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Topic:Pathology

Pathology in horses involves the study of diseases and abnormalities affecting equine health, encompassing a range of conditions that can impact various systems within the horse's body. This field examines the causes, mechanisms, and effects of diseases, as well as the structural and functional changes they induce in equine tissues and organs. Common pathological conditions in horses include laminitis, colic, equine infectious anemia, and respiratory disorders. Understanding these diseases involves evaluating clinical signs, diagnostic methods, and treatment options. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathogenesis, and clinical implications of pathological conditions in horses.
Diagnostic Pathology of Equine Toxicoses.
The Veterinary clinics of North America. Equine practice    November 14, 2023   S0749-0739(23)00071-8 doi: 10.1016/j.cveq.2023.10.005
Cassone L.This article is intended to highlight toxicosis-associated pathology in horses that might be observed by a clinician in the living animal and at gross necropsy. When the clinician is aware of these pathologic changes (particularly when coupled with a suggestive environmental or herd history), then collaboration with a diagnostic laboratory can begin to help identify specific toxicants. Proper sampling and communication with the diagnostic laboratory will vastly improve the likelihood of a specific diagnosis; postmortem sampling and specimen submission are reviewed in the last section of this a...
Comparison of cone-beam and fan-beam computed tomography and low-field magnetic resonance imaging for detection of palmar/plantar osteochondral disease in Thoroughbred horses.
Equine veterinary journal    November 6, 2023   doi: 10.1111/evj.14023
Lin ST, Bolas NM, Peter VG, Pokora R, Patrick H, Foote AK, Sargan DR, Murray RC.Palmar/plantar osteochondral disease (POD) of the metacarpal/tarsal condyles is a common pathological finding in racehorses. Objective: To compare diagnoses, imaging details, and measurements of POD lesions between cone-beam computed tomography CT (CBCT), fan-beam CT (FBCT), and low-field magnetic resonance imaging (MRI) using macroscopic pathology as a gold standard. Methods: Cross-sectional study. Methods: Thirty-five cadaver limbs from 10 horses underwent CBCT, FBCT, MRI, and macroscopic examination. CT and MR images were examined for presence of POD, imaging details of POD, and measurement...
The association between Thoroughbred racehorse training practices and musculoskeletal injuries in Victoria, Australia.
Frontiers in veterinary science    October 24, 2023   Volume 10 1260554 doi: 10.3389/fvets.2023.1260554
Wong ASM, Morrice-West AV, Hitchens PL, Whitton RC.Catastrophic musculoskeletal injuries (CMI) in horses are associated with both too little and too much high-speed exercise. In order to advise trainers on training and management strategies that minimize the risk of musculoskeletal injury (MSI), a better understanding of how training practices affect MSI in racehorses is needed. Data from prospective studies relating training data and MSI are complicated by the gradual development of pathology and the effect of this on the ability of horses to train consistently prior to the identification of an injury. To circumvent this, 66 Australian Thorou...
Low-Field Magnetic Resonance Imaging Findings of the Fetlock Region of Nonracehorses.
Journal of equine veterinary science    October 11, 2023   Volume 132 104938 doi: 10.1016/j.jevs.2023.104938
Auth AK, Hinnigan GJ, Smith MA, Owen KR.Low-field, magnetic resonance imaging (MRI) is an advanced imaging modality widely used to diagnose distal limb pathology in horses, but there are limited data regarding lesion distribution within the metacarpo/metatarsophalangeal joint (MCP/MTPJ) region in lame nonracehorses. The aim of this study was to describe the low-field MRI findings and lesion distribution in nonracehorses with MCP/MTPJ region pain. Clinical records from horses undergoing MRI of the MCP/MTPJ region between July 2016 and March 2023 were reviewed. Horses were included if pain causing lameness was localized to this region...
Efficient primary surgical treatment of equine infectious sinusitis reduces postoperative aftercare and increases outcome results: a retrospective study of 130 cases.
Journal of the American Veterinary Medical Association    October 9, 2023   Volume 261, Issue S2 S87-S95 doi: 10.2460/javma.23.05.0298
Leps A, Korsos S, Clarysse M, Vlaminck L.To document the long-term outcome of surgically treated primary and dental-related sinusitis in horses and to describe a simple protocol for postoperative management. All surgically treated sinusitis cases referred between January 2016 and June 2022 were reviewed. Cases diagnosed with primary and dental-related sinusitis and with a follow-up of at least 6 months after hospital discharge were included. Cases with other sinus pathology were excluded. 130 cases met the inclusion criteria. 104 out of 130 were treated with sinoscopy and 26/130 with sinusotomy. 86 out of 130 cases (66.2%) were diagn...
Pro-Inflammatory Cytokine Priming and Purification Method Modulate the Impact of Exosomes Derived from Equine Bone Marrow Mesenchymal Stromal Cells on Equine Articular Chondrocytes.
International journal of molecular sciences    September 16, 2023   Volume 24, Issue 18 14169 doi: 10.3390/ijms241814169
Jammes M, Cassé F, Velot E, Bianchi A, Audigié F, Contentin R, Galéra P.Osteoarthritis (OA) is a widespread osteoarticular pathology characterized by progressive hyaline cartilage degradation, exposing horses to impaired well-being, premature career termination, alongside substantial financial losses for horse owners. Among the new therapeutic strategies for OA, using mesenchymal stromal cell (MSC)-derived exosomes (MSC-exos) appears to be a promising option for conveying MSC therapeutic potential, yet avoiding the limitations inherent to cell therapy. Here, we first purified and characterized exosomes from MSCs by membrane affinity capture (MAC) and size-exclusio...
Three-Dimensional Imaging and Histopathological Features of Third Metacarpal/Tarsal Parasagittal Groove and Proximal Phalanx Sagittal Groove Fissures in Thoroughbred Horses.
Animals : an open access journal from MDPI    September 14, 2023   Volume 13, Issue 18 2912 doi: 10.3390/ani13182912
Lin ST, Foote AK, Bolas NM, Peter VG, Pokora R, Patrick H, Sargan DR, Murray RC.Fissure in the third metacarpal/tarsal parasagittal groove and proximal phalanx sagittal groove is a potential prodromal pathology of fracture; therefore, early identification and characterisation of fissures using non-invasive imaging could be of clinical value. Thirty-three equine cadaver limbs underwent standing cone-beam (CB) computed tomography (CT), fan-beam (FB) CT, low-field magnetic resonance imaging (MRI), and macro/histo-pathological examination. Imaging diagnoses of fissures were compared to microscopic examination. Imaging features of fissures were described. Histopathological fin...
Histological Evaluation of Resected Tissue as a Predictor of Survival in Horses with Strangulating Small Intestinal Disease.
Animals : an open access journal from MDPI    August 26, 2023   Volume 13, Issue 17 2715 doi: 10.3390/ani13172715
Bardell D, Rocchigiani G, Ressel L, Milner P.Strangulating small intestinal disease (SSID) in horses carries a poor prognosis for survival, especially following resection of ischaemic tissue. The margins of a resection are principally based on visual appraisal of the intestine during surgery. We hypothesized that histological evaluation of resected tissue may identify occult changes indicative of prognosis. Small intestinal samples from 18 horses undergoing resection for SSID and 9 horses euthanised for reasons unrelated to gastrointestinal pathology were utilised. Histological appearance was used to generate a 'total damage score' (TDS)...
B- and T-cell lymphocytes and other immune cell infiltration in the duodenal and rectal mucosa of severe asthmatic horses.
American journal of veterinary research    August 7, 2023   1-10 doi: 10.2460/ajvr.23.04.0083
Loubière C, Moreau P, Marine R, Hélie P, Jean D.The objectives of this study were to quantify lymphocytes and eosinophils in the mucosa of the duodenum and rectum in asthmatic horses. Asthmatic horses were evaluated in a symptomatic (after 6 weeks of exposure to moldy hay) and asymptomatic status (3 and 7 months after being fed alfalfa pellets [n = 4] or treated with inhaled fluticasone [6]). Duodenal and rectal biopsies were endoscopically (n = 4 to 6) taken in each horse. Eosinophils were counted on slides stained with hematoxylin, eosin, phloxine, and saffron, and immunohistochemistry was used to evaluate T and B lymphocytes using CD3 an...
Continuous digital hypothermia for prevention and treatment of equine acute laminitis: A practical review.
Veterinary journal (London, England : 1997)    July 26, 2023   Volume 300-302 106016 doi: 10.1016/j.tvjl.2023.106016
Lavado RA, Lewis J, Montgomery JB.Laminitis is a severely debilitating and life-threatening condition that occurs as a consequence of different primary triggering factors. Continuous digital hypothermia (CDH) is recommended in horses at risk of, or diagnosed with, acute laminitis due to its several physiological and biochemical alterations that may be positive for the prevention and early treatment of the condition, representing a low risk of adverse effects. Modulation of the inflammatory response, profound vasoconstriction, and prevention of tissue damage are the most notable protective effects of cryotherapy on the lamellae...
Comparison of cone-beam and fan-beam computed tomography and low-field magnetic resonance imaging for detection of proximal phalanx dorsoproximal osteochondral defects.
Equine veterinary journal    July 24, 2023   doi: 10.1111/evj.13973
Lin ST, Bolas NM, Sargan DR, Restif O, Peter VG, Pokora R, Patrick H, Foote AK, Murray RC.Dorsoproximal osteochondral defects commonly affect the proximal phalanx, but information about diagnosis on computed tomography (CT) and magnetic resonance imaging (MRI) is limited. Objective: To assess CT and MRI diagnoses of osteochondral defects, describe the lesions and compare sensitivity and specificity of the modalities using macroscopic pathology as gold standard. Methods: Cross-sectional study. Methods: Thirty-five equine cadaver limbs underwent standing cone-beam CT (CBCT), fan-beam CT (FBCT), low-field MRI and pathological examination. CT and MR images were examined for proximal ph...
Characterization of the Caudal Ventral Tubercle in the Sixth Cervical Vertebra in Modern Equus ferus caballus.
Animals : an open access journal from MDPI    July 22, 2023   Volume 13, Issue 14 doi: 10.3390/ani13142384
May-Davis S, Dzingle D, Saber E, Blades Eckelbarger P.This study examined the anomalous variations of the ventral process of C6 in modern E. ferus caballus. The aim was to provide an incremental grading protocol measuring the absence of the caudal ventral tubercle (CVT) in this ventral process. The findings revealed the most prevalent absent CVT (aCVT) was left unilateral (n = 35), with bilateral (n = 29) and right unilateral (n = 12). Grading was determined in equal increments of absence 1/4, 2/4, 3/4, with 4/4 representing a complete aCVT in 56/76, with a significance of p = 0.0013. This also applied to bilateral specimens. In those C6 osseous ...
A subset of equine oral squamous cell carcinomas is associated with Equus caballus papillomavirus 2 infection.
Journal of comparative pathology    July 19, 2023   Volume 205 1-6 doi: 10.1016/j.jcpa.2023.06.003
Luff J, Weingart S, May S, Murphy B.The aetiology of oral squamous cell carcinoma (SCC) in horses is unknown, but papillomavirus infection as well as chronic periodontal disease are suspected to play a pathogenic role. In humans, some oropharyngeal cancers develop in association with human papillomaviruses. Equus caballus papillomavirus 2 (EcPV2) is suspected to play a causal role in the development of equine genital SCC. Given that association, we hypothesized that EcPV2 is associated with the development of oral SCC in horses. We performed standard polymerase chain reaction (PCR) and in-situ hybridization (ISH) for EcPV2 on 31...
E-Cadherin Immunostaining in Equine Melanocytic Tumors.
Animals : an open access journal from MDPI    July 6, 2023   Volume 13, Issue 13 doi: 10.3390/ani13132216
Pimenta J, Pires I, Prada J, Cotovio M.Melanocytic tumors are an important neoplastic disease in human and veterinary medicine, presenting large differences regarding tumor behavior between species. In horses, these tumors present a prolonged benign behavior, with rare invasiveness and metastases. In humans and small animals, invasion and metastasis have been associated with an Epithelial-Mesenchymal Transition, where the loss of E-cadherin expression plays a key role in tumor progression. This process and the role of E-cadherin have not yet been evaluated in equine melanocytic tumors. This study aimed to assess the immunolabeling ...
Dental and oral cavity alterations in Quarter Horses of Vaquejada: retrospective study of 416 cases (2012-2022).
Brazilian journal of veterinary medicine    July 5, 2023   Volume 45 e000323 doi: 10.29374/2527-2179.bjvm000323
de Melo UP, Ferreira C.Oral and dental diseases are common in horses, as evidenced by the results of incidence studies of dental diseases carried out on abattoir specimens or sports horses. Thus, periodic dental examinations in horses are essential to ensure the maintenance of dental health and proper use of ingested food. A retrospective study of the dental records of 416 Quarter Horses (256 males, 160 females), distributed in the western region of the Rio Grande do Norte, Brazil, was conducted. Horses were examined between July 2012 and August 2022. The variables collected were age, sex, type of diet, dental alter...
Clinical presentation and outcome of gastric impactions with or without concurrent intestinal lesions in horses.
Journal of veterinary internal medicine    July 4, 2023   Volume 37, Issue 4 1544-1551 doi: 10.1111/jvim.16735
Talbot SE, Tallon R, Dunkel B.Gastric impactions (GI) have been identified as primary lesions (lone GI; LGI) or associated with other intestinal lesions (concurrent GI; CGI). Anecdotally, CGI resolve more rapidly with a better prognosis than LGI. Objective: To determine clinical, laboratory, and ultrasonographic findings, and short- and long-term survival in horses with GI. We hypothesized that LGI carries a worse prognosis than CGI. Methods: Seventy-one horses from 2 referral hospitals (2007-2022). Methods: Retrospective cohort study. Gastric impactions were defined as feed extending to the margo plicatus after ≥24 h...
Epithelial-mesenchymal transition in an EcPV2-positive vulvar squamous cell carcinoma of a mare.
Equine veterinary journal    July 3, 2023   doi: 10.1111/evj.13965
De Paolis L, Armando F, Montemurro V, Petrizzi L, Straticò P, Mecocci S, Guarnieri C, Pezzolato M, Fruscione F, Passeri B, Marruchella G, Razzuoli E.Vulvar squamous cell carcinoma (VSCC) has been recently associated with Equus caballus papillomavirus type 2 (EcPV2) infection. Still, few reports concerning this disease are present in the literature. Objective: To describe a case of naturally occurring EcPV2-induced VSCC, by investigating tumour ability in undergoing the epithelial-to-mesenchymal transition (EMT). Methods: Case report. Methods: A 13-year-old Haflinger mare was referred for a rapidly growing vulvar mass. After surgical excision, the mass was submitted to histopathology and molecular analysis. Histopathological diagnosis was c...
Head and neck squamous cell carcinoma with heterotopic ossification, lymphovascular invasion, and nodal and pulmonary metastases in a 23-year-old Morgan gelding.
The Canadian veterinary journal = La revue veterinaire canadienne    July 3, 2023   Volume 64, Issue 7 627-632 
Townsend KS, Johnson PJ, Kuroki K.Primary squamous cell carcinoma of the head and neck occurs in the skin or squamous epithelial lining tissues of the oral cavity, pharynx, larynx, and sinonasal tract. Although it is a common tumor in horses, distant metastatic spread to the lung is rare. This report describes a case of metastatic pulmonary squamous cell carcinoma in a 23-year-old Morgan gelding. The clinical signs displayed by this gelding in some ways mimicked the typical presentation of equine multinodular pulmonary fibrosis or thoracic lymphoma. The postmortem diagnosis in this case was head and neck squamous cell carcinom...
Histological comparison of the lamellar tissue of Iberian origin breed horses created in semi-feral conditions or in an intensive system.
PloS one    June 1, 2023   Volume 18, Issue 6 e0286536 doi: 10.1371/journal.pone.0286536
Malacarne BD, Martins RR, Paz CFR, Alves JVA, Dias LA, Cavalcante MA, Santos AM, Silva AGM, Leise BS, Carvalho AM, Faleiros RR.Although the external conformation of wild horse hooves has been proposed as an ideal model for domesticated modern horses, histological signs of laminitis have been reported among them. With the hypothesis that the lamellar tissue of horses of Iberian origin raised in semi-feral is healthier than those raised in an intensive management system (stall confinement and high-calorie diet intake), the objective was to compare their lamellar tissues. Lamellar tissue samples were taken from the forelimb hoof of eight domesticated Mangalarga Marchador (MM) horses and from six semi-feral Marajoara (MJ)...
An Unusual Cause of Femoral Nerve Paresis in a Horse: Disseminated B Cell Lymphoma With Plasmacytoid Differentiation and Direct Neuronal Invasion.
Journal of equine veterinary science    April 27, 2023   Volume 126 104502 doi: 10.1016/j.jevs.2023.104502
Barton CK, Hughes KL, Cowan C, Nout-Lomas YS, Nelson BB.A 21-year-old Quarter Horse mare presented with a chronic, progressively worsening left pelvic limb lameness of 3 weeks duration. The initial examination identified a consistent lameness at a walk. Neurological examination showed sensory and gait abnormalities consistent with left femoral nerve dysfunction. The horse minimally advanced the leg cranially and had a shortened stride length at the walk. During the stance phase, the heels of the left hind foot did not contact the ground and the horse quickly took weight off of the limb. Diagnostic imaging (ultrasound and nuclear scintigraphy) exami...
Subarachnoid hemorrhage and axonal degeneration after C1-C2 cervical centesis in 2 horses.
Journal of veterinary internal medicine    April 25, 2023   Volume 37, Issue 3 1256-1261 doi: 10.1111/jvim.16716
Luethy D, Colmer S, Jodzio D, Bender S, Porter E, Hemmen Z, Fultz L, Craft W, Walker R, Johnson A, Holbrook T.Ultrasound-guided cervical centesis has gained popularity as a method for collecting cerebrospinal fluid (CSF) from standing horses. There are anecdotal reports of neck stiffness, regional swelling, sensitivity to palpation, and fever after the procedure. We report 2 horses with complications that occurred within days of C1-C2 centesis and ultimately resulted in euthanasia. Both C1-C2 centesis were performed routinely, with CSF cytologic analysis providing no evidence of blood contamination. Post-mortem examination revealed equine degenerative myeloencephalopathy as the primary disorder causin...
Comparison of Radiography and Computed Tomography for Evaluation of Third Carpal Bone Fractures in Horses.
Animals : an open access journal from MDPI    April 25, 2023   Volume 13, Issue 9 1459 doi: 10.3390/ani13091459
Steel C, Ahern B, Zedler S, Vallance S, Galuppo L, Richardson J, Whitton C, Young A.Radiographs underestimate the extent of bone injury in horses with third carpal bone (C3) fractures (Fx). We aimed to describe bone pathologies identified using computed tomography (CT) and compare the diagnostic value of digital radiography (DR) and CT in horses with C3 Fx. CT images of 15 racehorses with C3 Fx and 10 controls were reviewed (Part 1) then DR and CT images of 26 racehorses (24 Thoroughbred, 2 Standardbred) with C3 Fx (Part 2) were evaluated. Agreement on fracture geometry and concomitant bone lesions was tested between DR and CT using the kappa statistic (Part 2). For agreement...
Vulvar Complex Apocrine Carcinoma in a Horse (Equus caballus): A Case Report and Review of Literature.
Journal of equine veterinary science    April 20, 2023   Volume 127 104495 doi: 10.1016/j.jevs.2023.104495
Kumbhani TR, Raval SH, Parmar RS, Patel JG, Bechara VJ, Sindhi PI, Modh SP.A 6-year-old Marwari mare presented with recurrent vulvar growth. The growth was surgically excised, fixed and processed routinely. Microscopically, neoplasm showed proliferation of epithelial and myoepithelial cells with tubulopapillary pattern. On immunohistochemistry, myoepithelial cells showed strong immunoreactivity with smooth muscle actin alpha and p63. On basis of histopathology and immunohistochemistry, tumour was diagnosed as complex apocrine carcinoma. This case report describes first confirm vulvar complex apocrine carcinoma in equines.
Ocular findings in a population of geriatric equids in the United Kingdom.
Equine veterinary journal    April 18, 2023   Volume 56, Issue 1 121-130 doi: 10.1111/evj.13941
Chalder R, Housby-Skeggs N, Clark C, Pollard D, Hartley C, Blacklock B.There are a growing number of horses, ponies, and donkeys aged 15 years or older in the United Kingdom, yet there have been no studies utilising a complete ophthalmic examination to investigate the prevalence of ophthalmic pathology within this population. Objective: To investigate the prevalence of ophthalmic pathology and associations with signalment, in a convenience sample of geriatric equids in the United Kingdom. Methods: Cross sectional. Methods: Horses, ponies, and donkeys aged 15 years or older based at The Horse Trust charity underwent a full ophthalmic examination including slit...
Computational fluid dynamic analysis of upper airway procedures in equine larynges.
Frontiers in veterinary science    April 17, 2023   Volume 10 1139398 doi: 10.3389/fvets.2023.1139398
Tucker ML, Wilson DG, Bergstrom DJ, Carmalt JL.Computational fluid dynamics (CFD) has proven useful in the planning of upper airway surgery in humans, where it is used to anticipate the influence of the surgical procedures on post-operative airflow. This technology has only been reported twice in an equine model, with a limited scope of airflow mechanics situations examined. The reported study sought to widen this application to the variety of procedures used to treat equine recurrent laryngeal neuropathy (RLN). The first objective of this study was to generate a CFD model of an box model of ten different equine larynges replicating RLN a...
Shapes of cervical articular process joints and association with histological evidence of osteochondrosis in Warmblood foals: A post-mortem study.
Equine veterinary journal    April 3, 2023   doi: 10.1111/evj.13940
Bergmann W, Vernooij JCM, Grinwis GCM, Gröne A.Osteochondrosis dissecans (OCD) of articular process joints (APJs) is involved in cervical vertebral compressive myelopathy (CVM). Biomechanical forces, important in development of OCD, depend on joint conformation. Oval and flat APJ surfaces are considered normal. Objective: To identify and grade gross shape variation of cervical and cranial thoracic APJ surfaces and determine association with histological evidence of osteochondrosis. Methods: Case series. Methods: Eight hundred and four cervical and cranial thoracic APJ surfaces of 30 foals were evaluated for shape(s) and grades, and were co...
T-cell-rich, large B-cell lymphoma in the brain of a horse. Rissi DR, Avery AC, Burnett RC.T-cell-rich, large B-cell lymphoma (TCRLBCL) is the most commonly diagnosed type of lymphoma in horses. Here we describe the clinical signs, neuropathology, immunohistochemistry (IHC), and PCR for antigen receptor rearrangement (PARR) analysis results of a TCRLBCL in the brain of an 8-y-old male Quarter Horse that was euthanized after acute anorexia, tremors, head pressing, falling, blindness, incoordination, and seizures. Autopsy revealed a firm, smooth, pale-yellow mass that expanded both lateral ventricles and the adjacent subcortical white matter. Histologically, the mass consisted of a de...
Treatment of equine sarcoids: A systematic review.
Equine veterinary journal    March 14, 2023   doi: 10.1111/evj.13935
Offer KS, Dixon CE, Sutton DGM.The sarcoid is the most common equine cutaneous neoplasm. Evidence-based treatment of this condition is often lacking, and selection of treatment modality based on clinical experience or anecdotal evidence. Objective: To assess the quality of the currently available best evidence regarding the treatment of the equine sarcoid. Methods: Systematic review. Methods: In compliance with PRISMA guidelines, literature searches were performed in PUBMED, Web of Science, CAB Abstracts, EMBASE (Ovid) and Scopus in April 2021. Included papers were required to describe an interventional study examining sarc...
Plasma and Synovial Fluid Cell-Free DNA Concentrations Following Induction of Osteoarthritis in Horses.
Animals : an open access journal from MDPI    March 14, 2023   Volume 13, Issue 6 1053 doi: 10.3390/ani13061053
Panizzi L, Dittmer KE, Vignes M, Doucet JS, Gedye K, Waterland MR, Rogers CW, Sano H, McIlwraith CW, Riley CB.Biomarkers for osteoarthritis (OA) in horses have been extensively investigated, but translation into clinical use has been limited due to cost, limited sensitivity, and practicality. Identifying novel biomarkers that overcome these limitations could facilitate early diagnosis and therapy. This study aimed to compare the concentrations of synovial fluid (SF) and plasma cell-free DNA (cfDNA) over time in control horses with those with induced carpal OA. Following an established model, unilateral carpal OA was induced in 9 of 17 healthy Thoroughbred fillies, while the remainder were sham-operate...
Case report: Halicephalobus gingivalis in a Tennessee pony.
Veterinary parasitology, regional studies and reports    February 13, 2023   Volume 39 100843 doi: 10.1016/j.vprsr.2023.100843
Baker E, Geick A, Hines M, Gerhold R, Cordero-Aponte C.A 17-year-old female grade pony presented to University of Tennessee Veterinary Medical Center in May of 2021 for evaluation of multifocal, firm, sessile, circular lesions of various diameters on the ventrum and flank. The lesions had been present for two weeks at presentation. An excisional biopsy found numerous adult and larval rhabditid nematodes most consistent with Halicephalobus gingivalis. PCR targeting a portion of the large ribosomal subunit confirmed this diagnosis. The patient was treated with a high dose course of ivermectin followed by fenbendazole. The patient began showing neuro...
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