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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Heart rate and heart rate variability responses during three exercise tests and recovery in horses participating in the Fédération Équestre Internationale Eventing World Challenge.
BMC veterinary research    October 24, 2025   Volume 21, Issue 1 631 doi: 10.1186/s12917-025-05090-3
Wonghanchao T, Sanigavatee K, Pongnarudech P, Suchairat T, Jitsopin S, Wanichayanon B, Rattanakarn D, Jantakanangkoon P, Jaraswutiwong T, Kalanuson N....Horses competing in eventing competitions encounter significant challenges that increase their risk of severe injuries and metabolic disorders. Numerous studies have focused on the risk of such injuries and disorders during the cross-country segment. While one study has examined autonomic responses during this segment, research on these responses across all three phases of competition, particularly during one-day events, is still limited. The objective of this study was to analyse the autonomic responses of horses by measuring heart rate (HR) and heart rate variability (HRV) during three exerc...
Impact of sequential administration of detomidine, butorphanol, and midazolam on sedation, ataxia, stimulus response, and bispectral index in horses.
Frontiers in veterinary science    October 23, 2025   Volume 12 1691137 doi: 10.3389/fvets.2025.1691137
Thorn CA, Wilson DV, Wang S, Horne WA.Standing sedation is a safe and cost-effective alternative to general anesthesia in horses, but challenges include achieving adequate drug effect to block the stimulus response without inducing ataxia or recumbency. A benefit of midazolam has been reported in equine dental procedures. Seeking synergy, a combination of lower doses of several pharmacologic agents, including midazolam, may improve the quality of sedation while minimizing adverse effects. Bispectral index (BIS) correlates with sedation scores in human ICU patients, but the correlation between sedation scores and BIS has not been e...
Bioanalytical Uncertainty Assessment of Ultra-High-Performance Liquid Chromatography-High Resolution Mass Spectrometry Method for Caffeine and Lidocaine in Equine Antidoping: A Dual Perspective on Bottom-up and Top-Down Approaches.
Journal of separation science    October 23, 2025   Volume 48, Issue 10 e70308 doi: 10.1002/jssc.70308
El-Ghaly W, El Kamli T, Zaari Lambarki L, El Hamdani M, Lahkak FE, Benmoussa A, Balouch L, Bakkali F, Saffaj T, Jhilal F.The quality of quantitative results in bioanalysis requires not only a validated analytical method but also a rigorous estimation of measurement uncertainty. This study examines the challenges associated with the implementation of two distinct approaches in equine anti-doping control for the assessment of uncertainty associated with an ultra-high-performance liquid chromatography-high resolution mass spectrometry quantitative method for caffeine and lidocaine in horse urine. The bottom-up approach, based on the ISO Guide to the Expression of Uncertainty in Measurement (ISO GUM), was compared t...
Equine trypanosomiasis, a systematic review and meta-analyses: Prevalence, morbidity and mortality.
Equine veterinary journal    October 23, 2025   Volume 58, Issue 2 291-319 doi: 10.1111/evj.70101
Raftery AG, Gummery L, Garcia K, Mohite D, Capewell P, Sutton DGM.Equine trypanosomiasis is a neglected protozoal disease. Objective: To perform a systematic search of literature to explore: (1) In equines what is the global geographical distribution and prevalence of trypanosomiasis? In low and middle-income countries (LMICs) is trypanosomiasis more prevalent than in higher-income countries (HICs)? (2) Is trypanosomiasis infection a significant contributor to global morbidity and mortality? Methods: Systematic review and meta-analyses. Methods: Studies were identified that described naturally occurring equine trypanosomiasis worldwide following 'Preferred R...
Ultrasound-guided versus blind intercostal nerve injection in equine cadavers.
Veterinary anaesthesia and analgesia    October 23, 2025   Volume 53, Issue 1 101147 doi: 10.1016/j.vaa.2025.10.003
Serighelli-Júnior G, Strugava L, de Oliveira Franco JD, Kulik K, Dornbusch PT, Machado M, Moreno JCD.To describe the detailed anatomy of the equine thoracoabdominal region and to compare the accuracy of ultrasound-guided versus blind intercostal nerve injection techniques, targeting the thoracic intercostal nerves (T12-T18) in equine cadavers. Methods: Randomized, blinded, cadaveric study. Methods: Eight fresh adult equine cadavers. Methods: Eight horse cadavers were used: one in phase I (436 kg; 4 years old) for anatomic landmarks identification and seven in phase II [420 (317-560 kg); 16 (3-22 years old) [median (minimum-maximum)] for comparative study. In phase I, dissections were performe...
Locomotory Profile, Heart Rate Variability, and Blood Parameters Reveal Adaptive Responses in Endurance Horses Trained on Deep Sand.
Veterinary sciences    October 23, 2025   Volume 12, Issue 11 1028 doi: 10.3390/vetsci12111028
Training on deep sand is commonly employed in endurance horses, but its physiological adaptation remains poorly characterized. This study aimed to characterize locomotor adaptations during a 7 km controlled-speed canter on deep sand in eighteen endurance horses, to identify heart rate variability (HRV) components, and to investigate changes in hematological variables before and after exercise. Stride frequency (SF) and stride length (SL), HRV, and hematological profiles were recorded during exercise and recovery with a fitness tracker. Associations between maximum speed and locomotor parameter...
Surgical stabilization of flail sternum and bilateral chest wall injury in an octogenarian after horse trampling injury.
Trauma surgery & acute care open    October 23, 2025   Volume 10, Issue 4 e001999 doi: 10.1136/tsaco-2025-001999
Tai JW, Ko B, Adams ME, Nobuhara CK, Knight AW, Forrester JD.No abstract available
Retrospective Analysis of Suspensory Ligament Branch Injuries in 70 Dressage Horses.
Animals : an open access journal from MDPI    October 23, 2025   Volume 15, Issue 21 3079 doi: 10.3390/ani15213079
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...
Identification and whole-genome characterization of a novel equine papillomavirus.
Virus genes    October 23, 2025   Volume 61, Issue 6 747-751 doi: 10.1007/s11262-025-02190-y
Blomström AL, Hansen S, Riihimäki M.Papillomaviruses (PVs) are small, non-enveloped viruses with double-stranded circular DNA genomes that infect a wide range of hosts, including mammals, birds, reptiles, and fish. While human papillomaviruses are extensively studied, recent advancements in high-throughput sequencing techniques have increased the detection and genetic characterization of PVs from various animal species. Here, we describe the identification and whole-genome characterization of a divergent equine papillomavirus (EcPV) detected through a viral metagenomic investigation of a horse in Denmark exhibiting neurological ...
Fetometry in Arabian horses.
Frontiers in veterinary science    October 23, 2025   Volume 12 1689769 doi: 10.3389/fvets.2025.1689769
Ali A, Derar DR, Alaeyeari AA, Alharbi YM.This study aimed to monitor intrauterine fetal growth, establish predictive equations for gestational age estimation, and determine the optimal period for fetal sexing in Arabian horses using ultrasonography. Unassigned: Seven Arabian mares were monitored from insemination to parturition using transrectal ultrasonography. The following fetal and embryonic parameters were measured: embryonic vesicle (EV), crown-rump length (CRL), biparietal diameter (BIP), stomach diameter (STD), chest depth (CHD), abdominal diameter (ABD), kidney length (KDL), eyeball diameter (EBD), and eye lens length (ELL)....
Understanding the roles of equine veterinary nursing teams in UK practices: A cross-sectional study.
The Veterinary record    October 22, 2025   Volume 197, Issue 10 e264-e270 doi: 10.1002/vetr.6021
Saul A, Pritchard P, Shrubb J, Robinson N, Stavisky J.Feeling undervalued, having limited opportunities to utilise clinical skills and lack of career progression have been identified as factors negatively affecting the job satisfaction and retention of small animal registered veterinary nurses (RVNs). The aim of this study was to explore the roles and activities of equine veterinary nurses, and the barriers and facilitators associated with their professional progression. Methods: An anonymous, cross-sectional online questionnaire was distributed to all RVNs and student veterinary nurses working with equids in VetPartners practices. The questions ...
Optimising Stallion Semen Cryopreservation: Preliminary Insights Into Pre-Centrifugation Extender Effects.
Reproduction in domestic animals = Zuchthygiene    October 22, 2025   Volume 60, Issue 10 e70135 doi: 10.1111/rda.70135
de Zutter BM, de Paula Freitas-Dell'Aqua C, Dell'Aqua-Junior JA, Monteiro GA, Troncarelli T, Papa FO.This study evaluated the effects of cholesterol, pentoxifylline and casein, with or without skim milk, added to extenders during pre-centrifugation on equine sperm cryosurvival. Seven ejaculates from four stallions (n = 28) were divided into four groups: SM (skim milk), SMP (SM + pentoxifylline), SMCho (SM + cholesterol) and ChoCa (cholesterol + casein). After centrifugation and freezing, sperm kinematics and plasma membrane integrity were assessed immediately and 30 min post-thaw. SMCho and ChoCa showed superior results compared with SM and SMP. These findings indicate that chol...
Equine adipose-derived stem cells modulate in vitro neutrophil extracellular trap release by polymorphonuclear neutrophils.
Frontiers in veterinary science    October 22, 2025   Volume 12 1685757 doi: 10.3389/fvets.2025.1685757
Salinas-Varas C, Espinosa G, Muñoz-Caro T, Conejeros I, Gärtner U, Fey K, Arnhold S, Taubert A, Hermosilla C.Neutrophil extracellular trap (NET) are thin and long web-like structures composed of DNA and antimicrobial proteins released by activated polymorphonuclear neutrophils (PMN) as part of the innate immune response. Adipose-derived stem cells (ADSCs) represent an accessible, abundant and minimal invasive source of mesenchymal stem cells (MSCs), with high regenerative potential, immunomodulatory and anti-inflammatory properties. Although recognized immunomodulatory properties of ADSCs, their interaction with PMN and their role on NET formation remains poorly characterized. The present study aimed...
Comparing the Performance of McMaster, FLOTAC and Mini-FLOTAC Techniques in the Diagnosis of Strongylid Infections in Two Horse Populations in Portugal.
Pathogens (Basel, Switzerland)    October 22, 2025   Volume 14, Issue 11 1075 doi: 10.3390/pathogens14111075
Varandas M, Lozano J, Agrícola R, Gomes L, Rosa T, Magalhães M, Lamas L, Rinaldi L, Oliveira M, Paz-Silva A, Madeira de Carvalho L.The diagnosis of gastrointestinal (GI) strongyle infections in equids is still mainly performed using quantitative coprological techniques, like the McMaster (McM), but more sensitive and precise techniques, like FLOTAC (FL) and Mini-FLOTAC (MF), have been proposed over the past 20 years. The present study aimed to compare the analytical performance of these three methods in the diagnosis of strongyle infections in horses. Between October 2023 and June 2024, 32 fecal samples were processed using the McM, FL and MF techniques to identify strongyles' eggs, estimate their shedding (eggs per gram ...
Integrated molecular and serological survey of Rhodococcus equi in horses from three regions of Kazakhstan.
Frontiers in veterinary science    October 21, 2025   Volume 12 1650186 doi: 10.3389/fvets.2025.1650186
Zanilabdin M, Ilgekbayeva G, Otarbayev B, Nissanova R, Mussayeva G, Takai S, Suzuki Y, Kakuda T, Kurman S, Kassymov Y, Valiyeva B. is a facultative intracellular pathogen causing bronchopneumonia in foals; data from Central Asia are limited. We conducted a cross-sectional serological and molecular survey in horses from three regions of Kazakhstan (Kyzylorda, Almaty, Akmola). Unassigned: Sera from 312 animals (272 adults, 40 foals) on 20 farms were tested by indirect ELISA. Selected clinical samples underwent culture, PCR, and 16S rRNA sequencing. Unassigned: Overall seroprevalence was 8.3% (26/312; 95% CI 5.8-11.9). Positivity among foals was 25.0% (10/40; 95% CI 14.2-40.2) versus 5.9% (16/272; 95% CI 3.7-9.3) in adults,...
Computed tomography features of the fetlock joint in elite racing Thoroughbred horses.
Equine veterinary journal    October 18, 2025   doi: 10.1111/evj.70106
Beck C, Hitchens PL, Muir P, Whitton RC.Computed tomography (CT) is increasingly used for metacarpo/tarsophalangeal or fetlock joint (MC/TPJ) evaluation in Thoroughbred racehorses. CT features and lesion prevalence in competing Thoroughbreds are unknown. Objective: To identify standing CT features within the MC/TPJ of elite Thoroughbred staying racehorses. Methods: Retrospective cohort study. Methods: Computed tomography scans of the MC/TPJ were performed as part of pre-race screening for fracture risk and graded for CT features. Descriptive statistics and univariable logistic regression models were generated to investigate associat...
Lectin Microarray-based Glycomics and Machine Learning Identify Shared Osteoarthritis Biomarkers in Humans, Dogs, and Horses.
bioRxiv : the preprint server for biology    October 17, 2025   2025.10.16.682971 doi: 10.1101/2025.10.16.682971
Peralta AG, Raeisimakiani P, Hayashi K, Mahal LK, Reesink HL.Post-traumatic osteoarthritis (PTOA) is a common sequela to joint injury in both humans and companion animal species such as horses and dogs. Despite the increasing prevalence of osteoarthritis (OA) in humans, investigation of glycosylation changes associated with OA remains in its infancy. Recent advances, such as lectin microarray analysis, now enable detailed glycan profiling in complex biofluids such as synovial fluid. Using lectin microarray technology, this study characterized glycosylation patterns in synovial fluid samples from healthy and OA-affected joints in horses, dogs, and humans...
Safety and efficacy of a feed additive consisting of an essential oil derived from the flowering aerial parts of Salvia rosmarinus Spenn. (rosemary oil) for use in all animal species (FEFANA asbl).
EFSA journal. European Food Safety Authority    October 17, 2025   Volume 23, Issue 10 e9685 doi: 10.2903/j.efsa.2025.9685
Villa RE, Azimonti G, Bonos E, Christensen H, Durjava M, Dusemund B, Gehring R, Glandorf B, Kouba M, López-Alonso M, Marcon F, Nebbia C, Pechová A....Following a request from the European Commission, EFSA was asked to deliver a scientific opinion on the safety and efficacy of an essential oil from the flowering aerial parts of Spenn. (rosemary oil) when used as a sensory additive in feed and in water for drinking for all animal species. Methyleugenol (< 0.039%) and estragole (< 0.027%) were detected in some batches of the additive. The EFSA Panel on Additives and Products or Substances used in Animal Feed (FEEDAP) concluded that the use of rosemary oil is very unlikely to induce adverse effects in long-living and reproductive ani...
Intraocular Tumors in Horses: Diagnosis, Tumor Classification, Oncologic Assessment and Therapy.
Veterinary sciences    October 17, 2025   Volume 12, Issue 10 1006 doi: 10.3390/vetsci12101006
Ostendarp C, Barton AK.Intraocular neoplasia in horses is rare and only few case reports and small case series exist. Intraocular neoplasia has various clinical signs and includes important differential diagnoses in ocular disease. This narrative review of the current literature aims to provide a clinically relevant overview and classification of intraocular tumors in horses and adds a comparative oncological perspective concerning diagnosis, treatment and future considerations. The available clinical and imaging examination techniques allow for a reliable and differentiated investigation of the tumor, even in the s...
Duration of continuous fetal gastrointestinal peristalsis before parturition in mares maintained at a breeding farm or in a university hospital.
Theriogenology    October 17, 2025   Volume 250 117716 doi: 10.1016/j.theriogenology.2025.117716
Roxon CA, Deacon LJ, Abraham M, Stefanovski D, Sertich PL.Gestation length is not a reliable indicator of fetal maturity due to the variability of normal gestation length in the mare. A standard method to accurately predict equine fetal maturity is not being used clinically. The presence of continuous gastrointestinal peristalsis, as detected ultrasonographically, is an indicator that both human and canine fetuses are mature (can survive after elective cesarean section). To determine if continuous gastrointestinal peristalsis, which we termed Phase 5, was a valid indicator of fetal maturity in the horse, and whether this indicator varied in late-gest...
Neutralisation of the Immunoglobulin-Cleaving Activity of Streptococcus equi Subspecies equi IdeE by Blood Sera from Ponies Vaccinated with a Multicomponent Protein Vaccine.
Vaccines    October 17, 2025   Volume 13, Issue 10 1061 doi: 10.3390/vaccines13101061
Righetti F, Hentrich K, Flock M, Frosth S, Jacobsson K, Bjerketorp J, Pathak A, Ido N, Henriques-Normark B, Frykberg L, Paillot R, Guss B, Wood T.... subspecies () is the cause of strangles, one of the most prevalent diseases of horses worldwide. The disease is characterised by fever and the formation of abscesses in the lymph nodes of the head and neck, which can restrict the airway. A multicomponent subunit vaccine, Strangvac, has been shown to effectively reduce clinical signs of strangles and to reduce its incidence. The aim of this study was to determine the immune response against the immunoglobulin-cleaving endopeptidase IdeE, a key protective component within the vaccine and the ability of antibodies to neutralize the proteolytic...
Expression pattern of the HIFα-family in equine chorioallantois during pregnancy and placental pathology.
Theriogenology    October 16, 2025   Volume 250 117714 doi: 10.1016/j.theriogenology.2025.117714
Boakari Y, El-Sheikh Ali H, Almeida GHDR, Scoggin KE, Fernandes CB, Marchio SP, Troedsson MHT, Carreira ACO.Equine placental dysfunction impairs fetal growth and disrupts pregnancy outcomes. Despite many advances in diagnosis, the molecular pathophysiology of equine placentitis and premature placental separation remains poorly understood. However, the hypoxia-inducible factor (HIF-α) pathway is related to placental hypoxia, and its modulation in placental diseases has been shown in other species. Therefore, we hypothesized that in conditions marked by equine placental dysfunction, oxygen deprivation in the chorioallantois membrane triggers the activation of the HIF-α pathway, which is related to m...
Analysis of Staphylococcal Diversity in the Skin Microbiota of Healthy Riding Horses.
Antibiotics (Basel, Switzerland)    October 16, 2025   Volume 14, Issue 10 1037 doi: 10.3390/antibiotics14101037
Wesołowska M, Szczuka E. In animals, staphylococci constitute a significant part of the normal skin microbiota and mucous membranes. There is limited information available on staphylococci isolated from healthy horses. These skin-associated bacteria can be easily transferred between animals and horse riders via direct contact. Patients undergoing hippotherapy (i.e., medical or therapeutic sessions with horses) are especially at risk of being colonized by horse skin-associated bacteria. However, it remains unclear whether equine skin is colonized by antimicrobial-resistant (AMR) opportunistic pathogens, which may be o...
Reliability of three scoring systems for assessing quality of anaesthetic induction in horses.
Equine veterinary journal    October 16, 2025   doi: 10.1111/evj.70103
Villalba-Díez M, Benavente-Sánchez L, Bustamante R, Santiago-Llorente I, Villalba-Orero M.Several induction quality scoring systems (IQSS) have been described to evaluate drugs and risk factors of this anaesthetic period in horses, but no attempts to compare their reliability have been performed. Objective: To elucidate the reliability of three IQSS: the visual analogue scale (VAS), a simple descriptive scale (SDS), and a composite grading scale (CGS) proposed by the authors. Methods: Reliability study. Methods: Eight randomly selected video-recorded anaesthetic inductions from horses that underwent general anaesthesia were evaluated twice by four blinded evaluators with experience...
Editorial: Advances in the application of technology for monitoring horse welfare and health.
Frontiers in veterinary science    October 16, 2025   Volume 12 1715133 doi: 10.3389/fvets.2025.1715133
Dalla Costa E, Bovo M.Flowchart illustrating interdisciplinary collaboration in animal research. A horse symbolizes the focus, with pathways connecting physiology, behavior, and environment to decision-making and regulatory indications. Data analysis, system understanding, and data interpretation lead to feedback and warning. Visual elements include sun, clouds, a light bulb, gears, and a graph.
Use of preoperative computed tomography (CT) to plan repair of comminuted fractures of the middle phalanx in six Warmblood horses: Configuration, treatment and long-term outcome.
Veterinary surgery : VS    October 15, 2025   Volume 54, Issue 8 1698-1710 doi: 10.1111/vsu.70039
Marcatili M, Kalinovskiy A, Christoph L.To describe the additional information provided by computed tomography (CT) in planning and assisting repair of comminuted fractures of the middle phalanx (MP) in Warmblood horses. Methods: Case series. Methods: Six adult Warmblood horses. Methods: The case records of horses undergoing CT examination prior to internal fixation of comminuted MP fractures were reviewed. All horses underwent radiographic and preoperative CT examination. A standardized fast protocol (SFP) to assess CT images was used. Surgical repair consisted of fracture repair and proximal interphalangeal joint arthrodesis using...
A national equine identification and traceability system for emergency preparedness and response in New Zealand.
New Zealand veterinary journal    October 15, 2025   1-14 doi: 10.1080/00480169.2025.2567646
Rosanowski SM, Milne H, Pearce P, McDonald N, Zobel G, McFadden A.An essential component of a timely response to a disaster event or disease outbreak is an accurate understanding of the population at risk, its location, and the owners' contact details. In equines, this can be achieved through individual identification, via microchipping, and the registration of these individuals in a centralised database. This review outlines the development by the New Zealand Equine Health Association (NZEHA) of a centralised database for equines in New Zealand, the National Equine Identification and Traceability (NEIT) system, which is built using Companion Animal New Zeal...
Efficacy of feed additives obtained from the leaves of Ginkgo biloba L.: Ginkgo tinctures for all animal species and ginkgo extract for horses, dogs, cats, rabbits and guinea pigs (FEFANA asbl).
EFSA journal. European Food Safety Authority    October 15, 2025   Volume 23, Issue 10 e9682 doi: 10.2903/j.efsa.2025.9682
Villa RE, Azimonti G, Bonos E, Christensen H, Durjava M, Dusemund B, Gehring R, Glandorf B, Kouba M, López-Alonso M, Marcon F, Nebbia C, Pechová A....Following a request from the European Commission, EFSA was asked to deliver a scientific opinion on the efficacy of feed additives obtained from the leaves of L.: ginkgo tinctures as sensory additives for all animal species and ginkgo extract as a sensory additive for horses, dogs, cats, rabbits and guinea pigs. In previous assessments, a sensory analysis of ginkgo extract was performed, which showed that aqueous solutions of ginkgo extract have an intense aroma, significantly different from plain water. No evidence was provided to show that the additives would impart flavour to a food or fee...
Controlling drug-resistant bacteria in Arabian horses: bacteriophage cocktails for treating wound infections.
Frontiers in veterinary science    October 15, 2025   Volume 12 1609955 doi: 10.3389/fvets.2025.1609955
Khalid E, Tartor YH, Ammar AM, Abdelaziz R, Mahmmod Y, Abdelkhalek A.Antimicrobial resistance is a major global health issue requiring a coordinated response. This study investigated for the first time the prevalence, antimicrobial resistance phenotypes of bacteria causing infections in Arabian horses, and the potential of bacteriophage therapy for wound treatment. One hundred clinical samples from infected Arabian horses, presenting respiratory disorders, diarrhea, abortion, wound, and ocular infection, were examined using direct sample multiplex PCR and phenotypic methods. Antimicrobial susceptibility testing of the recovered isolates was performed using pane...
Successful treatment of Rhodococcus equi P-type infection with subcutaneous abscessation in a foal.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    October 15, 2025   Volume 53, Issue 5 341-346 doi: 10.1055/a-2685-1094
Della Tommasa S, Gerlach K, Roth SP, Brehm W, Tönnies P, Zettl F, Pelli A. is a common causative agent of the septic arthritis, physitis, and osteomyelitis (SAPO) complex in foals, often resulting from hematogenous dissemination or perforating trauma. The early detection of osteomyelitis is challenging, and treatment has a guarded prognosis.A 3-month-old warmblood filly was presented with severe lameness, swelling, and palpable heat in the right cubital region. Ultrasonographic examination revealed signs suggestive of septic arthritis. Joint lavage and intra-articular injection of antibiotic were performed, but synovial swab cultures were sterile. Subsequently worse...