Abstract. A case of a 1-month-old Thoroughbred foal with dysphagia, salivation, pyrexia, oral mucosal pustules, and esophageal ulceration is reported. Swabs from the ulcerated lesions yielded Equid herpesvirus 2 (EHV-2) in virus isolation assays, and histopathology of a biopsy from the esophageal lesion identified nuclear inclusions suggestive of herpesviruses. Immunohistochemical staining with antibodies specific for EHV-2 was positive for epithelial cells in the vicinity of the ulcer but not in more distant mucosa. Electron microscopic evaluation of the biopsy showed herpesviral particles in epithelial cells. The foal recovered over 5 days of supportive and gastroprotective therapy, and the esophageal ulcers healed. Serology and immunohistochemistry indicated that this foal likely had lesions associated with EHV-2 and not EHV-1, -4, or -5. Six weeks before foaling, the mare had been vaccinated against tetanus, Eastern and Western equine encephalomyelitis, equine influenza, Equid herpesvirus 1 (EHV-1), and Equid herpesvirus 4 (EHV-4). During gestation at the 5th, 7th, and 9th month, the mare had been revaccinated against EHV-1 with an inactivated killed vaccine. c Gestation and parturition were unremarkable, and adequate passive transfer of immunoglobulins (Ig) to the foal was reported with the foal's serum IgG concentration greater than 8 g/l at 24-hr postpartum. There were no recent management changes on the premises, and examination of the mare and foal's stall and paddock did not reveal hazardous chemicals or sharp objects.On presentation, the filly was in good body condition (90 kg) but depressed. The foal demonstrated abnormal tongue movements, drooling of saliva, and an increased sensitivity to palpation of the buccal and gingival mucosa. The rectal temperature and heart and respiratory rates were within normal limits. The oral mucous membranes were dark pink, and the capillary refill time was ,2 sec. Neither lymphadenopathy nor other lymph node abnormalities were noted. On auscultation, gastrointestinal sounds were present in all 4 abdominal quadrants. The extremities were palpably cool, and the amplitude of the peripheral pulses appeared reduced. The animal was assessed to be approximately 5% dehydrated. Lung sounds were mildly increased bilaterally, and a slight bilateral, serous nasal discharge was present. Percussion of the thorax revealed a normal lung field. Apart from depression, no abnormalities were detected on a detailed neurological examination.The oral cavity was thoroughly examined, and video endoscopy of the oropharynx, esophagus, and stomach was performed. The oral mucosa was dark pink with discrete and coalescing pustules visible in the mucosa of the upper gum and lip. Ulcers and erosions were visible on the buccal mucosa, and there was evidence of pharyngeal lymphoid hyperplasia. The esophagus had a large number of punctate ulcers throughout its entire length, and the esophageal mucosa was hyperemic and edematous (Fig. 1). The tongue was not affected. There was no evidence of gastric ul...