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Topic:Euthanasia

Euthanasia in horses refers to the process of humanely ending the life of a horse to alleviate suffering or when the quality of life is deemed unsustainable. This practice is considered in cases of severe illness, injury, or chronic pain where recovery is not possible. The decision-making process involves veterinarians, horse owners, and sometimes ethical and welfare considerations. Various methods are employed, with the primary aim of ensuring a painless and stress-free experience for the animal. This page compiles peer-reviewed research studies and scholarly articles that explore the ethical considerations, methods, decision-making processes, and impacts on equine welfare related to euthanasia.
Use of locking compression plates in ulnar fractures of 18 horses.
Veterinary surgery : VS    February 2, 2017   Volume 46, Issue 2 242-248 doi: 10.1111/vsu.12607
Jacobs CC, Levine DG, Richardson DW.To describe the outcome, clinical findings, and complications associated with the use of the locking compression plate (LCP) for various types of ulnar fractures in horses. Methods: Retrospective case series. Methods: Client owned horses (n = 18). Methods: Medical records, radiographs, and follow-up for horses having an ulnar fracture repaired using at least 1 LCP were reviewed. Fifteen of 18 horses had fractures of the ulna only, and 3 horses had fractures of the ulna and proximal radius. Results: All 18 horses were discharged from the hospital. Complications occurred in 5 horses; incisio...
Diagnostic approach to catastrophic musculoskeletal injuries in racehorses. Diab SS, Stover SM, Carvallo F, Nyaoke AC, Moore J, Hill A, Arthur R, Uzal FA.Catastrophic musculoskeletal injuries are the most common cause of euthanasia or spontaneous death in racehorses, and the most common cause of jockey falls with potential for serious human injury. Horses are predisposed to the vast majority of these injuries by preexisting lesions that can be prevented by early diagnosis and adequate bone injury management. A thorough examination of the musculoskeletal system in racehorses often determines the cause of these injuries and generates data to develop injury prevention strategies. We describe the diagnostic approach to musculoskeletal injury, revie...
First report of cerebellar abiotrophy in an Arabian foal from Argentina.
Open veterinary journal    December 22, 2016   Volume 6, Issue 3 259-262 doi: 10.4314/ovj.v6i3.17
Sadaba SA, Madariaga GJ, Botto CM, Carino MH, Zappa ME, García PP, Olguín SA, Massone A, Díaz S.Evidence of cerebellar abiotrophy (CA) was found in a six-month-old Arabian filly with signs of incoordination, head tremor, wobbling, loss of balance and falling over, consistent with a cerebellar lesion. Normal hematology profile blood test and cerebrospinal fluid analysis excluded infectious encephalitis, and serological testing for Sarcocystis neurona was negative. The filly was euthanized. Postmortem X-ray radiography of the cervical cephalic region identified not abnormalities, discounting spinal trauma. The histopathological analysis of serial transverse cerebellar sections by electron ...
Clinical indications, complications, and long-term outcome of esophageal surgeries in 27 horses.
The Canadian veterinary journal = La revue veterinaire canadienne    December 9, 2016   Volume 57, Issue 12 1257-1262 
Koenig JB, Silveira A, Cribb NC, Piat P, Laverty S, Sorge US.The main objective of this retrospective study was to describe clinical findings, management, and short- and long-term outcome in 27 horses that underwent various surgical techniques for esophageal disease. Surgical techniques (sometimes concurrently) performed were: esophagostomy ( = 14), esophagotomy with primary closure ( = 6), esophagomyotomy ( = 3), and esophagoplasty ( = 2). Esophageal perforation in 5 horses was treated by ventral drainage; 3 horses had the esophageal defect sutured ( = 3). Feeding tubes were placed in 15 horses. Postoperative complications occurred in 52% (14/27) with ...
Concurrent or sequential tibial subchondral cystic lesions in 4 horses with medial femoral condyle subchondral cystic lesions.
Journal of the American Veterinary Medical Association    November 23, 2016   Volume 249, Issue 11 1313-1318 doi: 10.2460/javma.249.11.1313
Bonilla AG, Bertone AL, Brokken MT, Santschi EM.CASE DESCRIPTION 4 horses were examined because of signs of chronic hind limb lameness. CLINICAL FINDINGS 3 horses had a history of lameness for > 6 months; specific duration was unknown for 1 horse. On initial evaluation, grade 3 to 4 (on a scale from 1 to 5) hind limb lameness was present in all 4 horses. Radiography of the stifle joint of the affected limb revealed medial femoral condyle subchondral lucencies or subchondral cystic lesions (SCLs) in all 4 horses, medial femorotibial osteoarthritis in 3 horses, and medial tibial condyle SCLs in 3 horses. TREATMENT AND OUTCOME 2 horses were...
The confidential enquiry into perioperative equine fatalities (CEPEF): mortality results of Phases 1 and 2.
Veterinary anaesthesia and analgesia    November 15, 2016   Volume 29, Issue 4 159-170 doi: 10.1046/j.1467-2995.2002.00106.x
Johnston GM, Eastment JK, Wood J, Taylor PM.To document the equine perioperative mortality rate and to highlight any factor associated with an increased risk of death up to 7 days after anaesthesia. Methods: A prospective observational epidemiological multicentre study. Methods: Data were recorded from all equidae undergoing general anaesthesia in 62 clinics. Power calculations indicated that 45 000 cases were required to detect the significance of important variables. Details of each horse, operation, anaesthetic agents and clinic personnel were recorded. Outcome at 7 days was recorded as: alive, put to sleep (PTS) or dead. Data were a...
Anatomical transverse magnetic resonance imaging study of ligaments in palmar surface of metacarpus in Miniature donkey: identification of a new ligament.
Folia morphologica    November 10, 2016   Volume 76, Issue 1 110-116 doi: 10.5603/FM.a2016.0032
Nazem MN, Sajjadian SM.Palmar region of metacarpus in the horses and donkeys is an important region because of its tendons and ligaments which contribute to stay apparatus. This study was done on forelimbs of 6 healthy Miniature donkeys to detect the tendons, ligaments and their accessories on the palmar surface of metacarpus in this animal. Methods: Based on that magnetic resonance imaging (MRI) is a good technique to evaluate the soft tissues such as tendons and ligaments, palmar aspects of metacarpus in 6 euthanatised Miniature donkeys were prepared for anatomical and trans-sectional MRI studies to determine the ...
Risk factors in equine transport-related health problems: A survey of the Australian equine industry.
Equine veterinary journal    October 13, 2016   Volume 49, Issue 4 507-511 doi: 10.1111/evj.12631
Padalino B, Raidal SL, Hall E, Knight P, Celi P, Jeffcott L, Muscatello G.Transportation can affect equine health and is a potential source of economic loss to the industry. Objective: To identify journey (duration, vehicle, commercial or noncommercial) and horse (sex, age, breed, use, amateur or professional status) characteristics associated with the development of transport-related health problems in horses. Methods: Cross-sectional online survey. Methods: An online survey was conducted targeting amateur and professional participants in the Australian equine industry; eligible respondents were required to organise horse movements at least monthly. Respondents pro...
Risk factors associated with fatal injuries in Thoroughbred racehorses competing in flat racing in the United States and Canada.
Journal of the American Veterinary Medical Association    October 5, 2016   Volume 249, Issue 8 931-939 doi: 10.2460/javma.249.8.931
Georgopoulos SP, Parkin TD.OBJECTIVE To identify risk factors associated with fatal injuries in Thoroughbred racehorses in the United States and Canada. DESIGN Retrospective study. ANIMALS 1,891,483 race starts by 154,527 Thoroughbred racehorses at 89 racetracks in the United States and Canada from 2009 to 2013. PROCEDURES Data were extracted from the Equine Injury Database, which contained information for 93.9% of all official flat racing events in the United States and Canada during the 5-year observation period. Forty-four possible risk factors were evaluated by univariate then multivariable logistic regression to id...
Fatal Oleander Toxicosis in Two Miniature Horses.
Journal of the American Animal Hospital Association    September 29, 2016   Volume 52, Issue 6 398-402 doi: 10.5326/JAAHA-MS-6433
Butler J, Khan S, Scarzella G.Two young American miniature horses from the same farm were evaluated by a veterinarian due to presence of lethargy, anorexia, and cardiac arrhythmias. Both horses were treated aggressively with IV fluids and other supportive measures. The first horse died approximately 72 hr after the start of clinical signs and the second horse was humanely euthanized due to poor response to treatment. Oleander toxicosis was suspected based on the types of clinical signs present and due to several oleander plants and dried leaves present on the property. Oleander toxicosis was confirmed by the presence of ol...
Presumptive Iatrogenic Microcystin-Associated Liver Failure and Encephalopathy in a Holsteiner Gelding.
Journal of veterinary internal medicine    September 9, 2016   Volume 30, Issue 5 1747-1751 doi: 10.1111/jvim.14571
Mittelman NS, Engiles JB, Murphy L, Vudathala D, Johnson AL.An 8-year-old Holsteiner gelding was presented for evaluation of anorexia, obtundation, icterus, and mild colic signs of 48 hours duration. History, physical examination, and initial diagnostics were suggestive of hepatic disease and encephalopathy. Microcystin toxicosis was suspected based on historical administration of a cyanobacteria supplement, associated serum biochemistry abnormalities, and characteristic histopathological changes. Microcystin contamination was confirmed in both supplement containers fed to the horse. Fulminant hepatic failure and encephalopathy progressed resulting in ...
Welfare, Quality of Life, and Euthanasia of Aged Horses.
The Veterinary clinics of North America. Equine practice    July 28, 2016   Volume 32, Issue 2 355-367 doi: 10.1016/j.cveq.2016.04.011
McGowan CM, Ireland JL.Duration of ownership strengthens the human-horse bond, affecting decision-making about the horse's welfare, quality of life (QoL), and euthanasia. Most owners consider their geriatric horses to have good or excellent QoL; however, increasing age is negatively associated with QoL. Management factors are important. The most common reasons for euthanasia include musculoskeletal disorders or lameness, colic, and nonspecific chronic diseases. The decision to euthanize is difficult, so the advice of the veterinarian and QoL are important. This article focuses on the human-horse bond, assessment of ...
Evidence for marsh mallow (Malva parviflora) toxicosis causing myocardial disease and myopathy in four horses.
Equine veterinary journal    July 28, 2016   Volume 49, Issue 3 307-313 doi: 10.1111/evj.12604
Bauquier J, Stent A, Gibney J, Jerrett I, White J, Tennent-Brown B, Pearce A, Pitt J.Investigation of toxicosis caused by Malva parviflora was required after 4 horses from the same farm developed severe muscle fasciculations, tachycardia, sweating and periods of recumbency leading to death or euthanasia after ingesting the plant. Objective: To describe historical, clinical, clinicopathological and pathological findings of 4 horses with suspected M. parviflora toxicosis. The role of cyclopropene fatty acids (found in M. parviflora) and mechanism for toxicosis are proposed. Methods: Case series. Methods: Historical, physical examination, clinicopathological and pathological find...
Drug Residues after Intravenous Anesthesia and Intrathecal Lidocaine Hydrochloride Euthanasia in Horses.
Journal of veterinary internal medicine    June 30, 2016   Volume 30, Issue 4 1322-1326 doi: 10.1111/jvim.14372
Aleman M, Davis E, Knych H, Guedes A, Smith F, Madigan JE.Intrathecal lidocaine hydrochloride under general anesthesia has been used as an alternative method of euthanasia in equids. Carnivore, scavenger, and even human consumption of horse meat from carcasses have been anecdotally reported in rural areas after this method of euthanasia. The presence of drug residues in horse meat has not been investigated. Objective: To investigate if drug residues are found in horse tissues and determine their concentrations. Methods: Of 11 horses requiring euthanasia for medical reasons. Methods: Prospective descriptive study. Horses were anesthetized with total I...
Meta-Analysis of the Effects of Adhesion Barriers on Adhesion Formation in the Horse.
Veterinary surgery : VS    June 15, 2016   Volume 45, Issue 5 587-595 doi: 10.1111/vsu.12494
Munsterman AS, Kottwitz JJ, Reid Hanson R.To determine the efficacy of adhesion barriers in horses using quantitative statistical analysis. Methods: Meta-analytical review. Methods: A search using PubMed/MEDLINE and Google Scholar was performed, followed by secondary searches of veterinary trade journals, bibliographies of relevant articles, manufacturer websites, and technical reference guides. Randomized experimental trials in healthy horses were considered that included both a treatment and control group. The endpoint required was euthanasia or laparoscopy to identify adhesion formation. A meta-analysis was performed using a random...
Equid herpesvirus 1 and rhodococcus equi coinfection in a foal with bronchointerstitial pneumonia.
The Journal of veterinary medical science    June 3, 2016   Volume 78, Issue 9 1511-1513 doi: 10.1292/jvms.16-0024
Perez-Ecija A, Mendoza FJ, Estepa JC, Bautista MJ, Pérez J.A 2-month-old foal with septic shock and severe respiratory distress was referred to the Veterinary Teaching Hospital. Due to poor prognosis, the foal was euthanized. Histopathology showed lesions suggestive of Rhodococcus equi infection associated with a diffuse interstitial infiltrate of foamy macrophages and syncytial cells presenting large acidophilic intranuclear inclusion bodies, fibrin exudates and hyaline membranes. Bacteriological examination from lung and respiratory exudates confirmed R. equi infection, whilst immunohistochemistry and PCR yielded a positive result for Equid herpesvi...
Peritoneal fluid immunocytochemistry used for the diagnosis of a possible case of equine gastrointestinal B-cell lymphoma.
The Canadian veterinary journal = La revue veterinaire canadienne    June 2, 2016   Volume 57, Issue 6 601-604 
Duran MC, Starrak G, Dickinson R, Montgomery J.After physical examination, ultrasonographic evaluation of thorax and abdomen, and peritoneal fluid analysis, gastrointestinal neoplasia with suspected diffuse peritoneal metastasis was diagnosed in a 17-year-old Arabian gelding. The owner elected euthanasia and declined postmortem examination. Immunocytochemistry analysis of the peritoneal fluid resulted in a diagnosis of B-cell lymphoma. Immunocytochimie du liquide péritonéal utilisée pour le diagnostic d’un cas possible de lymphome gastro-intestinal à cellules B. Après un examen physique, une évaluation échographique du thorax et d...
Comparison of the in vitro anticollagenase efficacy of homologous serum and plasma on degradation of corneas of cats, dogs, and horses.
American journal of veterinary research    May 27, 2016   Volume 77, Issue 6 627-633 doi: 10.2460/ajvr.77.6.627
Conway ED, Stiles J, Townsend WM, Weng HY.OBJECTIVE To compare the anticollagenase efficacy of fresh feline, canine, and equine serum and plasma on in vitro corneal degradation. SAMPLE Grossly normal corneas from recently euthanized dogs, cats, and horses and fresh serum and plasma from healthy dogs, cats, and horses. PROCEDURES Serum and plasma were pooled by species and used for in vitro experiments. Corneas were collected and stored at -80°C. Sections of cornea were dried, weighed, and incubated in saline (0.9% NaCl) solution with clostridial collagenase and homologous fresh serum or plasma. Corneal degradation was assessed as the...
Effects of ischemia and reperfusion on eosinophilic accumulation and distribution in mucosa of equine jejunum and colon.
American journal of veterinary research    April 26, 2016   Volume 77, Issue 5 534-539 doi: 10.2460/ajvr.77.5.534
Rötting AK, Freeman DE, Constable PD, Eurell JA, Wallig MA.OBJECTIVE To evaluate the eosinophilic response in intestinal mucosa of horses with intestinal ischemia and reperfusion or with strangulation of the jejunum or colon. SAMPLE Mucosal samples from horses with naturally occurring strangulation (n = 24 horses) or distention (n = 6) of the jejunum or colon (11), with experimentally induced ischemia and reperfusion of the jejunum (6) or colon (15), or that were euthanized for reasons other than gastrointestinal tract disease (13). PROCEDURES Mucosal samples were collected and grouped by type of intestinal injury. Slides were stained with Luna eosino...
Malignant Glomus Tumour (Glomangiosarcoma) with Additional Neuroendocrine Differentiation in a Horse.
Journal of comparative pathology    April 18, 2016   Volume 154, Issue 4 309-313 doi: 10.1016/j.jcpa.2016.03.002
Peters M, Grafen J, Kuhnen C, Wohlsein P.A 13-year-old Icelandic crossbred horse was presented with headshaking and progressive impairment of chewing. A slowly growing mass was identified in the anterior maxilla. This was associated with lysis of the alveolar bone and the roots of the incisors and there were nodular proliferations affecting the nasal septum and conchae. There was no response to chemotherapy and so the horse was humanely destroyed. Based on morphological, immunohistochemical and ultrastructural findings the mass was classified as a malignant glomus tumour with multifocal vascular spaces and additional neuroendocrine d...
Arthrodesis of the equine centrodistal and tarsometatarsal joints using a single modified kerf-cut cylinder.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    April 12, 2016   Volume 29, Issue 3 227-231 doi: 10.3415/VCOT-15-10-0167
Biedrzycki AH, Grant BD, Nemke B, Markel MD, Morello SL.To describe a technique for surgical placement of a modified kerf-cut cylinder for the purpose of arthrodesis across the equine centrodistal and tarsometatarsal joints. Methods: Each horse (n = 4) underwent unilateral placement of a single kerf-cut cylinder spanning the centrodistal and tarsometatarsal joints with the placement of an autologous cancellous bone graft. Horses were evaluated via lameness examination and radiography postoperatively and euthanatization of each horse was performed at four different time points up to 12 weeks post-surgery to evaluate for lameness, implant stability a...
Evaluation of serum amyloid A and haptoglobin concentrations as prognostic indicators for horses with colic.
Journal of the American Veterinary Medical Association    April 1, 2016   Volume 248, Issue 8 935-940 doi: 10.2460/javma.248.8.935
Westerman TL, Foster CM, Tornquist SJ, Poulsen KP.To evaluate the use of the acute-phase proteins serum amyloid A (SAA) and haptoglobin as prognostic indicators in horses with colic with regard to the need for surgical intervention, development of complications, and hospitalization cost and duration. Methods: Prospective observational study. Methods: 20 clinically normal horses and 42 horses with colic. Methods: Total WBC and neutrophil counts and plasma fibrinogen, SAA, and haptoglobin concentrations were compared between healthy (control) horses and horses admitted to a veterinary teaching hospital for colic. Clinicopathologic values were c...
Factors associated with outcome in 94 hospitalised foals diagnosed with neonatal encephalopathy.
Equine veterinary journal    March 16, 2016   Volume 49, Issue 2 207-210 doi: 10.1111/evj.12553
Lyle-Dugas J, Giguère S, Mallicote MF, Mackay RJ, Sanchez LC.Neonatal encephalopathy is the most common neurological abnormality identified in neonatal foals, but its clinical course has been rarely characterised. Objective: To describe factors associated with nonsurvival in a population of foals diagnosed with neonatal encephalopathy. Methods: Retrospective cross-sectional clinical study. Methods: Cases were selected from equine neonatal (≤14 days of age) admissions between 1996 and 2007. Multivariable logistic regression was used to identify clinical parameters, laboratory variables and therapeutic interventions associated with nonsurvival. Results:...
Spinal Cord Hamartomatous Myelodysplasia in 2 Horses With Clinical Neurologic Deficits.
Veterinary pathology    February 25, 2016   Volume 53, Issue 4 844-846 doi: 10.1177/0300985815622971
Taylor KR, MacKay RJ, Nelson EA, Stieler AL, Roberts JF, Castleman WL.Two horses euthanized for neurologic deficits were diagnosed with hamartomatous myelodysplasia of the spinal cord. One was a 5-week-old Holsteiner colt exhibiting spasms of muscle rigidity in the extensor muscles of the limbs and epaxial muscles, and the other was a 3-year-old Thoroughbred colt exhibiting progressive ataxia and hypermetria in the pelvic limbs. Each had focal disorganization of the white and gray matter of the spinal cord forming a mass interspersed with neurons, glial cells, and disoriented axon bundles. In the Holsteiner colt, the mass was at the level of C5 and included isla...
Does oral prednisolone treatment increase the incidence of acute laminitis?
Equine veterinary journal    February 15, 2016   Volume 49, Issue 1 19-25 doi: 10.1111/evj.12565
Jordan VJ, Ireland JL, Rendle DI.It is accepted among equine practitioners that glucocorticoid treatment is a risk factor for the development of laminitis. However, there is little published evidence of a link between glucocorticoids and laminitis. Objective: To determine whether horses receiving oral prednisolone are at increased risk of laminitis. Methods: Retrospective case-control study. Methods: Clinical records of horses registered with the ambulatory service at Liphook Equine Hospital between January 2001 and November 2014 were reviewed retrospectively to identify horses that had received treatment with oral prednisolo...
Cardiovascular, respiratory and metabolic responses to apnea induced by atlanto-occipital intrathecal lidocaine injection in anesthetized horses.
Veterinary anaesthesia and analgesia    February 5, 2016   Volume 43, Issue 6 590-598 doi: 10.1111/vaa.12344
Guedes A, Aleman M, Davis E, Tearney C.To determine physiologic responses to apnea-induced severe hypoxemia in anesthetized horses. Methods: Prospective experimental study. Methods: Six university-owned horses with a median (range) body weight of 500 (220-510) kg and aged 13.5 (0.8-24.0) years scheduled for euthanasia. Methods: Xylazine-midazolam-ketamine-anesthetized horses breathing room air spontaneously were instrumented with a facial artery catheter for pressure measurement and blood sampling, and were made apneic with atlanto-occipital intrathecal lidocaine (4 mg kg ). Cardiopulmonary, biochemical and hematologic variable...
Bodyweight change aids prediction of survival in chronic equine grass sickness.
Equine veterinary journal    January 25, 2016   Volume 48, Issue 6 792-797 doi: 10.1111/evj.12551
Jago RC, Handel I, Hahn CN, Pirie RS, Keen JA, Waggett BE, McGorum BC.Objective criteria for predicting survival of chronic grass sickness cases are currently lacking. Objective: To determine whether the rate and/or magnitude of bodyweight change during hospitalisation of chronic grass sickness cases can provide an objective predictor of survival to discharge from hospital. Clinicians' recorded indication(s) for euthanasia were also reviewed. Methods: Single centre retrospective observational study. Methods: Case records of all horses admitted for management of chronic grass sickness to The Dick Vet Equine Hospital between 1998 and 2013 were analysed. Case backg...
Comparison of Arthroscopic Lavage and Needle Lavage Techniques, and Lavage Volume on the Recovery of Colored Microspheres From the Tarsocrural Joints of Cadaver Horses.
Veterinary surgery : VS    January 15, 2016   Volume 45, Issue 2 240-245 doi: 10.1111/vsu.12442
Loftin PG, Beard WL, Guyan ME, White BJ.To quantify recovery of colored microspheres from normal cadaver tarsocrural joints using arthroscopic or needle lavage with 1-5 L of fluid. Methods: Ex vivo experimental study. Methods: Adult Quarter Horse cadavers (n = 8). Methods: After euthanasia, 1.5 × 10(6)  colored microspheres were injected into each tarsocrural joint. Each joint was randomly assigned to receive lavage (5 L 0.9% NaCl) with an arthroscope (dorsomedial arthroscope and dorsolateral egress cannula) or three 14 g needles (dorsomedial ingress, dorsolateral, and plantarolateral egress). Egress fluid from each...
West Nile virus epizootics in the Camargue (France) in 2015 and reinforcement of surveillance and control networks.
Revue scientifique et technique (International Office of Epizootics)    January 1, 2016   Volume 35, Issue 3 811-824 doi: 10.20506/rst.35.3.2571
Bahuon C, Marcillaud-Pitel C, Bournez L, Leblond A, Beck C, Hars J, Leparc-Goffart I, L'Ambert G, Paty MC, Cavalerie L, Daix C, Tritz P, Durand B....West Nile virus (WNV) infection is a non-contagious disease mainly transmitted by the bites of infected mosquitoes from the genus Culex. The virus is maintained in a mosquito-bird-mosquito cycle, and can accidentally be transmitted to mammalian hosts. Among mammalian hosts, equines and humans are the most sensitive to WNV infection and can develop severe meningoencephalitis. As WNV infections are zoonotic and can be severe in humans and equines, West Nile fever is considered to be a public and animal health concern. After a silent period of almost ten years, WNV re-emerged in France at the per...
Chagas disease in a Texan horse with neurologic deficits.
Veterinary parasitology    December 2, 2015   Volume 216 13-17 doi: 10.1016/j.vetpar.2015.11.016
Bryan LK, Hamer SA, Shaw S, Curtis-Robles R, Auckland LD, Hodo CL, Chaffin K, Rech RR.A 10-year-old Quarter Horse gelding presented to the Texas A&M University Veterinary Teaching Hospital with a six month-history of ataxia and lameness in the hind limbs. The horse was treated presumptively for equine protozoal myeloencephalitis (EPM) based on clinical signs but was ultimately euthanized after its condition worsened. Gross lesions were limited to a small area of reddening in the gray matter of the thoracic spinal cord. Histologically, trypanosome amastigotes morphologically similar to Trypanosoma cruzi, the agent of Chagas disease in humans and dogs, were sporadically detec...
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