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Topic:Disease Treatment

Disease treatment in horses encompasses a range of medical interventions and management strategies aimed at addressing various health conditions affecting equine species. These treatments can include pharmacological approaches, such as the administration of antibiotics, anti-inflammatory drugs, and antiparasitic medications, as well as non-pharmacological methods like physical therapy, dietary adjustments, and surgical procedures. The selection of appropriate treatments depends on the specific disease, its severity, and the individual needs of the horse. This topic brings together peer-reviewed research studies and scholarly articles that explore the efficacy, safety, and advancements in therapeutic options for equine diseases, providing insights into best practices and emerging trends in equine veterinary medicine.
An experimentally induced osteoarthritis model in horses performed on both metacarpophalangeal and metatarsophalangeal joints: Technical, clinical, imaging, biochemical, macroscopic and microscopic characterization.
PloS one    June 25, 2020   Volume 15, Issue 6 e0235251 doi: 10.1371/journal.pone.0235251
Bertoni L, Jacquet-Guibon S, Branly T, Legendre F, Desancé M, Mespoulhes C, Melin M, Hartmann DJ, Schmutz A, Denoix JM, Galéra P, Demoor M....Osteoarthritis is a common cause of pain and economic loss in both humans and horses. The horse is recognized as a suitable model for human osteoarthritis, because the thickness, structure, and mechanical properties of equine articular cartilage are highly comparable to those of humans. Although a number of equine experimental osteoarthritis models have been described in the literature, these cases generally involve the induction of osteoarthritis in just one joint of each animal. This approach necessitates the involvement of large numbers of horses to obtain reliable data and thus limits the ...
Retroperitoneoscopy in the horse: Anatomical study of the retroperitoneal perirenal space and description of a surgical approach.
Equine veterinary journal    June 24, 2020   Volume 53, Issue 2 364-372 doi: 10.1111/evj.13293
Pujol R, De Fourmestraux C, Symoens A, Branchereau J, Tessier C.Surgical approaches to the kidneys and perirenal structures are uncommonly performed in horses and several complications have been described with the current procedures. Objective: To describe the anatomy of the retroperitoneal perirenal space and investigate a retroperitoneal minimally invasive approach to access the kidney and perirenal structures in horses. Methods: Descriptive, cadaveric study. Methods: Anatomical description of the retroperitoneal space was performed on three equine cadavers and the surgical approach was developed based on these dissections. Ten cadaveric horses underwent...
Effect of selective IK,ACh inhibition by XAF-1407 in an equine model of tachypacing-induced persistent atrial fibrillation.
British journal of pharmacology    June 24, 2020   Volume 177, Issue 16 3778-3794 doi: 10.1111/bph.15100
Fenner MF, Carstensen H, Dalgas Nissen S, Melis Hesselkilde E, Scott Lunddahl C, Adler Hess Jensen M, Loft-Andersen AV, Sattler SM, Platonov P....Inhibition of the G-protein gated ACh-activated inward rectifier potassium current, IK,ACh may be an effective atrial selective treatment strategy for atrial fibrillation (AF). Therefore, the anti-arrhythmic and electrophysiological properties of a novel putatively potent and highly specific IK,ACh inhibitor, XAF-1407 (3-methyl-1-[5-phenyl-4-[4-(2-pyrrolidin-1-ylethoxymethyl)-1-piperidyl]thieno[2,3-d]pyrimidin-6-yl]azetidin-3-ol), were characterised for the first time in vitro and investigated in horses with persistent AF. The pharmacological ion channel profile of XAF-1407 was investigated us...
Quantitative analysis of paracetamol, metacetamol, and orthocetamol in equine urine from racehorses in Japan using liquid chromatography-electrospray ionization-tandem mass spectrometry.
Drug testing and analysis    June 24, 2020   Volume 12, Issue 8 1196-1202 doi: 10.1002/dta.2860
Ishii H, Obara T, Kusano K, Kijima-Suda I.Paracetamol is commonly used as an over-the-counter analgesic and antipyretic medication for humans, but not sold as a legitimate therapeutic medication for horses in Japan. However, paracetamol is commonly found in horses together with its two isomers, metacetamol and orthocetamol. We previously reported that paracetamol and orthocetamol were both present in selected feed consumed by Japanese racehorses. For the purpose of the doping control of paracetamol in local Japanese horses, we proposed establishing residue limits (Japanese residue limits, JRLs) to minimize the risk of reporting parace...
SpeS: A Novel Superantigen and Its Potential as a Vaccine Adjuvant against Strangles.
International journal of molecular sciences    June 23, 2020   Volume 21, Issue 12 4467 doi: 10.3390/ijms21124467
Dominguez-Medina CC, Rash NL, Robillard S, Robinson C, Efstratiou A, Broughton K, Parkhill J, Holden MTG, Lopez-Alvarez MR, Paillot R, Waller AS.Bacterial superantigens (sAgs) are powerful activators of the immune response that trigger unspecific T cell responses accompanied by the release of proinflammatory cytokines. () and () produce sAgs that play an important role in their ability to cause disease. Strangles, caused by , is one of the most common infectious diseases of horses worldwide. Here, we report the identification of a new sAg of , SpeS, and show that mutation of the putative T cell receptor (TCR)-binding motif (YAY to IAY) abrogated TCR-binding, whilst maintaining interaction with major histocompatibility complex (MHC) c...
Modelling the probability and impact of false-positive serology for Borrelia burgdorferi sensu lato: A case study.
Equine veterinary journal    June 23, 2020   Volume 53, Issue 1 71-77 doi: 10.1111/evj.13277
Houben RMAC, Meersschaert C, Hendrickx G, Pitel PH, Amory H.Serological screening tests for Lyme borreliosis have poor specificity, with potential for misdiagnosis and unnecessary antimicrobial treatment. Objective: To evaluate the impact of Lyme borreliosis seroprevalence and serologic test characteristics on the probability of obtaining a false-positive result and impact on antimicrobial use. Methods: Cross-sectional serological survey and modelling. Methods: Sera from 303 horses in southern Belgium were analysed by enzyme-linked immunosorbent assay (ELISA). Apparent seroprevalence was derived from serological data and a Bayesian estimate of true ser...
Trypanosome infections in naturally infected horses and donkeys of three active sleeping sickness foci in the south of Chad.
Parasites & vectors    June 23, 2020   Volume 13, Issue 1 323 doi: 10.1186/s13071-020-04192-1
Vourchakbé J, Tiofack AAZ, Mbida M, Simo G.Equine trypanosomiases are complex infectious diseases with overlapping clinical signs defined by their mode of transmission. Despite their economic impacts, these diseases have been neglected by the scientific community, the veterinary authorities and regulatory organizations. To fill the observed knowledge gap, we undertook the identification of different trypanosome species and subspecies naturally infecting horses and donkeys within the Chadian sleeping sickness focus. The objective of the study was to investigate the potential role of these domestic animals as reservoirs of the human-infe...
Replication of Equine arteritis virus is efficiently suppressed by purine and pyrimidine biosynthesis inhibitors.
Scientific reports    June 22, 2020   Volume 10, Issue 1 10100 doi: 10.1038/s41598-020-66944-4
Valle-Casuso JC, Gaudaire D, Martin-Faivre L, Madeline A, Dallemagne P, Pronost S, Munier-Lehmann H, Zientara S, Vidalain PO, Hans A.RNA viruses are responsible for a large variety of animal infections. Equine Arteritis Virus (EAV) is a positive single-stranded RNA virus member of the family Arteriviridae from the order Nidovirales like the Coronaviridae. EAV causes respiratory and reproductive diseases in equids. Although two vaccines are available, the vaccination coverage of the equine population is largely insufficient to prevent new EAV outbreaks around the world. In this study, we present a high-throughput in vitro assay suitable for testing candidate antiviral molecules on equine dermal cells infected by EAV. Using t...
Letter to the Editor: Venezuelan Equine Encephalitis virus 1B Invasion and Epidemic Control-South Texas, 1971.
Tropical medicine and infectious disease    June 22, 2020   Volume 5, Issue 2 104 doi: 10.3390/tropicalmed5020104
McLean RG.The epidemic strain of Venezuelan equine encephalitis virus (VEE) 1B invaded south Texas in 1971. The success of the eventual containment and control of the virus invasion was the early recognition and immediate detection, cooperation, coordination, and participation among multiple federal agencies. There were 4739 wild vertebrate animals trapped on a ranch in the area with only 1 VEE virus isolation from a Virgina opossum (Didelphis virginiana). A large number of mosquitoes were also collected on the ranch and tested, resulting in 240 VEE virus isolations. Virus isolations were obtained from ...
First outbreak of autochthonous “surra” in horses in Santa Catarina State, Brazil: Parasitological, hematological and biochemical characteristics.
Veterinary parasitology, regional studies and reports    June 21, 2020   Volume 21 100427 doi: 10.1016/j.vprsr.2020.100427
Reck C, Menin Á, Pisetta NL, Batista F, Miletti LC.This study reports the first autochthonous "surra" outbreak in horses in the State of Santa Catarina, southern Brazil. Six horses with clinical suspicion of trypanosomosis had the natural infection by T. evansi confirmed by PCR and rapid serum agglutination test. Clinical, parasitological, and hematology evaluations were performed at initial observation (T0) and 90 days after (T1). At T0, all animals that tested positive for T. evansi in PCR presented with severe clinical signs and out of normal range hematological hematological (hematocrit, leukocytes, platelets, hemoglobin) and serum bioche...
Serum neutralising antibody titres against a lineage 2 neuroinvasive West Nile Virus strain in response to vaccination with an inactivated lineage 1 vaccine in a European endemic area.
Veterinary immunology and immunopathology    June 20, 2020   Volume 227 110087 doi: 10.1016/j.vetimm.2020.110087
Fehér O, Bakonyi T, Barna M, Nagy A, Takács M, Szenci O, Joó K, Sárdi S, Korbacska-Kutasi O.In the last decade in Hungary and the neighbouring countries, West Nile Neuroinvasive Disease (WNND) has been caused in dramatically increasing numbers by lineage 2 West Nile Virus (WNV) strains both in horses and in humans. The disease in this geographical region is seasonal, so vaccination of horses should be carefully scheduled to maintain the highest antibody titres during outbreak periods. The objective of this study was to characterise the serum neutralising (SN) antibody titres against a lineage 2 WNV strain in response to vaccination with an inactivated lineage 1 vaccine (Equip® WNV)....
Histologic Evaluation of Palmar Digital Nerves after Perineural Injection of 2% Ammonium Chloride in Miniature Horses.
Journal of equine veterinary science    June 20, 2020   Volume 92 103171 doi: 10.1016/j.jevs.2020.103171
Dau SL, Azevedo MDS, Mazaro RD, de La Corte FD, Fighera R.Neurolytic compounds are widely used by equine practitioners for the management of lameness, mostly related to the foot. The present study aimed to evaluate the neurotoxicity of 2% ammonium chloride (2% AC) applied adjacent to the palmar digital nerves in six miniature horses. The 2% AC and 0.9% saline solution were randomly injected into three and one palmar digital nerve of each horse, respectively. Nerve samples were collected by neurectomy performed under general anesthesia at 5, 12, 19, 35, 47, and 62 days after treatment, with one horse per day of surgery. The inflammatory reaction to p...
Meta-analysis of the Effect of Treatment Strategies for Nephrosplenic Entrapment of the Large Colon.
Journal of equine veterinary science    June 20, 2020   Volume 92 103169 doi: 10.1016/j.jevs.2020.103169
Gillen A, Kottwitz J, Munsterman A.A variety of treatment strategies for nephrosplenic entrapment of the large colon are reported, with conflicting evidence in the published literature as to the preferred treatment option. The aim of this study is to provide a systematic meta-analytical assessment of the efficacy of different treatment strategies in horses with confirmed or suspected nephrosplenic entrapment. This study involves meta-analysis including nonrandomized studies. A comprehensive literature search was performed from January 1970 to January 2017. Inclusion criteria were retrospective studies involving horses with conf...
Donkey Therapy and Hippotherapy: Two Faces of the Same Coin?
Innovations in clinical neuroscience    June 18, 2020   Volume 17, Issue 1-3 20-21 
Animal-assisted interventions are considered an innovative rehabilitation approach to improve social, emotional, and physical domains in several diseases. Among such treatments, the equine-assisted activities and therapies have been developed to support the conventional approaches. There is growing evidence on the beneficial effects of hippotherapy, whereas few data are available regarding donkey therapy. Herein, we compare such treatments, hypothesizing their best application field to reach the proper therapeutic outcomes.
Identification of monoclonal antibodies suitable for blocking IGF-1 receptors in the horse.
Domestic animal endocrinology    June 17, 2020   Volume 74 106510 doi: 10.1016/j.domaniend.2020.106510
Rahnama S, Vathsangam N, Spence R, Anderson ST, de Laat MA, Bailey S, Sillence MN.Prolonged hyperinsulinemia is thought to be the cause of equine endocrinopathic laminitis, a common and crippling disease of the foot, for which there are no pharmacologic treatments other than pain relief. It has been suggested that insulin causes its effects on the lamellae by activating IGF-1 receptors (IGF-1R), as insulin receptors (InsR) are scarce in this tissue, whereas IGF-1R are abundant and become downregulated after prolonged insulin infusion. As a first step toward confirming this mechanism and beginning to develop a therapeutic anti-IGF-1R monoclonal antibody (mAb) for horses, it ...
Mycotoxicoses in veterinary medicine: Aspergillosis and penicilliosis.
Veterinary research forum : an international quarterly journal    June 15, 2020   Volume 11, Issue 2 97-103 doi: 10.30466/vrf.2020.112820.2686
Malekinejad H, Fink-Gremmels J.Molds and mycotoxins are contaminants of animal feed causing spoilage and clinical intoxication. Animal exposure to mycotoxins reflects diet composition with major differences occurring between animals kept predominantly of pastures, i.e. ruminants and horses, and those consuming formulated feed like pigs and poultry. Mixed feeds are composed of several ingredients, often sourced from different continents. Subsequently, practitioners may confront endemic diseases and signs of toxin exposure related to toxins imported accidentally with contaminated feed materials from other countries and contin...
Assessment of the anti-inflammatory and engraftment potential of horse endometrial and adipose mesenchymal stem cells in an in vivo model of post breeding induced endometritis.
Theriogenology    June 14, 2020   Volume 155 33-42 doi: 10.1016/j.theriogenology.2020.06.010
Navarrete F, Saravia F, Cisterna G, Rojas F, Silva PP, Rodríguez-Alvarez L, Rojas D, Cabezas J, Mançanares ACF, Castro FO.Horse mesenchymal stem cells (MSC) are potential anti-inflammatory tools for post-breeding induced endometritis (PBIE). In this research MSCs isolated from the endometrium or subcutaneous fat of the same donors were infused iu into mares with PBIE for assessment of their anti-inflammatory action and engraftment. PBIE was induced in nine gynecologically healthy mares by iu infusion of 500 million dead sperm in saline. Inflammatory markers were analyzed in uterine lavages and biopsies immediately before (phase I) and 3 h after infusion of sperm (phase II). Measurements: polymorph nuclear cells ...
Should we continue to tolerate racehorse deaths?
The Veterinary record    June 13, 2020   Volume 186, Issue 18 610 doi: 10.1136/vr.m2291
Williams D.No abstract available
Env diversity-dependent protection of the attenuated equine infectious anaemia virus vaccine.
Emerging microbes & infections    June 12, 2020   Volume 9, Issue 1 1309-1320 doi: 10.1080/22221751.2020.1773323
Lin Y, Wang XF, Wang Y, Du C, Ren H, Liu C, Zhu D, Chen J, Na L, Liu D, Yang Z, Wang X.Lentiviruses harbour high genetic variability for efficient evasion from host immunity. An attenuated equine infectious anaemia (EIA) vaccine was developed decades ago in China and presented remarkably robust protection against EIA. The vaccine was recently proven to have high genomic diversity, particular in . However, how and to what extent the high diversity relates to immune protection remains unclear. In this study, we compared immune protections and responses of three groups of horses stimulated by the high-diversity vaccine EIAV_HD, a single molecular clone of the vaccine EIAV_LD with ...
Molecular Analysis and Risk Factors Associated With Theileria equi Infection in Domestic Donkeys and Mules of Punjab, Pakistan.
Journal of equine veterinary science    June 12, 2020   Volume 92 103164 doi: 10.1016/j.jevs.2020.103164
Shah MH, Ijaz M, Ahmed A, Aziz MU, Ghaffar A, Ghauri HN, Naveed M.Theileriosis is an important disease of economic significance which badly affects the equine husbandry of developing countries. The present study was planned to investigate the molecular prevalence of theileriosis, associated risk factors, and alterations in hematological parameters of donkeys and mules from district Mianwali, Punjab, Pakistan. Blood samples from 150 equids (n = 75 donkeys; n = 75 mules) were examined microscopically, and the genomic DNA from each sample was processed for the amplification of the 18S rRNA gene of Theileria. The polymerase chain reaction confirmed isolates we...
Citizens’ juries give verdict on whether private practice veterinarians should attend unvaccinated Hendra virus suspect horses.
Australian veterinary journal    June 11, 2020   Volume 98, Issue 7 273-279 doi: 10.1111/avj.12957
Annand EJ, Reid PA, Johnson J, Gilbert GL, Taylor M, Walsh M, Ward MP, Wilson A, Degeling C.Hendra virus (HeV) is endemic in Australian flying foxes, posing a threat to equine and human health. Equine vaccination remains the most effective risk mitigation strategy. Many horses remain unvaccinated - even in higher-risk regions. Debate surrounding the vaccine's use is characterised by conflicting perspectives, misunderstanding and mistrust. Private veterinary practitioners are critical to early identification of public health risk through recognition, sampling and management of suspect-equine-HeV-cases. However, managing such cases can be burdensome, with some veterinarians opting not ...
Detection of Chlamydia species in 2 cases of equine abortion in Switzerland: a retrospective study from 2000 to 2018. Baumann S, Gurtner C, Marti H, Borel N.Species of genus are important pathogens of animals, with a worldwide distribution and broad host range. Some species, such as , also pose a zoonotic disease risk. Abortion is one of the many diseases that has been associated with chlamydial infections in animals, with most attention focused on the economic impacts to sheep production. The role of chlamydia in equine abortions is unknown. Using the family-specific 23S ribosomal RNA (rRNA) real-time PCR, we tested 169 formalin-fixed, paraffin-embedded fetal membrane samples from 162 equine abortion cases collected between 2000 and 2018 in Swi...
Genetics of Equine Endocrine and Metabolic Disease.
The Veterinary clinics of North America. Equine practice    June 11, 2020   Volume 36, Issue 2 341-352 doi: 10.1016/j.cveq.2020.03.011
Norton E, McCue ME.A role for a genetic contribution to equine metabolic syndrome (EMS) and pars pituitary intermedia dysfunction (PPID) has been hypothesized. Heritability estimates of EMS biochemical measurements were consistent with moderately to highly heritable traits. Further, genome-wide association analyses have identified hundreds of regions of the genome contributing to EMS and candidate variants have been identified. The genetics of PPID has not yet been proven. Continued research for the specific genetic risk factors for both EMS and PPID is crucial for gaining a better understanding of the pathophys...
Ectoparasites of feral horses [Equus ferus caballus (Linnaeus., 1758)] on Karadağ Mountain, Karaman, Turkey.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    June 11, 2020   Volume 44, Issue 3 590-596 doi: 10.1007/s12639-020-01234-4
Dik B, Ceylan O, Ceylan C, Tekindal MA, Semassel A, Sönmez G, Derinbay Ekici Ö.Approximately 250 feral horses [ (Linnaeus, 1758)] living on Karadağ Mountain near Karaman City were caught by Kazakh horse herdsmen with permission of the Turkish Ministry of Agriculture and Forestry and brought to a farm in Karkın village in Konya Province, 70 km from Karadağ, in November, 2017. This study was carried out to determine the presence of ectoparasites infesting a subsample of 36 feral horses. The horses were visually inspected, and then their bodies were checked by hand for ectoparasites. Thirty-five (97.2%) were infested with at least one of five species of ectoparasites: ...
Veterinary Regenerative Medicine for Musculoskeletal Disorders: Can Mesenchymal Stem/Stromal Cells and Their Secretome Be the New Frontier?
Cells    June 11, 2020   Volume 9, Issue 6 1453 doi: 10.3390/cells9061453
Mocchi M, Dotti S, Bue MD, Villa R, Bari E, Perteghella S, Torre ML, Grolli S.Regenerative medicine aims to restore the normal function of diseased or damaged cells, tissues, and organs using a set of different approaches, including cell-based therapies. In the veterinary field, regenerative medicine is strongly related to the use of mesenchymal stromal cells (MSCs), which belong to the body repair system and are defined as multipotent progenitor cells, able to self-replicate and to differentiate into different cell types. This review aims to take stock of what is known about the MSCs and their use in the veterinary medicine focusing on clinical reports on dogs and hors...
Pre-conditioning of Equine Bone Marrow-Derived Mesenchymal Stromal Cells Increases Their Immunomodulatory Capacity.
Frontiers in veterinary science    June 11, 2020   Volume 7 318 doi: 10.3389/fvets.2020.00318
Caffi V, Espinosa G, Gajardo G, Morales N, Durán MC, Uberti B, Morán G, Plaza A, Henríquez C.Mesenchymal stem/stromal cells (MSCs) are increasingly explored for the treatment of degenerative and inflammatory diseases in human and veterinary medicine. One of the key characteristics of MSCs is that they modulate inflammation mainly through the secretion of soluble mediators. However, despite widespread clinical use, knowledge regarding the effector mechanisms of equine MSCs, and consequently their effectiveness in the treatment of diseases, is still unknown. The objectives of this study were to determine the mechanisms underlying inhibition of lymphocyte proliferation by equine bone mar...
Descemet’s membrane detachments, ruptures, and separations in ten adult horses: Clinical signs, diagnostics, treatment options, and preliminary results.
Veterinary ophthalmology    June 11, 2020   Volume 23, Issue 4 611-623 doi: 10.1111/vop.12793
Rodriguez Galarza RM, McMullen RJ.To describe the clinical presentation, diagnostic imaging results, and treatment outcomes of a series of presumed spontaneous Descemet's membrane detachments (DMD), ruptures, or separations (DMRS) in the adult horse. Methods: Ten adult horses of various breeds with DMD or DMRS. Methods: Descemet's membrane detachments/DMRS were diagnosed via slit lamp biomicroscopy, ultrasound biomicroscopy (UBM), and/or optical coherence tomography (OCT). Penetrating keratoplasty (PK) with heterologous corneal donor tissue (n = 1), superficial lamellar keratectomy, and Gundersen inlay flaps alone (GF, n =...
Dominant IgM synthesis against the soluble form of the prevailing variant surface glycoprotein from TeAp-N/D1 Trypanosoma equiperdum throughout the experimental acute infections of horses with non-tsetse transmitted Trypanozoon parasites.
Journal of immunoassay & immunochemistry    June 11, 2020   Volume 41, Issue 4 745-760 doi: 10.1080/15321819.2020.1778029
Uzcanga GL, Bubis J.Two horses were infected with distinct non-tsetse transmitted Venezuelan stocks, namely TeAp-N/D1  and TeAp-El Frio01 . Preceding reports have revealed that a 64-kDa antigenic glycopolypeptide (p64), which is the soluble form of the predominant variant surface glycoprotein from TeAp-N/D1 , can be used as a good antigen for immunodiagnosis of animal trypanosomosis. Here, the course of the experimental acute infection in both horses was monitored by evaluating total anti-p64 IgG and particular anti-p64 γ-specific IgG and μ-specific IgM isotypes in sera using indirect enzyme-linked immunoso...
Equine Genetic Diseases.
The Veterinary clinics of North America. Equine practice    June 10, 2020   Volume 36, Issue 2 xiii doi: 10.1016/j.cveq.2020.05.001
Finno CJ.No abstract available
Effects of topical 1% cyclopentolate hydrochloride on quantitative pupillometry measurements, tear production and intraocular pressure in healthy horses.
Veterinary ophthalmology    June 10, 2020   Volume 23, Issue 4 730-739 doi: 10.1111/vop.12794
Ortillés Á, Sanmartí J, Ríos J, Armengou L, Peña MT, Leiva M.To evaluate the effect of topical cyclopentolate hydrochloride (CH) on quantitative pupillometric readings (PR), tear production (TP), and intraocular pressure (IOP) in healthy horses. Methods: Fourteen client-owned horses. Methods: In a two-phase design study, each animal received 1% CH ophthalmic solution in the left eye [treated] and 0.9% NaCl in the right eye [control] (0.2 mL each). In the first phase (n = 7), TP, IOP, and PR assessment was performed by Schirmer tear test I, rebound tonometry and static pupillometry, at 1, 8, 24, 48, 72, 96, 120, 148, 172, and 196-hours post-instillati...
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