About Fever in Horses
Reasons why horses may experience elevated body temperature
In horses, elevated core body temperature (greater than 101.5°F) is the result of either hyperthermia or pyrexia (fever). Hyperthermia conditions include exercise-related hyperthermia, heat stroke, and reactions to certain toxins or drugs. In general, these conditions do not respond to antipyretic drugs.1
In a true fever, the set point for the physiologic core body temperature increases as a response to infection or inflammation. Although there are documented benefits of fever in many disease processes, managing fever also has benefits, particularly in the horse.1
Fever takes valuable energy
Nutrition is an important part of managing and treating sick horses. Fever increases caloric needs of horses, and inadequate nutrition may result in impaired immune system function, delayed wound or fracture healing, and/or muscle wasting.2
Fever can have serious secondary effects
Managing fever in a sick horse is important to help offset potential negative sequelae, including weakness, muscle wasting, and weight loss.1
Well-documented secondary effects of fever can include anorexia and decreased water intake, which may be associated with gastrointestinal impactions.1,3,4,5
Common causes of fever in horses
Fever is a clinical sign commonly associated with various underlying infectious and non-infectious diseases in the horse. Transportation of horses often results in fever, with incidence increasing with greater travel time and distances. One study showed fever occurred in 47.2% of clinically normal horses with no prior history of respiratory disease following transport.6
Diseases that may present with fever as a clinical sign include:
• Pneumonia/Pleuropneumonia7
• Acute diarrhea8
• Duodenitis/Proximal jejunitis8
• Internal infections10
These diseases are often associated with endotoxemia, a risk factor for sequelae including alminitis.11
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