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Diagnosis and Surveillance of West Nile Virus Infection in Horses: Current Methods, Challenges, and Future Directions. West Nile virus (WNV) is a mosquito-borne flavivirus of growing importance for both human and equine health in Europe. Horses are highly susceptible to neurological disease and, because they share ecological exposure with humans, they represent valuable sentinels for detecting local viral circulation within a One Health framework. However, diagnosis of WNV infection in equines is complicated by the short and low-level viraemia, which limits the sensitivity of molecular assays, and by serological cross-reactivity with related flaviviruses and the confounding effects of vaccination. In this narr...
Relationship between prevalence and severity of exercise-induced pulmonary hemorrhage and environmental factors. Environmental risk factors could contribute to the development of exercise-induced pulmonary hemorrhage (EIPH) in racing Thoroughbreds. Objective: To identify environmental risk factors that might contribute to differences in EIPH prevalence and severity across 12 Thoroughbred racetracks in the United States. Methods: Eight hundred fifteen 2-year-old and 122 >2-year-old Thoroughbred racehorses. Methods: Prospective blinded observational study. Videoendoscopy was performed 30-60 min post-race. Three observers independently assigned an EIPH grade to each videorecording, and prevalence and se...
Impact of donor mare and stallion identity on the likelihood of pregnancy after transfer of in vitro produced embryos. The success of in vitro embryo production (IVEP) is influenced by donor mare and stallion. Objective: To determine whether donor mare and stallion influence the pregnancy rate after transfer of in vitro produced (IVP) blastocysts and to identify factors influencing the likelihood of obtaining one or more pregnancies from a single IVEP session. Methods: Retrospective clinical study. Methods: The influence of the following variables on pregnancy outcome was assessed in 2292 transfers of IVP blastocysts: speed of in vitro embryo development, embryo grade after thawing, age of the donor mare, blas...
Caudal esophageal achalasia in a Quarter Horse colt. Achalasia is the most common motility disorder of the esophagus in humans and has been diagnosed in cats and dogs. We describe a 4-month-old Quarter Horse colt with failure to thrive, recurrent colic episodes, and aspiration pneumonia, in which fluoroscopic evaluation identified a caudal esophageal motility disorder consistent with achalasia. Necropsy examination confirmed achalasia.
Effects of Head-Neck Position and Ground Surface on Gait Kinematics in Ridden Brazilian Criollo Horses. The Criollo horse is prized for its endurance, yet its specific biomechanical signatures remain under-researched. This study investigated diagonal dissociation and support patterns in eleven clinically sound Criollo horses to understand the influence of head and neck position (HNP), surface compliance, and morphometry. Using high-speed video (120 fps) and kinematic analysis, we found that diagonal dissociation occurred in 85.24% of hoof contacts, while HNP1 showed a higher frequency of positive (hindlimb-first) dissociation and HNP2 had a higher incidence of negative (forelimb-first) dissociat...
Targeted metabolomics reveals the impact of glucose and pyruvate on energy metabolism and storage potential of stallion spermatozoa. Oxidative phosphorylation is the main source of ATP for the stallion spermatozoa. Consequently, metabolites that favor mitochondrial function are receiving increased interest. However, glycolysis itself may be the major source of pyruvate and acetyl-CoA. Objective: To determine the contribution of glycolysis to feed the tricarboxylic acid cycle to generate the reducing equivalents for the electron transport chain. Methods: We stored stallion spermatozoa in the presence of different concentrations of glucose and pyruvate (1mM glucose /1mM pyruvate, 1mM glucose /10 mM pyruvate, 40 mM glucose / 1...
Synthetic progestin treatment alters cytokine expression and impairs vaccine response in horses. Altrenogest is commonly used in equine veterinary medicine for the control of estrus, behavioral modifications, and maintenance of pregnancy. Recent studies have found that altrenogest may impact aspects of the immune system, including altering cytokine production in circulation and within the reproductive tract. Therefore, we hypothesize that this alteration may lead to a deviated immune response to vaccination. Sixteen mares were divided into two groups, with ten mares (n = 10) receiving long-acting injectable altrenogest (100 mg/mL; IM) administered every 10 days, and six mares (n =...
Generation of equine-specific local antibiograms: reproductive tract of mares and fillies in Western Australia. Antimicrobial resistance (AMR) may lead to increasing inefficacy and treatment failure of bacterial infections in the future. Antimicrobial stewardship (AMS) programmes are critical to ensuring the continued efficacy of available antimicrobials. There is a lack of published evidence-based data on the susceptibility of isolates from common reproductive infections encountered in mares. This study aims to provide equine veterinarians in Western Australia (WA) with the most appropriate first-line empirical antimicrobials for infections of the mare reproductive tract. Methods: A retrospective study...
Physical vs. Behavioral Clinical Signs in Horses with Squamous and Glandular Gastric Ulcers. Equine Gastric Ulcer Syndrome is a highly prevalent condition, yet its clinical diagnosis remains challenging due to the nonspecific nature of many associated signs. The relationship between the anatomical location of gastric ulcers and clinical presentation is still poorly defined. This retrospective study aimed to evaluate the association between gastric ulcer location and the clinical signs observed in horses. Medical records of 52 horses diagnosed with gastric ulcers by gastroscopy were retrospectively reviewed. Clinical signs were classified as physical, behavioral, or mixed, and ulcer lo...
Septic Endophthalmitis Following Suprachoroidal Cyclosporine Implant Placement in Two Horses With Equine Recurrent Uveitis. This article presents the clinical and histopathological findings from two horses that developed severe postoperative complications following suprachoroidal procedures routinely employed in the management of equine recurrent uveitis (ERU). Case 1 was a 5-year-old warmblood stallion that initially received a unilateral suprachoroidal triamcinolone injection, followed later by bilateral suprachoroidal cyclosporine implant (CSI) placement. At 9 weeks postoperatively, the right eye (which had undergone both procedures) developed secondary glaucoma necessitating enucleation. Case 2 was a 14-year-ol...
Long-term clinical outcome of maxillofacial fractures in horses: A retrospective study of 30 cases (2020-2024). To assess long-term outcome, complications, and return to function in horses with maxillofacial fractures. Methods: Retrospective observational study. Methods: A total of 30 horses with skull fractures (2020-2024). Methods: Clinical records were reviewed for signalment, fracture characteristics, imaging, treatment, and hospitalization. Long-term outcome was obtained via structured owner questionnaires addressing healing, complications, cosmetic appearance, and performance. Descriptive statistics were applied. Results: A total of 29 of 30 horses received treatment (25 surgical, 4 conservative);...
Macroscopic comparison of open Metzenbaum and ultrasound-guided fasciotomy techniques for surgical treatment of the hindlimb proximal suspensory ligament desmopathy in horses: A cadaveric anatomical study. To macroscopically characterize and compare the open Metzenbaum (FOM) and ultrasound-guided (FUG) plantar fasciotomy techniques for decompression of the hindlimb proximal suspensory ligament (PSL), and to determine whether either approach induces intraligamentous splitting (ILS). Methods: Cadaveric experimental study. Methods: Paired hindlimbs from 10 adult horses with no history of hindlimb lameness. Methods: Each horse contributed one limb to FOM and the contralateral to FUG. All procedures were performed by a single surgeon, and incision measurements were obtained by a blinded examiner. Ski...
Comparison of Gut Microbiota and Metabolic Characteristics Between Miechongshu-Treated and Untreated Yili Horses. Anthelmintic treatment is widely used in equine health management to control parasitic infections; however, its potential effects on the gut microbiota and metabolic characteristics remain poorly understood. In this study, twelve Yili horses were randomly assigned to two groups: a control group (C), which received no anthelmintic treatment, and a Miechongshu-treated group (T), which was orally administered Miechongshu at a dose of 0.36 g/kg body weight on day 0. Fecal samples were collected from the rectums of Yili horses on day 14 after administration, and differences in gut microbial composi...
Assessing quality and passive range of motion in equine distal limb joints. To describe and demonstrate subjective and objective techniques for assessing the quality and passive range of motion (ROM) of the distal forelimb and hind limb joints of the horse. Special attention will be given to the tarsus, carpus, and fetlock joints, as these sites are most prone to injury and/or pathology and thus most clinically relevant. Unassigned: Adult horses undergoing distal limb joint ROM assessment for clinical diagnostic or treatment monitoring purposes. Unassigned: First, subjective techniques for assessing distal limb joint motion and end-feel as well as general guidelines f...
The 2025 outbreak of equine influenza among draft horses at Obihiro Racecourse, Hokkaido, Japan. In 2025, an outbreak of equine influenza occurred among draft horses at Obihiro Racecourse in Hokkaido, Japan. The number of horses showing clinical signs increased dramatically in April. The proportion affected was significantly higher in 2-year-olds than in older groups. The proportion that developed fever during the outbreak was significantly higher than that observed among Thoroughbreds during the 2007 outbreak. In non-epidemic periods, the geometric mean hemagglutination inhibition antibody titer of 2-year-old draft horses was significantly lower than that of 2-year-old Thoroughbreds. The...
Serum-free medium modulates the immunomodulatory and anabolic function of equine bone marrow-derived mesenchymal stromal cells. Adult bone marrow-derived mesenchymal stromal cells (BM-MSCs) hold significant therapeutic potential in human and veterinary medicine. Traditionally, BM-MSC cultures use fetal bovine serum (FBS) to promote growth, but this practice introduces batch variability and xenogeneic contamination that complicate clinical translation. While serum-free medium (SFM) alternatives have been optimized for human MSCs, limited options have been explored for alternative or veterinary species. Here, we compared a chemically defined, customizable SFM formulation with conventional serum-containing medium (SCM) fo...
Multi-state equine botulism outbreak in the United States linked to contaminated feed: an epidemiologic, clinicopathologic, and regulatory investigation. A multi-state outbreak of equine botulism occurred between December 2022 and March 2023 in the United States. Follow-up and testing were performed on 42 horses, including 24 that died or were euthanized in the outbreak that affected ~98 horses. Affected horses had all been exposed to the same commercial feed. Clinical signs included progressive muscle weakness and tremors, recumbency, and colic. No significant gross or microscopic abnormalities were observed on autopsy. Feces and gastrointestinal content were tested for various infectious agents, including botulinum toxin; fecal samples from 2...
Effects of various perineural analgesia techniques on decreasing experimentally-induced lameness of the equine metacarpophalangeal joint. Recent evidence has shown that perineural analgesia may be less specific than previously thought. Objective: To compare the effects of four distal limb perineural analgesia techniques on resolving synovitis-induced lameness of the equine metacarpophalangeal joint (MCPJ). Methods: Nine horses had one MCPJ injected with 75ng of recombinant equine interleukin-1β (reIL-1β). Ten hours later, horses underwent one of two blocking patterns: (1) a palmar digital (PDNB) followed by an abaxial sesamoidean (ASNB) nerve block or (2) a palmar metacarpal (PMNB) followed by a palmar (PaNB) nerve block. Skin...
Equine genital and ocular squamous cell carcinomas: clinical, histopathological, molecular and viral characterization with proposed histopathological classification system. Equine squamous cell carcinomas (eSCCs) are common, and a proportion are likely induced by papillomavirus 2 (EcPV-2). Accurate prediction of clinical outcomes is challenging with no recognized prognostic criteria or consistent histopathological classification scheme for eSCC. The aims of this study were to histopathologically subtype a large case series of eSCCs (genital and ocular) and correlate them with p16 and HER-2 expression, equine papillomavirus infection status, and various clinical and histopathological parameters to predict tumour behavior and prognosis. One hundred and eighty-five...
Cardiac arrhythmias during intense exercise in Thoroughbred racehorses: frequency and association with subsequent race performance. The frequency, characteristics, and relationship with performance of arrhythmias occurring during high-intensity exercise in Thoroughbred racehorses remain poorly understood. Objective: Describe the frequency, characteristics, and association with subsequent race performance of arrhythmias occurring during intense exercise. Methods: Seventy-one racehorses competing in races sanctioned by the Hong Kong Jockey Club. Methods: Risk-based case-control study. Single-lead ECGs were recorded during high-intensity trials using wearable devices. Ectopic depolarizations identified during warm-up, maximal...
Cervical extradural mast cell tumour in a 2-year-old Irish Sport Horse colt. A 2-year-old Irish Sport Horse colt presented with acute, severe and rapidly progressive neurological signs, arriving recumbent to the hospital. Ante-mortem diagnostics did not reveal the cause of the recumbency, and the colt was euthanized after treatment and supportive care did not result in clinical improvement. A cranial cervical extradural mast cell tumour with eosinophilic granulomas and secondary compressive myelopathy with axonal degeneration was diagnosed on post-mortem evaluation. No other masses or clinically relevant findings were present, suggesting a primary neoplasm. Neoplasia a...
[Cone beam computed tomography and cross-sectional anatomy of the carpal region in the horse]. Subject matter and objectiveThe aim of this study was to display clinically relevant anatomical structures of the carpal region in healthy horses with the help of cone beam computed tomography (CBCT).Materials and methods: Twenty-eight forelimbs from 15 adult horses without orthopedic diseases were examined. Following native CBCT examination a mixture of hyperattenuating contrast medium with blue epoxy resin dye was injected in the antebrachiocarpal joint and middle carpal joint and contrast-enhanced CBCT scans were also acquired. Subsequently, the limbs were frozen and sawed in different plan...
Preoperative risk assessment in horses: agreement and predictive value of CHARIOT (Combined Horse Anaesthetic Risk Identification and Optimisation Tool). To assess interobserver agreement and predictive value of the Combined Horse Anaesthetic Risk Identification and Optimisation Tool (CHARIOT) compared with the American Society of Anesthesiologists Physical Status (ASA-PS) classification system among five groups of evaluators with different levels of expertise, and to explore the association between risk scores and 7-day postoperative mortality. Methods: Prospective, observational, single-centre pilot study. Methods: A group of 50 client-owned horses. Methods: Each horse was assessed (ASA-PS and CHARIOT) before general anaesthesia by one evalua...
Anatomical description of the vertebrobasilar and carotid systems forming the cerebral arterial circle in the equine brain. The cerebral blood supply in horses is maintained by carotid and vertebrobasilar systems, which join the cerebral arterial circle to ensure continuous brain perfusion. This study aimed to comprehensively describe the origins, courses, and interconnections of the vertebrobasilar and carotid systems in the horse brain. Unassigned: Ten adult equine specimens were obtained from horses euthanized for non-neurological reasons. Following perfusion with 10% formaldehyde, colored latex was injected into the arterial system, and detailed dissections were performed to study major intracranial vessels. Un...
Molecular characterization of Anaplasmataceae in Turkmen horses (Akhal-Teke breed) and ticks in racetracks, Iran. Due to the abundance of ticks on open grassy surfaces, racetracks may represent ideal scenarios for tick-borne pathogens. Therefore, in 2024/2025 Turkmen horses (Akhal-Teke breed) and ticks collected by dragging in paddocks of Iran were screened for Anaplasmataceae using Sanger sequencing on 16S rRNA, TRP36 and dsb genes. Amongst 200 horses, 11 (5.5%) tested positive without signs/symptoms, being 8 (4%) for Ehrlichia canis and 3 (1.5%) for Anaplasma ovis; no difference in prevalence was found by gender and age (p>0.05). All ticks were identified as Hyalomma asiaticum and Haemaphysalis sulca...
Client-specific outcome measure for chronic osteoarthritis pain assessment in horses. Osteoarthritis (OA) is a prevalent cause of chronic pain and lameness in horses. Whereas lameness can be quantified using objective measures, the assessment of OA-associated pain remains challenging. This study aimed to evaluate the applicability of the Client-Specific Outcome Measure (CSOM), a tool widely used in small animals, for the assessment of chronic OA pain in horses through caretaker evaluation. Unassigned: Seventeen privately owned horses with confirmed OA were enrolled in a 20-week randomized, double-blind, placebo-controlled study. For each horse, three individual pain-related ind...
Sex determination and genetic screening of equine embryos with whole genome amplification and real-time PCR. Reliable pre-implantation sex determination and genetic screening enables informed embryo transfer decisions in equine breeding while avoiding later interventions. We developed a streamlined workflow that couples rapid whole genome amplification (WGA) with a multiplex real-time PCR targeting ETSTY5 as a Y-specific marker and UBC as an autosomal control. On purified equine DNA, sex was correctly assigned down to 10 pg gDNA and to a single fibroblast cell. Direct testing of embryo biopsies without WGA yielded inconsistent results, whereas introducing a short WGA step produced tight allelic-discr...
Comparative hematological and physiological responses to ground and pool training in Colombian Paso Horses. Exercise training causes physiological and hematological changes that are crucial for enhancing athletic performance in horses. While these responses have been extensively studied in various equine breeds, there is limited information regarding Colombian Paso Horses (CPH), especially concerning the comparative effects of different training methods. Ground-based training is frequently used to improve gait and speed, whereas aquatic exercise has become an alternative conditioning approach that lessens musculoskeletal stress. However, the physiological responses related to these training modaliti...
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