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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.
Cost of referral treatment for colic in the United Kingdom-What has changed in the last 5 years?
Equine veterinary journal    August 18, 2025   doi: 10.1111/evj.70074
Wilson FE, Mair TS, Freeman SL.Referral treatment costs and insurance status impact treatment decisions for colic. Objective: To evaluate changes in the cost of referral treatment for colic, and insurance cover and premiums in the United Kingdom between 2018 and 2023. Methods: Cross sectional study. Methods: Thirty UK equine referral hospitals were contacted in January 2024 and asked about their colic caseload and costs of the last three cases across six categories (surgical +/- resection, euthanasia before, during or after surgery, and medical treatment), using similar methodology to a 2018 study. Data are reported as mean...
Topical Use of Sucralfate in Cutaneous Wound Management: A Narrative Review with a Veterinary Perspective.
Veterinary sciences    August 13, 2025   Volume 12, Issue 8 756 doi: 10.3390/vetsci12080756
Accorroni L, Dini F, Pilati N, Marchegiani A, Bazzano M, Spaterna A, Laus F.Wound management is a fundamental skill for veterinarians, requiring a systematic approach to wound care and a deep understanding of the biological principles underlying healing. Sucralfate, widely known as a mucoprotective agent for gastroduodenal ulcers, has recently shown promising topical effects in human skin lesions by binding and protecting growth factors from proteolytic degradation, thereby enhancing their local availability. This action promotes angiogenesis, chemotaxis and cell proliferation, while reducing oxidative stress and exerting bacteriostatic and bactericidal effects agains...
Science-in-brief: Report on the 2nd Dorothy Russell Havemeyer Foundation workshop on acute colitis of the adult horse.
Equine veterinary journal    August 6, 2025   doi: 10.1111/evj.14554
Arroyo LG, Whitehead AE, Uzal F.No abstract available
The effect of topical antibiotic or antibiotic-corticosteroid treatment on the ocular surface microbiota of healthy horses.
Frontiers in microbiology    August 4, 2025   Volume 16 1535095 doi: 10.3389/fmicb.2025.1535095
Martin de Bustamante MG, Plummer CE, Caddey B, Gomez DE.Information regarding the impact of topical antibiotics with or without corticosteroids on the microbiota of the horses' eyes is limited. This study aimed to describe the bacterial ocular surface microbiota in healthy horses and evaluate the effect of topical antibiotics or antibiotic-corticosteroid medication on the ocular surface microbiota. Unassigned: This was a prospective, randomized, longitudinal, blinded study in which one eye of 12 horses was treated 3 times daily for 7 days with neomycin, polymyxin B and bacitracin ophthalmic ointment ( = 6) or neomycin, polymyxin B and dexametha...
Evolution of in vitro antimicrobial resistance at an equine hospital over 4 decades.
The Canadian veterinary journal = La revue veterinaire canadienne    August 1, 2025   Volume 66, Issue 8 903-910 
Symoens A, Gauthier ML, Paillette L, Allano M, Lavoie JP, Leclère M.This study aimed to document antimicrobial resistance patterns of bacteria frequently isolated at a referral equine hospital between 2020 and 2022 and to compare these results to those of studies carried out in previous decades at the same reference center. Unassigned: Using the Kirby-Bauer method, 340 tests were completed on bacterial isolates and compared to 233, 255, and 396 tests carried out in 1986 to 1988, 1996 to 1998, and 2007 to 2013, respectively. Data were analyzed with tests for trends, followed by pairwise Fisher tests and Bonferroni corrections. Unassigned: Increasing resistanc...
Isolation, identification and comparative genomic analysis of Lactobacillus salivarius from Mongolian horse vagina.
Frontiers in microbiology    July 31, 2025   Volume 16 1635639 doi: 10.3389/fmicb.2025.1635639
Zhao Y, Liu Y, Tao J, Cao J, Lin Y, He Q, Fang X, Yun S, Du M, Su S, Bao T, Bai D, Zhang X, Dugarjaviin M.Reproductive health in mares is pivotal for the sustainability of the equine industry, yet vaginal microbiota dysbiosis remains an underrecognized contributor to infections such as endometritis and bacterial vaginosis. While spp. dominate healthy vaginal ecosystems in humans and livestock, their role in equine reproductive health, particularly in resilient breeds like Mongolian mares, is poorly understood. This study aimed to isolate and characterize a novel strain from the vaginal microbiota of healthy Mongolian mares and evaluate its probiotic potential for mitigating equine reproductive d...
Tricuspid valve endocarditis in a horse owner, caused by Streptococcus equi subsp. zooepidemicus.
ASM case reports    July 31, 2025   Volume 1, Issue 5 e00059-25 doi: 10.1128/asmcr.00059-25
Roy CN, Wiechmann CE, Dev A, Walther BK, Musser JM, Olsen RJ, Beres SB, Axell-House DB. subsp. (SESZ) are zoonotic group C streptococci primarily acquired from contact with horses and other animals, such as llamas. They are unusual causes of infection in humans and rarely cause infective endocarditis. Unassigned: A 58-year-old woman presented with fever, malaise, and polyarthritis. Clinical evaluation diagnosed native tricuspid valve SESZ endocarditis. The SESZ isolate was genetically closely related to a clone causing an outbreak of post-streptococcal glomerulonephritis linked to the consumption of unpasteurized cheese in Brazil. The patient had no exposure to unpasteurized ch...
The equine placental extract ameliorates renal damage in mice with adenine-induced chronic kidney disease by inhibiting indoxyl sulfate production.
Open veterinary journal    July 31, 2025   Volume 15, Issue 7 3334-3340 doi: 10.5455/OVJ.2025.v15.i7.45
Sugimoto K, Nakamura J, Deng D, Hirano E.Indoxyl sulfate (IS) is a dietary metabolite of tryptophan that is produced in the liver. It is a uremic toxin that facilitates the progression of chronic kidney disease (CKD). We previously observed that equine placental extract (ePE) inhibited IS synthesis in an inhibition assay using the liver S9 fraction. Unassigned: This study was designed to investigate the effects of ePE on adenine-induced renal failure in mice at the histological and molecular levels to understand the mechanism of action of ePE. Unassigned: We assessed this effect through biochemical and histological analyses using a...
Pioglitazone does not adequately control hyperinsulinemia but does increase serum adiponectin concentrations in equids with severe insulin dysregulation.
Journal of the American Veterinary Medical Association    July 30, 2025   Volume 263, Issue 10 1-11 doi: 10.2460/javma.25.04.0269
Lowndes CR, Boyle AG, Kulp J, Stefanovski D, Davis JL, van Eps A.To characterize the effects of pioglitazone (2 mg/kg, PO, either q 24 h [PIO-SID] or q 12 h [PIO-BID]) in equids with severe hyperinsulinemia. Unassigned: 17 client-owned equids with severe resting hyperinsulinemia (> 100 µIU/mL) were assigned to PIO-SID or PIO-BID in a prospective cohort study with rolling enrollment over an 11-month study period (December 13, 2022, to November 17, 2023). Basal insulin, total and high-molecular-weight adiponectin concentrations, and plasma pioglitazone concentrations were measured over 70 days. Oral sugar tests (OSTs) were performed on days 0 and 28. Results...
Clinical safety of intrauterine infusion of a uterine sanitizer in mares.
Journal of equine veterinary science    July 29, 2025   Volume 152 105657 doi: 10.1016/j.jevs.2025.105657
Segabinazzi L, Lisboa FP, Zutter B.Limited response to conventional therapies and rising antibiotic resistance emphasize the need for alternative treatments for infectious endometritis. A recent in vitro study showed promising antimicrobial activity of a commercial uterine cleaning sanitizer (UCS) against endometritis pathogens. However, its safety and efficacy in mares remain untested. Objective: This study aimed to assess the clinical safety of intrauterine infusion of UCS in reproductively sound mares. Methods: Exp. 1. Six healthy mares with endometrial biopsies classified as I or IIA had two intrauterine infusions of UCS pe...
Reassessment of extracellular and intracellular activity of macrolides, rifampicin, and doxycycline against Rhodococcus equi based on bacterial counts and microscopy.
Microbiology spectrum    July 29, 2025   Volume 13, Issue 9 e0120525 doi: 10.1128/spectrum.01205-25
Huguet A-S, Gourbeyre O, Bousquet-Mélou A, Ferran AA, Lallemand EA. is an opportunistic intracellular pathogen responsible for severe respiratory infections in foals, requiring prolonged antibiotic treatment. Despite its susceptibility to multiple antibiotics, the eradication of intracellular remains challenging due to its ability to persist and survive within alveolar macrophages. This study aimed to assess the extracellular and intracellular activity of rifampicin, doxycycline, and four macrolides against while assessing current methodologies used to differentiate intracellular and extracellular bacteria. We found that the removal of extracellular wit...
Shifting Paradigms: Imidocarb dipropionate as an alternative chemotherapeutic strategy for Trypanosoma evansi infection in animals.
Veterinary parasitology    July 29, 2025   Volume 338 110558 doi: 10.1016/j.vetpar.2025.110558
Gupta S, Sethi K, Vohra S, Gupta S, Rani R, Kumar S, Kumar R.We report on the in vitro and in vivo success of Imidocarb dipropionate (IDP), an aromatic diamidine compound, as an effective drug against Surra-causing organism, Trypanosoma evansi. IDP is a clinically acclaimed drug for the treatment of babesiosis and anaplasmosis. We have also investigated cytotoxic effect of IDP on equine Peripheral mononuclear cells (PBMCs) and Vero cell line. The data generated indicate that the IC of IDP (2.73 µM) was significantly lower than its cytotoxic concentration (32.66 and 80.70 µM against PBMCs and Vero cell line, respectively). We have recorded signific...
Cold atmospheric plasma-aerosol treatment of equine dermatophytosis: a novel therapeutic approach.
Frontiers in veterinary science    July 28, 2025   Volume 12 1651946 doi: 10.3389/fvets.2025.1651946
Kurras S, Knottenbelt D, Schmelz U, Schaal T, Tischendorf T, Fuchs R, Schorling T, Koene MHW.Dermatophytosis is a common fungal skin infection in horses, particularly affecting young and immunocompromised animals. Traditional treatments often involve antifungal medications with potential side effects. Here, we present a case report that evaluated the efficacy of cold atmospheric plasma-aerosol (CAP-A) as a standalone treatment for equine dermatophytosis. Unassigned: A 2-year-old Westphalian warmblood stallion presented with confirmed dermatophyte lesions restricted to the left side of the mouth which were treated with CAP-A. Treatment was administered 2 times daily for 12 consecutive ...
Equine influenza antigen-based particle vaccine protects mice against homologous and heterosubtypic viral challenges.
Acta biomaterialia    July 22, 2025   Volume 203 578-590 doi: 10.1016/j.actbio.2025.07.042
Siddoway AC, Van Zanten A, Verhoeven D, Wannemuehler MJ, Mallapragada SK, Narasimhan B.Influenza virus is a common source of respiratory illness and poses a major public health burden globally. Significant efforts have been dedicated towards developing and deploying effective vaccines. However, since being licensed in 1945, influenza vaccines have made limited progress and still suffer from several limitations, including suboptimal efficacy against variants. In this work, we report on two influenza A polyanhydride particle- and pentablock copolymer-based vaccine formulations intended for intranasal or subcutaneous administration. These nanovaccines are based on a newly discovere...
Multi-host distribution of Rhodococcus equi (Prescottella equi) strains and their phylogenomic clustering.
BMC microbiology    July 21, 2025   Volume 25, Issue 1 447 doi: 10.1186/s12866-025-04152-8
Ghielmetti G, Stevens MJA, Schmitt S, Kittl S, Cernela N, Biggel M, Schulthess B, Keller PM, Schrenzel J, Stephan R.Rhodococcus equi is an intracellular bacterial pathogen that can cause infections in various hosts, including humans and animals. Host-associated virulence plasmids have been identified as key contributors to the pathogenicity of R. equi and potentially play a role in determining the host tropism of the bacteria. The investigation of additional clinical and environmental isolates is likely to provide novel insights into the population structure, infection pathways, and drug resistance of this important pathogen. We combined whole-genome sequencing and antimicrobial-susceptibility testing of 37...
Orientin Reverses Premature Senescence in Equine Adipose Stromal Cells Affected by Equine Metabolic Syndrome Through Oxidative Stress Modulation.
International journal of molecular sciences    July 17, 2025   Volume 26, Issue 14 6867 doi: 10.3390/ijms26146867
Orzoł D, Kępska M, Zyzak M.Equine metabolic syndrome (EMS) is a prevalent endocrine disorder associated with insulin dysregulation, oxidative stress, and impaired regenerative capacity of adipose-derived stem cells (ASCs). The aim of this study was to evaluate the effects of orientin-a plant-derived flavonoid with known antioxidant properties-on equine ASCs (EqASCs) derived from both clinically healthy and diagnosed EMS-affected mares. EqASCs were treated with orientin to evaluate its biological effects. The analysis included key cellular functions such as proliferative capacity, viability, apoptosis, oxidative stress, ...
Innovating for Curriculum Design Using a Text-Mining Exploration of Common Clinical Topics in Equine Primary Care.
Journal of veterinary medical education    July 16, 2025   e20240175 doi: 10.3138/jvme-2024-0175
Batterham R, Allen K, Dickson J, Warman S, Parkin T.To ensure veterinary students are prepared for clinical practice, curricula must provide opportunities for students to learn about the cases most frequently seen in practice. Currently, there is a gap in the literature with regard to the identification of common clinical topics encountered in equine primary care practice in the UK. This study aims to address this gap by utilizing text-mining techniques on electronic medical records (EMRs) to produce a ranked list of the most common clinical topics encountered in equine primary care in the UK. The study included 1,092,731 rows of data from 150,...
Genomic snapshot of Klebsiella spp. isolates from clinically ill animals reveal diverse lineages with limited relatedness to human isolates.
BMC veterinary research    July 11, 2025   Volume 21, Issue 1 458 doi: 10.1186/s12917-025-04686-z
Martin G, Tyson GH, Guag J, Strain E, Ceric O.Klebsiella spp. is an important human and animal pathogen, and it is commonly found with resistance to clinically important antimicrobials worldwide. The main goals of this study were to determine the prevalence of antimicrobial resistance genes in our study population and to assess the relatedness between Klebsiella spp. isolated from humans and animals. Isolates were collected in 2019 and 2020 from various animal hosts that presented to veterinary hospitals in the U.S. that participate in the FDA's Center for Veterinary Medicine Veterinary Laboratory Investigation and Response Network's anti...
Exploring the roles of snoRNA-induced ribosome heterogeneity in equine osteoarthritis.
Frontiers in veterinary science    July 10, 2025   Volume 12 1562508 doi: 10.3389/fvets.2025.1562508
Chabronova A, Walters M, Regårdh S, Jacobsen S, Bundgaard L, Anderson JR, Peffers MJ.Osteoarthritis (OA) is a degenerative joint disease that greatly contributes to equine morbidity and poor welfare. Changes in cellular protein expression programs fuel the development and progression of OA. Small nucleolar RNAs (snoRNAs) are emerging as important regulators of OA (patho)biology. SnoRNAs are short non-coding RNAs that guide post-transcriptional modifications (PTMs) of ribosomal RNA (rRNA) nucleotides, which impact ribosome function and thus cellular protein expression programs. There is only very limited data on snoRNAs in equine OA. Unassigned: In this study, we induced OA in ...
Gray-Horse Melanoma-A Wolf in Sheep’s Clothing.
International journal of molecular sciences    July 10, 2025   Volume 26, Issue 14 6620 doi: 10.3390/ijms26146620
Brodesser DM, Schlangen K, Rodríguez-Rojas A, Kuropka B, Doulidis PG, Brandt S, Pratscher B.Malignant melanoma (MM) affects not only humans but also animals, with gray horses being particularly predisposed to acquiring the disease. Multiomics have greatly advanced the understanding of human MM. In contrasty little is known regarding the pathogenesis of gray-horse melanoma and the unique phenomenon of melanoma "dormancy" in some animals. To help close this gap in knowledge, melanoma tissue and intact skin collected from gray horses were subjected to transcriptome analysis using RNAseq. In the next step, cultured primary tumor cells and normal skin fibroblasts were established from gra...
Pharmacokinetics/pharmacodynamics analysis of trimethoprim and sulfamethoxazole for methicillin-resistant Staphylococcus aureus infection after intravenous and per os administration in Thoroughbred horses.
Journal of equine veterinary science    July 7, 2025   Volume 152 105640 doi: 10.1016/j.jevs.2025.105640
Kuroda T, Minamijima Y, Niwa H, Mita H, Nomura M, Ohta M.A pharmacokinetics/pharmacodynamics (PK/PD) approach was used to determine the dosage regimens of trimethoprim/sulfamethoxazole for methicillin-resistant Staphylococcus aureus (MRSA) infections after intravenous (IV) and per os (PO) administration in horses. Methods: Trimethoprim/sulfamethoxazole plasma concentrations were measured in six horses after a single IV administration of 15 mg/kg (2.5 mg/kg trimethoprim and 12.5 mg/kg sulfamethoxazole) and PO administration of 30 mg/kg (5.0 mg/kg trimethoprim and 25.0 mg/kg sulfamethoxazole). The data were modeled using a nonlinear mixed-effects mode...
Distribution of endocannabinoid system receptors in the equine hoof: dysregulation as a potential therapeutic target for laminitis.
Histochemistry and cell biology    July 1, 2025   Volume 163, Issue 1 71 doi: 10.1007/s00418-025-02397-y
Zamith Cunha R, Gobbo F, Morini M, Zannoni A, Mainardi C, D'arpe L, Gramenzi A, Chiocchetti R.A growing body of evidence indicates that the endocannabinoid system (ECS) is essential for controlling the homeostasis of the skin and that the ECS is modified in the presence of skin disease. It is plausible to expect that the lamellar junction of the hoof expresses cannabinoid receptors and that their expression could be affected by lamellar disease. The goal of this study was to characterise the cannabinoid receptor type 1 (CB1R) and type 2 (CB2R) and the G protein-coupled receptor 55 (GPR55) within the dermo-epidermal junction of the hooves of healthy and laminitic horses. The expression ...
Substance withdrawal during psychotherapy incorporating equines: A preliminary investigation of the role of neurotransmitters during treatment.
Journal of equine rehabilitation    July 1, 2025   Volume 3 100035 doi: 10.1016/j.eqre.2025.100035
Friend MM, Nicodemus MC, Lemley CO, Cavinder CA, Prince P, Holtcamp K.Substance withdrawal presents a barrier to substance use disorder (SUD) recovery in part due to symptoms implicating neurotransmitters and their metabolites. Despite this relationship, research investigating alternative treatments such as psychotherapy incorporating equines (PIE) have primarily targeted vital signs and cortisol concentrations. Previous research has also proposed benefits of human-horse physiological coupling, but the role of neurotransmitters in the relationship between humans and horses during PIE has not yet been investigated. The purpose of this study was to characterize ne...
Comparative genomic and virulence analyses of a novel sequence type 420 Streptococcus equi subspecies zooepidemicus isolated from donkey.
Virulence    June 29, 2025   Volume 16, Issue 1 2525964 doi: 10.1080/21505594.2025.2525964
Tian Y, Su Y, Jiang X, Su L, Zhang B, Lv F.The zoonotic pathogen subspecies (SEZ) frequently colonizes equines harmlessly but can occasionally cause disease or cross species barriers. Currently, growing evidence suggests SEZ can lead to severe clinical manifestations in horses and other animals, posing a threat to human and companion animal health. In this study, we sequenced the complete genome of the SEZ strain HT321, a novel sequence type 420 isolated from a donkey with a respiratory infection in China. Subsequently, we conducted comparative genomics, core genome single nucleotide polymorphisms (cgSNP), phylogenetic analysis multi...
Impact of Low-Starch Dietary Modifications on Faecal Microbiota Composition and Gastric Disease Scores in Performance Horses.
Animals : an open access journal from MDPI    June 28, 2025   Volume 15, Issue 13 1908 doi: 10.3390/ani15131908
Irving J, Pineau V, Shultz S, Ter Woort F, Julien F, Lambey S, van Erck-Westergren E.Equine gastric disease (EGD) is a common condition in performance horses (), potentially compromising behaviour, performance, and welfare. EGD is often attributed to high-starch, high-sugar feeds and limited forage. Evidence for diet-induced changes on digestive microbiota is lacking. Nine elite showjumping horses were housed at the same performance yard with standardised diet and management throughout the study. Horses were transitioned from a high-sugar and -starch (31%) feed to a low-starch and -sugar (16.5%) concentrate feed. Gastroscopies, blood, and faecal samples were taken pre- and 12 ...
Is Rifampin (Rifampicin) Essential for the Treatment of Rhodococcus equi Infections in Foals? A Critical Review of the Role of Rifampin.
Journal of veterinary pharmacology and therapeutics    June 24, 2025   doi: 10.1111/jvp.70007
Baptiste KE, Kyvsgaard NC, Ahmed MO, Damborg P, Dowling PM.Rifampin is an enigma among antimicrobials. Blood and tissue compartment concentrations are a "moving target" along the treatment course due to the complex pharmacodynamic interactions within the body. Rifampin concomitant therapies are for the prevention and treatment of Rhodococcus equi infection in foals, for nearly 40 years. The necessity of rifampin concomitant therapies is based on beliefs that both antimicrobials (e.g., rifampin plus macrolide) penetrate into pulmonary abscesses and intracellular compartments above R. equi minimum inhibitory concentrations (MICs), as well as better ef...
Equine sarcoids from Southern Italy: Molecular and Histopathological characterization.
Research in veterinary science    June 19, 2025   Volume 193 105777 doi: 10.1016/j.rvsc.2025.105777
Martano M, Montagnaro S, Power K, Cuccaro B, Cutarelli A, Maiolino P, Restucci B.This study investigated the presence of δ bovine papillomaviruses (BPV-1, BPV-2, BPV-13, BPV-14) in equine skin lesions from Southern Italy, focusing on equine sarcoids and their histopathological correlations. 63 equine skin samples were analysed using PCR and sequencing for BPV detection, and their histopathological features were assessed. BPV DNA was detected in 69.84% of the samples, with BPV-1 and BPV-2 being the most prevalent genotype, followed by BPV-13, while BPV-14 was not detected. BPV DNA was also found in non-sarcoid tumours and non-neoplastic conditions. Histopathological analys...
Equine MicroRNAs: Performance, Reproduction, and Disease.
MicroRNA (Shariqah, United Arab Emirates)    June 16, 2025   doi: 10.2174/0122115366369721250606113102
Herkenhoff ME.MicroRNAs (miRNAs) are molecules that regulate gene expression by targeting the 3' untranslated region (UTR) of mRNAs. They are essential in numerous biological processes like growth, metabolism, and muscle development. miRNA research has become crucial in livestock breeding, offering solutions for improving animal health and productivity. This review focuses on miRNAs' roles in equine performance, reproduction, and disease, highlighting key findings and future applications in these areas. It discusses the use of circulating miRNAs (ci-miRNA) as biomarkers for athletic performance, particularl...
Clinical evaluation of freeze-dried secretome (lyosecretome) for osteoarthritis: a controlled trial in dogs and preliminary safety assessment in horses.
International journal of pharmaceutics    June 16, 2025   Volume 681 125864 doi: 10.1016/j.ijpharm.2025.125864
Berni P, Del Bue M, Conti V, Andreoli V, Ramoni R, Angelone M, Squassino GP, Bari E, Torre ML, Rinaldi M, Dotti S, Rossi R, Yusuf I, Mauri P....Most in vivo studies on MSC-secretome for osteoarthritis (OA) have relied on animal models, using products lacking pharmaceutical quality, not formulated for clinical use, and insufficiently characterized, limiting knowledge of its effectiveness. This study reports veterinary clinical trials on dogs and horses with spontaneous OA: in dogs (26 subjects), the trial is randomized, double-blinded, and controlled; in horses, 5 clinical cases were treated for safety assessment. Treatment consisted of hyaluronic acid with either lyosecretome - a freeze-dried, injectable MSC-secretome obtained through...
Equine botulism.
Equine veterinary journal    June 15, 2025   doi: 10.1111/evj.14542
Slavik K, Whitlock R, Johnson A.Botulism is a severe and often fatal disease in equine patients worldwide. Clostridium botulinum is a ubiquitous soil organism which produces a potent neurotoxin resulting in neuromuscular blockade and flaccid paralysis in affected animals. Definitive diagnosis is often impractical or impossible, leading to diagnosis and treatment based on clinical experience and presenting signs. Delay in case identification and treatment results in rapid deterioration of the patient. Treatment of recumbent equine botulism cases presents challenges due to patient size and requires intensive nursing care. This...