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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.
Evaluation of Two Handheld Point-of-Care Blood Gas Analyzers in Healthy Donkeys.
Journal of equine veterinary science    June 8, 2019   Volume 79 94-99 doi: 10.1016/j.jevs.2019.05.026
Bonelli F, Laus F, Briganti A, Evangelista F, Bazzano M, Conte G, Sgorbini M.There has been increasing interest in blood gas analysis in donkeys. "Point-of-care (POC) testing" is a diagnostic testing performed on or immediately next to the patient. This study assesses the agreement between two POC blood gas analyzers in donkeys. Arterial and venous blood samples were collected from 17 donkeys and analyzed using a fully automated blood gas analyzer (ABL 700 Series Radiometer, Denmark) (RAD) and two POC blood gas analyzers (i-STAT System; VetStat, Idexx). The parameters revealed by all three devices were submitted to a canonical discriminant analysis, to evaluate which p...
A “modified Obel” method for the severity scoring of (endocrinopathic) equine laminitis.
PeerJ    June 7, 2019   Volume 7 e7084 doi: 10.7717/peerj.7084
Meier A, de Laat M, Pollitt C, Walsh D, McGree J, Reiche DB, von Salis-Soglio M, Wells-Smith L, Mengeler U, Mesa Salas D, Droegemueller S, Sillence MN.Laminitis is a common equine disease characterized by foot pain, and is commonly diagnosed using a five-grade Obel system developed in 1948 using sepsis-related cases. However, endocrinopathic laminitis is now the most common form of the disease and clinical signs may be mild, or spread across two Obel grades. This paper describes a modified method which assigns scores to discreet clinical signs, providing a wider scale suitable for use in a research setting. Methods: The "modified Obel" method was developed using an iterative process. First, a prototype method was developed during the detaile...
Effects of 1-MHz Ultrasound on Epaxial Muscle Temperature in Horses.
Frontiers in veterinary science    June 6, 2019   Volume 6 177 doi: 10.3389/fvets.2019.00177
Adair HS, Levine D. The purpose of this study was to examine the tissue temperature changes that occur at various depths during 1.0-MHz ultrasound (US) treatments of the epaxial muscles in horses. Ten healthy adult mares with no lameness or orthopedic disease weighing between 465 and 576 kg were studied. Two 1.0 MHz US treatments, one at an intensity of 1.0 W/cm and one at 2.0 W/cm, were administered to the epaxial region. Needle thermistors were inserted in the epaxial muscles below the skin surface at depths of 1.0, 3.0, and 5.0 cm, directly under the US treatment area. Depths were verified with diagnostic u...
Changes in saliva analytes in equine acute abdominal disease: a sialochemistry approach.
BMC veterinary research    June 6, 2019   Volume 15, Issue 1 187 doi: 10.1186/s12917-019-1933-6
Contreras-Aguilar MD, Escribano D, Martínez-Subiela S, Martín-Cuervo M, Lamy E, Tecles F, Cerón JJ.The biochemical components of saliva can change in certain pathologies in horses, for example in acute abdominal disease. The aim of this study was (1) to evaluate if a panel of biochemical analytes usually used in serum can be measured in saliva of horses and (2) to study the possible changes of these biochemical analytes in saliva of horses affected by acute abdominal disease. A panel of 23 analytes was analytically validated in saliva of horses and possible changes in these analytes in a pilot study with six healthy horses and six horses with acute abdominal disease were evaluated. The anal...
Laryngeal squamous cell carcinoma and papilloma associated with Equus caballus papillomavirus 2 in a horse.
The Journal of veterinary medical science    June 4, 2019   Volume 81, Issue 7 1029-1033 doi: 10.1292/jvms.18-0461
Hibi H, Hatama S, Obata A, Shibahara T, Kadota K.A case of laryngeal squamous cell carcinoma (SCC) and squamous papilloma in a 19-year-old Thoroughbred stallion is described. The animal exhibited severe wheezing caused by laryngopharyngeal stenosis. Histological examination identified laryngeal, laryngotracheal, and guttural pouch tumor masses consisting of areas of SCC. In the epiglottic lesion, the overlying epithelium was replaced by papilloma cells, and superficial cells frequently had nuclear inclusion bodies that expressed oncoprotein E6, which is characteristic of high risk human papillomaviruses. The papillomatous epithelium was cont...
Sensor analysis and initial assessment of detectable first hoof contacts and last break-overs as unique signal fluctuations for equine gait analysis.
Translational animal science    June 4, 2019   Volume 3, Issue 4 1389-1398 doi: 10.1093/tas/txz089
Atkins CA, Pond KR, Madsen CK, Moorman VJ, Roman-Muniz IN, Archibeque SL, Grandin T.The objective of the control study was to assess 2 prominent fluctuations in a single optical signal as being either a true first hoof contact or a last break-over based on descriptive measures. The study builds on initial findings from a preliminary investigation of the embedded-optical-base system's (EOBS) capabilities in signal capturing and feasibility as potential alternative to existing gait technologies, such as piezoelectric (e.g., load cell) systems. Hoof contacts and break-overs were measured (0 to 1 au; arbitrary units) using a 2.4-m (length) × 0.9-m (width) platform containing 1 E...
Do plasma protein:fibrinogen ratios in horses provide additional information compared with fibrinogen concentration alone?
The Canadian veterinary journal = La revue veterinaire canadienne    June 4, 2019   Volume 60, Issue 6 625-629 
Fernandez NJ, Roy MF.The plasma protein:fibrinogen (PP:F) ratio was introduced to aid interpretation of hyperfibrinogenemia by accounting for dehydration. However, this ratio is inconsistently assessed in practice and its clinical value remains unknown. Our objective was to determine whether the PP:F ratio provides additional information in adult horses beyond fibrinogen concentration alone. Two databases were reviewed to identify 412 hyperfibrinogenemic horses. Plasma protein:fibrinogen ratios were calculated and their interpretation compared to the fibrinogen concentration. Ratios < 15 were supportive of infl...
Utility and accuracy of a smartphone-based electrocardiogram device as compared to a standard base-apex electrocardiogram in the horse.
Research in veterinary science    June 3, 2019   Volume 125 141-147 doi: 10.1016/j.rvsc.2019.05.018
Kraus MS, Rishniw M, Divers TJ, Reef VB, Gelzer AR.Evaluate accuracy and utility of a smartphone-based ECG device compared to a standard base-apex lead ECG in horses. Methods: ECGs were acquired prospectively from 28 client-owned horses at 2 equine referral hospitals. Twenty-five pairs of 30-s ECG recordings were acquired simultaneously from 23 horses with a smartphone ECG device (a bi-polar single lead recorder coupled to a smartphone with an ECG application) and with a standard base-apex lead ECG; 2 horses provided two pairs of simultaneously acquired ECGs. In one horse, the ECGs pairs were recorded immediately sequentially. An additional 7 ...
Stimulation of subchondral bone cyst healing by placement of a transcondylar screw in the equine medial femoral condyle.
Veterinary surgery : VS    June 2, 2019   Volume 48, Issue 7 1194-1203 doi: 10.1111/vsu.13247
Frazer LL, Santschi EM, Fischer KJ.To predict the bone formation stimulus of a transcondylar screw across an equine subchondral bone cyst (SBC) in an equine medial femoral condyle (MFC). Methods: Finite element modeling (FEM) of an equine MFC with a 2 cm SBC under several transcondylar screw conditions. Methods: The right stifle of a yearling thoroughbred without stifle disease that had been euthanized for reasons unrelated to this study and donated to the University. Methods: The FEM was derived from computed tomography of a yearling thoroughbred and analyzed in ABAQUS v6.14. The transcondylar screw was modeled as a 4.5-mm s...
The Frequency of Errors in Determining Age Based on Selected Features of the Incisors of Icelandic Horses.
Animals : an open access journal from MDPI    May 30, 2019   Volume 9, Issue 6 doi: 10.3390/ani9060298
Łuszczyński J, Pieszka M, Petrych W, Stefaniuk-Szmukier M.The structure and changes occurring to horses' teeth during ontogeny are not only used to assess the degree of somatic maturity but also the development of universal patterns and is therefore used to determine the age of horses. Research shows that methods of assessing the age of horses based on the appearance of teeth tend to suffer from relatively large errors. This is probably influenced by the results of intensive selection and being kept in living conditions that differ substantially from their natural environment. This study aimed to assess the suitability of selected features of the inc...
Arthrographic Study of the Communication between the Tarsal Joints in Crioulo Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 28, 2019   Volume 32, Issue 4 269-273 doi: 10.1055/s-0039-1688770
 The aim of the present study is to assess an arthrographic technique based on the access to the equine tarsus via distal intertarsal and on the existence and frequency of communication between distal and tarsocrural joints in the tarsus of Crioulo horses. Methods:  Fifty Crioulo horses of both sexes from 3 to 8 years old were included in the experiment. Animals with radiographic signs of tarsal osteoarthritis and joint space loss were excluded from the experiment. Contrast was injected in the distal intertarsal joint and radiographs were taken at two different times - Time 0 (after contra...
Prevalence of Strongylus vulgaris in horses after ten years of prescription usage of anthelmintics in Sweden.
Veterinary parasitology: X    May 26, 2019   Volume 2 100013 doi: 10.1016/j.vpoa.2019.100013
Tydén E, Enemark HL, Franko MA, Höglund J, Osterman-Lind E.Strongylus vulgaris is considered the most pathogenic nematode parasite of the horse. Frequent deworming programs since the 1970s have reduced the prevalence of S. vulgaris to low levels, but to the price of widespread benzimidazole resistance in the small strongyles (cyathostominae) and ivermectin resistance especially in the equine roundworm Parascaris spp. To slow down the progression of anthelmintic resistance in Sweden, horse anthelmintics were made prescription only medicine in 2007 and selective therapy principles were introduced. This means that only individuals with high egg excretion...
Prevalence of Strongylus vulgaris in horses after ten years of prescription usage of anthelmintics in Sweden.
Veterinary parasitology: X    May 26, 2019   Volume 2 100013 doi: 10.1016/j.vpoa.2019.100013
Tydén E, Enemark HL, Franko MA, Höglund J, Osterman-Lind E.Strongylus vulgaris is considered the most pathogenic nematode parasite of the horse. Frequent deworming programs since the 1970s have reduced the prevalence of S. vulgaris to low levels, but to the price of widespread benzimidazole resistance in the small strongyles (cyathostominae) and ivermectin resistance especially in the equine roundworm Parascaris spp. To slow down the progression of anthelmintic resistance in Sweden, horse anthelmintics were made prescription only medicine in 2007 and selective therapy principles were introduced. This means that only individuals with high egg excretion...
Lingual Squamous Cell Carcinoma in Two Horses.
Journal of equine veterinary science    May 24, 2019   Volume 79 35-38 doi: 10.1016/j.jevs.2019.05.022
Morrison ML, Groover E, Schumacher J, Newton J, Pereira MM.Squamous cell carcinoma (SCC) is one of the most common malignant neoplasms in horses, but lingual SCC has seldom been reported. On separate occasions, a 12-year-old American Quarter Horse mare and an 18-year-old American Saddlebred stallion were presented to the Auburn University Large Animal Teaching Hospital for evaluation of weight loss, dysphagia, and ptyalism. Evaluation of each horse included physical examination, skull radiographs, oral examination, complete blood count and serum biochemistry profile, endoscopic evaluation of the mouth, and biopsy of tissue from a lesion found on the t...
Hair cortisol concentration is inversely related to the severity of equine squamous gastric disease.
Veterinary journal (London, England : 1997)    May 24, 2019   Volume 249 58-59 doi: 10.1016/j.tvjl.2019.05.009
Prinsloo M, Hynd P, Franklin S, Weaver S, van den Boom R.Equine squamous gastric disease (ESGD) is common in horses and many factors, including stress, may play a role in lesion development. Hair cortisol concentration (HCC) provides a measure of medium to long-term stress and therefore, the relationship between HCC and ESGD was examined in this study. Hair samples were collected from 25 horses and gastroscopy was performed to determine the presence and severity of ESGD. Hair cortisol concentrations were lower in horses with ESGD (P = 0.014), and negatively correlated with lesion severity. Mares had lower HCC than geldings (P = 0.031), and a...
Standing Needle Arthroscopy of the Metacarpophalangeal and Metatarsophalangeal Joint for Removal of Dorsal Osteochondral Fragmentation in 21 Horses.
Veterinary and comparative orthopaedics and traumatology : V.C.O.T    May 24, 2019   Volume 32, Issue 5 420-426 doi: 10.1055/s-0039-1688984
Bonilla AG. The aim of this study was to report the technique, experience and outcome of standing arthroscopic removal of dorsal osteochondral fragmentation of the metacarpophalangeal and metatarsophalangeal joint using a 1.2-mm needle arthroscope. Methods:  This was a prospective clinical study. Methods:  All horses referred for standing arthroscopic removal of dorsoproximal first phalanx fragments or fragments embedded in the distal aspect of the synovial plica were included. Relevant information from the cases was recorded. Follow-up was obtained by a telephone questionnaire. Results:  Twenty-...
Genotypic diversity of Salmonella ser. Abortusequi isolates from Argentina.
Equine veterinary journal    May 22, 2019   Volume 52, Issue 1 98-103 doi: 10.1111/evj.13123
Salmonella enterica subsp. enterica serovar Abortusequi (S. Abortusequi) is a serotype restricted to equines, which produces abortion outbreaks. Nowadays the disease is being reported in different countries including Argentina thus generating an important impact in the equine industry. Molecular characterization of the 95 kb virulence plasmid and the spvC gene of S. Abortusequi demonstrated their importance in the pathogenicity of the serotype. In the last decades, high clonality of S. Abortusequi was identified in Japan, Mongolia and Croatia. Objective: The aim of this work was to characteriz...
The Molecular Detection of Equine Herpesviruses 2 and 5 in Genital Swabs From Clinically Normal Thoroughbred Mares in South Korea.
Journal of equine veterinary science    May 22, 2019   Volume 79 68-72 doi: 10.1016/j.jevs.2019.05.013
Lee SK, Lee I.Equine herpesvirus (EHV) 2 and equine herpesvirus 5 (EHV-5) have been getting attention as potential causative pathogens of reproductive disorders in horses. Equine herpesviruses 2 and 5 are widespread among horses and have been detected in various samples including nasal swabs, blood, and ocular swabs. However, the detection of these pathogens in genital swabs has not been determined. The aims of this study were to determine the positive rate of EHV-2 and EHV-5 DNA in genital swabs taken from clinically normal mares and to define the genetic diversity of these EHV-2 and EHV-5 DNA sequences by...
Equine Parvovirus-Hepatitis Frequently Detectable in Commercial Equine Serum Pools.
Viruses    May 21, 2019   Volume 11, Issue 5 doi: 10.3390/v11050461
Meister TL, Tegtmeyer B, Postel A, Cavalleri JV, Todt D, Stang A, Steinmann E.An equine parvovirus-hepatitis (EqPV-H) has been recently identified in association with equine serum hepatitis, also known as Theiler's disease. This disease was first described by Arnold Theiler in 1918 and is often observed after applications with blood products in equines. So far, the virus has only been described in the USA and China. In this study, we evaluated the presence of EqPV-H in several commercial serum samples to assess the potential risk of virus transmission by equine serum-based products for medical and research applications. In 11 out of 18 commercial serum samples, EqPV-H D...
Modified stall-side crossmatch for transfusions in horses.
Journal of veterinary internal medicine    May 18, 2019   Volume 33, Issue 4 1775-1783 doi: 10.1111/jvim.15519
Casenave P, Leclere M, Beauchamp G, Blais MC.After-hours or out-of-clinic crossmatches are often limited by the lack of access to specialized material and technical expertise. Objective: The goal was to adapt a stall-side crossmatch test for pretransfusion evaluation in horses. Methods: Twelve healthy mares (plasma and blood donors, teaching mares). Methods: In a prospective study, blood from 12 mares was used to compare the results of 132 crossmatches performed with a rapid gel assay to crossmatches performed with a microgel column assay, and with predicted compatibilities based on blood types and detection of antibodies at a reference ...
Tracking main environmental factors masking a minor steroidal doping effect using metabolomic analysis of horse urine by liquid chromatography-high-resolution mass spectrometry.
European journal of mass spectrometry (Chichester, England)    May 18, 2019   Volume 25, Issue 3 339-353 doi: 10.1177/1469066719839034
Stojiljkovic N, Leroux F, Bubanj S, Popot MA, Paris A, Tabet JC, Junot C.There is an urgent need to implement holistic and untargeted doping control protocols with improved discriminatory power, compared to conventional methods that only target doping agents. Metabolomics, which aims to characterize all metabolites present in biological matrices, could fulfill this need. In this context, the aim of this study was to evaluate the impact of environmental factors on the ability to obtain a metabolic signature of stanozolol administration in horse doping situation. Urine samples from 16 horses breeded in two different places were collected over a one-year period, befor...
Investigation of blood biomarkers for the diagnosis of mild to moderate asthma in horses.
Journal of veterinary internal medicine    May 16, 2019   Volume 33, Issue 4 1789-1795 doi: 10.1111/jvim.15505
Gy C, Leclere M, Vargas A, Grimes C, Lavoie JP.Asthma in horses is associated with nonspecific respiratory clinical signs and may be manifested only as exercise intolerance. Its diagnosis relies on bronchoalveolar lavage fluid (BALF) cytology in the presence of compatible clinical signs. The identification of blood biomarkers for this condition would facilitate diagnosis in the field, because there are regional areas where BAL is not routinely performed in clinical practice. Objective: Identification of blood biomarkers for the diagnosis of asthma in horses. Methods: Fourteen horses with asthma with increased neutrophil numbers in BALF (ne...
Equine trypanosomosis: enigmas and diagnostic challenges.
Parasites & vectors    May 15, 2019   Volume 12, Issue 1 234 doi: 10.1186/s13071-019-3484-x
Equine trypanosomosis is a complex of infectious diseases called dourine, nagana and surra. It is caused by several species of the genus Trypanosoma that are transmitted cyclically by tsetse flies, mechanically by other haematophagous flies, or sexually. Trypanosoma congolense (subgenus Nannomonas) and T. vivax (subgenus Dutonella) are genetically and morphologically distinct from T. brucei, T. equiperdum and T. evansi (subgenus Trypanozoon). It remains controversial whether the three latter taxa should be considered distinct species. Recent outbreaks of surra and dourine in Europe illustrate ...
Bilateral granulosa cell tumor in a cycling mare.
The Canadian veterinary journal = La revue veterinaire canadienne    May 14, 2019   Volume 60, Issue 5 480-484 
Castillo JM, Tse MPY, Dockweiler JC, Cheong SH, de Amorim MD.A 16-year-old Oldenburg mare was evaluated for stallion-like behavior. The mare had given birth to 2 foals previously. Transrectal palpation revealed bilaterally enlarged ovaries with no palpable ovulation fossa. Ultrasound examination showed both ovaries to have small follicles giving a honeycomb appearance, concurrent with a single large cystic structure in the left ovary (10.2 cm diameter). Serum Anti-Müllerian hormone (AMH) was elevated (95.7 pmol/L), consistent with granulosa cell tumor (GCT). Both ovaries were removed via flank laparoscopy and were evaluated by histopathology, which con...
Changes in the SIDActual and SID Effective Values in the Course of Respiratory Acidosis in Horses With Symptomatic Severe Equine Asthma-An Experimental Study.
Journal of equine veterinary science    May 13, 2019   Volume 78 107-111 doi: 10.1016/j.jevs.2019.05.006
Niedzwiedz A, Slawuta P, Zak A, Slowikowska M, Siwinska N, Rykała M, Nicpon J.Equine asthma syndrome is an allergic, inflammatory airway disease that usually affects older horses. Respiratory acidosis is an acid-base imbalance caused by alveolar hypoventilation. The acid-base balance may be assessed using the Henderson-Hasselbalch equation as well as the Stewart model. The authors hypothesized that systemic respiratory acidosis changes the ionic concentrations affecting water dissociation. The study group included 16 Warmblood, mixed breed horses of both sexes with a history of severe equine asthma, and 10 healthy horses were used as controls. Arterial and venous blood ...
Fertility and 63,X Mosaicism in a Haflinger Sibship.
Journal of equine veterinary science    May 13, 2019   Volume 78 127-133 doi: 10.1016/j.jevs.2019.05.008
Neuhauser S, Handler J, Schelling C, Pieńkowska-Schelling A.Chromosomal abnormalities are notable causes of infertility in horses. Mares show various degrees of estrous behavior, and ultrasound examination often reveals an underdeveloped genital tract. This article reports investigations on fertility in a Haflinger sibship with a healthy, normally developed, fertile mare with at least three healthy offspring. Chromosomal analysis performed incidentally and blinded for this mare revealed 63,X/64,XX/65,XXX mosaicism. Two closely related mares were also mosaics (63,X/64,XX), and one of them was a carrier of a marker chromosome. Repeated examinations of th...
Preparation of monoclonal antibodies against Bc48 and development of a rapid detection assay for infection with Babesia caballi in China.
Folia parasitologica    May 13, 2019   Volume 66 2019.005 doi: 10.14411/fp.2019.005
Wang P, Song J, Song R, Zhang M, Wu L, Li F, Yan Y, Zhou J, Chahan B, Liao M.Babesia caballi (Nuttal, 1910) is one of the causative agents of equine piroplasmosis which causes economic losses to horse industry in China. There is an urgent need for rapid detection method for B. caballi infection in Xinjiang Province, China. To prepare monoclonal antibodies (mAbs) against Bc48 gene of B. caballi (Xinjiang local strains) and establish colloidal gold-immunochromatographic (ICT) assay for diagnosis of the disease, recombinant Bc48 was expressed and purified from Escherichia coli. With purified Bc48 as immunogen in mice, three hybridoma cells named 11F4, 1H2 and 7F4 secretin...
Analysis of neurofilament concentration in healthy adult horses and utility in the diagnosis of equine protozoal myeloencephalitis and equine motor neuron disease.
Research in veterinary science    May 11, 2019   Volume 125 1-6 doi: 10.1016/j.rvsc.2019.04.018
Morales Gómez AM, Zhu S, Palmer S, Olsen E, Ness SL, Divers TJ, Bischoff K, Mohammed HO.Neurofilaments (NFs) are structural proteins of neurons that are released in significant quantities in the cerebrospinal fluid and blood as a result of neuronal degeneration or axonal damage. Therefore, NFs have potential as biomarkers for neurologic disorders. Neural degeneration increases with age and has the potential to confound the utility of NFs as biomarkers in the diagnosis of neurologic disorders. We investigated this relationship in horses with and without neurological diagnosis. While controlling for horse type (draft, pleasure, and racing), we evaluated the relationship between ser...
Performance comparison of 159 Thoroughbred racehorses and matched cohorts before and after desmotomy of the interspinous ligament.
Veterinary journal (London, England : 1997)    May 11, 2019   Volume 249 16-23 doi: 10.1016/j.tvjl.2019.05.004
Derham AM, O'Leary JM, Connolly SE, Schumacher J, Kelly G.Racehorses may perform poorly because of impinging dorsal spinous processes (DSPs) of the thoracolumbar vertebrae. No study has looked objectively at the long-term outcome of racehorses undergoing desmotomy of the interspinous ligament as a treatment for horses with poor performance caused by impinging DSPs. The aim of this study was to examine objectively, by using pre-operative and post-operative racing records, the effectiveness of desmotomy of the interspinous ligament (DISL) in improving the performance of racehorses with impinging DSPs. Medical records of all horses undergoing desmotomy ...
Whole Genome Sequencing of the First H3N8 Equine Influenza Virus Identified in Malaysia.
Pathogens (Basel, Switzerland)    May 10, 2019   Volume 8, Issue 2 doi: 10.3390/pathogens8020062
Gahan J, Garvey M, Asmah Abd Samad R, Cullinane A.In August 2015, Malaysia experienced an outbreak of acute respiratory disease in racehorses. Clinical signs observed were consistent with equine influenza (EI) infection. The index cases were horses recently imported from New Zealand. Rapid control measures, including temporary cancellation of racing, were implemented to minimize the impact of the outbreak. By November, the disease outbreak was resolved, and movement restrictions were lifted. The aim of this study was to confirm the clinical diagnosis and characterize the causal virus. A pan-reactive influenza type A real-time RT-PCR was used ...
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