Objective—To determine the effects of treatment with platelet- and leukocyte-rich plasma (PRP) on future 2-, 3-, and 4-year-old racing performance of yearling Thoroughbreds with proximal sesamoid bone inflammation and associated suspensory ligament branch (SLB) desmitis.
Design—Randomized clinical trial.
Animals—39 yearling Thoroughbreds.
Procedures—Yearling Thoroughbreds with radiographic evidence of performance-limiting proximal sesamoid bone inflammation and ultrasonographic evidence of associated SLB desmitis were identified and randomly assigned to undergo PRP (treatment group) or saline (0.9% NaCl) solution (control group) injection at the affected SLB-proximal sesamoid bone junction. Race records of horses for the 2-, 3-, and 4-year-old racing years were obtained. Data regarding amount of money earned and number of races started were used as outcome measures, and results for groups were compared.
Results—Horses treated with PRP were significantly more likely to start at least 1 race during the 2-year-old racing year than were horses treated with saline solution; no significant differences were detected between groups regarding that variable for the 3- and 4-year-old racing years. No significant differences between groups were detected regarding earnings for any racing year.
Conclusions and Clinical Relevance—Although PRP-treated horses were more likely to start a race during the 2-year-old racing year versus control group horses, results for horses in each group were not significantly different for the 3- and 4-year-old racing years. Therefore, the PRP treatment protocol evaluated in this study did not seem to improve future racing performance of yearling Thoroughbreds with proximal sesamoid bone inflammation and associated SLB desmitis, compared with injection of saline solution.
Objective—To quantify the number of horses with Corynebacterium pseudotuberculosis infection identified in the United States from January 2003 through December 2012.
Sample—State veterinary diagnostic laboratory records of 2,237 C pseudotuberculosis culture-positive samples from horses.
Procedures—44 state veterinary diagnostic laboratories throughout the United States were invited by mail to participate in the study. Data requested included the number of C pseudotuberculosis culture-positive samples from horses identified per year, geographic location from which the C pseudotuberculosis culture-positive sample was submitted, month and year of sample submission, breed and age of horses, and category of clinical manifestation (ie, internal infection, external infection, or ulcerative lymphangitis).
Results—Of the 44 invited laboratories, 15 agreed to participate and provided data on affected horses from 23 states. The proportion of C pseudotuberculosis culture-positive samples submitted during 2011 through 2012 (1,213/2,237 [54%]) was significantly greater than that for the period from 2003 through 2010 (1,024/2,237 [46%]). Corynebacterium pseudotuberculosis was recovered from horses in states where the disease has not been previously recognized as endemic. Affected horses were identified year-round. The greatest proportion of C pseudotuberculosis culture-positive samples was identified during November, December, and January (789/2,237 [35%]). No significant association between the clinical form of disease and age or breed of horse was observed.
Conclusions and Clinical Relevance—The occurrence of C pseudotuberculosis infection in horses increased during the 10-year period, and affected horses were identified throughout the United States. Further studies to determine changes in annual incidence and to identify potential changing climatic conditions or vector populations associated with disease transmission are warranted to help control the occurrence and spread of C pseudotuberculosis infection in horses.
Objective—To compare bony changes in the metacarpophalangeal joint (MCPJ) of racehorses with (cases) and without (controls) biaxial proximal sesamoid bone (PSB) fracture as determined by 2 grading scales applied to images of cadaveric forelimbs obtained by means of standing MRI (sMRI).
Sample—Forelimbs from 74 Thoroughbred racehorses (21 cases and 53 controls) that were euthanized at a Florida racetrack.
Procedures—Both forelimbs were harvested from cases and controls. Each forelimb underwent sMRI to obtain images of the MCPJ. Two grading scales were described and used for image evaluation; one assessed the density of the PSBs, and the other assessed the integrity of the subchondral bone (SCB) plate at the distopalmar aspect of the third metacarpal bone (MC3). Logistic regression was used to compare the grades between case and control limbs.
Results—Biaxial PSB fracture was associated with a total PSB grade (sum of lateral and medial PSB grades) ≥ 5 for the fractured limb, total MC3 SCB grade (sum of lateral and medial MC3 SCB grades) ≥ 5 for the contralateral limb, and the presence of orthopedic disease in the contralateral MC3.
Conclusions and Clinical Relevance—For cases with biaxial PSB fracture, the density of the PSBs in the affected limb was greater and the MC3 of the contralateral limb was more likely to have orthopedic disease, compared with those for controls. Further evaluation of sMRI as a screening tool for identification of racehorses at risk of biaxial PSB fracture is warranted. (J Am Vet Med Assoc 2015;246:661–673)
OBJECTIVE To describe the chief complaints by owners and the types and prevalences of musculoskeletal problems associated with lameness or poor performance in cutting horses.
DESIGN Retrospective case series.
ANIMALS 200 client-owned cutting horses examined at the Texas A&M University Veterinary Medical Teaching Hospital between January 1, 2007, and December 31, 2015, because of lameness or poor performance.
PROCEDURES Medical records were reviewed, and data were collected regarding signalment, history, findings on physical and lameness examinations, results of diagnostic procedures performed, diagnosis, and treatment. Distribution of observed proportions of forelimb and hind limb involvement was compared with a hypothetical distribution of 50% by means of a χ2 test.
RESULTS More horses were examined because of a recent decrease in performance (116/200 [58%]) than for lameness (84 [42%]). All horses had at least 1 lame limb, with lameness affecting a total of 281 limbs. Of the 281 lame limbs, 189 (67%) were hind limbs and 92 (33%) were forelimbs. These proportions were substantially different from a hypothetical distribution of 50% hind limbs and 50% forelimbs. The most common performance change was that horses would not reverse direction to follow prespecified individual cattle, and the most common cause of lameness was pain localized to the stifle joint region (69 [35%]).
CONCLUSIONS AND CLINICAL RELEVANCE Cutting horses sustained more hind limb than forelimb musculoskeletal problems, and although these horses were more likely to be examined for decreased performance than lameness, veterinarians should be vigilant for problems affecting the stifle joint region.
Objective—To determine whether mares are a clinically important source of Rhodococcus equi for their foals.
Sample Population—171 mares and 171 foals from a farm in Kentucky (evaluated during 2004 and 2005).
Procedures—At 4 time points (2 before and 2 after parturition), the total concentration of R equi and concentration of virulent R equi were determined in fecal specimens from mares by use of quantitative bacteriologic culture and a colony immunoblot technique, respectively. These concentrations for mares of foals that developed R equi–associated pneumonia and for mares with unaffected foals were compared. Data for each year were analyzed separately.
Results—R equi–associated pneumonia developed in 53 of 171 (31%) foals. Fecal shedding of virulent R equi was detected in at least 1 time point for every mare; bacteriologic culture results were positive for 62 of 171 (36%) mares at all time points. However, compared with dams of unaffected foals, fecal concentrations of total or virulent R equi in dams of foals with R equi–associated pneumonia were not significantly different.
Conclusions and Clinical Relevance—Results indicate that dams of foals with R equi–associated pneumonia did not shed more R equi in feces than dams of unaffected foals; therefore, R equi infection in foals was not associated with comparatively greater fecal shedding by their dams. However, detection of virulent R equi in the feces of all mares during at least 1 time point suggests that mares can be an important source of R equi for the surrounding environment.
Objective—To determine the pharmacokinetics of gallium maltolate (GaM) after intragastric administration in healthy foals.
Animals—6 healthy neonatal foals.
Procedures—Each foal received GaM (20 mg/kg) by intragastric administration. Blood samples were obtained before (time 0) and at 0.25, 0.5, 1, 2, 4, 8, 12, 24, 36, and 48 hours after GaM administration for determination of serum gallium concentrations by use of inductively coupled plasma mass spectroscopy.
Results—Mean ± SD pharmacokinetic variables were as follows: peak serum gallium concentration, 1,079 ± 311 ng/mL; time to peak serum concentration, 4.3 ± 2.0 hours; area under the serum concentration versus time curve, 40,215 ± 8,420 ng/mL/h; mean residence time, 39.5 ± 17.2 hours; area under the moment curve, 1,636,554 ± 931,458 ng([h]2/mL); and terminal half-life, 26.6 ± 11.6 hours. The mean serum concentration of gallium at 12 hours was 756 ± 195 ng/mL.
Conclusions and Clinical Relevance—Gallium maltolate administered via nasogastric tube at a dose of 20 mg/kg to neonatal foals resulted in gallium serum concentrations considered sufficient to suppress growth or kill Rhodococcus equi in macrophages and other infected tissues.
Objective—To evaluate the use of sucrose permeability
testing to detect ulcers in the gastric squamous
mucosa of horses.
Animals—13 adult horses ranging from 5 to 19 years
Procedure—Following induction of gastric ulcers by
intermittent feed deprivation, horses underwent
sucrose permeability testing (administration of
sucrose by nasogastric intubation followed by collection
of urine at 2 and 4 hours after intubation) and gastric
endoscopy. Squamous ulcers were assigned a
severity score (range, 0 to 3) by use of an established
scoring system. Horses were subsequently administered
omeprazole for 21 days, and sucrose testing
and endoscopy were repeated. Pair-wise comparisons
of urine sucrose concentration were made
between horses with induced ulcers before and after
omeprazole treatment. Urine sucrose concentrations
also were compared on the basis of ulcer severity
Results—Urine sucrose concentrations and ulcer
severity scores were significantly higher in horses
with induced ulcers before omeprazole treatment
than after treatment. Urine sucrose concentrations
were significantly higher for horses with ulcer severity
scores > 1. Use of a cut-point value of 0.7 mg/mL
revealed that the apparent sensitivity and specificity
of sucrose permeability testing to detect ulcers with
severity scores > 1 was 83% and 90%, respectively.
Results were similar after adjusting sucrose concentrations
for urine osmolality.
Conclusions and Clinical Relevance—Urine sucrose
concentration appears to be a reliable but imperfect
indicator of gastric squamous ulcers in horses.
Sucrose permeability testing may provide a simple,
noninvasive test to detect and monitor gastric ulcers
in horses. ( Am J Vet Res 2004;65:31–39)
Objective—To determine the importance of iron for
in vitro growth of Rhodococcus equi, define potential
iron sources in the environment and mechanisms by
which R equi may obtain iron from the environment,
and assess expression and immunogenicity of
Sample Population—10 virulent and 11 avirulent
strains of R equi.
Procedure—In vitro growth rates and protein patterns
of R equi propagated in media with normal,
excess, or limited amounts of available iron were
compared. Immunoblot analyses that used serum
from foals naturally infected with R equi and monoclonal
antibody against virulence-associated protein
(Vap)A were conducted to determine immunogenicity
and identity of expressed proteins.
Results—Excess iron did not alter growth of any
R equi strains, whereas growth of all strains was significantly
decreased in response to limited amounts
of available iron. Virulent R equi were able to use iron
from ferrated deferoxamine, bovine transferrin, and
bovine lactoferrin. Only virulent R equi expressed an
iron-regulated, immunogenic, surface-associated protein
identified as VapA.
Conclusions and Clinical Relevance—Iron is
required for the growth and survival of R equi.
Sources of iron for R equi, and mechanisms by which
R equi acquire iron in vivo, may represent important
virulence factors and novel targets for the development
of therapeutic and immunoprophylactic strategies
to control R equi infection in foals. Expression of
VapA is substantially upregulated when there is a limited
amount of available iron. (Am J Vet Res 2003;64:1337–1346)
Objective—To determine factors associated with
development of postoperative ileus (POI) in horses
undergoing surgery for colic.
Design—Prospective case-control study.
Animals—251 horses undergoing colic surgery, of
which 47 developed POI.
Procedure—Signalment, history, clinicopathologic
data, pre- and postoperative treatments, lesions,
complications, costs, and outcome were recorded for
all horses during hospitalization.
Results—Variables associated with increased odds of
POI included small intestinal lesion, high PCV, and
increased duration of anesthesia. There was modest
evidence that pelvic flexure enterotomy and intraoperative
administration of lidocaine may have reduced
the odds of developing POI.
Conclusions and Clinical Relevance—Findings during
the preoperative and intraoperative periods can be used
to identify horses at increased risk of POI. Reducing surgical
and anesthetic duration should decrease the incidence
of POI. ( J Am Vet Med Assoc 2004;225:
Objective—To determine whether administration of
killed West Nile virus vaccine was associated with
pregnancy loss among broodmares.
Design—Retrospective cohort study.
Procedure—Records of pregnant mares with known
vaccination history from 4 farms were reviewed.
Information obtained from 595 mares included mare's
identification; farm; age; breed; reproductive status;
last breeding date; date last known pregnant; vaccination
date; age of conceptus at vaccination; vaccination
during the early embryonic, early fetal, and late fetal
periods; and whether an early embryonic death (EED),
early fetal loss (EFL), or late fetal loss (LFL) occurred.
The relationships between the dichotomous outcomes
of loss (eg, EED, EFL, LFL) and independent categoric
variables (eg, vaccination during the early embryonic,
early fetal, or late fetal periods) were examined.
Results—Vaccination of pregnant mares during any
period of gestation was not associated with increased
incidence of pregnancy loss.
Conclusions and Clinical Relevance—Many mares
are already pregnant at the onset of mosquito season,
when mares are more likely to be vaccinated than at
other times. Our findings provide evidence that vaccine
administration will not compromise pregnancy in
horses. (J Am Vet Med Assoc 2004;225:1894–1897)