Equine podiatry

Thrush

Dr. F Tóth notes

Definition

Thrush -Degenerative condition of frog & surrounding tissues caused by infection with keratolytic organisms

Etiology

Fusobacterium necrophorum appears to be the most important organism. This opportunistic organism can thrive with poor sanitation or persistent wet conditions. External risk factors include sole pads that keep the sole moist, confinement and muddy paddocks. Horse risk factors include poor conformation with deep frog sulci and/or sheared heels (image below).

Clinical signs

Thrush is characterized by black, necrotic, foul-smelling material in central sulcus or collateral sulci of frog. Generally the infection is restricted to the frog and sulci but it can involve the digital cushion and skin at the heel bulbs.

The infection leads to deep sulci and eventually an atrophied frog. If the sensitive tissues (beyond the frog) are involved, lameness may be present.

Treatment

Drying agents include formalin, tincture of iodine, phenyl, new methylene blue,  and 2% benzoyl peroxide
  • Clean feet daily
  • Remove necrotic tissue
  • Apply drying agent to foot
  • Foot soaks in chlorine bleach [30 mL (1 oz) of bleach in 5L water]
  • Miconazole (Lotrimin) plus neomycin (50/50 mixture)
  • Bandage (if needed for protection)
  • Trim foot (if indicated)
  • Improve sanitation (if indicated)

 

Prognosis

Good for full recovery

Key Takeaways

Wet feet with deep frog crevices get thrush.

  • Foul smelling, black gunk in frog
  • Occurs due to excessive moisture
  • Dry the foot and treat with various compounds

Resources

Thrush in horses, VCA

License

Icon for the Creative Commons Attribution-NonCommercial 4.0 International License

Large Animal Surgery - Supplemental Notes by Erin Malone, DVM, PhD; Elaine Norton, DVM PhD; Erica Dobbs, DVM; and Ashley Ezzo, DVM is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.