Endocarditis in horses is an inflammatory condition affecting the inner lining of the heart, particularly the heart valves. This condition is typically caused by bacterial infection, leading to the formation of vegetative lesions on the cardiac valves. These lesions can interfere with normal blood flow and heart function, potentially resulting in systemic illness. Clinical signs in horses may include fever, heart murmurs, and signs of heart failure. Diagnosis often involves echocardiography, blood cultures, and other diagnostic tests to identify the causative organisms and assess the extent of cardiac involvement. This page compiles peer-reviewed research studies and scholarly articles that explore the pathophysiology, diagnosis, treatment, and prognosis of endocarditis in equine patients.
Gosai F, Gosai N.Strangles is a contagious upper respiratory tract infection primarily affecting equines. It is rare disease with zoonotic transmission. It is caused by the bacterium, . We present the rare case of strangles in an elderly patient complicated by bacteraemia, osteomyelitis and native valve endocarditis. The patient was treated successfully with appropriate antibiotics and no surgical intervention was needed. In an age of accelerated emerging zoonosis, this is an important entity clinicians should be aware of to prevent delay in diagnosis and poor outcome. Conclusions: Strangles is a disease of eq...
Høyer-Nielsen AK, Gaini S, Kjerulf A, Kollslíð R, Steig TÁ, Stegger M, Jóanesarson J. subspecies () is mostly known as an opportunistic pathogen found in horses and as a rare human zoonosis. An 82-year-old male, who had daily contact with horses, was admitted in a septic condition. The patient presented with dyspnea, hemoptysis, impaired general condition, and severe pain in a swollen left shoulder. Synovial fluid from the affected joint and blood cultures showed growth of subsp. . Transesophageal echocardiography showed a vegetation on the aortic valve consistent with endocarditis. Arthroscopic revision revealed synovitis and erosion of the rotator cuff. Technetium-99m scin...
Guidi EE, Thomas A, Cadoré JL, Smith AB.Endocarditis is a rare pathology in horses and the clinical signs can be misleading. We describe the clinical, echocardiographic, and pathological features of Citrobacter freundii induced bacterial endocarditis in a horse. This bacterium has never been reported before as an agent of vegetative endocarditis in the horse. L’endocardite est une pathologie rare chez les chevaux et les signes cliniques peuvent être trompeurs. Nous décrivons les caractéristiques cliniques, échographiques et pathologiques d’une endocardite bactérienne induite par chez un cheval. Cette bactérie n’a jamai...
Poulin MF, Boivin G.Human infections with Streptococcus equi subspecies zooepidemicus, a group C streptococcus, are very rare and are generally associated with contact with horses, and consumption of unpasteurized milk products, goat cheese or pork. In most cases S zooepidemicus leads to fulminant infections. The case of a middle-aged woman who had sporadic contact with horses is described in the present report. She developed a bacteremia with severe and extensive complications that included meningitis, mitral endocarditis and blindness due to bilateral endophthalmitis. To the authors' knowledge, this is the firs...
Porter SR, Saegerman C, van Galen G, Sandersen C, Delguste C, Guyot H, Amory H.Endocarditis is a rare heart condition with variable clinical expressions in equids. Risk factors for this disease are incompletely understood. Objective: Describe risk factors for endocarditis in equids. Methods: One hundred and fifty-three equids admitted to Liège University, 9 diagnosed with endocarditis and 144 free from endocarditis but admitted to the hospital with a differential diagnosis including this disease. Methods: Retrospective case-control study. Results: Equids with endocarditis were significantly younger (mean age = 4.84 +/- 5.74 years) than control equids (mean age = 10.8 +/...
Fröhlich W, Wlaschitz S, Riedelberger K, Reifinger M.A case of endocarditis of the aortic valve in a 11 year old thoroughbred is presented. Diagnostic approach, the value of echocardiography, and the various symptoms, complications and prognosis are discussed. The horse with ruptured aortic valves due to endocarditis with severe aortic and mitral regurgitation causing congestive heart failure, was euthanised due to bad prognosis.
Travers CW, van den Berg JS.This paper describes the case histories of two Thoroughbred horses, a 2-year-old colt in training and a 7-year-old broodmare, that were presented with histories of weight loss, exercise intolerance, intermittent fever, limb oedema and anaemia. Vegetative endocarditis of the mitral and tricuspid valves was diagnosed in the colt by means of echocardiography. Pseudomonas sp. endocarditis of the mitral valve was diagnosed in the mare using echocardiography and bacterial culture. The colt had secondary congestive heart failure and was euthanased on humane grounds. Pseudomonas cepacia was isolated f...
Dedrick P, Reef VB, Sweeney RW, Morris DD.Using echocardiography, mitral valve bacterial endocarditis was diagnosed in a yearling Thoroughbred filly with a history of periodic fever and intermittent hind limb lameness. Streptococcus sp were isolated from blood, and the filly was treated with penicillin, resulting in a bacteriologic cure. Severe mitral regurgitation developed secondary to scarring of the valve, which resulted in the filly's death. A poor prognosis usually is indicated in horses with bacterial endocarditis, as bacteriologic cures are infrequent and severe valvular insufficiency often develops.
Buergelt CD, Cooley AJ, Hines SA, Pipers FS.Six horses (five males) aged three months to fourteen years had endocarditis at necropsy. Two of the horses had a clinical diagnosis of valvular endocarditis with negative blood cultures. Single or complex valvular involvement was present in five horses. One horse had non-infectious thrombi associated only with the chordae tendineae. Mitral valves were affected in four horses, and aortic semilunar valves were affected in two. Infarcts had occurred in the kidneys and the myocardium of four horses. Bacteria were isolated postmortem from the valvular vegetations of two horses; Candida parapsilosi...
van Wuijckhuise-Sjouke LA.Determination of the plasma fibrinogen concentration was found to be particularly useful in detecting inflammatory diseases. The highest levels were observed in inflammatory lesions of serous surfaces and in endocarditis. Plasma fibrinogen levels correlated with the severity of the disease: levels of 1,000 mg per 100 ml or more reflected a prognosis ranging from poor to bad.
Høyer-Nielsen AK, Gaini S, Kjerulf A, Kollslíð R, Steig TÁ, Stegger M, Jóanesarson J. subspecies () is mostly known as an opportunistic pathogen found in horses and as a rare human zoonosis. An 82-year-old male, who had daily contact with horses, was admitted in a septic condition. The patient presented with dyspnea, hemoptysis, impaired general condition, and severe pain in a swollen left shoulder. Synovial fluid from the affected joint and blood cultures showed growth of subsp. . Transesophageal echocardiography showed a vegetation on the aortic valve consistent with endocarditis. Arthroscopic revision revealed synovitis and erosion of the rotator cuff. Technetium-99m scin...
Buergelt CD, Cooley AJ, Hines SA, Pipers FS.Six horses (five males) aged three months to fourteen years had endocarditis at necropsy. Two of the horses had a clinical diagnosis of valvular endocarditis with negative blood cultures. Single or complex valvular involvement was present in five horses. One horse had non-infectious thrombi associated only with the chordae tendineae. Mitral valves were affected in four horses, and aortic semilunar valves were affected in two. Infarcts had occurred in the kidneys and the myocardium of four horses. Bacteria were isolated postmortem from the valvular vegetations of two horses; Candida parapsilosi...
Guidi EE, Thomas A, Cadoré JL, Smith AB.Endocarditis is a rare pathology in horses and the clinical signs can be misleading. We describe the clinical, echocardiographic, and pathological features of Citrobacter freundii induced bacterial endocarditis in a horse. This bacterium has never been reported before as an agent of vegetative endocarditis in the horse. L’endocardite est une pathologie rare chez les chevaux et les signes cliniques peuvent être trompeurs. Nous décrivons les caractéristiques cliniques, échographiques et pathologiques d’une endocardite bactérienne induite par chez un cheval. Cette bactérie n’a jamai...
Travers CW, van den Berg JS.This paper describes the case histories of two Thoroughbred horses, a 2-year-old colt in training and a 7-year-old broodmare, that were presented with histories of weight loss, exercise intolerance, intermittent fever, limb oedema and anaemia. Vegetative endocarditis of the mitral and tricuspid valves was diagnosed in the colt by means of echocardiography. Pseudomonas sp. endocarditis of the mitral valve was diagnosed in the mare using echocardiography and bacterial culture. The colt had secondary congestive heart failure and was euthanased on humane grounds. Pseudomonas cepacia was isolated f...
Porter SR, Saegerman C, van Galen G, Sandersen C, Delguste C, Guyot H, Amory H.Endocarditis is a rare heart condition with variable clinical expressions in equids. Risk factors for this disease are incompletely understood. Objective: Describe risk factors for endocarditis in equids. Methods: One hundred and fifty-three equids admitted to Liège University, 9 diagnosed with endocarditis and 144 free from endocarditis but admitted to the hospital with a differential diagnosis including this disease. Methods: Retrospective case-control study. Results: Equids with endocarditis were significantly younger (mean age = 4.84 +/- 5.74 years) than control equids (mean age = 10.8 +/...
van Wuijckhuise-Sjouke LA.Determination of the plasma fibrinogen concentration was found to be particularly useful in detecting inflammatory diseases. The highest levels were observed in inflammatory lesions of serous surfaces and in endocarditis. Plasma fibrinogen levels correlated with the severity of the disease: levels of 1,000 mg per 100 ml or more reflected a prognosis ranging from poor to bad.
Fröhlich W, Wlaschitz S, Riedelberger K, Reifinger M.A case of endocarditis of the aortic valve in a 11 year old thoroughbred is presented. Diagnostic approach, the value of echocardiography, and the various symptoms, complications and prognosis are discussed. The horse with ruptured aortic valves due to endocarditis with severe aortic and mitral regurgitation causing congestive heart failure, was euthanised due to bad prognosis.
Dedrick P, Reef VB, Sweeney RW, Morris DD.Using echocardiography, mitral valve bacterial endocarditis was diagnosed in a yearling Thoroughbred filly with a history of periodic fever and intermittent hind limb lameness. Streptococcus sp were isolated from blood, and the filly was treated with penicillin, resulting in a bacteriologic cure. Severe mitral regurgitation developed secondary to scarring of the valve, which resulted in the filly's death. A poor prognosis usually is indicated in horses with bacterial endocarditis, as bacteriologic cures are infrequent and severe valvular insufficiency often develops.
Gosai F, Gosai N.Strangles is a contagious upper respiratory tract infection primarily affecting equines. It is rare disease with zoonotic transmission. It is caused by the bacterium, . We present the rare case of strangles in an elderly patient complicated by bacteraemia, osteomyelitis and native valve endocarditis. The patient was treated successfully with appropriate antibiotics and no surgical intervention was needed. In an age of accelerated emerging zoonosis, this is an important entity clinicians should be aware of to prevent delay in diagnosis and poor outcome. Conclusions: Strangles is a disease of eq...
Poulin MF, Boivin G.Human infections with Streptococcus equi subspecies zooepidemicus, a group C streptococcus, are very rare and are generally associated with contact with horses, and consumption of unpasteurized milk products, goat cheese or pork. In most cases S zooepidemicus leads to fulminant infections. The case of a middle-aged woman who had sporadic contact with horses is described in the present report. She developed a bacteremia with severe and extensive complications that included meningitis, mitral endocarditis and blindness due to bilateral endophthalmitis. To the authors' knowledge, this is the firs...
