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Topic:Diagnostic Technique

Diagnostic techniques in equine medicine encompass a range of procedures and tools used to identify diseases, injuries, or other health conditions in horses. These techniques include imaging methods such as radiography, ultrasonography, and magnetic resonance imaging (MRI), as well as laboratory tests like blood work and tissue biopsies. Each diagnostic method provides specific information that can aid in the assessment and management of equine health issues. Radiography is commonly used for evaluating bone structures, while ultrasonography is useful for soft tissue examination. MRI offers detailed images of both soft and hard tissues, though its use is limited by cost and availability. Laboratory tests can detect biochemical and hematological changes indicative of disease. This page compiles peer-reviewed research studies and scholarly articles that explore the development, application, and efficacy of various diagnostic techniques in equine veterinary practice.
Treatment of a Mandibular Diastemal Fracture Using Locking Compression Plate and Cerclage Wire in a Mare.
Journal of veterinary dentistry    October 18, 2022   Volume 40, Issue 1 75-80 doi: 10.1177/08987564221129986
Godoy VM, Oliveira NFOE, Paretsis NF, Silva SCD, Souza AF, De Zoppa ALDV, Corrêa RR.This report describes the combination of two surgical fracture repair techniques and the postoperative management of a mandibular diastemal fracture in a two-year-old mare. The mare was referred to a veterinary hospital with a laceration over the body of the right mandible. Radiographic assessment revealed two mesial fracture lines involving the second premolar tooth and a ventrally displaced bone fragment. The mare was treated under general anesthesia and the fracture was corrected using open reduction and plate fixation. A 3.5 mm narrow 15-hole locking compression plate with seven locking ...
First molecular detection of Equine Herpesvirus type 3 (EHV-3) in Chile.
Veterinary medicine and science    October 17, 2022   Volume 9, Issue 2 717-720 doi: 10.1002/vms3.976
Troncoso I, Calvanese R, Saravia F, Muñoz-Leal S, Zegpi NA, Ortega R.Equine coital rash (ECE) is a highly contagious benign infection that induces lesions on external genitals, and it is caused by the equine herpesvirus type 3 (EHV-3). Although the disease is globally distributed, its presence in Chile has not been documented from a genetic point of view. Here, we performed polymerase chain reaction screenings for EHV-3 in lesions of external genitals in four horses belonging to a riding station at Bulnes, Ñuble Region, Chile. We sequenced a fragment of the glycoprotein G (gG) gene from three horses with clinical signs of ECE. The sequences were identical betw...
Occurrence and Definitions of Intra and Postoperative Complications Related to Laparoscopy in Equids: A Scoping Review.
Veterinary sciences    October 17, 2022   Volume 9, Issue 10 577 doi: 10.3390/vetsci9100577
Cerullo A, Gandini M, Giusto G.Laparoscopy is a common approach in equine surgery and has the advantage of improved visibility and diagnostic accuracy, decreased morbidity and hospitalization time. However, despite the numerous benefits, there can be intraoperative and postoperative complications which could have important welfare and economic consequences. The aim of this study was to perform a scoping review to identify current evidence on the occurrence, definition and classification of intra and postoperative complications in equine laparoscopy. A scoping review was conducted in scientific databases. Peer-reviewed scien...
Artificial Intelligence for Lameness Detection in Horses-A Preliminary Study.
Animals : an open access journal from MDPI    October 17, 2022   Volume 12, Issue 20 2804 doi: 10.3390/ani12202804
Feuser AK, Gesell-May S, Müller T, May A.Lameness in horses is a long-known issue influencing the welfare, as well as the use, of a horse. Nevertheless, the detection and classification of lameness mainly occurs on a subjective basis by the owner and the veterinarian. The aim of this study was the development of a lameness detection system based on pose estimation, which permits non-invasive and easily applicable gait analysis. The use of 58 reference points on easily detectable anatomical landmarks offers various possibilities for gait evaluation using a simple setup. For this study, three groups of horses were used: one training gr...
Serum amyloid A as a marker to detect sepsis and predict outcome in hospitalized neonatal foals.
Journal of veterinary internal medicine    October 14, 2022   Volume 36, Issue 6 2245-2253 doi: 10.1111/jvim.16550
Hoeberg E, Sånge A, Saegerman C, Bohlin A, Nostell K, Durie I, Husted L, Öhman A, Jacobsen S, Berg L, Laursen SH, van Galen G.Serum amyloid A (SAA) has been reported to hold promise as diagnostic and prognostic marker in foals. This has not been investigated thoroughly. Objective: Evaluate admission SAA concentrations as predictor of sepsis and outcome. Methods: Five hundred and ninety hospitalized foals <14 days old. Methods: Retrospective multicenter study. Foals were scored with sepsis and survival scores, grouped according to health category (septic, sick but nonseptic, uncertain sepsis status) and outcome; septic foals were further categorized according to severity (normal sepsis, severe sepsis, and septic sho...
Optimizing Health – Integrative Medicine & Poor Performance.
The Veterinary clinics of North America. Equine practice    October 13, 2022   Volume 38, Issue 3 463-474 doi: 10.1016/j.cveq.2022.08.001
Henneman K.Addressing poor performance issues in horses is a common yet challenging request to veterinarians. Often, there are limited field diagnostic or therapy choices. Growing lay popularity in integrative therapies, as well as increasing clinical incorporation, is creating more awareness of their clinical applications. Many modalities are showing increasing evidence of positive outcomes with minimal harm, but additional safety and efficacy evaluation is needed. Integrative modalities have unique ways of perceiving disease patterns that are different from more modern approaches, and these different p...
Particle Size Distribution of Plasma Lipoproteins in Donkeys from Death Valley Compared to a Sampling of Horses.
Animals : an open access journal from MDPI    October 13, 2022   Volume 12, Issue 20 2746 doi: 10.3390/ani12202746
Goodrich EL, Behling-Kelly E.The clinical evaluation of lipid metabolism in equids is often limited to the measurement of total cholesterol and triglyceride concentrations. This provides a limited picture of metabolic state and general health, given the continuous exchange of lipid species between various lipoproteins. Major lipoprotein classes in equids include high-density lipoprotein (HDL), intermediate-density lipoprotein (IDL), low-density lipoprotein (LDL), very low-density lipoprotein (VLDL), and chylomicrons (CM). Unlike large breed horses, donkeys are highly susceptible to hepatic lipidosis. Currently, serum trig...
Shortened egg reappearance periods of equine cyathostomins following ivermectin or moxidectin treatment: morphological and molecular investigation of efficacy and species composition.
International journal for parasitology    October 13, 2022   Volume 52, Issue 12 787-798 doi: 10.1016/j.ijpara.2022.09.003
Nielsen MK, Steuer AE, Anderson HP, Gavriliuc S, Carpenter AB, Redman EM, Gilleard JS, Reinemeyer CR, Poissant J.Macrocyclic lactones have been the most widely used drugs for equine parasite control during the past four decades. Unlike ivermectin, moxidectin exhibits efficacy against encysted cyathostomin larvae, and is reported to have persistent efficacy with substantially longer egg reappearance periods. However, shortened egg reappearance periods have been reported recently for both macrocyclic lactones, and these findings have raised several questions: (i) are egg reappearance period patterns different after ivermectin or moxidectin treatment? (ii) Are shortened egg reappearance periods associated w...
Screening for Taylorella equigenitalis in Equine Semen: An Exploratory Study.
Journal of equine veterinary science    October 13, 2022   Volume 119 104138 doi: 10.1016/j.jevs.2022.104138
Mawhinney I, Davis N, Carson T, Torrens N, Wales A.The study examined and compared the sensitivity of culture and a quantitative PCR assay for screening equine semen for the presence of Taylorella equigenitalis (CEMO). Chilled semen samples, both raw and treated with extender, from two stallions were spiked with the organism at seven or 23 days postejaculation and prepared in serial dilutions. Culture of the 7-day raw semen readily detected CEMO at all dilutions, but extended semen yielded counts that were two log cycles lower at equivalent dilutions, with the organism being nearly undetectable at the maximal dilutions. By contrast, PCR sensit...
The Use of Peptides in Veterinary Serodiagnosis of Infectious Diseases: A Review.
Veterinary sciences    October 12, 2022   Volume 9, Issue 10 561 doi: 10.3390/vetsci9100561
Aguilar-Montes de Oca S, Montes-de-Oca-Jiménez R, Carlos Vázquez-Chagoyán J, Barbabosa-Pliego A, Eliana Rivadeneira-Barreiro P....Peptides constitute an alternative and interesting option to develop treatments, vaccines, and diagnostic tools as they demonstrate their scope in several health aspects; as proof of this, commercial peptides for humans and animals are available on the market and used daily. This review aimed to know the role of peptides in the field of veterinary diagnosis, and include peptide-based enzyme-linked immunosorbent assay (pELISA), lateral flow devices, and peptide latex agglutination tests that have been developed to detect several pathogens including viruses and bacteria of health and production ...
Diagnosis and outcome following tenoscopic surgery of the digital flexor tendon sheath in German sports and pleasure horses.
Equine veterinary journal    October 11, 2022   Volume 55, Issue 1 48-58 doi: 10.1111/evj.13856
Cender AN, Mählmann K, Ehrle A, Merle R, Pieper L, Lischer CJ.Digital flexor tendon sheath (DFTS) pathology is an important cause of lameness in horses. The outcome after surgical treatment is variable and depends on the exact diagnosis. Objective: To (1) describe the prevalence of lesions associated with lameness caused by nonseptic DFTS tenosynovitis in a large population of German sports and pleasure horses; (2) determine the sensitivity and specificity of diagnostic imaging techniques for identifying lesions within the DFTS with tenoscopic diagnosis being the gold standard; (3) explore associations between tenoscopically diagnosed lesions and signalm...
Evaluation of feedback methods for improved detection of hindlimb lameness in horses among riding instructors and trainers.
Frontiers in veterinary science    October 10, 2022   Volume 9 992954 doi: 10.3389/fvets.2022.992954
Leclercq A, Byström A, Söderlind M, Persson E, Rhodin M, Engell MT, Hernlund E.Lameness, a wellknown issue in sport horses, impedes performance and impairs welfare. Early detection of lameness is essential for horses to receive needed treatment, but detection of hindlimb lameness is challenging. Riding instructors and trainers observe horses in motion in their daily work and could contribute to more efficient lameness detection. In this cross-sectional and prospective study, we evaluated the ability of riding instructors and trainers to assess hindlimb lameness. We also evaluated different feedback methods for improved lameness detection. For the cross-sectional part, =...
Serum amyloid A and fibrinogen as markers for early detection of surgical site infection associated with internal fixation in the horse.
Frontiers in veterinary science    October 10, 2022   Volume 9 960865 doi: 10.3389/fvets.2022.960865
Thurston CC, Stefanovski D, MacKinnon MC, Chapman HS, Richardson DW, Levine DG.The objective of this study was to determine the diagnostic ability of serum amyloid A (SAA) and fibrinogen for early detection of surgical site infection (SSI) after equine internal fixation. Horses undergoing internal fixation for fracture, arthrodesis, or osteotomy with internal fixation for limb deformity were included in the study. SAA and fibrinogen were measured on blood samples preoperatively and on days 1, 3, 5, 7, 10, and 14 postoperatively. Statistical analysis included use of Spearman's rank correlation, logistic regression, and calculating the area under the receiver operating cha...
Pituitary Pars Intermedia Dysfunction (PPID) in Horses.
Veterinary sciences    October 10, 2022   Volume 9, Issue 10 556 doi: 10.3390/vetsci9100556
Kirkwood NC, Hughes KJ, Stewart AJ.Substantial morbidity results from pituitary pars intermedia dysfunction (PPID) which is often underestimated by owners and veterinarians. Clinical signs, pathophysiology, diagnostic tests, and treatment protocols of this condition are reviewed. The importance of improved recognition of early clinical signs and diagnosis are highlighted, as initiation of treatment will result in improved quality of life. Future research should be targeted at improving the accuracy of the diagnosis of PPID, as basal adrenocorticotropic hormone (ACTH) concentration can lack sensitivity and thyrotropin releasing ...
Heritability of insidious uveitis in Appaloosa horses.
Animal genetics    October 9, 2022   Volume 53, Issue 6 872-877 doi: 10.1111/age.13267
Kingsley NB, Sandmeyer L, Norton EM, Speed D, Dwyer A, Lassaline M, McCue M, Bellone RR.Equine recurrent uveitis (ERU) is a blinding ocular disorder among horses, and the Appaloosa horse breed is disproportionally affected by a chronic form of this intraocular inflammatory disease known as insidious uveitis. Strong breed predisposition and previous investigations suggest that there is a genetic component to the pathology of insidious uveitis among Appaloosa horses; however, no estimates of the heritability of the disease have previously been determined. This study aimed to characterize the genetic underpinning of the disease by estimating the heritability for insidious uveitis am...
Changes in Head, Withers, and Pelvis Movement Asymmetry in Lame Horses as a Function of Diagnostic Anesthesia Outcome, Surface and Direction.
Journal of equine veterinary science    October 6, 2022   Volume 118 104136 doi: 10.1016/j.jevs.2022.104136
Marunova E, Hoenecke K, Fiske-Jackson A, Smith RKW, Bolt DM, Perrier M, Gerdes C, Hernlund E, Rhodin M, Pfau T.Evaluation of diagnostic anesthesia during equine lameness examination requires comparison of complex movement patterns and can be influenced by expectation bias. There is limited research about how changes in movement asymmetries after successful analgesia are affected by different exercise conditions. Movement asymmetry of head, withers and pelvis was quantified in N = 31 horses undergoing forelimb or hindlimb diagnostic anesthesia. Evaluation on a straight line and a circle was performed with subjective diagnostic anesthesia outcome and quantitative changes recorded. Mixed linear mode...
Diagnostic value of full-mouth radiography in horses.
Frontiers in veterinary science    October 5, 2022   Volume 9 971886 doi: 10.3389/fvets.2022.971886
Bishop IT.In this observational study, oral examinations and full-mouth dental radiographs were performed on 248 horses presented for routine oral health care. The findings were assessed to determine how often disease was diagnosed by radiographs without having related findings on oral examination. In 50 horses (20%), there were radiographic signs of disease that would not have been predicted based upon the oral examination. 113 horses (46%) had oral examination findings that would have prompted dental radiography, according to the criteria of the study. Of these 113 horses, 24 (21%) had radiographic si...
Characterization of an outbreak of equine coronavirus infection in adult horses in Switzerland.
Schweizer Archiv fur Tierheilkunde    October 5, 2022   Volume 164, Issue 10 733-739 doi: 10.17236/sat00372
Fouché N, Remy-Wohlfender F, Blau D, Franzen J, Gurtner C, Seuberlich T, Unger L, Gerber V.Outbreaks of equine coronavirus (ECoV) infections have been described in different parts of the world including Europe. The aim of this report was to describe clinical signs, diagnostic work-up and outcome of the first documented outbreak of ECoV in Switzerland in order to raise the awareness for the disease and its various clinical presentations. The outbreak occurred on a farm with 26 horses. Of these, seven horses developed clinical disease ranging from mild signs such as fever and anorexia to severe signs of acute colitis. One horse died due to severe endotoxemia and circulatory shock seco...
Biomarkers of Kidney Disease in Horses: A Review of the Current Literature.
Animals : an open access journal from MDPI    October 5, 2022   Volume 12, Issue 19 2678 doi: 10.3390/ani12192678
Galen GV, Olsen E, Siwinska N.Creatinine only allows detection of kidney disease when 60 to 75% of the glomerular function is lost and is therefore not an ideal marker of disease. Additional biomarkers could be beneficial to assess kidney function and disease. The objectives are to describe new equine kidney biomarkers. This systematic review assesses the available literature, including the validation process and reference values, following which the authors suggest recommendations for clinical use. SDMA may have some potential as equine kidney biomarker, but there is currently a lack of evidence that SDMA offers any advan...
Equine Odontoclastic Tooth Resorption and Hypercementosis.
Journal of veterinary dentistry    October 5, 2022   Volume 39, Issue 4 346-357 doi: 10.1177/08987564221120715
James O.Equine odontoclastic tooth resorption and hypercementosis (EOTRH) is a recently described painful and progressive condition of unknown etiology that occurs in middle-aged and geriatric equines. It predominantly affects the permanent incisor and canine teeth and, less commonly, the premolar and molar dentition. EOTRH was first reported in peer-reviewed literature in 2008, with subsequent publications of case reports, histological studies and retrospective case series. There have been few significant research developments related to this disease. The existing studies have primarily involved sing...
Novel bridge multi-species ELISA for detection of SARS-CoV-2 antibodies.
Journal of immunological methods    October 4, 2022   Volume 511 113365 doi: 10.1016/j.jim.2022.113365
Considering the course of the current SARS-CoV-2 pandemic, it is important to have serological tests for monitoring humoral immune response against SARS-CoV-2 infection and vaccination. Herein we describe a novel bridge enzyme-linked immunosorbent assay (b-ELISA) for SARS-CoV-2 antibodies detection in human and other species, employing recombinant Spike protein as a unique antigen, which is produced at high scale in insect larvae. Eighty two human control sera/plasmas and 169 COVID-19 patients' sera/plasmas, confirmed by rRT-PCR, were analyzed by the b-ELISA assay. In addition, a total of 27 a...
Survey on the Presence of Equine Tick-Borne Rickettsial Infections in Southcentral United States.
Journal of equine veterinary science    October 3, 2022   Volume 118 104135 doi: 10.1016/j.jevs.2022.104135
Duncan KT, Sundstrom KD, Hunt D, Lineberry MW, Grant A, Little SE.Although ticks are known vectors of pathogens across a range of hosts, there is limited research on emerging tick-borne diseases of horses in the United States. Tick surveys from other regions suggest Rickettsia spp. and Ehrlichia spp. may be clinically relevant in horses. To better understand the transmission risk of these tick-borne rickettsial disease agents to horses, ticks were collected from horses in Oklahoma. Ticks for the current study (306 Amblyomma americanum, 20 Dermacentor albipictus, 19 D. variabilis, and 7 A. maculatum) were evaluated for Rickettsia spp. and Ehrlichia spp. using...
Optical photothermal infrared spectroscopy can differentiate equine osteoarthritic plasma extracellular vesicles from healthy controls.
Analytical methods : advancing methods and applications    September 29, 2022   Volume 14, Issue 37 3661-3670 doi: 10.1039/d2ay00779g
Clarke EJ, Lima C, Anderson JR, Castanheira C, Beckett A, James V, Hyett J, Goodacre R, Peffers MJ.Equine osteoarthritis is a chronic degenerative disease of the articular joint, characterised by cartilage degradation resulting in pain and reduced mobility and thus is a prominent equine welfare concern. Diagnosis is usually at a late stage through clinical examination and radiographic imaging, whilst treatment is symptomatic not curative. Extracellular vesicles are nanoparticles that are involved in intercellular communication. The objective of this study was to investigate the feasibility of Raman and Optical Photothermal Infrared Spectroscopies to detect osteoarthritis using plasma-derive...
The effect of manually facilitated flexion of the thoracic spine on the interspinous space among horses with impinging dorsal spinous processes of the thoracic vertebrae.
Veterinary journal (London, England : 1997)    September 29, 2022   Volume 289 105909 doi: 10.1016/j.tvjl.2022.105909
O'Sullivan S, McGowan CM, Junnila J, Hyytiäinen HK.Impinging dorsal spinous processes (IDSP) are typically diagnosed and graded using radiography, during which the effect of the horses' thoracolumbar posture on the interspinous spaces is not commonly considered. Posture can be altered from a spontaneous, relatively extended, or lordotic, position by manual facilitation of thoracic flexion ('thoracic lift'). This study aimed to ascertain if the thoracic vertebral interspinous space distances were increased by using facilitated thoracic flexion to alter the posture in horses diagnosed with IDSP. Seven horses of mixed breed and sex, median age 9....
The application of videodermoscopic examination in assessing the skin and its products in pure Arabian horses in the summer and winter seasons.
Polish journal of veterinary sciences    September 27, 2022   Volume 25, Issue 3 403-409 doi: 10.24425/pjvs.2022.142024
Pomorska-Zniszczyńska A, Szczepanik MP, Kalisz G, Adamczyk N, Tarach M, Sobuś M, Abramowicz B.Videodermoscopic examinations have only recently started to be used in veterinary medicine and usually involve a small group of animals. The aim of this study was to compare specific dermoscopic parameters in selected areas of the body of Arabian horses in the summer and winter seasons. The research was conducted between 2018-2019. The procedure was performed on the left side of the horse's body in seven areas: head, neck, chest, flank, rump, mane, and tail. 42 purebred Arabian horses aged 1-25 (median), 39 mares and 3 stallions were qualified for the study. An Italian Video-Dermascope 7 (Medi...
First isolation of verocytotoxin-producing Escherichia coli O157:H7 from sports animals in Southern Thailand.
Veterinary world    September 23, 2022   Volume 15, Issue 9 2275-2284 doi: 10.14202/vetworld.2022.2275-2284
Songsri J, Mala W, Wisessombat S, Siritham K, Cheha S, Noisa N, Wongtawan T, Klangbud WK. O157:H7 is enterohemorrhagic , which produces verocytotoxin or Shiga toxin. It is a well-known cause of severe diseases in humans worldwide. Cattle and other ruminants are the main reservoirs of this organism. Sports animals, such as fighting bulls, riding horses, and fighting cocks, are economic animals in Southern Thailand. This study aimed to identify O157:H7 from the rectal swabs of these sports animals and determine the antimicrobial susceptibility patterns of isolated bacteria. Unassigned: The rectal swabs were collected from 34 fighting bulls, 32 riding horses, and 31 fighting cocks. ...
Establishment of a reverse transcription real-time quantitative PCR method for Getah virus detection and its application for epidemiological investigation in Shandong, China.
Frontiers in microbiology    September 23, 2022   Volume 13 1009610 doi: 10.3389/fmicb.2022.1009610
Cao X, Qiu X, Shi N, Ha Z, Zhang H, Xie Y, Wang P, Zhu X, Zhao W, Zhao G, Jin N, Lu H.Getah virus (GETV) is a mosquito-borne, single-stranded, positive-sense RNA virus belonging to the genus of the family . Natural infections of GETV have been identified in a variety of vertebrate species, with pathogenicity mainly in swine, horses, bovines, and foxes. The increasing spectrum of infection and the characteristic causing abortions in pregnant animals pose a serious threat to public health and the livestock economy. Therefore, there is an urgent need to establish a method that can be used for epidemiological investigation in multiple animals. In this study, a real-time reverse tr...
Determination of hair cortisol in horses: comparison of immunoassay vs LC-HRMS/MS.
Analytical and bioanalytical chemistry    September 22, 2022   Volume 414, Issue 28 8093-8105 doi: 10.1007/s00216-022-04343-6
The measure of hair cortisol concentration (HCC) is becoming an emerging approach to monitor mid-/long-term stress in animals, so it is more and more important to develop accurate and reliable methods. In the light of this, the aim of the present study was to compare mane HCCs of 47 horses with different managements, by means of an immunoassay (ELISA) and liquid chromatography coupled to hybrid high-resolution mass spectrometry (LC-HRMS/MS). After the washing step, the ground hair was extracted with methanol. The extract was evaporated and redissolved in two different aqueous solutions, depend...
Videodermoscopic examination of the skin and its products in purebred Arabian horses in the summer season.
Journal of equine science    September 21, 2022   Volume 33, Issue 3 37-44 doi: 10.1294/jes.33.37
Pomorska-Zniszczyńska A, Szczepanik M, Adamczyk N, Tarach M.Videodermoscopy is a method that enables the examination of many parameters of the skin and its structures. The aim of this study was to assess specific dermoscopic parameters in purebred Arabian horses during the summer. The study involved 21 clinically healthy purebred Arabian horses (18 mares and three stallions) that had not been used for breeding and were 1 to 25 years old. The videoderoscopic evaluation was performed on seven selected areas of the body: forehead, mane, neck, chest, flank, rump, and tail. The tests were carried out with Vidix and Olympus cellSens specialised software. Vid...
Antimicrobial resistance among Streptococcus equi subspecies zooepidemicus and Rhodococcus equi isolated from equine specimens submitted to a diagnostic laboratory in Kentucky, USA.
PeerJ    September 21, 2022   Volume 10 e13682 doi: 10.7717/peerj.13682
Lord J, Carter C, Smith J, Locke S, Phillips E, Odoi A.Surveillance of antimicrobial resistance (AMR) among veterinary pathogens is necessary to identify clinically relevant patterns of AMR and to inform antimicrobial use practices. Streptococcus equi subsp. zooepidemicus and Rhodococcus equi are bacterial pathogens of major clinical importance in horses and are frequently implicated in respiratory tract infections. The objectives of this study were to describe antimicrobial resistance patterns and identify predictors of AMR and multidrug resistance (MDR) (resistance to three or more antimicrobial classes) among equine S. zooepidemicus and R. equi...
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