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Topic:Infection

Infections in horses encompass a range of diseases caused by various pathogens, including bacteria, viruses, fungi, and parasites. These infections can affect different systems within the horse, such as the respiratory, gastrointestinal, and integumentary systems, leading to a variety of clinical signs depending on the pathogen and the severity of the infection. Common infectious diseases in horses include equine influenza, strangles, and equine herpesvirus. Diagnosis often involves clinical examination, laboratory testing, and sometimes imaging, to identify the causative agent and assess the extent of the disease. Treatment strategies may include antimicrobial therapy, supportive care, and preventive measures such as vaccination and biosecurity practices. This page aggregates peer-reviewed research studies and scholarly articles that explore the pathogenesis, diagnosis, treatment, and prevention of infectious diseases in equine populations.
Laryngeal squamous cell carcinoma and papilloma associated with Equus caballus papillomavirus 2 in a horse.
The Journal of veterinary medical science    June 4, 2019   Volume 81, Issue 7 1029-1033 doi: 10.1292/jvms.18-0461
Hibi H, Hatama S, Obata A, Shibahara T, Kadota K.A case of laryngeal squamous cell carcinoma (SCC) and squamous papilloma in a 19-year-old Thoroughbred stallion is described. The animal exhibited severe wheezing caused by laryngopharyngeal stenosis. Histological examination identified laryngeal, laryngotracheal, and guttural pouch tumor masses consisting of areas of SCC. In the epiglottic lesion, the overlying epithelium was replaced by papilloma cells, and superficial cells frequently had nuclear inclusion bodies that expressed oncoprotein E6, which is characteristic of high risk human papillomaviruses. The papillomatous epithelium was cont...
Richter’s hernia in a 3-month-old colt – A rare event.
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2019   Volume 60, Issue 6 651-653 
Avison A.Umbilical hernias are among the most common congenital defects in horses. Complications of umbilical hernias are uncommon, and Richter's hernias are rare. This report describes a case of Richter's hernia in a 3-month-old colt that was presented with signs of acute colic. The foal underwent a herniorrhaphy with intestinal resection and anastomosis. Hernie de Richter chez un poulain âgé de 3 mois — une rare manifestation. Les hernies ombilicales figurent parmi les défauts congénitaux les plus communs chez les chevaux. Les complications des hernies ombilicales sont peu fréquentes et les he...
Do plasma protein:fibrinogen ratios in horses provide additional information compared with fibrinogen concentration alone?
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2019   Volume 60, Issue 6 625-629 
Fernandez NJ, Roy MF.The plasma protein:fibrinogen (PP:F) ratio was introduced to aid interpretation of hyperfibrinogenemia by accounting for dehydration. However, this ratio is inconsistently assessed in practice and its clinical value remains unknown. Our objective was to determine whether the PP:F ratio provides additional information in adult horses beyond fibrinogen concentration alone. Two databases were reviewed to identify 412 hyperfibrinogenemic horses. Plasma protein:fibrinogen ratios were calculated and their interpretation compared to the fibrinogen concentration. Ratios < 15 were supportive of infl...
Presumptive tick paralysis in 2 American Miniature horses in the United States.
Journal of veterinary internal medicine    June 3, 2019   Volume 33, Issue 4 1784-1788 doi: 10.1111/jvim.15540
Trumpp KM, Parsley AL, Lewis MJ, Camp JW, Taylor SD.Tick paralysis has not been reported in horses in North America. Results: Two American Miniature horses were examined for progressive weakness and recumbency. Numerous ticks (Dermacentor variabilis) were found on both horses. Horse 1 was recumbent (grade 5/5 gait deficit) on presentation, whereas Horse 2 was standing but ataxic (grade 4/5 gait deficit) and tetraparetic. Both horses had decreased tongue and tail muscle tone, and had normal spinal reflexes. Cerebrospinal fluid cytology was normal. Equine herpesvirus-1 testing was negative. Unassigned: Ticks were removed within 24 hours of pres...
Evaluation of the risk of incisional infection in horses following application of protective dressings after exploratory celiotomy for treatment of colic.
Journal of the American Veterinary Medical Association    June 1, 2019   Volume 254, Issue 12 1441-1447 doi: 10.2460/javma.254.12.1441
Kilcoyne I, Dechant JE, Kass PH, Nieto JE.OBJECTIVE To assess incidence of incisional infection in horses following management with 1 of 3 protective dressings after exploratory celiotomy for treatment of acute signs of abdominal pain (ie, colic) and determine the risk of complications associated with each wound management approach. DESIGN Prospective, randomized, controlled study. ANIMALS 85 horses. PROCEDURES Horses were assigned to 3 groups. After standardized abdominal closure, a sterile cotton towel (group 1) or polyhexamethylene biguanide-impregnated dressing (group 2) was secured over the incision site with 4 or 5 cruciate sutu...
First report of equine Setaria digitata (von Linstow 1906) infestation in Malaysia.
Veterinary parasitology, regional studies and reports    May 31, 2019   Volume 17 100310 doi: 10.1016/j.vprsr.2019.100310
Peng TL, Armiladiana MM, Ruhil HH, Maizan M, Choong SS.The occurrence of Setaria digitata in a horse is reported for the first time in Malaysia. An 8-year-old Thoroughbred cross mare was referred to the University Veterinary Clinic with the primary complaint of corneal opacity and excessive eye discharge. After initial treatment with Terramycin eye ointment, corneal opacity cleared partially to reveal a moving thread-like cylindrical worm in the anterior chamber of the eye. The parasite was successfully removed surgically, and examination under the light microscope revealed that the isolated worm (length = 45 mm) was a 5th stage larva of S. ...
Failure to detect equid herpesvirus types 1 and 4 DNA in placentae and healthy new-born Thoroughbred foals.
Journal of the South African Veterinary Association    May 30, 2019   Volume 90 e1-e5 doi: 10.4102/jsava.v90i0.1736
Brown LJ, Brown G, Kydd J, Stout TAE, Schulman ML.Equid herpesvirus type 1 is primarily a respiratory tract virus associated with poor athletic performance that can also cause late gestation abortion, neonatal foal death and encephalomyelopathy. Horizontal transmission is well described, whereas evidence of vertical transmission of equid herpesvirus type 1 associated with the birth of a healthy foal has not been demonstrated. This study sampled a population of Thoroughbred mares (n = 71), and their healthy neonatal foals and foetal membranes, to test for the presence of both equid herpesvirus types 1 and 4 using a quantitative polymerase chai...
A histological and ultrastructural study of equine peripheral caries.
Equine veterinary journal    May 30, 2019   Volume 52, Issue 1 104-111 doi: 10.1111/evj.13134
Borkent D, Smith S, Dixon PM.Peripheral caries (PC) has recently been shown to affect over half of UK and Australian horses. Objective: To examine affected cheek teeth histologically and ultrastructurally, to assess the possible route(s) of carious infection into the dental tissues and to further describe the pathological changes in affected teeth. Methods: Descriptive pathological study. Methods: Four control and 16 cheek teeth with different grades of PC were examined grossly, histologically and by electron microscopy. Results: Cariogenic bacteria from plaque entered peripheral cementum perpendicular to the sides of tee...
Intrahost Selection Pressure Drives Equine Arteritis Virus Evolution during Persistent Infection in the Stallion Reproductive Tract.
Journal of virology    May 29, 2019   Volume 93, Issue 12 doi: 10.1128/JVI.00045-19
Nam B, Mekuria Z, Carossino M, Li G, Zheng Y, Zhang J, Cook RF, Shuck KM, Campos JR, Squires EL, Troedsson MHT, Timoney PJ, Balasuriya UBR.Equine arteritis virus (EAV) is the causative agent of equine viral arteritis (EVA), a reproductive and respiratory disease of horses. Following natural infection, 10 to 70% of infected stallions can become carriers of EAV and continue to shed virus in the semen. In this study, sequential viruses isolated from nasal secretions, buffy coat cells, and semen of seven experimentally infected and two naturally infected EAV carrier stallions were deep sequenced to elucidate the intrahost microevolutionary process after a single transmission event. Analysis of variants from nasal secretions and buffy...
Histopathological lesions in reproductive organs, distal spinal cord and peripheral nerves of horses naturally infected with Trypanosoma equiperdum.
BMC veterinary research    May 28, 2019   Volume 15, Issue 1 175 doi: 10.1186/s12917-019-1916-7
Yasine A, Ashenafi H, Geldhof P, Van Brantegem L, Vercauteren G, Bekana M, Tola A, Van Soom A, Duchateau L, Goddeeris B, Govaere J.Dourine, a venereal transmitted trypanosomosis caused by Trypanosoma equiperdum, has different clinical signs related to the reproductive and nervous system. Pathologic tissue changes associated with the disease are poorly described. The present study describes the histopathological lesions in naturally T. equiperdum-infected horses in the chronical stage of dourine. Results: Four chronically dourine diseased horses underwent a post-mortem examination. They were Woo test negative, but CATT/T. evansi positive, had a low packed cell volume (PCV) and exhibited obvious clinical signs of dourine. P...
Prevalence of Strongylus vulgaris in horses after ten years of prescription usage of anthelmintics in Sweden.
Veterinary parasitology: X    May 26, 2019   Volume 2 100013 doi: 10.1016/j.vpoa.2019.100013
Tydén E, Enemark HL, Franko MA, Höglund J, Osterman-Lind E.Strongylus vulgaris is considered the most pathogenic nematode parasite of the horse. Frequent deworming programs since the 1970s have reduced the prevalence of S. vulgaris to low levels, but to the price of widespread benzimidazole resistance in the small strongyles (cyathostominae) and ivermectin resistance especially in the equine roundworm Parascaris spp. To slow down the progression of anthelmintic resistance in Sweden, horse anthelmintics were made prescription only medicine in 2007 and selective therapy principles were introduced. This means that only individuals with high egg excretion...
Prevalence of Strongylus vulgaris in horses after ten years of prescription usage of anthelmintics in Sweden.
Veterinary parasitology: X    May 26, 2019   Volume 2 100013 doi: 10.1016/j.vpoa.2019.100013
Tydén E, Enemark HL, Franko MA, Höglund J, Osterman-Lind E.Strongylus vulgaris is considered the most pathogenic nematode parasite of the horse. Frequent deworming programs since the 1970s have reduced the prevalence of S. vulgaris to low levels, but to the price of widespread benzimidazole resistance in the small strongyles (cyathostominae) and ivermectin resistance especially in the equine roundworm Parascaris spp. To slow down the progression of anthelmintic resistance in Sweden, horse anthelmintics were made prescription only medicine in 2007 and selective therapy principles were introduced. This means that only individuals with high egg excretion...
Seroprevalence of Trypanosoma evansi Infection in Equines of North and North Western States of India.
Journal of equine veterinary science    May 24, 2019   Volume 79 63-67 doi: 10.1016/j.jevs.2019.05.019
Yadav SC, Kumar P, Khurana S, Kumar R.Trypanosomosis caused by Trypanosoma evansi, commonly known as "surra," is a wasting disease affecting equids, camels, cattle, as well as several other domestic and wild animals. No systematic information is available on disease pattern in equines for development of control and treatment strategies in endemic areas in India. The present study was undertaken with a comprehensive plan to screen large population of equines using indirect enzyme-linked immunosorbent assay to obtain epidemiological information on "surra" in different agro-climatic zones of India. A total of 6455 serum samples were ...
Genotypic diversity of Salmonella ser. Abortusequi isolates from Argentina.
Equine veterinary journal    May 22, 2019   Volume 52, Issue 1 98-103 doi: 10.1111/evj.13123
Salmonella enterica subsp. enterica serovar Abortusequi (S. Abortusequi) is a serotype restricted to equines, which produces abortion outbreaks. Nowadays the disease is being reported in different countries including Argentina thus generating an important impact in the equine industry. Molecular characterization of the 95 kb virulence plasmid and the spvC gene of S. Abortusequi demonstrated their importance in the pathogenicity of the serotype. In the last decades, high clonality of S. Abortusequi was identified in Japan, Mongolia and Croatia. Objective: The aim of this work was to characteriz...
The Molecular Detection of Equine Herpesviruses 2 and 5 in Genital Swabs From Clinically Normal Thoroughbred Mares in South Korea.
Journal of equine veterinary science    May 22, 2019   Volume 79 68-72 doi: 10.1016/j.jevs.2019.05.013
Lee SK, Lee I.Equine herpesvirus (EHV) 2 and equine herpesvirus 5 (EHV-5) have been getting attention as potential causative pathogens of reproductive disorders in horses. Equine herpesviruses 2 and 5 are widespread among horses and have been detected in various samples including nasal swabs, blood, and ocular swabs. However, the detection of these pathogens in genital swabs has not been determined. The aims of this study were to determine the positive rate of EHV-2 and EHV-5 DNA in genital swabs taken from clinically normal mares and to define the genetic diversity of these EHV-2 and EHV-5 DNA sequences by...
Equine Parvovirus-Hepatitis Frequently Detectable in Commercial Equine Serum Pools.
Viruses    May 21, 2019   Volume 11, Issue 5 doi: 10.3390/v11050461
Meister TL, Tegtmeyer B, Postel A, Cavalleri JV, Todt D, Stang A, Steinmann E.An equine parvovirus-hepatitis (EqPV-H) has been recently identified in association with equine serum hepatitis, also known as Theiler's disease. This disease was first described by Arnold Theiler in 1918 and is often observed after applications with blood products in equines. So far, the virus has only been described in the USA and China. In this study, we evaluated the presence of EqPV-H in several commercial serum samples to assess the potential risk of virus transmission by equine serum-based products for medical and research applications. In 11 out of 18 commercial serum samples, EqPV-H D...
Equine placentitis is associated with a downregulation in myometrial progestin signaling†.
Biology of reproduction    May 21, 2019   Volume 101, Issue 1 162-176 doi: 10.1093/biolre/ioz059
El-Sheikh Ali H, Legacki EL, Loux SC, Esteller-Vico A, Dini P, Scoggin KE, Conley AJ, Stanley SD, Ball BA.The current study aimed to elucidate the mechanisms underlying myometrial activation during equine placentitis related to progestogens and the progesterone receptor signaling pathways. Placentitis was induced via intracervical inoculation with Streptococcus equi ssp zooepidemicus in mares at approximately 290 days of gestation (placentitis group; n = 6) with uninoculated gestationally matched mares as controls (n = 4). Mares in the placentitis and control groups were euthanized, and myometrial samples were collected from two regions: region 1-parallel to active placentitis lesion with plac...
Cytological Findings in Bronchoalveolar Lavage Fluid of Foals With Pneumonia Caused by Rhodococcus equi and Other Bacteria.
Journal of equine veterinary science    May 18, 2019   Volume 79 9-12 doi: 10.1016/j.jevs.2019.05.009
Vitale V, Sgorbini M, Cuteri V, Preziuso S, Attili AR, Bonelli F.The distinction between lower respiratory tract infections caused by Rhodococcus equi and those caused by other pathogens is difficult. The aim of this retrospective study was to describe cytological findings in bronchoalveolar lavage fluid (BALF) of foals with pneumonia caused by R. equi or other bacteria. Nineteen foals aged from 3 weeks to 6 months with evidence of respiratory disease between 2015 and 2016 were selected from the database of the Veterinary Teaching Hospital "Mario Modenato" of the University of Pisa. Eight foals of 19 (42.1%) had R. equi pneumonia, whereas 11 of 19 (57.9...
Fetal-fluid proteome analyses in late-term healthy pregnant mares and in mares with experimentally induced ascending placentitis.
Reproduction, fertility, and development    May 17, 2019   Volume 31, Issue 9 1486-1496 doi: 10.1071/RD18460
Canisso IF, Loux S, Scoggin KE, Squires EL, Troedsson MH, Ball BA.Characterisation of fetal fluids in healthy and disease states of pregnant mares can help to unravel the pathophysiology and to identify putative markers of disease. Thus, this study aimed to compare the protein composition of: (1) amniotic and allantoic fluids of healthy mares obtained immediately after euthanasia and (2) allantoic fluid harvested via centesis before and after experimental induction of placentitis via transcervical inoculation of Streptococcus equi ssp zooepidemicus in healthy mares. Fetal fluids were analysed with a high-throughput proteomic technique after in-gel digestion....
Efficacy of Tea Tree Oil in the Treatment of Equine Streptothricosis.
Journal of equine veterinary science    May 16, 2019   Volume 79 79-85 doi: 10.1016/j.jevs.2019.05.011
Frye CC, Bei D, Parman JE, Jones J, Houlihan AJ, Rumore A.Streptothricosis is a dermatitis characterized by matted tufts of hair and coalescing, pustular crusts that affects many livestock species, including horses. It results from cutaneous infection by the actinobacterium Dermatophilus congolensis. For economic reasons, the ailment is often treated with commercially available over-the-counter (OTC) products or home remedies rather than prescribed medications. This study aimed to determine the efficacy of tea tree oil (TTO), an essential oil of Melaleuca alternifolia, as an OTC treatment for streptothricosis. Bacteria were isolated from presumptive ...
Granulomatous Rhinitis in a Horse due to Mycobacterium intracellulare Infection.
Journal of comparative pathology    May 14, 2019   Volume 169 30-34 doi: 10.1016/j.jcpa.2019.04.001
Vail KJ, Stranahan LW, Richardson LM, Yanchik AE, Arnold CE, Porter BF, Wiener DJ.Mycobacterial infections in horses are uncommon, but are caused most frequently by Mycobacterium bovis of the Mycobacterium tuberculosis complex or Mycobacterium avium of the M. avium complex. Disease caused by Mycobacterium intracellulare, the second most common species within the M. avium complex, has not been reported in horses to date. Mycobacteriosis in horses most often presents as enteric, pulmonary or, rarely, systemic disease. Here we report a case of M. intracellulare infection in a horse presenting as a granulomatous nasal mass.
Bilateral granulosa cell tumor in a cycling mare.
The Canadian veterinary journal = La revue veterinaire canadienne    May 14, 2019   Volume 60, Issue 5 480-484 
Castillo JM, Tse MPY, Dockweiler JC, Cheong SH, de Amorim MD.A 16-year-old Oldenburg mare was evaluated for stallion-like behavior. The mare had given birth to 2 foals previously. Transrectal palpation revealed bilaterally enlarged ovaries with no palpable ovulation fossa. Ultrasound examination showed both ovaries to have small follicles giving a honeycomb appearance, concurrent with a single large cystic structure in the left ovary (10.2 cm diameter). Serum Anti-Müllerian hormone (AMH) was elevated (95.7 pmol/L), consistent with granulosa cell tumor (GCT). Both ovaries were removed via flank laparoscopy and were evaluated by histopathology, which con...
Disease and ticks on horses.
The Veterinary record    May 11, 2019   Volume 184, Issue 19 592 doi: 10.1136/vr.l2056
Hansford KM, Gillingham EL, Cull B, McGinley L, Medlock JM, Phipps LP, Peaty M.No abstract available
Equine Neonatal Encephalopathy: Facts, Evidence, and Opinions.
The Veterinary clinics of North America. Equine practice    May 11, 2019   Volume 35, Issue 2 363-378 doi: 10.1016/j.cveq.2019.03.004
Toribio RE.Neonatal encephalopathy (NE) and neonatal maladjustment syndrome (NMS) are terms used for newborn foals that develop noninfectious neurologic signs in the immediate postpartum period. Cerebral ischemia, hypoxia, and inflammation leading to neuronal and glial dysfunction and excitotoxicity are considered key mechanisms behind NE/NMS. Attention has been placed on endocrine and paracrine factors that alter brain cell function. Abnormal steroid concentrations (progestogens, neurosteroids) have been measured in critically ill and NE foals. In addition to supportive treatment, antimicrobials should ...
Molecular evidence of bacteria in Melophagus ovinus sheep keds and Hippobosca equina forest flies collected from sheep and horses in northeastern Algeria.
Comparative immunology, microbiology and infectious diseases    May 10, 2019   Volume 65 103-109 doi: 10.1016/j.cimid.2019.05.010
Boucheikhchoukh M, Mechouk N, Benakhla A, Raoult D, Parola P.The sheep ked, Melophagus ovinus, and the forest fly, Hippobosca equina, are parasitic dipteran insects of veterinary importance. As hematophagous insects, they might be considered as potential vectors of diseases which may be transmissible to humans and animals. The purpose of this study was to present initial primary data about these two species in Algeria. To do so, we conducted a molecular survey to detect the presence of bacterial DNA in flies collected in Algeria. A total of 712 flies including, 683 Melophagus ovinus and 29 Hippobosca equina were collected from two regions in northeaster...
Deoxynivalenol, but not fumonisin B1, aflatoxin B1 or diesel exhaust particles disrupt integrity of the horse’s respiratory epithelium and predispose it for equine herpesvirus type 1 infection.
Veterinary microbiology    May 9, 2019   Volume 234 17-24 doi: 10.1016/j.vetmic.2019.05.009
Van Cleemput J, Poelaert KCK, Laval K, Van den Broeck W, Nauwynck HJ.The horse's respiratory tract daily encounters a plethora of respirable hazards including air pollutants, mycotoxins and airborne pathogens. To date, the precise effect of air pollution and mycotoxins on respiratory epithelial integrity and subsequent pathogen invasion in the horse has not been studied. Here, diesel exhaust particles (DEP) and three major mycotoxins (deoxynivalenol [DON], aflatoxin B1 [AFB1] and fumonisin B1 [FB1]) were applied to the apical surfaces of both ex vivo respiratory mucosal explants and in vitro primary equine respiratory epithelial cells (EREC) cultivated at the a...
Outbreaks of a Methicillin-Resistant Staphylococcus aureus Clone ST398-t011 in a Hungarian Equine Clinic: Emergence of Rifampicin and Chloramphenicol Resistance After Treatment with These Antibiotics.
Microbial drug resistance (Larchmont, N.Y.)    May 8, 2019   Volume 25, Issue 8 1219-1226 doi: 10.1089/mdr.2018.0384
Albert E, Biksi I, Német Z, Csuka E, Kelemen B, Morvay F, Bakos Z, Bodó G, Tóth B, Collaud A, Rossano A, Perreten V.Between July 2011 and May 2016, a total of 40 Staphylococcus aureus strains originating from 36 horses were confirmed as methicillin resistant (methicillin-resistant Staphylococcus aureus [MRSA]) in a university equine clinic. An additional 10 MRSA strains from 36 samples of clinic workers were obtained in October 2017. The first equine isolate represented the sequence type ST398, spa-type t011, and SCCmec IV. This isolate was resistant to a wide spectrum of antimicrobial agents. MRSA strains with the same genotype and with very similar resistance profiles were isolated on 21 more occasions fr...
A novel selective medium for the isolation of Burkholderia mallei from equine specimens.
BMC veterinary research    May 7, 2019   Volume 15, Issue 1 133 doi: 10.1186/s12917-019-1874-0
Kinoshita Y, Cloutier AK, Rozak DA, Khan MSR, Niwa H, Uchida-Fujii E, Katayama Y, Tuanyok A.Burkholderia mallei is a Gram-negative bacterium that causes glanders, a zoonotic disease, especially in equine populations (e.g. horses, donkeys, and mules). B. mallei usually grows slowly on most culture media, and this property makes it difficult to isolate from clinical specimens. One of the problems is that B. mallei is easily overgrown by other bacteria, especially in animal specimens collected from non-sterile sites. The aim of this study was to develop a new selective agar for the laboratory diagnosis of glanders. We formulated a new agar, named BM agar, to enrich B. mallei growth, but...
Clinical presentation, diagnostic findings, and outcome of adult horses with equine coronavirus infection at a veterinary teaching hospital: 33 cases (2012-2018).
Veterinary journal (London, England : 1997)    May 4, 2019   Volume 248 95-100 doi: 10.1016/j.tvjl.2019.05.001
Berryhill EH, Magdesian KG, Aleman M, Pusterla N.Equine coronavirus (ECoV) is a recently described enteric virus with worldwide outbreaks; however, there are little data available on clinical presentation, diagnosis, and outcome. The study objective was to document case management of ECoV in adult horses presented to a referral hospital and compare to a cohort of horses that tested negative for ECoV. A retrospective case series was performed based on positive real-time quantitative PCR results for ECoV on faeces from horses treated at the UC Davis Veterinary Medical Teaching Hospital from 1 March 2012 to 31 March 2018. Horses negative for EC...
Subconjunctival nodule due to Setaria equina erratic migration in a horse: First case report.
Veterinary ophthalmology    May 2, 2019   Volume 22, Issue 6 921-927 doi: 10.1111/vop.12675
Regnier A, Martin C, Semin MO, Lienard E, Geffre A, Douet JY, Raymond-Letron I.An 18-month-old Arabian-English filly resident in southwest France was referred for evaluation of a conjunctival mass in the right eye (OD). A pink, solid, and mobile nodular formation, measuring approximately 1.2 × 0.8 cm was found under the superior nasal bulbar conjunctiva during an ophthalmic examination that was otherwise normal. The mass was surgically removed using a standing procedure. Cytological examination of fine-needle aspirates from the mass revealed a mixed eosinophilic-lymphocytic inflammation. Histological examination confirmed the dense and diffuse eosinophilic-lymphocyti...
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