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.
Ponce Gordo F, Cuesta Bandera C.The Spanish sheep and horse strains of Echinococcus granulosus possess several differential characteristics in their metacestode stage. Cysts from sheep vary widely in size and fertility, but they usually have a thin cyst wall and, when fertile, a whitish hydatid sand formed by brood capsules and protoscoleces. Two types of infections have been observed in horses: one resembling that of sheep, caused by small, non-fertile cysts with a thin wall, and a second type caused by medium to large, always fertile cysts with a thick wall. In this latter case, hydatid sand is always dark brown in color a...
McGorum BC, Dixon PM, Smith DG.Sixteen cases of acute idiopathic toxaemic colitis developed in a veterinary hospital over a period of three years. Before the onset of colitis, 15 horses had received antibiotics, 11 had undergone general anaesthesia and various surgical procedures, and 10 had been treated with non-steroidal anti-inflammatory drugs. The horses had acute onset, profuse watery diarrhoea, profound depression, mild to moderate abdominal pain, reduced intestinal borborygmi, tachycardia, dehydration and endotoxic shock. Leucopenia, neutropenia and pyrexia were common early indicators of impending colitis. Metronida...
Scholl PJ, Chapman MR, French DD, Klei TR.In a trial designed to evaluate the efficacy of the recommended dosage of moxidectin 2% oral gel against the gastric stages of Gasterophilus spp., 14 ponies were selected from a herd on the basis of the inclusion criterion of the presence of Gasterophilus spp. eggs attached to their hair coats. After random allocation, the ponies were treated with 1 of 2 treatments, moxidectin 2% equine gel in a single dose at the commercial dosage of 400 microg moxidectin/kg body weight or placebo gel. The animals were necropsied 14 days posttreatment. Efficacies against second- and third-instar Gasterophilus...
Ilobi CP, Nicolson C, Taylor J, Mumford JA, Wood JM, Robertson JS.Equine influenza viruses propagated in the laboratory in alternate hosts such as embryonated hens' eggs or mammalian cell culture have been analysed by HA sequencing and antigenically and their sequence compared to the original virus present in clinical material. In contrast to clinically derived human influenza virus which generally grows in MDCK cells without change, the data for equine influenza virus were less clear in that variants of equine virus were derived in both eggs and cells. The study indicated that the current use of eggs for equine influenza virus surveillance and vaccine produ...
Brasch J, Fölster-Holst R, Christophers E.We report on the first human infection with Trichophyton equinum in Germany, which was transmitted from an infected pony to a 12-year old girl. Trichophyton equinum was identified by its morphology, dependency on nicotinic acid, hair perforation, and enzyme production. A noteworthy new observation was the development of white pleomorphic tufts on the surface of thalli grown on potatoe-dextrose agar. The girl's tinea was non-inflammatory and responded promptly to topical treatment, whereas the pony's strongly inflammatory lesions persisted for months. In supernatants of cultures supplemented wi...
Moretti A, Boncio L, Pasquali P, Fioretti DP.Ringworm infections in the principal domestic animals are a major public and veterinary health problem. The aetiology, epidemiology and symptomatology of these mycoses are quite heterogeneous and complex. In this context, the AA carried out an epidemiological study to investigate the prevalence of dermatophytes in two different animal species, horses (n = 200) belonging to 10 private stables and cattle (n = 1900) belonging to farms with different breeding purposes and management. With regard to horses the results showed a positive level of 9% and Trichophyton equinum was the major organism iso...
Bird J, Larsen M, Nansen P, Kraglund HO, Grønvold J, Henriksen SA, Wolstrup J.Two sets of dung-derived organisms from soil routinely fertilized with manure (MA) and soil chemically fertilized (CH) were cultured separately in the laboratory. Baermannized organisms from these cultures were added to 20 g of faeces from strongyle-infected horses to form three treatment groups: (i) no soil organisms; (ii) low inoculum of soil organisms containing all organisms present in a suspension of approximately 100 adult female free-living nematodes; and (iii) high inoculum containing those soil organisms present with approximately 1000 adult female free-living nematodes. Three studies...
Brightwell G, Brown JM, Coates DM.Rt-PCR probes targeted to different gene sequences of VEE (Venezuelan equine encephalitis) virus strain TC-83 were assessed for their sensitivity, specificity and non-specific cross-reactivity. A generic VEE virus amplimer (VNSP4F2/VNSP4R2), targeted against nsP4 was identified, which was sensitive (detected at least 10 pfu) and robust (worked over a wide range of salt concentrations and annealing temperatures). An E2 amplimer designed against TC-83, (VE2F/VE2R), identified VEE strains TRD (1AB), P676 (1C), 3880 (1D) Everglades (2) vRNA whilst a second E2 primer pair designed against strain 68...
Van Andel AE, Magnarelli LA, Heimer R, Wilson ML.To characterize antibody response in horses with clinical signs of Ehrlichia equi infection. Methods: Prospective study. Methods: 13 horses with confirmed acute E equi infection. Methods: Sequential serum sampling was performed in Connecticut and New York during 1995 and 1996 to identify horses with naturally acquired equine granulocytic ehrlichiosis (EGE). Horses with clinical signs of EGE (i.e., fever without respiratory involvement) were confirmed as having E equi infection by polymerase chain reaction detection of ehrlichial DNA and by a minimum fourfold increase in total antibody titer by...
Bennett RC, Taylor PM, Brearley JC, Johnson CB, Luna SP.This prospective clinical study compared the physiological effects of two commonly used anaesthetic induction techniques in horses maintained with halothane. One hundred horses admitted for elective surgery were randomly allocated to receive either guaiphenesin (to effect) and thiopentone (5 mg/kg), or detomidine (20 microg/kg) and ketamine (2 mg/kg) for the induction of anaesthesia after acepromazine premedication. Anaesthesia was maintained with halothane in oxygen. There were no significant differences in breed, age, sex, weight, type of surgery and duration of anaesthesia between the group...
Schofield WL, Mulville JP.The modified Forssell's procedure was performed on 10 horses in an attempt to cure oral stereotypies. Three horses were cured completely, two horses were considerably improved, and five horses continued to perform the stereotypy after periods of remission ranging from two weeks to six months. This rate of success for the modified Forssell's procedure, as in other published reports, was lower than for the original Forssell's procedure. Surgery to eliminate a stereotypical behaviour pattern may exacerbate the stress for an animal and the modified Forssell's procedure can no longer be recommended...
Rolfe PF, Dawson KL, Holm-Martin M.To compare the efficacy of moxidectin to ivermectin, oxibendazole and morantel against some gastrointestinal nematodes in horses. Methods: Faecal egg count reduction after treatment. Methods: A farm was selected where the population of small strongyles in horses was known to be resistant to oxibendazole. Horses were allocated to treatment groups based on faecal egg counts. After treatment, faecal samples were taken up to 109 days after treatment and faecal egg counts estimated. Faecal cultures were used to estimate the contribution of small and large strongyles to the faecal egg counts at each...
Fey K, Jonigkeit E, Moritz A.Equine and canine Cushing's syndrome, both of which are the result of elevated cortisol levels, show some different pathogenetical and clinical features and require different therapeutical approaches. In older horses the equine Cushing's syndrome (ECS) is not uncommon. Nearly all cases result from excessive hormone production in cells of the pars intermedia of the pituitary. Besides elevated levels of adrenocorticotrope hormone (ACTH), high peripheral levels of pro-opiomelanocortin, beta-endorphines and alpha-melanocyte-stimulating hormone can be measured. In middle-aged and geriatric dogs, Cu...
Marr K, Marsh K, Hernandez L, Cunningham FM, Lees P.Leukotrienes, products of the 5-lipoxygenase pathway of arachidonic acid metabolism, possess properties consistent with their involvement in a range of inflammatory diseases. In this study the pharmacokinetics and pharmacodynamics of the selective 5-lipoxygenase inhibitor, fenleuton, have been examined in the horse. Orally administered fenleuton (four 5 mg kg(-1) doses, given once daily) was absorbed from the gastrointestinal tract, and penetrated readily into tissue cage exudate, the ratio of the plasma:exudate AUC0-48h being 0.90+/-0.02 (n=6). Ionophore-stimulated leukotriene (LT) B4 synthes...
Barton MH, Bruce EH, Moore JN, Norton N, Anders B, Morris DD.To test efficacy of murine monoclonal, rabbit polyclonal recombinant equine or human tumor necrosis factor-alpha (rETNF or rHTNF, respectively) antibodies to inhibit native equine tumor necrosis factor (TNF) activity. Methods: 8 and 18 healthy adult horses for parts 1 and 2 of the study, respectively. Methods: In part 1, supernates from endotoxin-activated peritoneal macrophages were incubated with various dilutions of each rETNF antibody and subsequently tested for TNF activity. Serum was also obtained from a horse 1 hour after infusion with 20 ng of endotoxin/kg of body weight and was incuba...
Thamsborg SM, Leifsson PS, Grøndahl C, Larsen M, Nansen P.Twelve Standardbred foals (age 3-6 months), with little previous exposure to parasites, were allocated to 2 groups and put onto pasture with low (Group L) or high (Group H) levels of larval contamination of large strongyles and cyathostomes. After 4 weeks grazing in September, the foals were housed indoors until necropsy 15 weeks later. Foals in Group H became clinically more affected than those of Group L in that they showed loss of vigour, weight gain depression, intermittent soft faeces and inappetence. One foal of Group H had persistent diarrhoea and was subjected to euthanasia 12 weeks af...
Weber Polack E, King JM, Cummings JF, de Lahunta A, Divers TJ, Mohammed HO.The mean number of motor neurons was assessed in the C7 spinal cord segment of 5 EMND and 5 control horses. Mean number per section in EMND horses was reduced significantly (P<0.001). The mean neuronal loss was estimated at 31%. Each of the 5 affected horses had a mean neuronal count below the 95% confidence interval for control horses. The statistically significant difference between the 2 groups was consistent in the cranial, middle and caudal thirds of the C7 segment (P<0.001). The results of regression analysis indicated an association between neuronal reduction in EMND horses and th...
Rawlings P, Snow WF, Boorman J, Denison E, Hamblin C, Mellor PS.Twelve light trap collections made near overnight shelters of horses and donkeys in four villages in the Central River Division of The Gambia captured fourteen species of biting midge of the genus Culicoides. Five species new to The Gambia were identified. This brought the number of recognized species of Culicoides (after a revision of C. schultzei) to twenty-nine in The Gambia. Species known or suspected as vectors of African horse sickness virus (AHSV) and bluetongue virus (BTV) comprised 83% of female captures, 65% of captures being C. imicola or its sibling species, C. miombo. Captures of ...
Pearce SG, Firth EC, Grace ND, Fennessy PF.The effect of copper status on the evidence of bone and cartilage lesions was investigated in 21 Thoroughbred foals. The foals and their dams were grazed on pasture containing 4.4-8.6 mg Cu/kg dry matter (DM). Four treatment groups were created by randomly allocating mares and their foals to either copper supplemented (0.5 mg Cu/kg liveweight (LW)/day), or control (pasture only) groups. This experimental design allowed the effect of copper supplementation of mare and foal to be examined independently. Parameters of bone and cartilage development were assessed in the foals both in vivo, and at ...
Rijkenhuizen AB, van Swieten HA.A surgical technique is described in which a saphenous vein graft is used to reconstruct the jugular vein in horses with facial oedema due to post thrombophlebitic stenosis of the jugular vein. The saphenous vein was harvested from the contralateral limb and implanted in the occluded vein by 2 side-to-end anastomoses. Intra- and post operatively anticoagulative medication was administered. In 2 out of 3 patients the reconstruction resulted in a permanent patent graft and resolution of the facial oedema. In one patient the graft thrombosed.
East LM, Savage CJ, Traub-Dargatz JL, Dickinson CE, Ellis RP.To identify clinical signs, physical examination findings, results of diagnostic tests, treatments administered, and clinical outcome of neonatal foals with enterocolitis associated with Clostridium perfringens infection. Methods: Retrospective study. Methods: 54 neonatal foals. Results: Most foals had acute onset of obtunded mentation, colic, or diarrhea and developed leukopenia, neutropenia, an abnormally high number of band neutrophils, toxic WBC, and hypoproteinemia within 24 hours after admission, despite high serum IgG concentrations (> 800 mg/dl). Abdominocentesis and abdominal radiogra...
Reubel GH, Barlough JE, Madigan JE.We report on the production and characterization of Ehrlichia risticii, the agent of Potomac horse fever (PHF), from snails (Pleuroceridae: Juga spp.) maintained in aquarium culture and compare it genetically to equine strains. Snails were collected from stream waters on a pasture in Siskiyou County, Calif., where PHF is enzootic and were maintained for several weeks in freshwater aquaria in the laboratory. Upon exposure to temperatures above 22 degrees C the snails released trematode cercariae tentatively identified as virgulate cercariae. Fragments of three different genes (genes for 16S rRN...
Raabe ML, Issel CJ, Cook SJ, Cook RF, Woodson B, Montelaro RC.We have previously reported that immunization of ponies with a baculovirus-expressed recombinant surface unit envelope protein (rgp90) for equine infectious anemia virus (EIAV) resulted in enhancement of disease symptoms and virus replication in 4 of 4 vaccine recipients subjected to a heterologous virus challenge (rpg90 I vaccine trial) (Wang et al., 1994). To extend these studies of EIAV vaccine enhancement, two additional and independent rgp90 vaccine trials (rgp90 II and rgp90 III) were performed. Combined, a total of 13 ponies were immunized with the rgp90 immunogen using our standard vac...
Couëtil LL, Hoffman AM.A 3-day-old female Pinto was admitted with profuse watery diarrhea and severe hypovolemic shock. After 1 week of intensive care, the foal developed seizures associated with profound serum electrolyte abnormalities suggestive of hypoadrenocorticism. Treatment with prednisone and isotonic saline (0.9% NaCl) solution led to prompt clinical response. Premature withdrawal of prednisone resulted in relapse of clinical signs. A diagnosis of adrenal insufficiency was made on the basis of clinical signs, electrolyte abnormalities, low baseline cortisol concentration, and lack of response to administrat...
Estberg L, Case JT, Walters RF, Cardiff RD, Galuppo LD.The objectives of the current project were to: (1) identify limitations of search sensitivity and positive predictive value (PPV) for free-text surgical diagnoses included in electronic patient records maintained at the University of California, Davis, Veterinary Medical Teaching Hospital (VMTH), (2) develop procedural or programmable recommendations for removing these limitations, and (3) provide guidelines for effective search strategies for users performing aggregate searches using the VMTH clinical information system. Search sensitivity corresponds to detection sensitivity (the capacity of...
Schumacher J, Yarbrough T, Pascoe J, Woods P, Meagher D, Honnas C.To examine the response of horses with progressive ethmoidal hematoma (PEH) to intralesional injection of 4% formaldehyde solution. Methods: Nasal passages of horses affected with PEH were examined endoscopically at different intervals to determine the effects of intralesional injection of formaldehyde solution. Methods: 21 horses with PEH. Methods: PEHs were injected transendoscopically with 4% formaldehyde solution. Horses were examined endoscopically and retreated at different intervals until the PEH was eliminated or was so small that reinjection was not possible. Results: Lesions diminish...
Howard RD, Pleasant RS, May KA.Transendoscopic pulsed dye laser lithotripsy was effective in the treatment of calcium carbonate urothlithiasis in 2 adult geldings. Perineal urethrotomy provided convenient access for standing transendoscopic lithotripsy and evacuation of a large cystic calculus in one gelding. In the second horse, an obstructive urethral calculus was fragmented and removed by a transurethroscopic approach. Pulsed dye laser lithotriptor is effective in fragmentation of the most common form (calcium carbonate) of uroliths in horses and may be performed in standing horses with reduced surgical invasiveness and ...
MacLeay JM, Wilson JH.A 14-year-old Arabian mare was admitted for lethargy, anorexia, and low fecal output. On the basis of laboratory, physical examination, and electrocardiographic findings, diagnoses of type-II renal tubular acidosis (RTA), impaction of the large colon, and ventricular tachycardia were made. Diagnosis of type-II RTA was based on measurement of a low fractional excretion value for potassium and fractional excretion value for sodium within the reference range. In contrast, horses with type-I RTA have high fractional excretion values for sodium and fractional excretion values for potassium within r...
Scott EA.Incisional abdominal hernias in three horses were repaired, using synthetic mesh with a fascial flap overlay. The repair of large ventral abdominal hernias of horses can be accomplished by using synthetic mesh that is sutured across the defect. This material can be placed subperitoneally, retroperitoneal but subfascial, retrofascial and subfascial, or retroperitoneal but subfascial with a fascial overlay. Advantages of using this material are that it can be used for repair of large hernias, it is easy to apply, it is strong and flexible, and it is less likely to be rejected, when compared with...
Dart AJ, Snyder JR.A 14-month-old Arabian colt was admitted for treatment of an articular fracture of the supraglenoid tubercle of the right forelimb. Successful repair was achieved by use of three 5.5-mm cortical screws placed in lag fashion across the fracture line. In other reports of supraglenoid tubercle fractures in horses, investigators have preferred conservative management or surgical removal of the fragment, because of limited success with internal fixation. Use of three 5.5-mm screws placed in lag fashion may offer an alternative method of treatment in selected cases of supraglenoid tubercle fractures...
Lavach JD.The diseases included in this article constitute a wide range of maladies that affect the horse. Certainly, the diseases that are known today to produce ocular lesions are just a few of what will be discovered if attending veterinarians always examine the eyes of patients with systemic diseases.
Goetz TE.The structural and vascular anatomy of the healthy equine foot is compared with the pathologic changes in the foot of horses with acute and chronic laminitis. The structural and vascular abnormalities present in the foot of horses with laminitis are demonstrated in order to explain the abnormal manner in which their feet grow. The medical, surgical, dietary, and endocrine management of acute and chronic laminitis is discussed. Various forms of hoof trimming beneficial to the reestablishment of normal digital perfusion, normal hoof growth, and normal spatial orientation among the distal phalanx...
Greenberg SM, Plummer CE, Brooks DE, Craft SL, Conway JA.An 8-year-old Gypsy Vanner gelding presented to the University of Florida Ophthalmology service for the evaluation of chronic, recurrent corneal ulcers behind the third eyelid of the right eye. On ophthalmic examination, a cluster of aberrant hairs was identified growing along the margin of the third eyelid. This portion of third eyelid was surgically excised, and histopathology identified the haired tissue as a dermoid. Chronic keratitis secondary to a third eyelid dermoid was diagnosed, and excision appeared curative at 6 months post-operative follow-up.
Balducci JJ, Barrett MF, Moorman VJ.Subchondral or osseous cyst-like lesions within the distal aspect of the middle phalanx are not commonly reported in equids. These osseous lesions, which can communicate with the distal interphalangeal joint, can result in significant lameness and may not respond well to medical management. This report describes the clinical, diagnostic imaging, and surgical management of a 4-year-old mixed breed gelding where medical management of a chronic subchondral osseous cyst-like lesion of the middle phalanx, which communicated with the distal interphalangeal joint, was unsuccessful. A successful outco...
Duncan JL, McBeath DG, Preston NK.The efficacy of a fenbendazole divided dose regime against immature stages of Trichonema spp, Strongylus vulgaris and Strongylus edentatus was evaluated. A group of 8 naturally infected 30 to 36-month-old ponies was divided into 2 equal groups on the basis of previous treatment and faecal egg counts, one group being treated with 7.5 mg/kg bwt of fenbendazole daily for 5 days. This treatment regime removed 80 per cent of migrating S vulgaris larvae, 100 per cent of migrating S edentatus larvae and 95 per cent of the mucosal stages of Trichonema spp. In addition, a virtual 100 per cent eliminati...
Odelros E, Kendall A, Wulcan S, Bergvall K.Otitis externa is rare in horses and the condition is poorly described in the literature. Objective: To describe clinical signs, treatment regimens and prognosis of otitis externa in horses. Methods: Eight horses diagnosed with otitis externa during 2011-2018. Methods: Retrospective review of medical records and follow-up contact with owners. Results: Common clinical signs seen in affected horses were pruritus, ear discharge and ear droop of affected ears. The most common cytological findings were neutrophils, bacteria and yeast. All horses responded well to treatment; two horses were reported...
Estrada R, Herrera M, Segura A, Araya J, Boschini C, Gutiérrez JM, León G.Administration of antivenoms to treat snakebite envenomings has the potential risk of inducing early adverse reactions. The mechanisms involved in these reactions are unclear. In this study, polyspecific antivenom consisting of whole IgG purified from equine plasma by caprylic acid precipitation was administered intravenously to non-envenomed horses (n = 47) and cows (n = 20) at a dose of 0.4 mL/kg. It has been reported that, in humans, this formulation (administered at a dose of 0.4 mL/kg) induces mild noticeable early adverse reactions, such as fever, vomiting, diarrhea, urticaria, generaliz...
Kaye BM, Elliott CR, Jalim SL.Snail bait poisoning is rare in horses. Cases have been reported, but clinical signs and subsequent prognostic indicators have been poorly documented and must be extrapolated from cases in companion animals. We describe in detail the poisoning of a horse that consumed a lethal dose of the carbamate, methiocarb. There are currently no guidelines for treating equine methiocarb toxicoses, but the principles of management are based on supportive therapy.
McNeal CD, Ryan CA, Berghaus LJ, Credille BC, Lo CP, Fajt VR.Cephalosporin antimicrobials can be utilized for the treatment of sepsis in neonatal foals, particularly when an aminoglycoside is contraindicated. Some cephalosporins, however, are not utilized because of cost, sporadic availability, or uncertainty about efficacy. The plasma disposition of ceftazidime, a third-generation cephalosporin with a broad spectrum of activity against a wide variety of gram-negative bacteria and minimal renal side effects has not been reported in neonatal foals. In this study, the plasma disposition of single intravenous (IV) and intramuscular (IM) doses of ceftazidim...
Markel MD, Snyder JR, Hornof WJ, Meagher DM.Nuclear scintigraphy was used to evaluate healing of third metacarpal bone (MC III) fractures in 2 horses (horses 1 and 2) and a third metatarsal bone fracture in 1 horse (horse 3) after stabilization of each fracture with 2 broad dynamic compression plates. In horse 1, the fracture had uniform uptake of 99mTc methylene diphosphonate on days 1, 15, and 30 after surgery. The fracture healed, and the horse was discharged from the clinic on day 52. In horse 2, a 6-cm photopenic region (ie, area of low radioactivity) was seen over the diaphysis of MC III on day 3. The region persisted and became m...
Mitlehner W, Mitlehner HC.A horse allergic rider completed 60 riding lessons on Curly Horses within six months. This rider has become clinically tolerant to normal horse breeds within this time. This case may indicate that riding and brushing ABCR Curly Horses after 60 riding hours facilitates tolerance induction. Our data indicate that this could be a valid alternative to the common recommendation to strictly avoid horse riding. Eine pferdeallergische Reiterin erhielt 60 Reitstunden auf „Curly Horses“ innerhalb von 6 Monaten. Die Reiterin tolerierte die Allergenexposition mit Pferden anderer Rassen innerhalb diese...