotherapeutic intrauterine therapy in mares with bacterial endometritis: a preliminary study. Endometritis is a major cause of subfertility in mares and an important source of economic loss in the equine industry. Growing concerns regarding antimicrobial resistance have stimulated interest in alternative therapies. Objective: To evaluate the clinical efficacy of a phytotherapeutic intrauterine treatment in mares with endometritis and its in vitro antimicrobial activity against uterine isolates. Methods: Twenty mares with bacterial endometritis based on uterine culture, cytology, and ultrasonography were randomly assigned to two groups (n = 10). Control mares received uterine lavage fol...
Efficacy of Therapeutic UVC Irradiation in Reducing Bacterial Load in Microbial Keratitis: A Retrospective Clinical Study in Veterinary Patients. To evaluate the immediate effect of therapeutic ultraviolet-C (UVC) irradiation on corneal bacterial load in veterinary patients with microbial keratitis (MK), using a retrospective analysis of clinical data collected at a UK referral ophthalmology hospital. Methods: Client-owned dogs, horses, and cats presented to a referral ophthalmology clinic with MK in 2025. Methods: Clinical records from MK cases were reviewed. For each case, paired corneal swabs were obtained immediately before and immediately after UVC irradiation with a commercially available 265 nm device (PhotonUVC). Treatment con...
Antibiofilm action of ozonated sunflower oil against bacteria isolated from the uterus of mares susceptible to endometritis. This study aimed to characterize the antibiofilm action of ozone-enriched sunflower oil (O) against pathogens associated with endometritis in mares. Initially, samples from 41 mares with a history of subfertility were stored in BHI broth and 0.9% NaCl solution. The samples underwent microbial culture, identification, and sensitivity testing at LABRAPE-UFRPE, Brazil. Biofilm production was evaluated by the crystal violet method. Subsequently, biofilm-forming bacteria were subjected to the action of different concentrations of ozonated sunflower oil. Of the 21 isolates tested for biofilm produc...
Cryo-EM structure of African horse sickness virus VP2 receptor-binding protein enables nanoparticle vaccine design. African horse sickness virus (AHSV) is a lethal equine pathogen with no licensed vaccine other than vaccines containing attenuated virus, which pose safety risks. Endemic to sub-Saharan Africa, AHSV has caused epizootics in Spain and Portugal, Cyprus, Morocco, the Middle East, India and Pakistan and, most recently, Thailand. Here, we resolve the 3.11 Å cryo-EM structure of full-length VP2 from AHSV serotype 4, adopting its native triskelion architecture and shedding light on an α-helical domain anchoring the triskelion core, which is absent in other structurally characterized orbiviruses. ...
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...
[New drugs for horses and production animals in 2025]. In 2025, no novel pharmaceutical agents for horses and farm animals were introduced to the German veterinary drug market; however, the use of 2 existing active ingredients was expanded to include additional animal species. A dexamethasone preparation is now approved for use in goats, and a new product containing sodium salicylate for chickens was introduced. Oxalic acid dihydrate is now available as an impregnated strip for contact treatment. In the field of immunological veterinary medicines, a vaccine against epizootic hemorrhagic disease virus in cattle was approved for the first time. In a...
Efficacy and safety of canagliflozin in insulin dysregulated horses: a 4-week multi-arm, double-blind, randomized, clinical trial. Sodium-glucose cotransporter-2 (SGLT2) inhibitors are promising drugs for treatment of hyperinsulinemia in insulin-dysregulated (ID) horses. Objective: Compare short-term effects of the SGLT2 inhibitor canagliflozin versus placebo on glucose and insulin responses during an oral sugar test (OST) and a forage-based feed challenge test (FCT), and to assess adverse effects. Methods: Forty-two privately owned severely ID horses. Methods: Multi-center, randomized, double-blind, placebo-controlled, parallel-group study. Horses were allocated (1:1:1) to receive canagliflozin (0.6 or 1.2 mg/kg PO q24h...
Jejunocecostomy in horses-a review of its unique complexities. Jejunocecostomy (JC), or jejunocecal anastomosis, is arguably the most controversial surgical procedure in equine small intestinal surgery. It is also the only option for resection and anastomosis for a third of small intestinal strangulating lesions in horses. Critics of the procedure identify its low survival and high complication rates as reasons to avoid its use. This review is intended to highlight findings of recent research and clinical studies that validate use of the JC, and to provide some insights into technical aspects of the procedure that might improve its survival rates. Jejunoc...
Phage Therapy for a Refractory and Multidrug-resistant Equine Surgical Site Infection. A 14-year-old American Quarter Horse mare developed a refractory deep surgical site infection following emergency celiotomy for acute right dorsal large colon displacement with 180° volvulus. Initial cultures revealed a high-burden polymicrobial infection with and , associated with delayed healing, and later followed by multidrug-resistant , further limiting therapeutic options. Phage therapy was initiated using a customized lytic phage cocktail administered topically on a daily basis over a 35-day period, with cocktail composition guided by daily wound culture results. Phage therapy markedl...
Transfer of passive immunity in foals: Can the plasma transfusion efficacy be predicted? The treatment for failure of transfer of passive immunity (FTPI) in foals with hyperimmune plasma has substantial variability of efficacy. Objective: The aims of the study were to assess the safety and efficacy of plasma transfusion and to investigate factors that may predict transfusion results, thereby allowing estimation of plasma volume requirements prior to transfusion. Methods: A retrospective review was conducted of foals admitted to an equine hospital that received a plasma transfusion for FTPI. Results: The study included 110 foals and 150 hyperimmune plasma transfusions. The median i...
Clinical Signs of Liver Disease in Horses. Clinical signs associated with liver disease in horses are often a reflection of underlying hepatic dysfunction but typically vague rather than pathognomonic. Many observed clinical signs are subtle or not recognizable in the early stages of liver disease and thus may appear acute in onset despite an underlying chronic condition. Clinical signs reported in horses with liver disease include hyporexia or anorexia, weight loss, changes in demeanor, hepatic encephalopathy, colic signs, icterus, photosensitization, diarrhea, clinical coagulopathies, ascites, peripheral edema, steatorrhea, pruritus,...
Pharmaceutical and Nutraceutical Therapies for Liver Disease. Liver dysfunction may reduce the metabolism of drugs that undergo extensive hepatic processing. This will lead to reduced clearance and elimination, and can cause accumulation of the drug, increasing the risk of toxicity. Pentoxifylline and ursodeoxycholic acid are 2 pharmaceuticals that can provide benefits for a variety of equine hepatic diseases. Nutraceuticals are frequently used in horses with hepatopathy, targeting oxidative stress, inflammation, and hepatocellular injury. Neutraceuticals such as S-adenosylmethionine, silymarin and vitamin E are most commonly used although extensive rese...
Novel technique for correcting urovagina via urethral transposition in the horse. Vesicovaginal reflux is a common cause of infertility in mares. Surgical correction is commonly recommended and involves caudal relocation of the urethral orifice which forces the urine to be expelled caudally. There have been several previously described techniques. Complications associated with caudal urethral extension occur in 11-33.3% of cases. Objective: To identify a novel technique for performing caudal urethral translocation that effectively corrects vesicovaginal reflux with minimal associated complications. Methods: In vivo experiment and clinical case series. Methods: The experimen...
Evaluation of autologous fecal microbiota transplantation for restoring equine gut microbiota after antibiotic-induced dysbiosis. Microbial resilience is important to maintain a healthy gut environment in horses, especially after antibiotic administration, but the efficacies of post-antibiotic recovery strategies remain poorly characterized. We used microbial amplicon sequencing to compare spontaneous recovery, autologous fecal microbiota transplantation (FMT), and probiotic administration in 18 horses following antibiotic-induced dysbiosis. Clinically healthy horses received a combination of cephalothin and minocycline for 5 consecutive days before intervention. Fecal microbial recovery was longitudinally evaluated by u...
Genomic diversity of multidrug-resistant Rhodococcus equi: novel sequence types, pangenome architecture, and phylogenomic evolution. Rhodococcus equi is a major cause of life-threatening pneumonia in foals under 6 months of age and an opportunistic pathogen in immunocompromised humans. Although common in soil and equine farm environments, its evolutionary dynamics, virulence architecture, and pathways of antimicrobial resistance (AMR) emergence remain poorly understood. This study integrated phenotypic characterization and whole-genome sequencing of 46 R. equi isolates from horses submitted for necropsy (n = 45) and equine fecal samples (n = 1) in Kentucky between January 2022 and December 2023 to define their resistance la...
A non-trauma-focused equine-assisted intervention was associated with reductions in all four PTSD symptom clusters in treatment-resistant military veterans. Veterans are at greater risk of developing post-traumatic stress disorder (PTSD) and show a poorer response to first-line treatments than civilians. Although equine-assisted interventions (EAIs) represent a promising alternative for military veterans,the underlying mechanisms remain uncertain, and their effectiveness across different PTSD symptom clusters has yet to be established. This study examined the effects of a non-trauma-focused EAI on specific PTSD symptoms in treatment-resistant military veterans. Unassigned: Participants in the intervention were military veterans diagnosed with PTSD...
Prevalence, risk factors, and antimicrobial resistance of Staphylococcus aureus in equines in Egypt. Staphylococcus aureus is a common commensal organism in both humans and animals, frequently colonizing the skin and nasal cavities of healthy individuals, although it can also cause a wide range of severe infections. The present study investigated the prevalence and risk factors of S. aureus in equines, along with antimicrobial resistance patterns of methicillin-resistant S. aureus (MRSA) isolates. The results revealed a prevalence of 38.6% in nasal samples collected from equines, highlighting the organism's significant presence and potential to cause infections in these animals. A genotypic p...
Roux-en-Y gastrojejunostomy and jejunojejunostomy for pyloric obstruction bypass in a horse and a foal. Gastric outflow obstruction in horses is a rare but challenging condition, often resulting from either congenital anomalies or acquired lesions such as chronic ulceration or pyloric polyps. Conventional surgical bypass procedures, including gastrojejunostomy (GJ) or gastroduodenostomy and less commonly duodenojejunostomy, can restore patency but may lead to postoperative complications. Objective: To describe the presentation, surgical management, and postoperative outcome of two horses-an adult and a foal treated with Roux-en-Y gastrojejunostomy combined with a side-to-side jejunojejunostomy (...
Laser neoureterocystostomy to treat ectopic ureters. Ureteral ectopia is an uncommon but clinically important congenital abnormality in horses. If left untreated, it can lead to persistent dermatitis, urinary tract infections, and failure to thrive. Surgical correction is necessary, but traditional approaches have produced mixed results with high morbidity. Identification of a minimally invasive, effective technique would significantly improve prognosis. Objective: To describe the procedure and outcomes of cystoscopic guided laser neoureterocystostomy in three fillies. Methods: Case series. Methods: Retrospective review of three cases treated wi...
Recent Advances in Natural Products for Colitis: Mechanisms and Translational Perspectives. Colitis is a chronic relapsing inflammatory disorder characterized by persistent mucosal inflammation, epithelial barrier disruption, oxidative stress, immune dysregulation, and gut microbiota imbalance. Although current therapies have improved disease management, their long-term use is still limited by incomplete response, relapse, adverse effects, and high cost. Natural products have attracted increasing attention as promising candidates for colitis intervention because of their structural diversity, broad bioactivity, and multitarget regulatory potential. In veterinary medicine, colitis and...
Efficacy of 0.5% Tretinoin in the Treatment of Equine Aural Plaques. Equine aural plaques are a benign form of auricular papillomatosis caused by equine papillomavirus. Despite the efficacy of 5% imiquimod cream, a marked local reaction is frequently observed during therapy, often requiring sedation before application. Objective: The aim of this study was to evaluate the efficacy and potential adverse effects of 0.5% topical tretinoin in the treatment of equine aural plaques. We hypothesised that tretinoin would be effective, with fewer adverse effects compared to imiquimod. Methods: The study included 10 horses of both sexes, aged between 7 months and 15 y...
Miscellaneous Equine Liver Conditions. Miscellaneous equine liver conditions not covered in other chapters include chronic active hepatitis, Tyzzer's disease, seasonal idiopathic hepatitis, neoplasia, and idiopathic persistent hyperbilirubinemia. Chronic active hepatitis refers to inflammatory and fibrotic liver disease with an unknown cause. Treatment is aimed at reducing inflammation. Tyzzer's disease is caused by Clostridium piliforme infection and causes acute necrotizing hepatitis in foals. Successful treatment with antimicrobial therapy and supportive care is rare. Seasonal idiopathic hepatitis is a winter disease of Midweste...
