Analyze Diet

Candida osteomyelitis in a gelding.

Abstract: A 2-year-old gelding was referred for evaluation of severe right forelimb lameness. The horse was grade 4/5 lame on the right forelimb. Clinical, laboratory, and radiographic findings were consistent with septic arthritis and osteomyelitis. Due to poor prognosis the owner elected euthanasia. Histopathology confirmed chronic arthritis and osteomyelitis with intralesional yeast (Candida species). Ostéomyélite àCandidachez un hongre. Un hongre âgé de 2 ans a été référé pour l’évaluation d’une boiterie grave du membre antérieur droit. Le cheval avait une boiterie de stade 4/5 du membre antérieur droit. Les constatations cliniques ainsi que les résultats de laboratoire et des radiographies étaient conformes à l’arthrite septique et à l’ostéomyélite. En raison d’un pronostic sombre, le propriétaire a choisi l’euthanasie. L’histopathologie a confirmé l’arthrite chronique et l’ostéomyélite avec des levures intralésionnelles (espèce Candida).(Traduit par Isabelle Vallières).
Publication Date: 2013-08-02 PubMed ID: 23904643PubMed Central: PMC3552598
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Case Reports
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The study details the case of a 2-year-old gelding horse suffering from severe lameness in its right forelimb caused by infectious arthritis and Candida osteomyelitis, which led to euthanasia due to the poor prognosis.

Case Overview

  • The research revolves around a 2-year-old gelding horse referred for examination due to severe lameness in its right forelimb. The severity of lameness was classified as grade 4/5, which indicated the horse was very lame.

Clinical, Laboratory, and Radiographic Findings

  • The researchers used clinical analysis, laboratory testing, and radiography to identify the issues plaguing the horse. The data obtained from these investigations pointed to septic arthritis and osteomyelitis as the cause of the lameness.
  • Septic arthritis is a severe joint condition triggered by a bacterial or fungal infection, whereas osteomyelitis is an infection and inflammation of the bone marrow, often caused by bacteria or fungi. In this case, both conditions were attributed to Candida species, a type of yeast.

Outcome and Diagnosis

  • The gelding’s severe health conditions and the poor prognosis led the owner to opt for euthanasia, a decision often made when there is minimal or no chance of recovery, coupled with significant suffering.
  • Posthumous histopathology tests confirmed the earlier findings of chronic arthritis and osteomyelitis and further revealed the presence of intralesional yeast, substantiating the causative role of Candida species in the stated conditions.

Significance

  • This case study underscores the severe implications of fungal infections in equine bone health, particularly highlighting Candida-induced arthritis and osteomyelitis.
  • The findings can guide veterinary practitioners in diagnosis and treatment measures for similar conditions in future cases.

Cite This Article

APA
Doyle A, López A, Pack L, Muckle A. (2013). Candida osteomyelitis in a gelding. Can Vet J, 54(2), 176-178.

Publication

ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 54
Issue: 2
Pages: 176-178

Researcher Affiliations

Doyle, Aimie
  • Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, 550 University Ave. Charlottetown, Prince Edward Island C1A 4P3.
López, Alfonso
    Pack, LeeAnn
      Muckle, Anne

        MeSH Terms

        • Animals
        • Arthritis, Infectious / microbiology
        • Arthritis, Infectious / pathology
        • Arthritis, Infectious / veterinary
        • Candidiasis / pathology
        • Candidiasis / veterinary
        • Horse Diseases / microbiology
        • Horse Diseases / pathology
        • Horses
        • Male
        • Metacarpal Bones / microbiology
        • Metacarpal Bones / pathology
        • Osteomyelitis / microbiology
        • Osteomyelitis / veterinary

        References

        This article includes 10 references
        1. Fleming L, Ng A, Paden M, Stone P, Kruse D. Fungal osteomyelitis of calcaneus due to Candida albicans: a case report.. J Foot Ankle Surg 2012 Mar-Apr;51(2):212-4.
          pubmed: 22064126doi: 10.1053/j.jfas.2011.07.007google scholar: lookup
        2. Kaldau NC, Brorson S, Jensen PE, Schultz C, Arpi M. Bilateral polymicrobial osteomyelitis with Candida tropicalis and Candida krusei: a case report and an updated literature review.. Int J Infect Dis 2012 Jan;16(1):e16-22.
          pubmed: 22129759doi: 10.1016/j.ijid.2011.10.001google scholar: lookup
        3. Arias F, Mata-Essayag S, Landaeta ME, Capriles CH, Pérez C, Núñez MJ, Carvajal A, Silva M. Candida albicans osteomyelitis: case report and literature review.. Int J Infect Dis 2004 Sep;8(5):307-14.
          pubmed: 15325600doi: 10.1016/j.ijid.2003.12.006google scholar: lookup
        4. García ME, Blanco JL. [Mycoses in domestic animals].. Rev Iberoam Micol 2000 Mar;17(1):S2-7.
          pubmed: 15762776
        5. Riley CB, Yovich JV, Robertson JP, O'Hara FL. Fungal arthritis due to infection by Candida famata in a horse.. Aust Vet J 1992 Mar;69(3):65-6.
        6. Grubb SE, Murdoch C, Sudbery PE, Saville SP, Lopez-Ribot JL, Thornhill MH. Candida albicans-endothelial cell interactions: a key step in the pathogenesis of systemic candidiasis.. Infect Immun 2008 Oct;76(10):4370-7.
          pmc: PMC2546854pubmed: 18573891doi: 10.1128/IAI.00332-08google scholar: lookup
        7. Radovanovic I, Mullick A, Gros P. Genetic control of susceptibility to infection with Candida albicans in mice.. PLoS One 2011 Apr 20;6(4):e18957.
        8. Wahyuningsih R, Freisleben HJ, Sonntag HG, Schnitzler P. Simple and rapid detection of Candida albicans DNA in serum by PCR for diagnosis of invasive candidiasis.. J Clin Microbiol 2000 Aug;38(8):3016-21.
        9. Madison JB, Reid BV, Raskin RE. Amphotericin B treatment of Candida arthritis in two horses.. J Am Vet Med Assoc 1995 Feb 1;206(3):338-41.
          pubmed: 7751243
        10. Sherman KM, Myhre GD, Heymann EI. Fungal osteomyelitis of the axial border of the proximal sesamoid bones in a horse.. J Am Vet Med Assoc 2006 Nov 15;229(10):1607-11.
          pubmed: 17107317doi: 10.2460/javma.229.10.1607google scholar: lookup

        Citations

        This article has been cited 3 times.
        1. González-Martín M, Silva V, Poeta P, Corbera JA, Tejedor-Junco MT. Microbiological aspects of osteomyelitis in veterinary medicine: drawing parallels to the infection in human medicine. Vet Q 2022 Dec;42(1):1-11.
          doi: 10.1080/01652176.2021.2022244pubmed: 34936853google scholar: lookup
        2. Stefanetti V, Marenzoni ML, Lepri E, Coletti M, Casagrande Proietti P, Agnetti F, Crotti S, Pitzurra L, Del Sero A, Passamonti F. A case of Candida guilliermondii abortion in an Arab mare. Med Mycol Case Rep 2014 Apr;4:19-22.
          doi: 10.1016/j.mmcr.2014.02.003pubmed: 24707460google scholar: lookup
        3. Neira-Egea P, Alamar Malvoisin C, de la Cuesta-Torrado M, Bautista-Erler C, Vitale V, Jolly S, Cesarini C. Gastric Candidiasis in Five Horses: A Case Series. Microorganisms 2025 Jul 25;13(8).