Prognosis in horses refers to the prediction of the likely outcome or course of a disease or injury in equine patients. It involves assessing various factors such as the nature and severity of the condition, the horse's overall health, and response to treatment. Prognostic evaluations help veterinarians and horse owners make informed decisions regarding treatment options, management strategies, and potential recovery. The process often incorporates clinical assessments, diagnostic tools, and historical data to estimate the chances of recovery or progression. This page compiles peer-reviewed research studies and scholarly articles that explore methodologies, factors influencing prognostic outcomes, and the implications of prognostic evaluations in equine veterinary practice.
van den Brom-Spierenburg AJ, Siegers EW, Westermann CM, Vernooij JCM, Sloet van Oldruitenborgh-Oosterbaan MM, Theelen MJP.In hospitalized foals, limited data are available on the utility of sequential measurement of SAA concentrations and the value of these data in a clinical setting. Objective: To determine serum amyloid A (SAA) concentrations in ill neonatal foals at multiple timepoints during hospitalization, and to evaluate a potential association with systemic inflammatory response syndrome (SIRS) status, blood culture (BC) result, and survival. Methods: Hospitalized ill foals (n = 90, ≤ 14 days). Methods: In this retrospective study, foals were classified based on SIRS criteria: "SIRS" or "NonSIRS," ...
Bindi F, de Marchi L, Elias-Cortajarena A, Sala G, Vitale V, Spadari A, Rinnovati R, Bonelli F, Sgorbini M.Colic is a major cause of morbidity and mortality in horses, with oxidative stress implicated in its pathophysiology. Objective: Evaluate biomarkers (BIOs) of oxidative stress and antioxidant defense in healthy horses and those with non-strangulating colic (NSC) and strangulating colic (SC) and assess correlations with survival. Methods: Seventy-one adult horses: 10 healthy and 61 colic-affected (42 NSC, 19 SC) admitted to 3 veterinary teaching hospitals. Methods: Prospective, multicenter cohort study. Blood samples were collected at admission (T0) and up to 96Â h post-admission. Biomarkers me...
Samuels AN, Collins N, Albrecht M, Cuming R, Reed S, Gomez D, Toribio R.To evaluate associations between the neutrophil-to-lymphocyte ratio (NLR), nonsurvival, illness severity, and infectious etiologies. Unassigned: This was a retrospective multicenter study that included 100 healthy horses and 444 horses presenting with acute diarrhea to 5 equine referral hospitals. Inclusion criteria were diarrhea duration < 48 hours, complete hemograms, and outcome data. Illness severity was assessed using systemic inflammatory response syndrome. The results of pathogen testing for Salmonella spp, equine coronavirus, Clostridium spp, and Neorickettsia risticii/findlayensis ...
Werner CA, Wimmer-Scherr CM, Schwarz BC.Equine laryngeal dysplasia (ELD) is the umbrella term for various malformations of laryngeal structures that arise from the 4th and 6th branchial arches during embryogenesis. The disease is rare and may be subclinical. In symptomatic patients with clinical signs, the clinical presentation is highly variable and is the result of functional limitations of the larynx as well as of the esophageal sphincter. The spectrum of signs may range from respiratory changes such as abnormal respiratory noise, coughing, and at times dyspnea all the way to poor performance, dysphagia, aerophagia, and colic. Th...
Nocera I, Cingottini D, Di Franco C, Sala G, Bindi F, Spadari A, Rinnovati R, Vitale V, Jose-Cunilleras E, Sgorbini M.Several studies investigated risk and prognostic parameters for horses with colic; however, the consensus is still debated. The present work aimed to investigate colic outcomes and to identify risk factors in horses referred for colic. In this multicenter retrospective study, 236 clinical records of equids referred for colic at three different equine centers were reviewed. The following data were collected: history, signalment, physical examination at the time of admission, hematological and biochemical analysis, diagnosis, SIRS status and 0-6 point-scale SIRS score, colic type, treatment atte...
Meistro F, Rinnovati R, Blanc E, Berni P, Napoli S, Marcucci E, D'Angelo P, Ruggeri M, Spadari A, Gialletti R.Accurate early prognostic assessment is a central aspect of clinical decision-making in horses presenting with colic. Despite the availability of multiple clinical and laboratory parameters, reliable biomarkers that provide useful information at the time of admission remain limited. The erythrocyte sedimentation rate is a non-specific indicator of systemic inflammation that has recently been validated for automated point-of-care use in horses. Its behaviour in equine colic has not been previously characterised. This study included 85 horses admitted for colic at two university referral hospita...
Gandini M, Giusto G.Most studies on colic surgery outcome focus on short-term survival and complications. Long-term outcomes, particularly post-discharge morbidity, are poorly characterised despite their relevance. No standardised system has previously integrated both short- and long-term postoperative complications with survival outcomes. Therefore, this study aimed to evaluate long-term survival and morbidity in horses after colic surgery using the equine postoperative complication score (EPOCS), and to assess the association between complications and survival. Methods: The medical records of horses undergoing ...
Bertuglia A, Cantatore F, Pallante M, Manassero L, Bergamini L, Riccio B, Pagliara E.To report the incidence, and clinical and pathological findings of developmental lateral patellar luxation in Standardbred yearlings diagnosed with femoropatellar dysplasia (FPD) and demonstrate that osteochondral lesions in the lateral trochlear ridge (LTR) of the femur observed in the affected horses are osteochondral lesions related to patellar maltracking.Retrospective case series. Medical records were retrospectively reviewed for Standardbreds <12 months of age diagnosed with FPD between 2017 and 2023.A total of 10 Standardbred yearlings developed FPD (incidence 6.4 cases per 1,000 foals)...
Ozger ZB, Cihan P, Ozaydin I.Artificial intelligence (AI) has emerged as one of the most transformative tools for developing clinical decision-support systems in veterinary medicine. Despite its growing use, its full potential remains underutilized in equine medicine, an area of both high economic and clinical importance. Accurate survival prediction in horses with colic is crucial for timely intervention and improved clinical outcomes. Methods: This study aimed to predict survival outcomes in horse colic cases by developing models that combine traditional machine-learning algorithms (XGBoost, Light Gradient Boosting Mach...
Stäubli T, Theiss F, Bischofberger A.A total of 48 horses with unilateral (n = 44) or bilateral (n = 4) overstrain-induced complete rupture of the superficial digital flexor tendon (SDFT) in the forelimbs were retrospectively analysed. A telephone questionnaire, carried out an average of 5,9 years post-injury, served as a long-term follow-up in 25 horses. The mortality rate associated with SDF tendonitis was 12,0 % (3/25). Superficial digital flexor tendonitis did not recur in 76,0 % (19/25) of the horses, but at least one subsequent episode occurred in 24,0 % (6/25). The results of this study indicate that it is reasonable...
De Zani D, Rabbogliatti V, Rabba S, Auletta L, Longo M, Zani DD.Damage to the osteochondral unit is a common cause of lameness in horses. Published descriptions of MRI findings of osteochondral unit and subchondral damage are currently lacking, and only a few reports describe outcomes in sport horses. The aims of this case series retrospective study were to describe different MRI patterns of osteochondral/subchondral pathology in the fetlock joint using low-field MRI and to provide outcome information. A total of 35 sport horses were included. Data regarding detailed clinical history, treatment and outcome were evaluated. MRI identified a total of 39 bone ...
Johnson A, Karam B, Schroeder O, McKaig L, Loesch K.A 12-month-old miniature horse filly was presented because of laminitis, suspected lymphangitis, and pyrexia. Although the filly's initial physical examination and diagnostic tests suggested an infectious etiology, ultrasonographic findings were suspicious for generalized steatitis. This was confirmed histopathology. The filly experienced full recovery with continued resolution of clinical signs at 18 mo after presentation. This case included aspects similar to those of previously reported clinical presentations, as well as long-term follow-up in a breed that is not overrepresented, providing...
Chapple AR, Daglish J, Stover SM, Slipchenko N, Phillips KL.Stress fracture is an important cause of mortality and morbidity in racing Thoroughbreds. Nuclear scintigraphy is the imaging modality of choice for investigating unlocalised stress-related bone remodelling in horses. Stress fractures of the caudal lumbar vertebral column have been previously described in both racing Quarter horses and racing Thoroughbreds post-mortem. There is a lack of literature describing the imaging appearance of vertebral stress fractures in racehorses ante-mortem. Objective: To describe: (1) ante-mortem scintigraphic appearance of presumed thoracolumbar vertebral stress...
van Veggel ECS, Cokelaere SM, Vanderperren K, Selberg KT, Rasmussen J, Bergman HJ, Vernooij JCM, Hoogelander B.To report low-field standing MRI findings and, when available, postmortem findings of 25 thoracic limbs with degenerative joint disease of the distal interphalangeal joint (DIPJ) characterized by narrowing of the joint space suggestive of cartilage loss. Unassigned: Medical records from September 2015 to July 2022 were reviewed for clinical history, signalment, MRI, and postmortem findings. The study retrospectively analyzed cases in which lameness was linked to DIPJ joint space narrowing using a partially nested comparative design. Width was measured at 4 DIPJ sites, as well as a ratio to the...
Vainio KME, Määttänen MK, Mykkänen AK, Huupponen AK, Niinistö KE.Iatrogenic aspiration pneumonia is rarely reported in horses, with most cases involving lipoid pneumonia from accidental mineral oil administration. Objective: Our aim is to describe horses with iatrogenic aspiration, highlighting clinical findings, treatment, outcomes, and prognostic differences based on the aspirated material. Methods: Management of 6 horses treated at the University of Helsinki Equine hospital due to iatrogenic aspiration between 2018 and 2023 are reported. Results: Of the six horses, three survived, two of whom regained full athletic function. Survivors received water, or ...
Boado A, Pollard D, Dyson S.There are no studies that have investigated factors influencing the outcome of dressage horses with suspensory ligament (SL) branch injuries. The aim was to determine if age, breed, work level, injury severity, anatomical localisation of injury, number of injured branches, periligamentous fibrosis, persistence of power Doppler signal or coexistent osteoarthritis of a metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joint influenced the prognosis of 70 dressage horses. Outcome was defined as good (return to pre-injury level of work or higher), poor (return to a lower level of work) or ret...
Hobbs KJ, Ludwig EK, Martin EM, Bayless R, Bauck AG, Freeman DE, Gonzalez LM.To determine if blood and peritoneal fluid levels of syndecan-1, heparan sulfate, and hyaluronan are elevated in horses with small intestinal disease compared to healthy counterparts. Unassigned: 61 horses were categorized into control (n = 20), inflammatory (11), and strangulating (30) groups. Paired peritoneal fluid and blood samples were obtained from each group from December 2016 through December 2024 and analyzed via equine-validated ELISAs for syndecan-1, heparan sulfate, and hyaluronan concentrations. Patient survival to discharge was recorded for all groups. Immunofluorescence staining...
Beermann A, Hamza E, Reinhard S, Koch C, Oberhänsli T, Unger L.We investigated microRNAs (miRNAs) as potential prognostic biomarkers for equine sarcoid (ES) disease. In a breed-, age-, and sex-matched case-controlled study involving 45 ES-affected and 15 control horses, we assessed the diagnostic, prognostic, and theragnostic value of 3 miRNAs (eca-miR-127, eca-miR-379, eca-miR-432) in horses treated with European mistletoe () extract versus placebo. Whole-blood miRNA concentrations were measured using reverse-transcription quantitative real-time PCR (RT-qPCR) at 3 different times. We found that eca-miR-432 expression was lower in ES-affected (median =â...
Mazur SE, Toribio RE.Complications in critically ill equine patients are often related to the underlying disease process but can also be a consequence of diagnostic and therapeutic interventions. Complications can be specific to the affected organ or body system; however, in critically ill patients, they frequently affect the vasculature, acid-base, electrolyte, and fluid balance, energy homeostasis, and coagulation, with systemic consequences. Infrequent monitoring, late detection, failure to adapt therapies, hematologic and biochemical abnormalities, coagulopathies, and systemic inflammation can all contribute t...
Mudge M.Morbidity after equine abdominal surgery is common and post-operative complications can be costly to owners. The focus of this article is on intraoperative decision-making and current evidence, including surgical techniques and prognostic information that can prevent and predict complications. Emerging techniques for intra-operative monitoring and intestinal viability assessment, anastomotic techniques, body wall suturing, peritonitis treatment, and pain management are discussed.
Samsel J, Gündemir O, Szara T, Witkowski M.Uterine torsion in mares belongs to maternal pregnancy disorders, accounting for 5-10% of complications in the last trimester of pregnancy. Two surgical techniques for repositioning uterine torsion are used: flank laparotomy in local anesthesia on a standing mare (SFL) and midline laparotomy carried out under general anesthesia (MI). The study aims to present the exact protocol used by the authors to qualify a mare with uterine torsion for surgery using one of the above-mentioned methods.A total of 19 mares were operated on, of which 13 underwent midline laparotomy under general anesthesia, an...
Yeomans A, Cramp P, Carpenter R, Bladon B.Proximal sesamoid bone fractures (PSBFs) are a leading cause of economic losses. Post-operative racing prognosis is multi-factorial; however, recent studies are lacking. Objective: To provide an update on racing outcomes for horses undergoing surgical management of PSBFs, analyse variables affecting performance and compare post-operative racing performance with pre-operative data and case-matched controls. Methods: Retrospective case series. Methods: Thoroughbred racehorses that underwent PSBF repair (2008-2022) were included. Data retrieved included fracture type, limb, axiality, treatment, a...
Janicek JC, Grant BD, Woodie JB, Reed SM, Mariën T, Anderson J.To describe the surgical approach used in horses undergoing C7-T1 ventral interbody fusion using a kerf cut cylinder (KCC) implant and report the short- and long-term outcomes. Methods: Observational retrospective study. Methods: A total of 38 client-owned horses. Methods: Medical records of horses that underwent ventral interbody fusion because of C7-T1 cervical vertebral stenotic myelopathy from 2004 to 2024 were reviewed. Preoperative variables included age, sex, breed, and affected site(s). Surgical variables included types of KCC used, intraoperative complications, and anesthesia related ...
Yeomans A, Martinkovich D, O'Brien T, O'Neill H, Carpenter R, Georgetti M, Cramp P.Standing fracture repair has become established as an acceptable technique with a good long-term prognosis. However, no study has compared racing outcomes with case-matched controls. Objective: To compare racing outcomes between a large dataset of horses undergoing standing fracture repair against case-matched controls. Methods: Retrospective case-matched controlled comparative study. Methods: Thoroughbred racehorses undergoing standing repair of distal limb fracture(s) over 10 years (2012-2022) at five hospital centres across North America and Europe were included. Data retrieved included...
Ceriotti S, Clark-Price S, Cole R, Kramer A, Sandey M, Mora M.This case describes a 15-year-old Thoroughbred mare with fistulous withers that progressed to vertebral osteomyelitis and spinal epidural abscess (SEA), a severe complication that has yet to be reported. Initially treated with antibiotics and anti-inflammatory medication, the mare developed acute hindlimb ataxia and spastic paresis, suggesting spinal cord compression at T3-L3. Diagnostic imaging revealed vertebral fractures and abscessation, but vertebral canal involvement could not be confirmed. Despite aggressive medical therapy, including antimicrobials, corticosteroids, and neuroprotective...
de Chaisemartin C, Vandeweerd JM, Schramme M.Comminuted fractures of the proximal phalanx (CFPP) occur in adult horses. Various treatments have been described. It remains uncertain which is the best therapeutic option. Objective: This study aims to review systematically the existing literature on CFPP in horses, evaluate treatment modalities, synthesise outcomes to assess treatment efficacy and survival rates, and identify knowledge gaps for future research. Methods: Scoping review. Methods: A literature search was conducted using online databases. The bias quality of each article was evaluated. Chi-squared analysis was used to detect di...
Faircloth J, Fielding L, Epstein K, Crabtree N, Mochal C, Magdesian G, Major D.To describe the clinical presentation of horses with synchronous diaphragmatic flutter (SDF) and identify clinical and laboratory variables associated with survival. Methods: Retrospective study from January 2004 to September 2022. Methods: Five large animal referral hospitals in the United States. Methods: Thirty-seven horses of various breeds and ages presenting with clinical signs of SDF, excluding animals participating in an endurance competition. All horses were >1Â year of age. Methods: None. Results: Variables recorded and analyzed included signalment, clinical and laboratory data, trea...
El-Shafaey ES, Hamed M, Amin Y, Alkhodair KM, Shousha S, Aljazzar A, El Sebaei MG, Mosbah E.External genitalia swellings represent diagnostic and treatment challenges in equids. Thus, the present study aimed to describe the clinical, histopathological, and treatment outcomes of external genitalia swellings in horses and donkeys. Unassigned: Seventy-five equids (49 horses and 26 donkeys) from 6 months to 8 years were enrolled based on the clinical evidence of external genital swellings. The descriptive details, including sex, age, lesion location, and treatment outcomes, for each case were recorded and analyzed. Unassigned: Twenty forms of external genital swellings were recorded ...
Hildebrandt D, Venner M, Hart KA, Berghaus L.Early and specific diagnosis of bronchopneumonia in foals is important to prevent severe disease. In human medicine, C-reactive protein (CRP) and interleukin-6 (IL-6) are important diagnostic and prognostic biomarkers in neonatal pneumonia in other species. Evaluation of these markers in foals with naturally occurring respiratory diseases is lacking. Objective: To determine if CRP and IL-6 were useful predictors of respiratory disease in foals from birth to weaning. Methods: Prospective cohort study. Methods: Periodic blood samples from 200 initially healthy foals were collected from birth to ...
Webb JG, Chandavimol M, Thompson CR, Ricci DR, Carere RG, Munt BI, Buller CE, Pasupati S, Lichtenstein S.Percutaneous aortic valve implantation by an antegrade transvenous approach has been described but is problematic. Retrograde prosthetic aortic valve implantation via the femoral artery has potential advantages. Percutaneous prosthetic aortic valve implantation via the femoral arterial approach is described and the initial experience reported. Results: The valve prosthesis is constructed from a stainless steel stent with an attached trileaflet equine pericardial valve and a fabric cuff. After routine aortic balloon valvuloplasty, a 22F or 24F sheath is advanced from the femoral artery to the a...
Reef VB, Bonagura J, Buhl R, McGurrin MK, Schwarzwald CC, van Loon G, Young LE.Murmurs and arrhythmias are commonly detected in equine athletes. Assessing the relevance of these cardiovascular abnormalities in the performance horse can be challenging. Determining the impact of a cardiovascular disorder on performance, life expectancy, horse and rider or driver safety relative to the owner's future expectations is paramount. A comprehensive assessment of the cardiovascular abnormality detected is essential to determine its severity and achieve these aims. This consensus statement presents a general approach to the assessment of cardiovascular abnormalities, followed by a ...
Dyson SJ.There is a lack of long-term follow-up data for outcome of medical treatment of superficial digital flexor (SDF) tendonitis. Objective: To determine whether intralesional injection of hyaluronan, beta aminoproprionitrile fumarate (BAPN) or polysulphated glycosaminoglycans (PSGAG) or systemic administration of PSGAG yielded better results than a controlled exercise programme alone in the management of SDF tendonitis, with a minimum follow-up period of 2 years after resumption of full work; and to determine whether reinjury rate was related to sports discipline and whether fibre alignment score ...
Henninger RW, Reed SM, Saville WJ, Allen GP, Hass GF, Kohn CW, Sofaly C.Equine herpesvirus type 1 (EHV-1) infection causes neurologic disease in horses. However, risk factors for the disease and long-term prognosis are poorly characterized. Objective: There are identifiable risk factors for equine herpes-1 myeloencephalopathy. Methods: The entire population of 135 horses housed within the equestrian facility. Methods: A descriptive study investigated the clinical, serologic, virologic, and management aspects of an outbreak of EHV-1 myeloencephalopathy. Results: Out of 135 horses at the facility, 117 displayed signs of EHV-1 infection. Forty-six horses developed ne...
Brewer BD, Koterba AM.A sepsis scoring system was developed and tested prospectively in a blind study of 190 neonatal foals admitted to the University of Florida Veterinary Medical Teaching Hospital's neonatal intensive care unit. The system used 14 readily available historical, clinical or laboratory variables and weighted each item to arrive at a sepsis score. The score was found to have a sensitivity of 93 per cent, a specificity of 86 per cent, positive accuracy rate of 89 per cent and negative accuracy rate of 92 per cent. The sepsis score was far more sensitive and specific for infection, even in very early c...
Mair TS, Smith LJ.A minority of equine colic cases prove fatal unless treated surgically; however, few studies have considered long-term survival and complication rates, and few have attempted to identify factors that might affect outcomes. Such information is required for owners and veterinary surgeons to make informed decisions about the most appropriate treatment for individual cases. Objective: To document short-term survival rates of 300 horses undergoing colic surgery and analyse factors that might have predisposed to short-term death. Methods: History, clinical and surgical findings, treatments and outco...
Fielding CL, Higgins JK, Higgins JC, McIntosh S, Scott E, Giannitti F, Mete A, Pusterla N.Equine coronavirus (ECoV) is associated with clinical disease in adult horses. Outbreaks are associated with a low case fatality rate and a small number of animals with signs of encephalopathic disease are described. Objective: The aim of this study is to describe the epidemiological and clinical features of two outbreaks of ECoV infection that were associated with an high case fatality rate. Methods: 14 miniature horses and 1 miniature donkey testing fecal positive for ECoV from two related disease outbreaks. Methods: Retrospective study describing the epidemiological findings, clinicopatholo...
Borges AS, Divers TJ, Stokol T, Mohammed OH.Detection of systemic inflammation, which is important for proper diagnosis and prompt treatment, can be challenging. Objective: Measurement of plasma iron concentration is a sensitive method for detecting systemic inflammation in horses compared with measurements of plasma fibrinogen concentration, a traditional marker for inflammation in the horse. Methods: Ninety-seven horses hospitalized with diseases causing systemic inflammation, 22 horses with localized inflammation, and 12 clinically normal horses were included in this study. Methods: A retrospective study was made on hospitalized hors...
Roy MF, Kwong GP, Lambert J, Massie S, Lockhart S.Despite its widespread use in equine medicine, the clinical value of the systemic inflammatory response syndrome (SIRS) concept in horses remains unknown. Objective: To study the prognostic value of measures of SIRS in horses and identify the best model of severe SIRS to predict outcome. Methods: A total of 479 consecutive adult horse emergency admissions to a private primary referral practice. Methods: Prospective observational study. All adult horses admitted for emergency treatment over the study period were included. Multivariate logistic regression and stepwise model selection were used. ...
Frederick J, Giguère S, Sanchez LC.Diarrhea is common in foals but there are no studies investigating the relative prevalence of common infectious agents in a population of hospitalized diarrheic foals. Objective: To determine the frequency of detection of infectious agents in a population of hospitalized foals with diarrhea and to determine if detection of specific pathogens is associated with age, outcome, or clinicopathologic data. Methods: Two hundred and thirty-three foals < or = 10 months of age with diarrhea examined at a referral institution. Methods: Retrospective case series. Each foal was examined for Salmonella s...
Waselau M, Sutter WW, Genovese RL, Bertone AL.To determine outcome of Standardbred racehorses with moderate to severe midbody suspensory ligament desmitis (MSD) treated by means of ultrasound-guided intralesional injection of a single dose of platelet-rich plasma (PRP) followed by a program of gradually increased exercise. Methods: Nonrandomized clinical trial. Methods: 9 Standardbred racehorses. Methods: Following injection of PRP, horses were allowed a controlled, gradual return to exercise. Race records for the year prior to injury and for 3 consecutive years after horses returned to racing were reviewed. For comparison purposes, race ...
Crisman MV, Scarratt WK, Zimmerman KL.Activation of the host response to infection, the "acute-phase response," is a highly organized physiologic reaction that includes changes in concentrations of plasma acute-phase proteins (APPs). The APPs are increasingly being used as markers for prognosis and monitoring response to therapy along with general determinants of equine health. Use of APPs in veterinary medicine is becoming more widespread as more commercial diagnostic kits are being validated. This article reviews the salient features of APPs and examines their current application and potential utility in equine inflammatory diso...
Chang MH, Kim KH, Kim HS, Jun HJ, Kim DH, Jang JH, Kim K, Jung CW.Immunosuppressive therapy (IST) with antithymocyte globulin (ATG) plus cyclosporine (CSA) is standard therapy in patients with severe aplastic anemia (SAA) who do not have an available HLA-matched sibling donor. Methods: The current study aimed to determine the predictive factors for response to IST in patients with SAA and to identify prognostic factors following IST. A total of 62 patients diagnosed with SAA who received IST with either rabbit ATG (n = 33) or horse ATG (n = 29) plus CSA between October 1994 and December 2007 were included. Results: With a median follow-up duration of 60.5 mo...
Cafarchia C, Figueredo LA, Otranto D.Among diseases of horses caused by fungi (=mycoses), dermatophytosis, cryptococcosis and aspergillosis are of particular concern, due their worldwide diffusion and, for some of them, zoonotic potential. Conversely, other mycoses such as subcutaneous (i.e., pythiosis and mycetoma) or deep mycoses (i.e., blastomycosis and coccidioidomycosis) are rare, and/or limited to restricted geographical areas. Generally, subcutaneous and deep mycoses are chronic and progressive diseases; clinical signs include extensive, painful lesions (not pathognomonic), which resemble to other microbial infections. In ...
van der Linden MA, Laffont CM, Sloet van Oldruitenborgh-Oosterbaan MM.A retrospective study was performed on 649 horses admitted to the Clinic of Equine Internal Medicine (Utrecht University) for gastrointestinal colic. The aim of this study was to provide a better guideline for determining prognosis in horses with colic. Short- and long-term survival were evaluated, and Cox regression analysis was performed to identify the clinical and clinicopathologic variables usable to predict survival. Intestinal displacements and strangulations were the most frequently diagnosed causes of colic. Regarding the surgically treated horses, 54% were discharged and 88% of these...
Corley KT, Donaldson LL, Furr MO.Blood lactate concentration has been shown to be a useful clinical indicator in human patients, but has not been formally investigated in critically ill foals. Objective: To investigate the association of blood lactate with hospital survival, markers of cardiovascular status, metabolic acid base status, sepsis and systemic inflammatory response syndrome (SIRS). Methods: A database containing clinical, haematological, plasma biochemical and hospital outcome data on neonatal foals referred to an intensive care unit in 2000-2001 was analysed. Seventy-two foals for which arterial lactate was measu...
Cohen ND, Woods AM.To characterize horses with acute diarrhea and determine risk factors for failure to survive. Methods: Retrospective study. Methods: 122 adult horses admitted for acute diarrhea at the teaching hospital between Jan 1, 1990 and Dec 31, 1996. Methods: Medical records of horses with acute diarrhea were reviewed to abstract information regarding signalment, history, physical examination, clinicopathologic testing, treatment, and outcome. Results: 91 of 122 (74.6%) horses lived and were discharged from the hospital. Horses with history of administration of antimicrobials for a problem preceding dia...
Taylor S.Sepsis is defined as an exaggerated, systemic inflammatory response to infection and is a common condition in horses. Systemic inflammatory response syndrome (SIRS) associated with bacterial infection is a hallmark of sepsis. Sepsis in neonatal foals is a common sequela of failure of passive transfer and, in addition to development of SIRS, may be characterised by bacteraemia, pneumonia, enterocolitis, omphalophlebitis, meningoencephalitis or arthritis. Sepsis in mature horses is most commonly observed secondary to gastrointestinal lesions that result in disrupted mucosa and bacterial transloc...
Giles CJ, Urquhart KA, Longstaffe JA.Clinical and laboratory findings are recorded from a series of 15 cases (aged one to 16 years) of sudden-onset chronic diarrhoea with weight loss, progressing in many cases to emaciation and death, associated with the emergence of fourth stage cyathostome (trichoneme) larvae in large numbers through the colonic and caecal mucosae. Apart from a single incident in mid-October, disease only occurred in winter and spring (January to May). Characteristic features included hypoalbuminaemia, increased alpha and beta plasma globulin levels and neutrophilia without left shift. Faecal egg counts were fr...
Crothers SL, White SD, Ihrke PJ, Affolter VK.Sporotrichosis is an uncommon to rare cutaneous and subcutaneous mycosis of animals and humans caused by the dimorphic fungus Sporothrix schenckii. Twenty-three mammalian cases of sporotrichosis examined between 1987 and 2007 at the University of California, Davis - Veterinary Medical Teaching Hospital, were retrospectively evaluated with regard to the historical, clinical, diagnostic and treatment findings. Cats were the most common species affected (n = 14). In addition, sporotrichosis was diagnosed in four dogs, four horses and a donkey. Six of 23 cases were diagnosed with the localized cut...
Johnston K, Holcombe SJ, Hauptman JG.To determine the relationship between plasma lactate concentration and colonic viability and survival in horses with >or=360 degrees volvulus of the ascending colon. Methods: Retrospective study. Methods: Horses (n=73) with >or=360 degrees volvulus of the ascending colon. Methods: Medical records (January 2000-November 2005) of all horses examined for colic at Michigan State University Veterinary Teaching Hospital were reviewed. Horses were included only if plasma lactate concentration was measured preoperatively and a diagnosis of >or=360 degrees volvulus of the ascending colon was c...
Castagnetti C, Pirrone A, Mariella J, Mari G.The use of blood lactate concentration as an indicator of prognosis and disease severity has become a common practice in equine medicine, especially with the validation of handheld analyzers. However, few authors described lactate concentration in critically ill foals, and there are no published studies about the use of handheld analyzers in neonatal foals. In this study, for the first time in the equine neonate, we validated the Lactate Scout analyzer, both in healthy and in critically ill foals. The study also describes the normal range for blood lactate in 26 healthy neonatal foals during t...
Olsen E, van Galen G.Chronic kidney disease (CKD) is rare in horses with an overall prevalence reported to be 0.12%. There is often a continuum from Acute Kidney Injury (AKI) to CKD, and patients with CKD may be predisposed to episodes of AKI. The most common clinical signs are non-specific with weight loss, polyuria/polydipsia and ventral edema. Less common clinical signs are poor appetite and performance, dull hair coat, oral ulcerations, gastro-intestinal ulceration, gingivitis, dental tartar and diarrhea. Rarely, horses may develop forebrain signs. Creatinine increases when at least 2/3 of kidney function have...
Latson KM, Nieto JE, Beldomenico PM, Snyder JR.The most common cause of death as a direct result of colic is acute circulatory failure secondary to intestinal ischaemia. Early and accurate recognition of ischaemic bowel is essential to decrease complications and increase survival. Blood to peritoneal lactate values have been evaluated as a prognostic indicator, but lactate values characterised by type of lesion have not been reported. Objective: Plasma and peritoneal lactate values are higher in horses with intestinal ischaemia secondary to a strangulating obstruction (ISSO). Methods: Venous blood and peritoneal fluid were collected sequen...
Freeman DE, Hammock P, Baker GJ, Goetz T, Foreman JH, Schaeffer DJ, Richter RA, Inoue O, Magid JH.The records of 74 horses that recovered from anaesthesia after surgery for a small intestinal lesion from 1994 to 1999 were reviewed. Sixty-three horses (85%) had a strangulating lesion and 43 of these (68%) had a resection and anastomosis. Four of 11 horses (36%) without a strangulating lesion had a resection and anastomosis. Sixty-three horses (85%) survived to discharge, with a survival rate of 53/63 in horses with a strangulating lesion (84%) and 10/11 (91%) in others. For all lesions, short-term survival for all end-to-end anastomoses (91%; 21/23) and for no resection (92%; 23/25) were su...
Aleman M, Spier SJ, Wilson WD, Doherr M.To describe clinical manifestations of Corynebacterium pseudotuberculosis infection in horses and to evaluate diagnostic methods for identification of this disease. Methods: Retrospective case series. Methods: 538 horses with a diagnosis of C pseudotuberculosis infection. Results: Median age of horses with external abscesses was similar to that in horses with internal abscesses. Breed and sex did not appear to be associated with infection. Cases were detected during all 12 months; however, the disease was most common in the fall and early winter, with the highest incidence in September, Octobe...
Bertin FR, Reising A, Slovis NM, Constable PD, Taylor SD.The epidemiology of equine neorickettsiosis (EN) has been extensively studied but limited clinical and clinicopathological data are available concerning naturally infected horses. Objective: Factors predictive of survival will be identified in horses diagnosed with EN. Methods: Convenience sample of 44 horses with EN admitted to 2 referral institutions. Methods: A retrospective study was performed. A diagnosis of EN was based on the presence of positive blood or fecal PCR. Results: The most common clinical signs included diarrhea (66%), fever (50%), anorexia (45%), depression (39%), colic (39%...
Proudman CJ, Smith JE, Edwards GB, French NP.Postoperative complications and mortality can occur many weeks or months after colic surgery. We are interested in the long-term outcome of these cases. This study documents patterns of mortality and morbidity among 341 horses that recovered from colic surgery March 1998-August 2000. The progress of each horse was rigorously followed by periodic telephone and postal questionnaires. Event time data were recorded for each animal and a total of 321 horse years of survival, together with death from all causes, colic-related death and various postoperative complications. Postoperative survival (of ...
Dyson SJ, Murray R, Schramme MC.The diagnosis of foot-related lameness often remains elusive and it can be difficult to offer rational treatment, or to predict outcome. Objective: To describe the spectrum of injuries of the foot identified using magnetic resonance imaging (MRI), to determine their relative prevalence among MRI diagnoses and to establish the long-term results of treatment. Methods: The MR images of horses examined from January 2001--December 2003 were reviewed. Horses were selected for MRI if the pain causing lameness was localised to the foot using perineural analgesia but any clinical, radiological or ultra...
Williams IF, McCullagh KG, Goodship AE, Silver IA.The histological and morphological characteristics of the scar tissue formed during healing after traumatic equine tendon injury have been compared with those of scar tissue produced in response to an enzyme-induced pony tendon injury. Several techniques are currently in use in the treatment of equine tendon sprain and this work formed part of a study of their respective efficacy. It was concluded that the enzyme-induced lesion is resolved by a reparative process very similar in its prognosis and extent to that following a naturally occurring tendon sprain. It may therefore justifiably be used...
