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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.
Isolation of an Equine Foamy Virus and Sero-Epidemiology of the Viral Infection in Horses in Japan.
Viruses    July 5, 2019   Volume 11, Issue 7 613 doi: 10.3390/v11070613
Kirisawa R, Toishi Y, Hashimoto H, Tsunoda N.An equine foamy virus (EFV) was isolated for the first time in Japan from peripheral blood mononuclear cells of a broodmare that showed wobbler syndrome after surgery for intestinal volvulus and the isolate was designated as EFVeca_LM. Complete nucleotide sequences of EFVeca_LM were determined. Nucleotide sequence analysis of the long terminal repeat (LTR) region, and genes revealed that EFVeca_LM and the EFV reference strain had 97.2% to 99.1% identities. For a sero-epidemiological survey, indirect immunofluorescent antibody tests were carried out using EFVeca_LM-infected cells as an antige...
Supplemental Antibiotics in a Commercial Extender for Stallion Semen.
Journal of equine veterinary science    July 5, 2019   Volume 80 33-35 doi: 10.1016/j.jevs.2019.06.014
Hernández-Avilés C, Love CC, Serafini R, Teague SR, Varner DD.Commonly marketed semen extenders contain various antibiotic types and concentrations to control bacterial growth from stallion's external genitalia. An experiment was conducted to test the effects of supplemental amikacin disulfate (1,000 μg/mL) + potassium penicillin G (1,000 IU/ML: INRA-AP), or ticarcillin-clavulanate (1,000 μg/mL: INRA-TIM) in the INRA 96 extender, on sperm function and antimicrobial activity, compared with extender without supplemental antibiotics (INRA-C). In freshly extended semen (Time 30m), no differences were observed among the three treatment groups for sperm m...
Towards a vaccine for equine encephalitis viruses.
Nature reviews. Drug discovery    July 4, 2019   Volume 18, Issue 7 500 doi: 10.1038/d41573-019-00095-8
Crunkhorn S.No abstract available
Surgical corrections and postsurgical complications of epiglottic entrapment in Thoroughbreds: 12 cases (2009-2015).
Journal of equine science    July 3, 2019   Volume 30, Issue 2 41-45 doi: 10.1294/jes.30.41
Lee SK, Lee I.Twelve Thoroughbred racehorses were diagnosed as epiglottic entrapment at the Korea Racing Authority equine hospital. Four different surgical correction techniques were used to treat epiglottic entrapment: the transnasal hook bistoury, transoral unshielded hook bistoury, transnasal shielded hook bistoury, and transendoscopic laser techniques. Eleven cases were surgically resolved eventually, with one case of recurrence. Five complications related to surgical correction occurred: a severe nasal passage laceration and bleeding (n=1), epiglottic laceration (n=1), epiglottis tip burns (n=2), and m...
A retrospective comparison of induction with thiopental/guaifenesin and propofol/ketamine in Thoroughbred racehorses anesthetized with sevoflurane and medetomidine during arthroscopic surgery.
Journal of equine science    July 3, 2019   Volume 30, Issue 2 25-31 doi: 10.1294/jes.30.25
Tokushige H, Araki M, Kusano K, Arima D, Ito H, Yamazaki Y, Urayama S, Kambayashi Y, Tateno O, Ohta M.This study compares clinical characteristics between induction with thiopental/guaifenesin and propofol/ketamine in Thoroughbred racehorses anesthetized with sevoflurane and medetomidine. Clinical records of 214 horses that underwent arthroscopic surgery between 2015 and 2016 were retrospectively retrieved. Horses were premedicated with medetomidine and midazolam to sedate at the adequate level for smooth induction, and then induced with either thiopental (4.0 mg/kg) and guaifenesin (100 mg/kg) in Group TG (n=91) or propofol (1.0 mg/kg) and ketamine (1.0 mg/kg) in Group PK (n=123). Anesthesia ...
Equine adipose mesenchymal stem cells (eq-ASCs) appear to have higher potential for migration and musculoskeletal differentiation.
Research in veterinary science    July 3, 2019   Volume 125 235-243 doi: 10.1016/j.rvsc.2019.06.015
Shojaee A, Parham A, Ejeian F, Nasr Esfahani MH.Equine adipose-derived mesenchymal stem cells (eq-ASCs) possess excellent regeneration potential especially for treatment of musculoskeletal disorders. Besides their common characteristics, MSCs harvested from different species reveal some species-specific and donor-dependent behaviors. Hence, the molecular analysis of MSCs may shed more light on their future clinical application of these cells. This study aimed to investigate some behavioral aspects of eq-ASCs in vitro which may influence the efficacy of stem cell therapy. For this purpose, MSCs of a donor horse were isolated, characterized a...
Pathology in Practice.
Journal of the American Veterinary Medical Association    July 2, 2019   Volume 255, Issue 2 173-176 doi: 10.2460/javma.255.2.173
Bertram CA, Ertelt A, Lübke-Becker A, Erickson NA, Kershaw O.No abstract available
T2* and quantitative susceptibility mapping in an equine model of post-traumatic osteoarthritis: assessment of mechanical and structural properties of articular cartilage.
Osteoarthritis and cartilage    July 2, 2019   Volume 27, Issue 10 1481-1490 doi: 10.1016/j.joca.2019.06.009
Nykänen O, Sarin JK, Ketola JH, Leskinen H, Te Moller NCR, Tiitu V, Mancini IAD, Visser J, Brommer H, van Weeren PR, Malda J, Töyräs J, Nissi MJ.To investigate the potential of quantitative susceptibility mapping (QSM) and T2* relaxation time mapping to determine mechanical and structural properties of articular cartilage via univariate and multivariate analysis. Samples were obtained from a cartilage repair study, in which surgically induced full-thickness chondral defects in the stifle joints of seven Shetland ponies caused post-traumatic osteoarthritis (14 samples). Control samples were collected from non-operated joints of three animals (6 samples). Magnetic resonance imaging (MRI) was performed at 9.4 T, using a 3-D multi-echo gr...
Highlights of recent clinically relevant papers.
Equine veterinary education    July 1, 2019   Volume 31, Issue 8 394-395 doi: 10.1111/eve.13139
Wright S.No abstract available
Clinical efficacy of bronchodilators in equine asthma: Looking for minimal important difference.
Equine veterinary journal    July 1, 2019   Volume 52, Issue 2 305-313 doi: 10.1111/evj.13137
Airway obstruction is the main trait of severe equine asthma that affects respiratory function and elicits detrimental effects on clinical presentation. Only few and underpowered clinical studies have investigated the impact of improvement in lung function induced by bronchodilators on the clinical signs of asthma-affected horses. Objective: To identify the minimal important difference (MID) in lung function elicited by bronchodilator leading to a meaningful improvement in clinical signs. Methods: Pairwise meta-analysis and meta-regression analysis. Methods: Literature searches were performed ...
Equine viral arteritis: not just a reproductive disease.
The Veterinary record    June 30, 2019   Volume 184, Issue 26 791-793 doi: 10.1136/vr.l4437
Following the recent confirmation of cases of equine viral arteritis in stallions in south-west England, James Crabtree of Equine Reproductive Services (UK) discusses the disease and its potential routes of spread into and around the UK.
Periovulatory administration of firocoxib did not alter ovulation rates and mitigated post-breeding inflammatory response in mares.
Theriogenology    June 29, 2019   Volume 138 24-30 doi: 10.1016/j.theriogenology.2019.06.045
Friso AM, Segabinazzi LGTM, Cyrino M, Correal SB, Freitas-Dell'Aqua CP, Teoro do Carmo M, Dell'Aqua JA, Miró J, Papa FO, Alvarenga MA.Non-steroidal anti-inflammatory drugs (NSAIDs) are a therapeutic option for the treatment of inflammation. However, negative effects of non-selective NSAIDs for treatment of mares with endometritis have been described, including delayed uterine clearance and impairment of ovulations. Firocoxib is a specific cyclooxygenase-2 (COX-2) inhibitor and has the ability to act in the uterus of mares. We investigated the effects of firocoxib on ovulation rate, numbers of polymorphonuclear neutrophils (PMNs), and COX-2 protein levels in the endometrial tissue of susceptible mares after insemination. Two ...
Effects of blood-derived products and sodium hyaluronate on equine synovial fluid cells and on synovial fluid from osteochondrotic joints of horses after arthroscopy and administration of treatment.
American journal of veterinary research    June 28, 2019   Volume 80, Issue 7 646-656 doi: 10.2460/ajvr.80.7.646
Machado TSL, Massoco CO, Silva LCLC, Fülber J, Moreira JJ, Baccarin RYA.To compare effects of platelet-rich plasma (PRP), interleukin-1 receptor antagonist protein (IRAP), autologous processed plasma (APP), and sodium hyaluronate treatments on synovial fluid cells in vitro and on synovial fluid obtained from osteochondrotic joints of horses. Methods: Synovial fluid cells from 8 healthy equine tibiotarsal joints (in vitro experiment) and synovial fluid samples from 40 tibiotarsal joints of 25 horses with osteochondrosis dissecans (in vivo experiment). Methods: Effects of various treatments on concentrations of prostaglandin (PG) E2, interleukin (IL)-1β, tumor necr...
Intra-articular anaesthesia of the equine stifle improves foot lameness.
Equine veterinary journal    June 27, 2019   Volume 52, Issue 2 314-319 doi: 10.1111/evj.13135
Radtke A, Fortier LA, Regan S, Kraus S, Delco ML.Equine diagnostic anaesthesia can be a useful tool in challenging lameness examinations. However, anaesthetics diffuse over time leading to nonspecific desensitisation of periarticular structures. Nerves that convey sensation from the distal limb to the central nervous system pass in close proximity to the caudal stifle joint capsule. Therefore, diffusion of intra-articular (IA) anaesthetics could cause inadvertent desensitisation of the distal limb resulting in a false diagnosis of stifle lameness. Objective: To determine if IA stifle anaesthesia can alleviate lameness originating in the dist...
Antimicrobial stewardship in equine practice.
Australian veterinary journal    June 27, 2019   Volume 97, Issue 7 238-242 doi: 10.1111/avj.12833
Raidal SL.Antimicrobial stewardship involves the judicious use of antimicrobials balanced against the requirement to treat the presenting clinical condition. The same mandate and principles as discussed in human medicine and other veterinary disciplines are relevant to equine practice. This brief review will focus on available resources for equine practitioners, emerging perspectives on antimicrobial use and stewardship, and opportunities for more effective antimicrobial use in equine practice. There is a need for improved client education, availability of faster and more accurate techniques for identif...
Use of a cervical stent for long-term treatment of pyometra in the mare: A report of three cases.
Reproduction in domestic animals = Zuchthygiene    June 26, 2019   Volume 54, Issue 8 1155-1159 doi: 10.1111/rda.13480
Krohn J, Ennen S, Hospes R, Nieth J, Wehrend A.An effective long-term treatment is necessary for mares with pyometra, because the condition tends to recur. In many affected animals, several conformational or anatomical anomalies contribute to impaired uterine clearance. Ovariohysterectomy is the surgical procedure of choice. Conservative therapy consists of draining and flushing the uterus, and systemic anti-inflammatory and antimicrobial treatment. Uterine secretions tend to accumulate again after local treatment, especially in mares with poor vaginal conformation or cervical adhesions. Herein, we describe three cases in which a cervical ...
Hyaluronic Acid: Molecular Mechanisms and Therapeutic Trajectory.
Frontiers in veterinary science    June 25, 2019   Volume 6 192 doi: 10.3389/fvets.2019.00192
Gupta RC, Lall R, Srivastava A, Sinha A.Hyaluronic acid (also known as hyaluronan or hyaluronate) is naturally found in many tissues and fluids, but more abundantly in articular cartilage and synovial fluid (SF). Hyaluronic acid (HA) content varies widely in different joints and species. HA is a non-sulfated, naturally occurring non-protein glycosaminoglycan (GAG), with distinct physico-chemical properties, produced by synoviocytes, fibroblasts, and chondrocytes. HA has an important role in the biomechanics of normal SF, where it is partially responsible for lubrication and viscoelasticity of the SF. The concentration of HA and its ...
Bacterial osteomyelitis in veterinary orthopaedics: Pathophysiology, clinical presentation and advances in treatment across multiple species.
Veterinary journal (London, England : 1997)    June 25, 2019   Volume 250 44-54 doi: 10.1016/j.tvjl.2019.06.003
Gieling F, Peters S, Erichsen C, Richards RG, Zeiter S, Moriarty TF.Bacterial osteomyelitis in veterinary patients can be challenging to diagnose and treat, given limited therapeutic options and reported success rates. Osteomyelitis is frequently associated with surgical implant devices, including those required to optimise stability and healing of fractures. However, management of osteomyelitis sometimes necessitates the removal of these surgical implant devices in order to eradicate infection or limit implant-related osteolysis. The goal of this article is to provide a general and species-specific review of bacterial osteomyelitis in a selection of domestic ...
Bisphosphonate use in the horse: what is good and what is not?
BMC veterinary research    June 24, 2019   Volume 15, Issue 1 211 doi: 10.1186/s12917-019-1966-x
Mitchell A, Watts AE, Ebetino FH, Suva LJ.Bisphosphonates (BPs) are a family of molecules characterized by two key properties: their ability to bind strongly to bone mineral and their inhibitory effects on mature osteoclasts and thus bone resorption. Chemically two groups of BPs are recognized, non-nitrogen-containing and nitrogen-containing BPs. Non-nitrogen-containing BPs incorporate into the energy pathways of the osteoclast, resulting in disrupted cellular energy metabolism leading to cytotoxic effects and osteoclast apoptosis. Nitrogen-containing BPs primarily inhibit cholesterol biosynthesis resulting in the disruption of intrac...
Hydroxyethyl starches in equine medicine.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    June 22, 2019   Volume 29, Issue 4 349-359 doi: 10.1111/vec.12854
van Galen G, Hallowell G.To review and discuss the use of hydroxyethyl starches (HES) in equine veterinary medicine, and to provide recommendations for its use. Methods: Veterinary and human peer-reviewed medical literature including scientific reviews, meta-analyses, and original research articles. Results: Increasing evidences on adverse effects after HES use and decreasing support for beneficial effects with regards to volume expansion and colloid osmotic pressure (COP) support in critically ill subjects have led to a recent guideline to limit the use of HES in critically ill people. Unassigned: The rationale for H...
Otitis externa in eight horses – clinical signs, treatment and prognosis.
Veterinary dermatology    June 20, 2019   Volume 30, Issue 5 430-e132 doi: 10.1111/vde.12763
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...
Emergence of Getah Virus Infection in Horse With Fever in China, 2018.
Frontiers in microbiology    June 20, 2019   Volume 10 1416 doi: 10.3389/fmicb.2019.01416
Lu G, Ou J, Ji J, Ren Z, Hu X, Wang C, Li S.Getah virus (GETV) is a mosquito-borne virus that was first determined in Malaysia in 1955, and can infect humans and multiple other mammals. GETV infection in horses has been reported in Japan and India, and causes great economic losses. In China, GETV has been identified in mosquitoes, pigs, foxes, and cattle with a wide geographical distribution, but has not been detected in horses. In August 2018, a sudden onset of fever was observed in racehorse in an equestrian training center in Guangdong Province in southern China. Blood samples were collected from the sick horse, and PCR/RT-PCR analys...
Plasma and synovial fluid pharmacokinetics of a single intravenous dose of meropenem in adult horses.
Journal of veterinary pharmacology and therapeutics    June 20, 2019   Volume 42, Issue 5 525-529 doi: 10.1111/jvp.12770
Langston VC, Fontenot RL, Byers JA, Andrews CM, Mochal-King CA.The objective of this study was to determine the pharmacokinetics of meropenem in horses after intravenous (IV) administration. A single IV dose of meropenem was administered to six adult horses at 10 mg/kg. Plasma and synovial fluid samples were collected for 6 hr following administration. Meropenem concentrations were determined by bioassay. Plasma and synovial fluid data were analyzed by compartmental and noncompartmental pharmacokinetic methods. Mean ± SD values for elimination half-life, volume of distribution at steady-state, and clearance after IV administration for plasma samples ...
Disposition and effect of intra-articularly administered dexamethasone on lipopolysaccharide induced equine synovitis.
Acta veterinaria Scandinavica    June 20, 2019   Volume 61, Issue 1 28 doi: 10.1186/s13028-019-0464-2
Ekstrand C, Bondesson U, Giving E, Hedeland M, Ingvast-Larsson C, Jacobsen S, Löfgren M, Moen L, Rhodin M, Saetra T, Ranheim B.Dexamethasone is used for the intra-articular route of administration in management of aseptic arthritis in horses. Despite its widespread use there is very little quantitative data of the disposition and response to dexamethasone. The aim of this study was to investigate and describe the synovial fluid and plasma dexamethasone concentration over time and to explore the relation between synovial fluid concentration and response using clinical endpoints as response biomarkers after IA injection of dexamethasone disodium salt solution in an equine model of synovitis. Results: Inflammation was in...
Percutaneous transcatheter closure of an aorto-cardiac fistula in a six-year-old Warmblood mare with atrial fibrillation.
Journal of veterinary cardiology : the official journal of the European Society of Veterinary Cardiology    June 20, 2019   Volume 24 78-84 doi: 10.1016/j.jvc.2019.06.003
Vernemmen I, De Clercq D, Decloedt A, Schauvliege S, Taeymans Y, De Wolf D, van Loon G.This report describes a rare case of an aorto-cardiac fistula in a six-year-old French Warmblood mare presented with atrial fibrillation, decreased performance, ventral oedema, bounding arterial pulsation and pathological jugular venous pulse. A 2.7-cm-diameter fistula connected the right aortic sinus of Valsalva to the right atrium. Atrial fibrillation was likely due to volume overload of the right heart due to left-to-right shunting. The horse was treated by percutaneous transcatheter closure of the fistula delivered under general anaesthesia using a transarterial approach. The operation was...
Antimicrobial Activity of Ceftiofur and Penicillin With Gentamicin Against Escherichia coli and Streptococcus equi Subspecies zooepidemicus in an Ex Vivo Model of Equine Postpartum Uterine Disease.
Journal of equine veterinary science    June 20, 2019   Volume 79 121-126 doi: 10.1016/j.jevs.2019.06.005
Von Dollen KA, Jones M, Beachler T, Harris TL, Papich MG, Lyle SK, Bailey CS.The use of antimicrobials for the management of equine uterine disease is commonplace, with antibiotic selection generally based on empirical evidence or in vitro sensitivity results. However, the potential disconnect between these laboratory results and clinical efficacy in the mare raises concern for antibiotic failure and subsequent development of resistant organisms. In this work, we attempt to bridge this gap by using an ex vivo model of the equine postpartum uterus to quantitatively evaluate the antimicrobial activity of two commonly used antibiotic treatments in the mare (ceftiofur an...
Safety and Clinical Outcomes of an Equine-derived Heptavalent Botulinum Antitoxin Treatment for Confirmed or Suspected Botulism in the United States.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America    June 19, 2019   Volume 70, Issue 9 1950-1957 doi: 10.1093/cid/ciz515
Richardson JS, Parrera GS, Astacio H, Sahota H, Anderson DM, Hall C, Babinchak T.Botulism is a rare, life-threatening paralytic illness. Botulism Antitoxin Heptavalent (A,B,C,D,E,F,G)-(Equine) (BAT) manufactured by Emergent BioSolutions Canada Inc is an equine-derived heptavalent botulinum antitoxin product indicated for the treatment of symptomatic botulism following documented or suspected exposure to botulinum neurotoxin serotypes A-G in adults and pediatric patients. BAT product was US-licensed in 2013. In the United States, from October 2014 through July 2017, safety and clinical outcomes data were collected under a registry for patients treated with BAT product. Regi...
Two Methods for 24-hour Holter Monitoring in Horses: Evaluation of Recording Performance at Rest and During Exercise.
Journal of equine veterinary science    June 19, 2019   Volume 79 127-130 doi: 10.1016/j.jevs.2019.06.001
Vezzosi T, Vitale V, Sgorbini M, Tognetti R, Bonelli F.Continuous electrocardiography (ECG) monitoring is the gold standard for diagnosing arrhythmias that occur intermittently or under exercise. The aim of this study was to compare two different methods for 24-hour Holter monitoring in horses, a 7-electrode system (7-ES) versus a 4-electrode system (4-ES), assessing the recording performance at rest and during exercise. Six standardbred horses were included in the present prospective study. Two different methods for 24-hour Holter monitoring were used in each horse with a washout period of one week between each recording method. In the first 15 ...
Strategies of tenogenic differentiation of equine stem cells for tendon repair: current status and challenges.
Stem cell research & therapy    June 18, 2019   Volume 10, Issue 1 181 doi: 10.1186/s13287-019-1291-0
Shojaee A, Parham A.Tendon injuries, as one of the most common orthopedic disorders, are the major cause of early retirement or wastage among sport horses which mainly affect the superficial digital flexor tendon (SDFT). Tendon repair is a slow process, and tendon tissue is often replaced by scar tissue. The current treatment options are often followed by an incomplete recovery that increases the susceptibility to re-injury. Recently, cell therapy has been used in veterinary medicine to treat tendon injuries, although the risk of ectopic bone formation after cell injection is possible in some cases. In vitro teno...
Metalloproteinases and their Inhibitors under the Course of Immunostimulation by CPG-ODN and Specific Antigen Inhalation in Equine Asthma.
Mediators of inflammation    June 17, 2019   Volume 2019 7845623 doi: 10.1155/2019/7845623
Barton AK, Shety T, Klier J, Geis S, Einspanier R, Gehlen H.Inhalation of immunostimulatory bacterial DNA segments (cytosine-phosphate-guanosine-oligodeoxynucleotides, CpG-ODN) normalizes clinical and cytologic parameters in severe equine asthma. We hypothesized that CpG-ODN inhalation also reduces the misbalance of elastinolytic activity in asthmatic horses. Methods: Twenty asthmatic horses diagnosed by clinical examinations using a scoring system were included. All horses inhaled CpG-ODNs for 14 days in 2-day intervals. Matrix metalloproteinase (MMP-2/-9) and tissue inhibitors of metalloproteinase (TIMP-1/-2) concentrations were measured in tracheal ...
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