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  • Author or Editor: Ed D. Voss x
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Objective—To determine the seroprevalence of antibodies against Coccidioides immitis in healthy horses residing in an area in which the organism is endemic.

Design—Prospective study.

Animals—197 healthy horses (in which coccidioidomycosis had not been previously diagnosed) that resided in an area of Arizona in which coccidioidomycosis is endemic.

Procedure—Of the horses evaluated at the Arizona Equine Medical and Surgical Center during a 6-month period, 197 with no clinical signs of coccidioidomycosis were randomly selected for inclusion in the study; sera were evaluated for IgM and IgG antibodies against C immitis via an immunodiffusion assay (IgGpositive samples were assessed quantitatively). Within 6 months, recheck titer evaluations were attempted for all seropositive horses.

Results—Serum antibodies against C immitis were detected in 8 of 197 horses (seroprevalence, 4.06%). Results of serologic assays were positive for IgG antibodies and negative for IgM antibodies in 7 horses and positive for both IgG and IgM antibodies in 1 horse; reciprocal serum IgG antibody titers were low (none > 8). Follow-up serologic data were obtained from 5 horses; compared with initial findings, horses had become seronegative or titers were unchanged or decreased. Duration of residence in the area was significantly shorter for seropositive horses than for seronegative horses.

Conclusions and Clinical Relevance—Serum antibodies against C immitis may rarely be detected in healthy horses residing in an area in which the disease is endemic; any horse with a detectable serum antibody titer should be reevaluated after an interval of at least 3 weeks. (J Am Vet Med Assoc 2005;226:1888–1892)

Full access
in Journal of the American Veterinary Medical Association


Objective—To determine clinical outcome following intrathecal injection of the podotrochlear (navicular) bursa for signs of foot pain in horses evaluated via magnetic resonance imaging (MRI) and evaluate efficacy of corticosteroids administered with or without hyaluronate.

Design—Retrospective case series.

Animals—23 horses.

Procedures—Data collected included signalment, history, intended use, duration and severity of lameness, results of diagnostic anesthesia, radiographic abnormalities, MRI abnormalities, and outcomes for return to use.

Results—MRI was conducted on 23 horses with lameness localized to the foot. Thirteen horses had bilateral forelimb lameness, and 10 had unilateral forelimb lameness. Mean duration of lameness was 10.5 months. Seventeen of 23 (74%) horses had excellent outcomes and returned to intended use within 2 to 4 weeks after navicular bursa injection. Hyaluronate treatment was not associated with outcome; however, horses receiving < 10 mg of trimacinolone had significantly worse outcomes than those treated with hyaluronate. Among horses with excellent outcomes, mean duration of soundness was 7.3 months. Seven of 8 horses with erosive lesions of the flexor surface of the distal sesamoid (navicular) bone diagnosed via MRI had a poor outcome. Horses with navicular bursitis responded optimally to injection, compared with horses with other problems.

Conclusions and Clinical Relevance—Results suggested that intrathecal injection of corticosteroid in horses with erosions of the flexor surface of the navicular bone associated with deep digital flexor tendon adhesions yielded a poor response. Treatment of horses with navicular bursitis via injection of the navicular bursa should be highly effective in alleviating lameness.

Full access
in Journal of the American Veterinary Medical Association