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Topic:Equine Diseases

Equine diseases encompass a wide range of health conditions that can affect horses, including infectious diseases, metabolic disorders, and genetic conditions. These diseases can impact the overall health, performance, and well-being of horses. Common equine diseases include equine influenza, equine herpesvirus, laminitis, and equine metabolic syndrome. Diagnosis and management of these diseases often require a combination of clinical evaluation, laboratory testing, and appropriate treatment strategies. This page gathers peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnosis, and treatment options for various equine diseases, providing valuable insights for veterinarians and researchers in the field.
Prevalence and spatial distribution of Brucella spp. seropositive equids from the state of Mato Grosso, Brazil.
Journal of equine veterinary science    June 13, 2026   106064 doi: 10.1016/j.jevs.2026.106064
Borges NF, Barros ML, Silva IS, Barddal JEI, de Freitas AFB, Sumiyoshi MH, Muraro LS, Gomes SSP, de Oliveira ACS, Ribeiro MG, de Aguiar DM.Brucellosis is a chronic infectious disease in equids, characterized by suppurative lesions in joints and bursae, with potential impacts on animal performance and public health. Objective: To investigate the prevalence and spatial distribution of Brucella spp. seropositive equids in the state of Mato Grosso, Brazil. Methods: A total of 3,858 serum samples from 3,230 horses, 602 mules, and 26 donkeys were analyzed using the Buffered Acidified Antigen Test (AAT) and Complement Fixation Test (CFT), following Brazilian Ministry of Agriculture guidelines. Samples were obtained from all municipaliti...
Current consensus and controversies in equine parasite control.
The Veterinary record    June 12, 2026   Volume 198, Issue 12 e514-e516 doi: 10.1002/vetr.70887
Shrubb J.Julia Shrubb, chair of CANTER - Controlling ANTiparasitic resistance in Equines Responsibly - takes a look at where there is currently agreement on equine parasite control practices and where debate is ongoing.
Prevalence of gastrointestinal parasites in horses in the district of Abidjan, Ivory Coast.
Scientific reports    June 12, 2026   doi: 10.1038/s41598-026-56528-z
Kante N, Kaba L, N'Gotta KI, Camara AOD, Salako AS, Berete K, Tuo K, N'Docho AF, Gondo É, Teohou MMC, N'Gotta AA, Traore AK, Barro N.Gastrointestinal parasitic infections constitute a major constraint to equine health and productivity, particularly in tropical regions where climatic and environmental conditions favor parasite survival and transmission. In Côte d'Ivoire, epidemiological data regarding gastrointestinal parasites in horses remain limited, especially in urban and peri-urban settings such as the district of Abidjan. This study aimed to determine the prevalence, diversity, and associated risk factors of gastrointestinal parasites affecting horses in the study area. A descriptive and analytical cross-sectional st...
Oscillometric assessment of bronchodilator response in horses with severe asthma during remission.
Equine veterinary journal    June 12, 2026   doi: 10.1002/evj.70212
de Wasseige S, Mainguy-Seers S, Lavoie JP.During clinical remission of severe equine asthma (SEA), affected animals can be challenging to distinguish from healthy horses. In humans, the degree of bronchodilation achieved with a β-adrenergic bronchodilator is helpful in differentiating asthmatics from healthy subjects. Objective: To determine whether the response to an inhaled bronchodilator improves the sensitivity of oscillometry in detecting subclinical airway obstruction in horses with asthma. Methods: In vivo experiments. Methods: Nine control university-owned horses and 10 SEA horses in remission from a research herd were studie...
Vital bone and increased osteoid in equine osteochondrosis dissecans of the proximal phalanx: A controlled study indicating a mineralization deficit rather than vascular failure.
Bone    June 12, 2026   Volume 211 117977 doi: 10.1016/j.bone.2026.117977
Leuffert SI, von Brackel FN, Cardinaux EM, Alimy AR, Windels O, Geburek F, Amling M.Osteochondrosis and osteochondrosis dissecans (OCD) are among the most common orthopaedic disorders in young horses. Although traditionally explained by vascular failure and ischaemic necrosis, recent findings in human juvenile OCD suggest that impaired bone mineralization may play an important role. Horses are known to have relatively low circulating vitamin D metabolites, raising the question of whether insufficient mineralization contributes to equine OCD. This study investigated the bone vitality and mineralization status of osteochondrosis dissecans fragments (OCDFs) collected from the do...
Evaluation of a canine Coll2-1 ELISA kit for use in equine serum and its correlation with radiographic joint disease.
Journal of equine veterinary science    June 12, 2026   106063 doi: 10.1016/j.jevs.2026.106063
Ramos S, Lamy E, Nunes T, Rosa T, Bettencourt E, Monteiro S.This study evaluated an enzyme-linked immunosorbent assay (ELISA) for the detection of Coll2-1, a peptide fragment of type II collagen released during cartilage degradation in horses using a kit originally developed for dogs. Objective: The objectives of this study were to: 1) assess the analytical applicability of the canine Coll2-1 ELISA in equine serum and 2) explore the correlations between Coll2-1 concentrations and radiographic scores of osteoarthritis (OA) in horses. Methods: Twelve Lusitano stallions, of similar age and workload but presenting different radiographic scores were include...
Pharmaceutical and Nutraceutical Therapies for Liver Disease.
The Veterinary clinics of North America. Equine practice    June 11, 2026   S0749-0739(26)00036-2 doi: 10.1016/j.cveq.2026.04.014
Bozorgmanesh R, Magdesian KG.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...
Development of an indirect ELISA for the detection of venezuelan equine encephalitis virus specific antibodies in horses.
PloS one    June 10, 2026   Volume 21, Issue 6 e0338819 doi: 10.1371/journal.pone.0338819
Chevrier M, Mathews-Martin L, Mariteragi-Helle T, Dumarest M, Boudjadi Y, Bréard E, Turpaud M, Deshayes T, Vissani MA, Vinueza RL, Coello Peralta R....Venezuelan equine encephalitis virus (VEEV) is a re-emerging zoonotic pathogen to which equines are most susceptible mammals hosts with a high mortality rate raging from19 to 83%. The virus, transmitted between vertebrates and mosquitos, causes unpredictable sporadic epizootic outbreaks in equids and humans across Central and South America. Although VEEV is not currently circulating in Europe the combination of global change, increasing international trade and the presence of potentially competent vectors (mosquitoes of the genera Aedes and Culex), raises a non-negligible risk of its introduct...
A retrospective study of morbidity and mortality in captive Przewalski’s horses (Equus przewalskii) between 1973 and 2021.
Journal of comparative pathology    June 9, 2026   Volume 228 1-9 doi: 10.1016/j.jcpa.2026.05.004
Quandel CP, Gohl C, Steinmetz HW, Blutke A, Denk D.Przewalski's horses (Equus przewalskii) were declared extinct in the wild in 1996, but reintroduction programmes initiated in 1997 have enabled the re-establishment of free-ranging populations. The maintenance of healthy captive populations remains essential to support these conservation efforts, yet systematic pathological investigations in captive Przewalski's horses are lacking. This study provides the first necropsy-based overview of morbidity and mortality in a captive European population. Pathology reports from 64 horses examined between 1973 and 2021 were reviewed retrospectively. Acros...
Radiographic identification and description of the equine middle conchal sinus (ethmoidal sinus): Implications for diagnosing middle conchal sinusitis.
Equine veterinary journal    June 8, 2026   doi: 10.1002/evj.70198
Pavard JB, Young A, Robert M, Verwilghen D.The middle conchal sinus (MCS) (ethmoidal sinus) remains one of the least understood equine paranasal compartments. Despite recognition of its involvement in sinonasal disease, disorders of the MCS often remain underdiagnosed in the absence of computed tomographic (CT) imaging due to limited anatomical understanding and challenges with radiographic visualisation. Objective: The objectives of the study were (1) to characterise the radiographic features and anatomical location of the MCS in horses and (2) to illustrate the practical relevance of the anatomical and radiographic findings in two cl...
Imaging of the Equine Abdomen Using Point of Care Ultrasound (POCUS)-A Resource for the Equine Practitioner.
Animals : an open access journal from MDPI    June 8, 2026   Volume 16, Issue 12 1770 doi: 10.3390/ani16121770
Freccero F, Padalino B, Carstens A, Raidal SL.Wireless ultrasound (US) probes for point of care (POC) evaluation of horses presented for veterinary evaluation of colic have become widely available in recent years. The availability and performance of this technology mean POCUS is readily available to the equine practitioner and the technology is well suited to patient evaluation or serial monitoring in first opinion practice. In human health care and veterinary contexts, it has been suggested that there is a need for practitioners to better appreciate the value of POCUS for assessment of gastrointestinal structure and function. This study ...
Prevalence, genomic diversity and emerging antimicrobial resistance of Taylorella asinigenitalis in Grand Noir du Berry breeding donkeys.
Veterinary microbiology    June 6, 2026   Volume 320 111111 doi: 10.1016/j.vetmic.2026.111111
Breuil MF, Duquesne F, Magoga J, Sévin C, Kozak S, Gesbert A, Petit A, Reigner F, Petry S.Taylorella asinigenitalis is a fastidious Gram-negative bacterium of the equine genital tract, found more commonly in donkeys than horses. Although considered non-pathogenic, it is closely related to Taylorella equigenitalis, the agent of contagious equine metritis, and has been linked to experimental and natural cases of endometritis. The SAFRAN project (French acronym for "Sauvegarde de la fertilité de l'âne", meaning "Preservation of donkey fertility"), launched in 2024 by the French National Research Institute for Agriculture, Food and Environment (INRAE) with support from the Centre-Val...
Comparison of Magnetic Resonance Imaging and Computed Tomography for Evaluation of Cervical Vertebral Nerves and Synovial Tissues in Horses with Cervical Spinal Disease.
Animals : an open access journal from MDPI    June 6, 2026   Volume 16, Issue 12 1759 doi: 10.3390/ani16121759
Daniels AM, Morton AJ, Werpy NM, Biedrzycki AH, Tull TM, Denagamage TN, Porter EG, Taintor JS, Bell RJW.Pathology of the cervical spine is an important cause of poor performance in sport horses. Computed tomography (CT) and magnetic resonance imaging (MRI) have improved musculoskeletal diagnostic capabilities. CT is well-suited to assess osseous pathology, although it is limited for assessing soft tissues. MRI, the gold standard for imaging soft tissues, cannot be used for antemortem imaging of the equine cervical spine. The diagnostic potential of CT for evaluating soft tissues of the equine cervical spine compared to MRI is not well-defined and warrants investigation. Postmortem MRI was perfor...
Molecular detection of Toxoplasma gondii in an aborted equine fetus and serological evidence of infection in mares enrolled in embryo transfer programs in Brazil.
Journal of equine veterinary science    June 6, 2026   Volume 165 106054 doi: 10.1016/j.jevs.2026.106054
Pinto GOA, Silva RAD, Oliveira PRF, Renovato RS, Raymundo EF, Gonçalves LMT, Porto WJN, Melo RPB, Mota RA.Toxoplasma gondii infection is widely recognized as an important cause of reproductive losses in goats and sheep. However, the impact of this parasitic infection in mares remains poorly investigated, reflecting the neglect of this pathogen in equine production. The present study aimed to conduct a serological survey in 100 mares from farms enrolled in embryo transfer (ET) programs in Northeastern Brazil, report the first molecular detection of T. gondii in the placenta and aborted fetus of a mare in the country, and evaluate potential risk factors associated with infection. Anti-T. gondii IgG ...
Reduced centrifugation duration improves diagnostic performance of an equine tapeworm egg counting technique.
Parasitology research    June 5, 2026   doi: 10.1007/s00436-026-08706-1
Hughes M, Ripley NE, Smith MA, Carta C, Nielsen MK.Anoplocephala perfoliata, can cause severe health problems in horses. Standard coprological tests have performed poorly for detecting A. perfoliata, and while a centrifugation-enhanced flotation technique is superior to other techniques, it is time consuming due to three 10-minute centrifugation steps. This study aimed to evaluate modifications of this technique that reduce the centrifugation durations to 5 and 1 min, respectively. Fecal samples were collected from ten adult A. perfoliata egg count positive mares and divided into 9 subsamples to allow for three replicate counts for each of th...
Prevalence, risk factors, and antimicrobial resistance of Staphylococcus aureus in equines in Egypt.
Scientific reports    June 3, 2026   Volume 16, Issue 1 17125 doi: 10.1038/s41598-026-55462-4
El-Halim MOA, Shoraba M, Gattan HS, Alruhaili MH, Selim A.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...
Molecular and parasitological evidence of Leishmania (Mundinia) martiniquensis infection in a horse from Brazil.
International journal for parasitology    June 3, 2026   104898 doi: 10.1016/j.ijpara.2026.104898
Franco Leonel JA, Silva MDD, Araujo AC, Vioti G, Borges Martins JP, Strefezzi RF, Galvis-Ovallos F, Bianchi Galati EA, Ferreira de Sousa Oliveira TM.Leishmania (Mundinia) martiniquensis is an emerging human pathogen with increasing reports of infection in domestic animals. This study describes a naturally infected mare from Brazil with no history of international travel, presenting with persistent nodular cutaneous lesions and cervical lymph node enlargement, without evidence of systemic involvement. Considering the endemicity of cutaneous and visceral leishmaniasis in the study area, as well as previous reports of equine leishmaniasis, infection by Leishmania (Leishmania) infantum was initially suspected. Anti-L. (L.) infantum antibodies ...
Viral Hepatitis.
The Veterinary clinics of North America. Equine practice    June 3, 2026   S0749-0739(26)00021-0 doi: 10.1016/j.cveq.2026.04.006
Tomlinson J.Since 2012, 2 viral causes of hepatitis have been identified in horses. Much remains to be discovered about their transmission, risk factors for clinical disease, diagnosis, and treatment approaches. Equine parvovirus-hepatitis has been identified as the cause of acute hepatic necrosis, previously known as Theiler's disease. Equine hepacivirus is recognized as a cause of chronic fibrosing hepatitis. Diagnosis relies on ruling out other causes of hepatitis and documenting infection by serum or liver polymerase chain reaction. There is no direct antiviral for either condition and treatments are ...
West Nile Virus in Horses as a Sentinel Host in One Health Surveillance: Epidemiological Insights and Future Perspectives.
Microorganisms    June 3, 2026   Volume 14, Issue 6 1263 doi: 10.3390/microorganisms14061263
West Nile virus (WNV) is a globally distributed mosquito-borne flavivirus with significant implications for both veterinary and public health. While horses are incidental dead-end hosts, their epidemiological role extends beyond clinical disease, as they can serve as effective sentinel hosts for detecting local viral circulation. Their frequent exposure to mosquito vectors, ability to mount measurable antibody responses, geographic stability, accessibility for monitoring, and the possibility of observation within managed owner-veterinarian systems make them particularly suitable for surveillan...
Molecular prevalence of equine herpesvirus type 1 and equine herpesvirus type 4 in thoroughbred and Arabian horse facilities in Türkiye.
Acta veterinaria Hungarica    June 2, 2026   004.2026.01202 doi: 10.1556/004.2026.01202
Ekİncİ G, Tİmur MC, Mete A, Altınbay K, Denİz Ö, Derellİ FM, Çeşme GS, Tüfekçİ E, Onmaz AC, Güneş V, Çİtİl M, Keleş İ....Equine herpesvirus-1 and -4 are contagious viruses causing respiratory disease and reproductive losses in horses. This study aimed to determine the prevalence of EHV-1 and EHV-4 in eight Turkish stud farms using RT-PCR analysis of nasal secretions, uterine fluids and aborted foal tissues. Deep nasal swabs were collected from 443 horses showing acute-onset fever and/or clinical signs of respiratory disease. Additionally, uterine swabs and tissue samples (lung, liver, spleen, thymus, kidney, heart) were obtained from 152 abortion cases. Among symptomatic horses, EHV-1 DNA was found in 2 cases (0...
Cross-protective effect of a multicomponent fusion protein vaccine during a natural episode of Streptococcus zooepidemicus respiratory disease in ponies.
Equine veterinary journal    June 2, 2026   doi: 10.1002/evj.70200
Paillot R, Newton JR, Gonzalez Medina S, Frosth S, Frykberg L, Flock M, Guss B, Flock JI, Waller AS.Streptococcus equi subspecies zooepidemicus is a highly diverse opportunistic pathogen of horses, associated with respiratory disease and endometritis. Objective: To characterise S. zooepidemicus isolates recovered from young ponies during a natural episode of respiratory disease, and to determine if vaccination with Strangvac®, a vaccine against Streptococcus equi subspecies equi, conferred cross-protection. Methods: Retrospective analysis of a double-blinded placebo-controlled study involving 32 ponies (16 vaccinates and 16 placebo controls) that experienced a natural episode of respiratory...
Case Report: Oral and topical chronic administration of THC-rich and CBD-rich cannabis oil as palliative care in a rescued horse with open wound, sarcoid and chronic pain.
Frontiers in veterinary science    June 2, 2026   Volume 13 1794084 doi: 10.3389/fvets.2026.1794084
Zamith Cunha R, Kuhn EH, Medeiros JLL, Medeiros GC, Amazonas E.Cannabinoid-based therapies have shown analgesic, anti-inflammatory, and wound-healing potential across veterinary species; however, clinical data on long-term use of THC-rich formulations in horses remain scarce. This case report describes the use of combined oral and topical THC-rich and CBD-rich full-spectrum cannabis oils as part of a palliative care strategy in a rescued horse with severe chronic disease. A senior mixed-breed gelding was rescued with a large, chronic ulcerative lesion of the left hind limb, severe malnutrition, non-weight-bearing lameness (AAEP grade 5/5), and refractory ...
Pathology of sudden death in racehorses: a review. Uzal FA, Asin J, Diab S, Henderson E, Engiles JB, Kennedy L, Schild C.Sudden death (SD) is the second most important syndrome associated with death in racehorses. The cause of SD in a large number of horses remains undetermined, and, in many of these cases, causes are not found by gross or microscopic postmortem examinations. Among the known causes of SD are traumatic injuries, including fractures of skull, neck, and pelvis; intoxications (e.g., anticoagulant rodenticides); and others. For many cases of SD in which no significant lesions are found, heart failure, probably associated with arrhythmias, is suspected. Precise phenotypic characterization of SD in hor...
Evaluation of two point-of-care molecular diagnostic platforms for rapid detection of equine Hendra virus.
Veterinary and animal science    May 30, 2026   Volume 33 100713 doi: 10.1016/j.vas.2026.100713
Hulse L, Izzard L, Nagendrakumar SB, Colling A, Underwood D, Driver L, Williams DT, Ahern B.Hendra virus (HeV) is a lethal zoonotic pathogen endemic to eastern Australia, posing significant risks to equine and human health. Rapid field detection of HeV enables timely intervention and outbreak management. This study evaluated candidate point-of-care (POC) molecular diagnostic platforms for HeV detection in equine samples: including a loop-mediated isothermal amplification (DARQ RT-LAMP) assay and real-time reverse transcription quantitative polymerase chain reaction (RT-qPCR). Comparative analytical evaluation demonstrated that RT-qPCR exhibited superior analytical sensitivity relativ...
Herd-level occurrence and spread of Theileria equi and its associated ticks on an Austrian horse farm.
Veterinary parasitology, regional studies and reports    May 30, 2026   Volume 72 101509 doi: 10.1016/j.vprsr.2026.101509
Pikalo J, Hartl B, Stimac I, Barogh BS, Fuehrer HP, Joachim A.Equine piroplasmosis (EP) is a tick-borne disease caused by the blood parasites Theileria equi, Theileria haneyi, and Babesia caballi transmitted primarily by hard ticks (Ixodidae). The clinical courses of EP range from asymptomatic to severe, and chronic infections for several years support the transmission among hosts. Methods: Over a period of two years, blood and fecal samples were taken from horses (n = 18) on a single farm in eastern Austria, starting with the first confirmed case of T. equi infection. Hard ticks (n = 1525 of Ixodes ricinus, Dermacentor reticulatus and Haemaphysalis ...
Efficacy of 0.5% Tretinoin in the Treatment of Equine Aural Plaques.
Veterinary dermatology    May 29, 2026   doi: 10.1111/vde.70090
de Mattos FS, Conceição LG, Schuartz YGH, Silva VRM, Fidélis CF, Mansur FC, Teixeira CS, Sancler-Silva YFR, Oliveira-Filho JP, Borges AS....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...
Do Polish Konik Horses Find Soaked Hay to Be Palatable?
Animals : an open access journal from MDPI    May 29, 2026   Volume 16, Issue 11 1663 doi: 10.3390/ani16111663
Tkaczyk E, Gazda IE, Humięcka M, Łuszczyński J, Basińska K, Kaczmarek B, Barłowska J, Tkaczyk P, Janczarek I.Frequently, equine diseases necessitate the moistening or soaking of hay for the horses. It was assumed that this treatment would not reduce the willingness of the Polish Konik horses with low nutritional requirements to consume the hay. Furthermore, it was believed that moistening would increase the palatability of this feed. The aim of this study was to determine time and frequency parameters and the amount of unconsumed dry, moist, or soaked hay. The research material comprised 12 Polish Konik horses consuming either 1 kg of dry hay, 2.1 kg of moist hay, or 3.3 kg of soaked hay on three sub...
Miscellaneous Equine Liver Conditions.
The Veterinary clinics of North America. Equine practice    May 28, 2026   S0749-0739(26)00025-8 doi: 10.1016/j.cveq.2026.04.010
Taylor SD, Brooks SN.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...
A Revised View on Equine Hypertriglyceridemia, Hyperlipidemia, and Hyperlipemia.
The Veterinary clinics of North America. Equine practice    May 28, 2026   S0749-0739(26)00022-2 doi: 10.1016/j.cveq.2026.04.007
Dunkel B.Hypertriglyceridemia, also known as hyperlipidemia or hyperlipemia, affects equids of all breeds and ages, mostly secondary to a negative energy balance triggered by a disease process. Increased triglyceride concentrations (TG) have been described in well-eating equids with endocrinopathies, atypical myopathy, severe liver disease, and after treatment with sodium-glucose transporter 2 inhibitors. The fact that equids can have substantially increased TG without showing clinical signs prompted reevaluation of the clinical effects of hypertriglyceridemia. As long as the consequences of high TG ar...
Biliary Disorders in Horses.
The Veterinary clinics of North America. Equine practice    May 28, 2026   S0749-0739(26)00020-9 doi: 10.1016/j.cveq.2026.04.005
Peek SF, Sebastian K.This review will mainly focus on the presentation, diagnosis, and treatment of cholangiohepatitis in adult horses. The condition is often accompanied by some degree of intrahepatic and/or extrahepatic biliary obstruction with "sludgy" bile or actual choleliths. In horses, these calculi are typically composed of calcium bilirubinate, rather than cholesterol. There is a propensity for cholangiohepatitis to become a recurrent, chronic condition and patient management should reflect this. Although much rarer, foreign body obstruction, neoplasia and, in some parts of the world, liver flukes can als...
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