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Peer-reviewed veterinary case report

Diagnosis and management of placentitis with severe funisitis in a multiparous Warmblood mare.

Journal:
Journal of equine veterinary science
Year:
2024
Authors:
Bernard, M et al.
Affiliation:
Department of Clinical Sciences · United States
Species:
horse

Plain-English summary

A 8-year-old Dutch Warmblood mare, who has had multiple pregnancies, was brought in for routine care before giving birth. She had been exposed to a virus called EHV-1 and was found to have placentitis, which is an infection of the placenta that can lead to pregnancy complications. Despite showing clear signs of this condition, tests did not show active inflammation in the placenta itself, but there was a serious infection in the umbilical cord. The mare successfully delivered a healthy foal, and while the tests for infection were not helpful, the case highlights the importance of early diagnosis and careful management of placentitis. Overall, the treatment was effective, resulting in a successful delivery.

Abstract

Placentitis is an important cause of reproductive losses in the equine industry. Many cases of clinical placentitis are not diagnosed until late in the course of the disease, and for this reason there is variability in the timing of intervention, diagnostic measurements, and treatment protocols. An 8-year-old multiparous Dutch Warmblood mare that was recently exposed to EHV-1 in the herd of origin presented for routine foaling management. Placentitis was diagnosed upon intake, and medical treatment was initiated. The mare delivered a term foal, and diagnostics for infectious etiology were unrewarding. While there were obvious clinical signs supporting a diagnosis of placentitis, histopathologic examination did not reveal active inflammatory lesions in the chorioallantois; however, severe funisitis was present. This report reviews early diagnosis and management of placentitis, demonstrates an array of classic and subtle pathologic lesions seen on microscopic examination, and discusses pathophysiology of placentitis.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/38697371/