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A 13-year-old Thoroughbred gelding was referred to the Texas Veterinary Medical Center, Texas A&M College of Veterinary Medicine and Biomedical Sciences, for echocardiographic evaluation. The horse had been hospitalized at the referring veterinarian's clinic for approximately 1 week for fever, tachycardia, limb edema, and lethargy Results of a CBC revealed marked leukocytosis (20,390 WBCs/μL; reference range, 5,400 to 14,300 WBCs/μL). Treatment included antimicrobials, glucocorticoids, and NSAIDs. The sudden onset of a loud right-sided heart murmur prompted referral for further evaluation. At the time of admission, the horse was quiet and alert and afebrile, with mild sinus tachycardia (heart rate,

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in Journal of the American Veterinary Medical Association