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Horses generally present with signs of colic before developing profuse, watery, fetid diarrhea. Both infectious and non-infectious causes for colitis exist. In the adult horse, Salmonella, Clostridioides difficile, and Neorickettsia risticii (the causative agent of Potomac Horse Fever) are common causes of colitis.
The condition is usually asymptomatic, but symptoms can include rectal discharge (which can be creamy, purulent or bloody), pruritus ani, tenesmus, and possibly constipation. When symptomatic, these usually appear 5–7 days post-exposure. [14] Discharge is the most common symptom, and it is usually a brownish mucopurulent consistency. [27]
[citation needed] The amount of discharge may increase due to vaginal infection, and it may disappear and reappear from time to time. This discharge can keep occurring for years, in which case it becomes more yellow and strong-smelling. It is usually a non-pathological symptom secondary to inflammatory conditions of the vagina or cervix. [5]
Potomac horse fever is currently endemic in the United States but has also been reported with lower frequency in other regions, including Canada, Brazil, Uruguay, and Europe. [4] PHF is a condition that is clinically important for horses since it can cause serious signs such as fever, diarrhea, colic, and laminitis. [5]
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The combination of tobiano with other white-spotting patterns can produce white or nearly white horses, which may have blue eyes. [35] Sabino horses that are homozygous for the sabino-1 (Sb-1) gene are often called "sabino-white", and are all- or nearly all-white. Not all sabino horses carry Sb-1. [24]