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Topic:Veterinary Care
Veterinary care in horses encompasses the medical and preventive measures taken to maintain and improve the health and well-being of equine patients. It includes a wide range of practices such as routine health examinations, vaccinations, dental care, parasite control, and management of injuries and diseases. Veterinary care also involves diagnostic procedures, surgical interventions, and therapeutic treatments tailored to the specific needs of horses. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of equine veterinary care, including advancements in diagnostic techniques, treatment protocols, and health management strategies to support the well-being and performance of horses.
Venous blood lactate concentration as a predictor of intestinal viability in horses with acquired indirect inguinal hernia. Background: Acquired indirect inguinal hernia represents a life-threatening emergency. Therapeutic decision-making largely depends on intestinal viability, for which specific predictive parameters (such as venous lactate) have not been evaluated.Objectives: Investigating the predictive performance of venous blood lactate and other laboratory results on intestinal viability in horses with acquired indirect inguinal hernias.Study designRetrospective multicentre observational study.Methods: Seventy-four horses diagnosed with acquired indirect inguinal hernia (treated surgically) at two referral h...
Effects of acupuncture on stride, speed, and heart rate variability in Thoroughbred racehorses. Thoroughbred racehorses are at increased risk of injury during race preparations and trials, primarily due to intensive workloads that predispose them to musculoskeletal injuries. Evaluating clinical interventions to improve health and prevent injury is essential for addressing animal welfare concerns. This study investigated the medium-term effects of acupuncture on stride, speed and cardiac autonomic regulation (assessed via heart rate variability [HRV]), in Thoroughbred flat racehorses. This prospective, randomised, parallel-group study included an intervention and a control group. Thirty T...
Verminous mastitis caused by Cephalobus cubaensis infection in a mare. A 7-y-old American Quarter Horse mare was presented to a veterinary hospital for ongoing reproductive monitoring and management of endometritis. During physical evaluation, several nodular lesions of unknown origin and duration were discovered in the mammae. Histologically, biopsies from the lesions were confirmed as severe granulomatous mastitis with intralesional rhabditid nematodes. A putative diagnosis of or infection was assigned, and ivermectin (1.2 mg/kg PO) treatment was given every 2 wk. When lesions persisted after the initial dose of ivermectin, PCR testing of and gene targe...
Establishment and evaluation of hematological and serum biochemical reference intervals in Chinese local donkey populations. Background: Reliable interpretation of hematological and serum biochemical test results in donkeys benefits from the use of population- and management-system-adapted reference intervals (RIs). However, standardized and CLSI-compliant RIs for Chinese local donkeys are still unavailable, limiting their clinical and epidemiological application. This study aimed to establish hematological and serum biochemical RIs for Chinese local donkeys using a large, multi-farm dataset, and to evaluate the effects of farm origin, age, and sex on these parameters. Blood samples were collected from healthy donke...
The effect of dynamic mobilization exercises and therapeutic trunk exercises on superficial epaxial and hypaxial muscle activity in horses. Equine back rehabilitation commonly integrates dynamic mobilization exercises (DME), including DME to the chest (DMEChest) and DME to the hip (DMEHip), and therapeutic trunk (TTE) exercises, including pelvic rounding (Rounding), and lateral tail pulls (LatTail). However, limited evidence supports their use for selectively activating trunk muscles. Objective: To quantify and compare superficial epaxial and hypaxial muscle activity during selected DMEs and TTEs using surface electromyography (sEMG). Increased muscle activity was hypothesized across exercises, specifically in external abdominal o...
Functional and feasibility aspects of orthopedic exoprostheses in quadruped domestic animals: a systematic review. The use of prostheses in animals with partial limb amputation has emerged as an alternative to euthanasia, aiming to improve their quality of life. However, the fabrication and adaptation remain challenging in Veterinary Medicine. This study aims to evaluate, through a systematic review, the determinants of viability, outcomes, and limitations of exoprostheses in domestic animals of varying sizes. A literature search was conducted in ScienceDirect, PubMed, Scopus, Web of Science, and Google Scholar using structure search terms related to prosthesis, veterinary, amputation. After screening and ...
Short-Term Daily Oral Administration of Cannabidiol Does Not Impact Rebound Tonometry Intraocular Pressure or Schirmer Tear Test Values in Healthy Adult Horses. To assess the effect of orally administered cannabidiol (CBD) on TonoVet measured intraocular pressure (IOP) and Schirmer tear test I (STT) in horses. Methods: Horse. Methods: This was a masked, randomized, balanced cross-over study of six healthy adult horses. Horses were randomly assigned and received 3 mg/kg CBD in sesame oil or volume matched placebo by mouth once daily for three days. Baseline and daily 4-, 12-, and 24-h post treatment IOPs were measured in triplicate without sedation or eyelid akinesia. Baseline and 24-h post final (day 3) treatment STTs were measured without sedation ...
Clinical audit on antimicrobial stewardship effectiveness in reducing antimicrobial-resistant bacterial colonisation in hospitalised horses. International guidelines support the One Health approach and recommend antimicrobial stewardship programmes (ASPs) in veterinary medicine. National data on antimicrobial-resistant bacterial colonisation rates (AMRb CR) in horses remain limited. Objective: To evaluate the effectiveness of an ASP in reducing AMRb CR in a Veterinary Teaching Hospital using a clinical audit. Methods: Clinical audit. Methods: In Autumn 2021 active AMR surveillance in Perinatology/Reproduction and Internal Medicine Units planned; January-July 2022-first audit cycle (A1); Autumn 2022-review and implementation of anti...
Owner-Reported Cohort Study of Causes, Management and Outcome of Traumatic Wounds in 219 Horses. Current evidence on traumatic equine wounds are predominantly from expert opinion reviews or referral hospital studies. This study aimed to describe the owner-reported causes, management and outcome of equine wounds. An owner-reported cohort approach was used. Owners of horses with recent traumatic wounds were recruited through snowball sampling. Data were collected from initial injury to final healing and outcome, including horse demographics, wound cause and location, owner- and veterinary-administered treatment, and outcome. Descriptive statistics included frequency percentages (%, x/y) and...
Lacrimal caruncula thermography overestimates rectal temperature in horses: Influence of camera type and measurement distance. Rectal temperature (RT) is the gold standard for assessing body temperature in horses, but handling and welfare concerns limit its use. Thermography of the lacrimal caruncula (LC) has been proposed as a noncontact alternative, although its accuracy may be influenced by device characteristics and measurement distance. Objective: To evaluate agreement between LC thermography and RT in horses, compare two infrared thermal cameras and determine the effect of camera-to-subject distance on measurement bias and variability. Methods: LC temperature was recorded at 0.5, 1 and 2 using two cameras (IR Fl...
The anterograde tarsal venography enhances vessel visualization compared to the retrograde approach in horses. The objective of this study was to compare the number of vessels of the proximal venous access (ramus cranialis of vena saphena medialis) and the distal venous access (vena digitalis dorsalis communis II) for venography and, consequently, intravenous regional limb perfusion of the tarsal region. Seven horses underwent venographic examination of both hind limbs, divided into two groups: proximal venous access (PG) and distal venous access (DG). Rubber tourniquets were applied to the middle third of the tibia and the proximal third of the III metatarsal bone. Thirty mL of contrast was injected (...
Welfare Assessment in Equine-Assisted Service (EAS) Horses. Equine-Assisted Service (EAS) horses can be exposed to stressors that affect their behavior and welfare. Previous studies investigated behavioral and physiological indicators (PI) only during therapy sessions. This study evaluated the frequency of stress and pain behaviors (FSPB) in horses with different riders, while assessing welfare through housing, management, and PI. Ten horses were observed during EAS sessions with three rider groups: able-bodied, clients with significant physical impairment, and clients with no significant physical impairment, totaling twenty-six riders. Behavioral data...
Sensitive and selective quantification of elcatonin in equine plasma and urine using LC-FAIMS-MS/MS. The use of drugs for enhancing bone strength is prohibited under international regulations governing horse racing and equestrian sports. Elcatonin, a synthetic peptide with analgesic and bone-strengthening properties, is routinely monitored for compliance. However, its cyclic structure and high molecular weight hinder reliable detection. In this study, we developed and validated a sensitive liquid chromatography-high-field asymmetric waveform ion mobility spectrometry-tandem mass spectrometry method for quantifying elcatonin in equine plasma and urine. Sample preparation was optimised via weak...
Unusual, fatal neck cancer in a foal: immunohistological investigations and differential diagnosis. Neck masses may represent a diagnostic challenge for equine veterinarians, since they may involve different structures with a similar clinical appearance. Whereas neck masses in foals mostly result from non-neoplastic conditions, including various congenital abnormalities, neoplastic cervical masses have been rarely documented. This report describes the unusual case of a rapidly growing neck cancer in a four-month-old colt, resulting in a fatal outcome. Gross and immunohistological findings were most consistent with a poorly differentiated thymic carcinoma with sarcomatoid features and multifo...
Prepubic Tendon Rupture and Uterine Herniation in a Late-Term Kurdish Mare: A Case Report. Prepubic tendon rupture (PPTR) is a rare but life-threatening complication in late-term pregnant mares. It results in abdominal wall failure, ventral oedema and a poor prognosis for both the mare and foetus. A 14-year-old multiparous Kurdish mare at approximately 310 days of gestation presented with acute ventral distension, reluctance to walk and cranial displacement of the udder. Clinical evaluation revealed tachycardia, pallor and Grade 3/4 ventral oedema. Haematology indicated leucocytosis and haemoconcentration. Transabdominal ultrasonography showed a viable foetus and severe thinning of ...
Treatment of ventricular arrhythmias with oral sotalol in four horses. Sustained ventricular arrhythmias (VAs) in horses can require medical intervention. Prompt pharmacological treatment is indicated when the arrhythmia leads to hemodynamic or electrical instability. Established antiarrhythmic treatment of VA in horses includes lidocaine and magnesium, administered parenterally. Other antiarrhythmic agents are used; however, concerns regarding adverse effects, financial restrictions, logistics of administration, and lack of access often limit their use. While anecdotal reports of oral administration of sotalol for treatment of VA in horses exist, sotalol has pri...
Horse racing towards antibiotic resistance. Accompanying animals as a source of antibiotic-resistant bacteria. Antibiotic resistance is a significant issue in modern infectious medicine and veterinary science, with animals, including horses, playing a crucial role in its dissemination. Antibiotics, used both for treatment and prevention of diseases in animals, influence the composition of the microbiota and promote the selection of resistant strains that can be transmitted to humans through direct or environmental contact. Horses, currently classified as companion animals, serve as a reservoir of commensal and pathogenic bacteria, including multidrug-resistant strains capable of horizontal gene transfe...
Validation of a stall-side immunoglobulin assay for use in equine reproductive management. Equine foals receive IgG from mare colostrum through passive transfer. Failure of passive transfer (FPT) is a significant risk to the foal's life, leaving them vulnerable to infection and sepsis. Radial Immunodiffusion (RID) and immunoturbidimetric assays quantify IgG present in a foal sample but require a laboratory to complete. Accurate, reproducible, stall-side testing to rapidly quantify IgG would allow for expedited clinical decisions, with potential to improve equine foal care and survival. Objective: To evaluate the analytical and clinical performance of a stall-side IgG lateral-flow te...
Piezosurgical partial ostectomy of the incisive bone for an ossifying fibroma removal in a 4-year-old Warmblood gelding. Ossifying fibromas are uncommon in horses and complete surgical excision with premaxillectomy, maxillectomy or mandibulectomy is recommended. Piezosurgery has been previously used in equines only in one study. Objective: To report a case of ossifying fibroma treated with piezosurgery and to describe its follow-up. Methods: Clinical case report. Methods: A 4-year-old Zangersheide gelding was presented for a mass occupying the space of tooth 202. Histology confirmed the diagnosis of ossifying fibroma, which was removed by resection of soft tissues and a slice of the premaxilla with a piezotome. ...
Anatomical assessment of endodontic debridement challenges in severely diseased equine cheek teeth. There is a lack of knowledge on orthograde endodontic techniques in horses and endodontic case selection is mostly empirical currently. Objective: To explore the efficacy of endodontic debridement in severely diseased cheek teeth that are currently deemed unsuitable for endodontic treatment, find where debris is left behind, compare intercanal communications with those described in healthy cheek teeth, explore the effects of endodontic repair mechanisms on endodontic debridement and to investigate the presence of accessory canals and apical deltas in infected parts of the pulp system. Methods:...
Assessment of acute and chronic pain in working horses and donkeys in Egypt and the influence of observer training. Pain assessment can support monitoring welfare in working equids. Objective: To assess agreement of structured pain scores before and after training observers and to assess differences in pain scores between working equids with or without acute or chronic pain and to compare them to non-working equids. Methods: In part 1, eleven veterinarians and nine technicians performed pain scores before and after training. Agreement with reference scores was analyzed with Intra Class Correlation (ICC) analysis. In part 2, pain assessments were performed in 96 donkeys (n=40 fit-to-work, n=21 acute pain, n=...
Transference of diagnostic thresholds for equine plasma ACTH from the Immulite 1000 to Immulite 2000XPi and Tosoh AIA systems. Diagnosis of PPID in horses relies on measurement of plasma adrenocorticotrophic hormone (ACTH) concentrations. Because measured ACTH values vary between analytical platforms, and published diagnostic thresholds apply almost exclusively to the Immulite 1000 chemiluminescent assay (CLA), there is a need for validated, assay-specific thresholds for contemporary analysers. This study aimed to transfer and validate established Immulite 1000 diagnostic thresholds for plasma ACTH to three contemporary systems (Immulite 2000XPi, Tosoh AIA-900, and Tosoh AIA-360) using the Clinical Laboratory Standard...
Impact of evidence-based information on horse owners’ misconceptions of colic. Misconceptions can be defined as 'false, persistent beliefs' or 'inaccurate, prior knowledge' and can influence decision-making. Objective: To investigate the impact of evidence-based information on UK horse owners' decision-making for colic. Methods: Mixed-methods cross-sectional study. Methods: An online survey was distributed to UK horse owners, with four sections: owner demographics; views on decision-making and referral to an equine hospital facility for colic; current knowledge and approach to colic; impact of evidence-based information (including evidence on recognising and responding t...
Evaluation of the tolerance and effects of 1-deoxynojirimycin on insulin and glucose dynamics in healthy horses and horses at risk for insulin dysregulation. Insulin dysregulation (ID) is common and diminishes welfare of horses. Current management relies on diet and exercise, with variable responses and limited medical options. Alpha-glucosidase inhibitors (AGIs) might provide adjunctive therapy. Objective: To evaluate the tolerance and effects of Reducose®, a Morus alba leaf extract standardized to 5% 1-deoxynojirimycin (DNJ), in healthy horses and horses at risk of ID. We hypothesized DNJ would be well-tolerated and reduce insulin responses to oral sugar tests (OSTs). Methods: Twenty-seven horses: 6 healthy (Phase I), 5 at risk for ID (Phase II)...
Successful nutritional management of a warmblood horse with multiple pathologies that respond to nutrition. This report describes the nutritional management of an 18-year-old, 553 kg gelding warmblood used for dressage lessons that presented with severe weight loss, marked muscle atrophy, poor dentition, sabulous urolithiasis, gastric ulcers, and later small colon impaction. On admission, the diet consisted of ad libitum wheat straw and mixed cereals (73:27 forage:concentrate), providing 2% of body weight as dry matter without vitamin-mineral supplementation. Marked deficiencies were identified in digestible energy (38%), crude protein (20%), lysine, threonine, vitamins, and minerals, while sugar an...
Glanders: Past, Present and Future of a Neglected Zoonosis as a Threat in Veterinary and Human Health. Burkholderia mallei is the causative agent of glanders, a serious zoonotic disease of major concern for both animal and human health. This highly contagious and potentially fatal bacterium is always classified as a biothreat agent. In this review, we covered a comprehensive overview of glanders, including the biology of the pathogen, epidemiology, pathogenesis, diagnosis, control strategies and ongoing eradication programs in Eurasia. We also summarized human case reports, differential diagnosis, treatment and organism's antimicrobial properties. The section on vaccine development is among the...
Trendelenburg positioning with or without norepinephrine infusion for haemodynamic support in anaesthetised hypovolemic horses. Intraoperative haemorrhage during equine anaesthesia is a rare but potentially fatal complication requiring prompt haemodynamic support. Postural manoeuvres such as Trendelenburg (TL) positioning and vasopressor support augment venous return and improve cardiac output (CO), yet their efficacy in anaesthetised hypovolemic horses remains unstudied. Objective: To evaluate haemodynamic effects of TL positioning during normovolemia and acute haemorrhagic hypovolemia, and to determine whether concurrent norepinephrine (NE) infusion enhances cardiovascular stabilisation. Methods: In vivo experiments....
Toll-like receptor 3-activated allogeneic umbilical cord blood-derived mesenchymal stromal cells as an adjunct for the treatment of synovial sepsis in 3 horses. To describe the case presentation, treatment, and outcome of horses treated with Toll-like receptor 3 (TLR-3)-activated allogeneic umbilical cord blood-derived mesenchymal stromal cells (CB-MSCs). Unassigned: 3 horses presenting with chronic or antimicrobial-resistant (AMR) septic synovitis. Unassigned: All horses presented with clinical signs associated with septic synovitis including marked grade 4/5 lameness, joint effusion, heat/swelling of the limb, and synovial fluid parameters consistent with sepsis. Case 1 presented 3 weeks following the onset of clinical signs. Cases 2 and 3 developed...
Abdominal palpation per rectum is highly sensitive for identifying small versus large intestinal lesions in horses presenting for colic. To describe the sensitivity, specificity, predictive values, and accuracy of abdominal palpation per rectum in horses treated surgically for colic. Unassigned: Medical records were gathered over 5 years (2019 to 2024). Findings of abdominal palpation per rectum were collected and compared to surgical diagnosis, and cases were categorized as true or false positive and negative. Signalment, physical examination parameters, hematologic values, and years of examiner experience were recorded. Unassigned: Records of 453 horses were included. Overall sensitivity and positive predictive value were 86%...
