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Peer-reviewed veterinary case report

Horse very tired with swelling - what is hypertrophic cardiomyopathy?

By Cullimore, A M et al.·Published in Australian veterinary journal·2018·College of Veterinary Medicine, Australia·View original on PubMed

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Original publication title: Hypertrophic cardiomyopathy in a Clydesdale gelding.

Species:
horse
Stomach & digestionHorses

Plain-English summary

A 7-year-old Clydesdale gelding was brought to a veterinarian because he was becoming very tired and had swelling in his belly. After receiving antibiotics, he also started having diarrhea. Tests and imaging showed that he had a heart condition called hypertrophic cardiomyopathy (a thickening of the heart muscle), which was made worse by the antibiotics. Unfortunately, his condition worsened, leading to the difficult decision of euthanasia, and the diagnosis was confirmed after he passed away.

Abstract

CASE REPORT: A 7-year-old Clydesdale gelding was referred with a history of progressive lethargy and ventral oedema. The horse developed diarrhoea after treatment with antibiotics by the referring veterinarian. History, clinical signs, imaging and laboratory findings were consistent with hypertrophic cardiomyopathy complicated by antibiotic-associated colitis. Progression of clinical signs prompted euthanasia and the antemortem diagnosis of hypertrophic cardiomyopathy was confirmed at postmortem examination. CONCLUSION: Primary HCM is reported as rare in horses, but specific descriptions are lacking. The history, clinical, laboratory and postmortem findings in this case supported a diagnosis of HCM, complicated by antibiotic-associated colitis.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/29707777/