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Topic:Nasal

The nasal cavity in horses is a complex anatomical structure that plays a significant role in respiration and olfaction. It consists of a series of passages lined with mucous membranes and cilia that filter, humidify, and warm the air before it reaches the lungs. The nasal cavity is also involved in vocalization and serves as a conduit for pheromonal communication. Various conditions can affect the equine nasal cavity, including infections, allergies, and structural abnormalities, which can impact a horse's respiratory efficiency and overall health. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and pathologies associated with the nasal cavity in horses, as well as diagnostic and therapeutic approaches.
Epidemiology and pathogenicity of M. equirhinis in equine respiratory disorders.
Veterinary microbiology    November 22, 2023   Volume 287 109926 doi: 10.1016/j.vetmic.2023.109926
Martineau M, Kokabi E, Taiebi A, Lefebvre S, Pradier S, Jaÿ M, Tardy F, Leon A.Mycoplasmas are pathogens involved in respiratory disorders of various animal hosts. In horses, Mycoplasma (M.) equirhinis is the species most frequently detected in clinical respiratory specimens, with a prevalence of 12-16%, but its clinical implication in equine respiratory disorders remains unclear. Here we screened 1948 clinical specimens for the presence of M. equirhinis. The samples were both tracheal washes (TW) and bronchoalveolar lavages (BAL) collected by veterinarians in France in day-to-day work between 2020 and 2022. The samples were associated with a standardized form that serve...
Investigation of nasal epithelial cells as a surrogate for bronchial epithelial cells in the research of equine asthma.
PloS one    November 9, 2023   Volume 18, Issue 11 e0293956 doi: 10.1371/journal.pone.0293956
Lee DF, Everest DJ, Cooley W, Chambers MA.Equine asthma, previously known as Recurrent Airway Obstruction (RAO) or Inflammatory Airway Disease (IAD), is an often-debilitating condition that may severely affect both performance and quality of life. Research is hindered by the low sample numbers of subjects recruited to studies, a consequence in part of the invasive nature of the sampling methods of bronchial brushing and biopsy. We present an alternative method of sampling equine airway epithelial cells, the 'nasal brush method' (NBM). Obtained by light brushing of the ventral meatus whilst the horse is under standing sedation, these c...
Characterization of Equine Rhinitis B Virus Infection in Clinically Ill Horses in the United States during the Period 2012-2023.
Pathogens (Basel, Switzerland)    November 7, 2023   Volume 12, Issue 11 doi: 10.3390/pathogens12111324
Schneider C, James K, Craig BW, Chappell DE, Vaala W, van Harreveld PD, Wright CA, Barnum S, Pusterla N.Equine rhinitis B virus is a lesser-known equine respiratory pathogen that is being detected with increasing frequency via a voluntary upper respiratory biosurveillance program in the United States. This program received 8684 nasal swab submissions during the years 2012-2023. The nasal swabs were submitted for qPCR testing for six common upper respiratory pathogens: Streptococcus equi subspecies equi (S. equi), equine influenza virus (EIV), equine herpesvirus type 1 (EHV-1), equine herpesvirus type 4 (EHV-4), equine rhinitis A virus (ERAV), and equine rhinitis B virus (ERBV). The overall ERBV ...
Vaccination for the prevention of equine herpesvirus-1 disease in domesticated horses: A systematic review and meta-analysis.
Journal of veterinary internal medicine    November 6, 2023   Volume 38, Issue 3 1858-1871 doi: 10.1111/jvim.16895
Osterrieder K, Dorman DC, Burgess BA, Goehring LS, Gross P, Neinast C, Pusterla N, Hussey GS, Lunn DP.Equine herpes virus type 1 (EHV-1) infection in horses is associated with respiratory and neurologic disease, abortion, and neonatal death. Objective: Vaccines decrease the occurrence of clinical disease in EHV-1-infected horses. Methods: A systematic review was performed searching multiple databases to identify relevant studies. Selection criteria were original peer-reviewed research reports that investigated the in vivo use of vaccines for the prevention of disease caused by EHV-1 in domesticated horses. Main outcomes of interest included pyrexia, abortion, neurologic disease, viremia, and n...
Horse allergy: Curly Horses can mediate immune tolerance.
Pneumologie (Stuttgart, Germany)    October 12, 2023   Volume 78, Issue 1 47-57 doi: 10.1055/a-2101-9533
Mitlehner A, Mitlehner C, Reißmann M, Stoll P, Swoboda I, Mitlehner W.American Bashkir Curly Horses are claimed to be hypoallergenic, but this has not been clinically proven. In the present study, the effect of exposure to Curly Horses was investigated in 141 patients allergic to horses by measuring their lung function and nasal patency during Curly Horse contact. Continuous contact with Curly Horses, including riding and brushing, decreased the allergic riders' reactivity as measured by FEV1, PEF, and PNIF. Subsequent visits (up to 40 or more hours of riding) further reduced reactivity to the Curly Horses. Allergic events to horses occurred only in 72 out of 13...
Myosin heavy-chain myopathy in 2 American quarter horses.
Veterinary pathology    October 11, 2023   Volume 61, Issue 3 462-467 doi: 10.1177/03009858231204253
Faccin M, Landsgaard KA, Milliron SM, Jennings AH, Keith Chaffin M, Giaretta PR, Rech RR.A 1.5-year-old American quarter horse gelding (case 1) and an 11-month-old American quarter horse filly (case 2) were presented for acute onset pelvic lameness and lethargy. Case 1 had nasal discharge, while case 2 developed rapid muscle atrophy. Both horses had elevated serum creatine kinase activity. The horses showed similar polyphasic histiocytic and lymphoplasmacytic myositis with necrosis, mineralization, and regeneration. Additionally, case 1 had Streptococcus equi subsp. equi-induced suppurative retropharyngeal lymphadenitis with renal purpura hemorrhagica and myoglobinuric nephropathy...
Detection of equine herpesvirus-1 (EHV-1) in urine samples during outbreaks of equine herpesvirus myeloencephalopathy.
Equine veterinary journal    September 12, 2023   doi: 10.1111/evj.14007
Velloso Alvarez A, Jose-Cunilleras E, Dorrego-Rodriguez A, Santiago-Llorente I, de la Cuesta-Torrado M, Troya-Portillo L, Rivera B, Vitale V....Real-time PCR is the diagnostic technique of choice for the diagnosis and control of equine herpesvirus-1 (EHV-1) in an outbreak setting. The presence of EHV-1 in nasal swabs (NS), whole blood, brain and spinal cord samples has been extensively described; however, there are no reports on the excretion of EHV-1 in urine, its DNA detection patterns, and the role of urine in viral spread during an outbreak. Objective: To determine the presence of EHV-1 DNA in urine during natural infection and to compare the DNA detection patterns of EHV-1 in urine, buffy coat (BC) and NS. Methods: Descriptive st...
Discrepancies between phenotypic and genotypic identification methods of antibiotic resistant genes harboring Staphylococcusaureus.
Microbial pathogenesis    September 11, 2023   Volume 184 106342 doi: 10.1016/j.micpath.2023.106342
Rasheed H, Ijaz M, Ahmed A, Javed MU, Shah SFA, Anwaar F.Antimicrobial resistance is a global issue that limits therapeutic options for infections. S. aureus being a member of the ESKAPE group is capable of "escaping" the biocidal action of antimicrobial agents. There are phenotypic and genotypic methods used for the identification of antibiotic resistant genes harboring S. aureus but these methods do not always show concordant results. To address these discrepancies, a total of 335 equine nasal swab samples from four districts of Punjab were collected using a convenient sampling technique. These samples were first subjected to common microbial tech...
Endoscope-assisted three-wire technique for extensive nasal septum resection in horses.
Veterinary surgery : VS    August 31, 2023   doi: 10.1111/vsu.14021
Ratliff BL, Bauck AG, Roe HA, Freeman DE.To describe a 3-wire method with endoscopic guidance for extensive nasal septum resection. Methods: Retrospective study. Methods: Thirteen horses with nasal septum diseases. Methods: In anesthetized horses in left lateral recumbency, endoscopic guidance was used to place obstetrical wires for the ventral and caudal incisions in the nasal septum and a trephine opening was used to place the dorsal wire. The rostral aspect of the septum was incised with a scalpel, followed by incisions with the preplaced wires, and the nasal passages were packed with gauze. Horses were recovered with a temporary ...
Investigation of the Frequency of Detection of Common Respiratory Pathogens in Nasal Secretions and Environment of Healthy Sport Horses Attending a Multi-Week Show Event during the Summer Months.
Viruses    May 24, 2023   Volume 15, Issue 6 1225 doi: 10.3390/v15061225
Pusterla N, Kalscheur M, Peters D, Bidwell L, Holtz S, Barnum S, Lawton K, Morrissey M, Schumacher S.Little information is presently available regarding the frequency of the silent shedders of respiratory viruses in healthy sport horses and their impact on environmental contamination. Therefore, the aim of this study was to investigate the detection frequency of selected respiratory pathogens in nasal secretions and environmental stall samples of sport horses attending a multi-week equestrian event during the summer months. Six out of fifteen tents were randomly selected for the study with approximately 20 horse/stall pairs being sampled on a weekly basis. Following weekly collection for a to...
Endoscopic-guided diagnosis of and interventional stent placement for nasolacrimal duct obstruction in a horse.
Veterinary ophthalmology    April 8, 2023   Volume 26, Issue 3 256-261 doi: 10.1111/vop.13094
Smith LH, Adams L, Derré M, Townsend WM.To describe the successful use of endoscopy to visualize and place a soft canine ureteral stent to relieve a chronic nasolacrimal duct (NLD) obstruction in a horse. Methods: A 7-year-old, Quarter horse gelding. Methods: Under general anesthesia, retrograde nasolacrimal endoscopy was performed using an 8.5 Fr Storz Flex XC ureteroscope through the nasal punctum (NP). An obstructive web of fibrous tissue was visualized approximately 20 cm proximal to the NP. A 0.035″/150 cm hydrophilic guidewire was passed normograde from the ventral lacrimal punctum and used to puncture the stenotic tissu...
Evaluation of Nasal Oxygen Administration at Various Flow Rates and Concentrations in Conscious, Standing Adult Horses.
Journal of equine veterinary science    February 14, 2023   Volume 123 104250 doi: 10.1016/j.jevs.2023.104250
Gordon D, Clark-Price S, Keating S, Schaeffer DJ, Lascola KM.This study evaluated the effects of various flow rates and fractions of oxygen on arterial blood gas parameters and on the fraction of inspired oxygen (FO) delivered to the distal trachea. Oxygen was administered to 6 healthy, conscious, standing, adult horses via single nasal cannula positioned within the nasopharynx. Three flow rates (5, 15, 30 L/min) and fractions of oxygen (21, 50, 100%) were delivered for 15 minutes, each in a randomized order. FO was measured at the level of the nares and distal trachea. Adverse reactions were not observed with any flow rate. FO (nares and trachea) and P...
Voluntary Biosurveillance of Streptococcus equi Subsp. equi in Nasal Secretions of 9409 Equids with Upper Airway Infection in the USA.
Veterinary sciences    January 20, 2023   Volume 10, Issue 2 78 doi: 10.3390/vetsci10020078
Jaramillo-Morales C, James K, Barnum S, Vaala W, Chappell DE, Schneider C, Craig B, Bain F, Barnett DC, Gaughan E, Pusterla N.This study aimed to describe selected epidemiological aspects of horses with acute onset of fever and respiratory signs testing qPCR-positive for and to determine the effect of vaccination against on qPCR status. Horses with acute onset of fever and respiratory signs from all regions of the United States were included in a voluntary biosurveillance program from 2008 to 2020 and nasal secretions were tested via qPCR for and common respiratory viruses. A total of 715/9409 equids (7.6%) tested qPCR-positive for , with 226 horses showing coinfections with EIV, EHV-1, EHV-4, and ERBV. The median...
Bilateral nasal discharge, respiratory noise, and decreased feed intake in a 19-year-old American Quarter Horse mare.
Journal of the American Veterinary Medical Association    January 13, 2023   Volume 261, Issue 3 412-414 doi: 10.2460/javma.22.11.0514
Tomlinson AK, Fontenot RL, Seitz MA.No abstract available
Topography of the respiratory, oral, and guttural pouch bacterial and fungal microbiotas in horses.
Journal of veterinary internal medicine    January 6, 2023   Volume 37, Issue 1 349-360 doi: 10.1111/jvim.16612
Bond S, McMullen C, Timsit E, Léguillette R.The lower respiratory tract microbiota of the horse is different in states of health and disease, but the bacterial and fungal composition of the healthy respiratory tract of the horse has not been studied in detail. Objective: The respiratory tract environment contains distinct niche microbiotas, which decrease in species richness at more distal sampling locations. Objective: Characterize the bacterial and fungal microbiotas along the upper and lower respiratory tract of the horse. Methods: Healthy Argentinian Thoroughbred horses (n = 11) from the same client-owned herd. Methods: Prospectiv...
Progressive dyspnea with chronic nasal discharge in a Percheron yearling colt.
Journal of the American Veterinary Medical Association    January 5, 2023   1-3 doi: 10.2460/javma.23.07.0386
Jordan RL, Gottleib KA, Stevenson V.No abstract available
The Effects of an External Equine Nasal Strip on Thermoregulation During Exercise.
Journal of equine veterinary science    October 18, 2022   Volume 119 104141 doi: 10.1016/j.jevs.2022.104141
Buchalski FM, Rankins EM, Malinowski K, McKeever KH.The purpose of this study was to examine the effects of an external nasal strip on thermoregulation during submaximal exercise in Standardbred horses. While several studies have been conducted to determine the effects of the external nasal strip on airway resistance, exercise induced pulmonary hemorrhage, gas exchange, and time to fatigue in maximally exercising horses, the effects of the nasal strip on equine thermoregulation have not yet been examined. It was hypothesized that the application of an external nasal strip would alter central venous temperature (T), skin temperature (T), and exe...
Frequency of Detection of Respiratory Pathogens in Clinically Healthy Show Horses Following a Multi-County Outbreak of Equine Herpesvirus-1 Myeloencephalopathy in California.
Pathogens (Basel, Switzerland)    October 8, 2022   Volume 11, Issue 10 doi: 10.3390/pathogens11101161
Wilcox A, Barnum S, Wademan C, Corbin R, Escobar E, Hodzic E, Schumacher S, Pusterla N.Actively shedding healthy horses have been indicated as a possible source of respiratory pathogen outbreak, transmission, and spread. Using nasal swabs from clinically healthy sport horses submitted for qPCR testing after an outbreak of equine herpesvirus-1 (EHV-1) myeloencephalopathy (EHM) in the spring of 2022, this study aimed to identify the rate of clinically healthy horses shedding common and less characterized respiratory pathogens within the sport horse population to better understand their role in outbreaks. Swabs were collected during a required quarantine and testing period, accordi...
Frequency of Detection of Respiratory Pathogens in Nasal Secretions From Healthy Sport Horses Attending a Spring Show in California.
Journal of equine veterinary science    July 29, 2022   Volume 117 104089 doi: 10.1016/j.jevs.2022.104089
Pusterla N, Sandler-Burtness E, Barnum S, Hill LA, Mendonsa E, Khan R, Portener D, Ridland H, Schumacher S.The objective of this study was to determine detection frequency of respiratory viruses (equine influenza virus [EIV], equine herpesvirus-1 [EHV-1], EHV-2, EHV-4, EHV-5, equine rhinitis A virus [ERAV], ERBV) and bacteria (Streptococcus equi ss. equi[S. equi], S. equi ss. zooepidemicus[S. zooepidemicus]) in 162 nasal secretions and 149 stall swabs from healthy sport horses attending a spring show in California. Nasal and stall swabs were collected at a single time point and analyzed using qPCR. The detection frequency of respiratory pathogens in nasal secretions was 38.9% for EHV-2, 36.4% for E...
An anatomical study of the skull, the dorsal and ventral nasal conchal bullae and paranasal sinuses in normal Noma horses: Computed tomographic anatomical and morphometric findings.
Anatomia, histologia, embryologia    July 18, 2022   Volume 51, Issue 5 624-632 doi: 10.1111/ahe.12837
Kutara K, Ono T, Hisaeda K, Inoue Y, Henmi C, Sho K, Ohnishi A, Ohzawa E, Une Y, Iwata E, Shibano K, Asanuma T, Kitagawa H.Noma horses have the smallest body size among native Japanese horses and are classified as pony breeds by their size. Additionally, the Japanese horse breeds are classified into a single lineage, which includes Mongolian horses. Great intraspecific differences reportedly exist in the head shapes of domesticated horses, which have been investigated in various horse breeds. The present study aimed to evaluate the size of the nasal conchal bullae, and the paranasal sinuses of Noma horses in relation to the skull dimensions using computed tomography. Reconstructed images of the heads of five adult...
Retrograde Approach to Maxillary Nerve Block: An Alternative in Orofacial Surgeries in Horses.
Animals : an open access journal from MDPI    May 27, 2022   Volume 12, Issue 11 doi: 10.3390/ani12111369
Vuerich M, Nannarone S.The aim of this study was to retrospectively report outcomes resulting from the approach to the maxillary nerve block (MNB) through the infraorbital canal, in terms of needles selection, drawbacks or side effects during or after block execution, and analgesic efficacy leading to clinical and cardiovascular stability during surgery. Anesthetic records of 15 horses undergoing orofacial surgery in standing analgo-sedation (STA, n = 6) and in general anesthesia (GEN, n = 9) were retrieved and analyzed. Horses in group STA required surgery for dental extraction, nasal polyp resection and maxillary/...
Clinical outcome of horses with guttural pouch infection following transpharyngeal fenestration.
Journal of the American Veterinary Medical Association    May 5, 2022   Volume 260, Issue 10 1211-1215 doi: 10.2460/javma.22.01.0041
Koch DW, Ericksen KA, Easley JT, Hackett ES.To report the clinical outcomes of horses with chronic guttural pouch infection characterized by accumulation of mucopurulent material following transpharyngeal diode laser fenestration. 13 client-owned horses. Horses undergoing diode laser fenestration for chronic guttural pouch infection were identified by medical record search. Signalment, disease history, presence of mucopurulent empyema or chondroids, and pre- and postoperative therapy were recorded. Owners were contacted for follow-up information at a minimum of 6 months following surgery. 13 horses underwent laser fenestration for chron...
Culturable Microbial Population From the Upper Respiratory Tract of 1,010 Clinically Healthy Horses in Southern Brazil.
Journal of equine veterinary science    April 9, 2022   Volume 114 103946 doi: 10.1016/j.jevs.2022.103946
Espíndola JP, Machado G, Diehl GN, Dos Santos LC, de Vargas AC, Gressler LT.Microbiological diagnosis of equine respiratory infections is essential for disease management. However, reliable diagnosis can be a challenge due to colonization of the upper respiratory tract (URT) by a diverse microbial population, and because there is a lack of studies with samples from healthy animals. Aiming to guide adequate URT culture, this work reports culturable microbial population from the URT of 1,010 apparently healthy horses from 341 farms in Southern Brazil and identifies the putative presence of pathogenic microorganisms. Nasal swabs were cultured in 5% blood agar, and the is...
First study on diversity and antimicrobial-resistant profile of staphylococci in sports animals of Southern Thailand.
Veterinary world    March 29, 2022   Volume 15, Issue 3 765-774 doi: 10.14202/vetworld.2022.765-774
Fungwithaya P, Boonchuay K, Narinthorn R, Sontigun N, Sansamur C, Petcharat Y, Thomrongsuwannakij T, Wongtawan T.Staphylococci are commensal bacteria and opportunistic pathogens found on the skin and mucosa. Sports animals are more prone to injury and illness, and we believe that antimicrobial agents might be extensively used for the treatment and cause the existence of antimicrobial-resistant (AMR) bacteria. This study aimed to investigate the diversity and AMR profile of staphylococci in sports animals (riding horses, fighting bulls, and fighting cocks) in South Thailand. Unassigned: Nasal (57 fighting bulls and 33 riding horses) and skin swabs (32 fighting cocks) were taken from 122 animals. Staphyloc...
Intratracheal oxygen administration increases FIO2 and PaO2 compared with intranasal administration in healthy, standing horses.
American journal of veterinary research    March 8, 2022   Volume 83, Issue 5 450-454 doi: 10.2460/ajvr.21.09.0151
Floriano D, Watkins AR, Hopster K.To evaluate the efficacy of 2 different oxygen delivery strategies-intranasal and tracheal insufflation-on the inspired fraction of oxygen (FIO2) in standing horses and to determine the time needed for arterial oxygen partial pressure (PaO2) equilibration. Methods: 6 healthy adult horses. Methods: In this blinded, randomized crossover design study, horses were randomly assigned to receive oxygen via nasal cannula (group N) or transcutaneous tracheal catheter (group T). After placement of venous and arterial catheters, FIO2 was measured through a catheter placed into the distal portion of the t...
Prevalence and WGS-based characteristics of Staphylococcus aureus in the nasal mucosa and pastern of horses with equine pastern dermatitis.
BMC veterinary research    February 24, 2022   Volume 18, Issue 1 79 doi: 10.1186/s12917-021-03053-y
Kaiser-Thom S, Gerber V, Collaud A, Hurni J, Perreten V.Many contributing factors are involved in the development of equine pastern dermatitis (EPD). Among the most frequently suspected is Staphylococcus aureus, known for its pathogenic potential in skin and soft tissue infections. We therefore investigated the association between S. aureus carriage and EPD. Results: One hundred five EPD-affected horses and 95 unaffected controls were examined for the presence of methicillin-resistant and -susceptible Staphylococcus aureus (MRSA and MSSA) on the pastern skin and in the nostrils. S. aureus isolates were cultivated from swab samples on selective MSSA...
The detection and phylogenetic analysis of equine herpesviruses 1, 4 and 5 identified in nasal swab samples of asymptomatic horses from Serbia and Bosnia and Herzegovina.
Veterinaria italiana    December 31, 2021   Volume 57, Issue 4 265-274 doi: 10.12834/VetIt.1767.9329.3
Radalj A, Milic N, Stevanovic O, Nisavic J.Nasal swabs originating from 112 apparently clinically healthy and unvaccinated horses of different age, breed and from diverse rearing conditions from Serbia and Bosnia and Herzegovina were examined for the presence of equine herpesviruses 1, 4 and 5 using multiplex nested PCR (Mn‑PCR) and virus isolation. The detected viruses were subsequently characterised by gB gene nucleotide sequencing and their phylogenetic analysis was performed. The infections with EHV‑1, EHV‑4, and EHV‑5 in the examined horse populations are apparently chronic, subclinical and persistent, whilst the shedding ...
Scanning electron microscopy of the nasal skin in different animal species as a method for forensic identification.
Microscopy research and technique    December 13, 2021   Volume 85, Issue 5 1643-1653 doi: 10.1002/jemt.24024
Madkour FA, Abdelsabour-Khalaf M.The current study aims to provide a new method for the identification of animal species by using the scanning electron microscopic study on the nasal skin around the nostril. The reference databases for animal identification using traditional ways (i.e., hair and bone analyses) were somewhat available. This study was conducted on the nasal skin of seven different animal species: large ruminants (Saidi buffalo and frozen Angus cattle); small ruminants (Egyptian goat and Rahmani sheep); camels (one-hump dromedary camel); equines (African domestic donkey and Arabian horse); carnivores (farm domes...
Nasopharyngeal bacterial and fungal microbiota in normal horses and horses with nasopharyngeal cicatrix syndrome.
Journal of veterinary internal medicine    November 16, 2021   Volume 35, Issue 6 2897-2911 doi: 10.1111/jvim.16307
Rodríguez N, Whitfield-Cargile CM, Chamoun-Emanuelli AM, Hildreth E, Jordan W, Coleman MC.The nasopharyngeal bacterial and fungal microbiota of normal horses and those with nasopharyngeal cicatrix syndrome (NCS) are unknown. Objective: To describe the microbiota from nasopharyngeal washes of healthy horses and of horses acutely affected with NCS. Methods: Twenty-six horses acutely affected with NCS horses and 14 unaffected horses. Methods: Prospective, observational cohort study. Horses were recruited by investigators through personal communications in central Texas. Bacterial (16s RNA) and fungal (internal transcribed spacer) microbiota from nasopharyngeal washes were evaluated. P...
The facultative human oral pathogen Prevotella histicola in equine cheek tooth apical/ periapical infection: a case report.
BMC veterinary research    October 30, 2021   Volume 17, Issue 1 343 doi: 10.1186/s12917-021-03048-9
Kau S, Mansfeld MD, Šoba A, Zwick T, Staszyk C.Prevotella histicola is a facultative oral pathogen that under certain conditions causes pathologies such as caries and periodontitis in humans. Prevotella spp. also colonize the oral cavity of horses and can cause disease, but P. histicola has not yet been identified. Methods: A 12-year-old Tinker mare was referred to the clinic for persistent, malodorous purulent nasal discharge and quidding. Conservative antibiotic (penicillin), antiphlogistic (meloxicam), and mucolytic (dembrexine-hydrochloride) treatment prior to referral was unsuccessful and symptoms worsened. Oral examination, radiograp...