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Topic:Disease

The study of diseases in horses encompasses a wide range of conditions affecting equine health, including infectious diseases, metabolic disorders, and genetic abnormalities. These diseases can impact various systems within the horse, such as respiratory, gastrointestinal, and musculoskeletal systems, and can lead to significant health challenges. Research in this area focuses on understanding the pathophysiology, diagnosis, prevention, and treatment of equine diseases. Common diseases studied include equine influenza, equine herpesvirus, and laminitis. This page provides access to peer-reviewed research studies and scholarly articles that explore the etiology, clinical presentation, and management strategies of diseases in horses, contributing to the advancement of equine veterinary medicine.
Characterization of Raid Hipico Uruguayo Competencies by Ride Type: Causes of Death and Risk Factors.
Animals : an open access journal from MDPI    May 10, 2023   Volume 13, Issue 10 1602 doi: 10.3390/ani13101602
Brito G, Damián JP, Suárez G, Ruprechter G, Trigo P.RHU is the oldest endurance sport in Uruguay. However, despite 80 years of racing, there are no studies to characterize this type of competition, explore rates and causes of death, and identify the associated risk factors. The aim was to characterize the Raid Hipico Uruguayo (RHU) competencies according to the distance (short (SR, 60 km) vs. long (LR, 80-115 km)), the causes of deaths, and the associated risk factors. The study population comprised horses ( = 16,856) that participated in RHU rides from 2007 to 2018. LR were more frequent than SR ( < 0.001). The average speed of winners was ...
Equine allergic skin diseases: Clinical consensus guidelines of the World Association for Veterinary Dermatology.
Veterinary dermatology    May 8, 2023   Volume 34, Issue 3 175-208 doi: 10.1111/vde.13168
Marsella R, White S, Fadok VA, Wilson D, Mueller R, Outerbridge C, Rosenkrantz W.Allergic skin diseases are common in horses worldwide. The most common causes are insect bites and environmental allergens. Objective: To review the current literature and provide consensus on pathogenesis, diagnosis, treatment and prevention. Methods: The authors reviewed the literature up to November 2022. Results were presented at North America Veterinary Dermatology Forum (2021) and European Veterinary Dermatology Congress (2021). The report was available to member organisations of the World Association for Veterinary Dermatology for feedback. Conclusions: Insect bite hypersensitivity (IBH...
Comparison of 4 agar gel immunodiffusion kits for serologic detection of equine infectious anemia virus antibodies. Bannai H, Kambayashi Y, Nemoto M, Yamanaka T, Tsujimura K.Using 85 sera collected from horses that had been experimentally infected with equine infectious anemia virus (EIAV) and 200 field sera collected from racehorses in Japan, we compared 4 agar gel immunodiffusion (AGID) kits for serologic detection of EIAV antibodies from Idexx, VMRD, IDvet, and the National Engineering Research Center of Veterinary Biologics, China (NECVB). The positive control lines were sufficiently clear in all kits for evaluation to be made, with slight differences in sharpness: NECVB was the sharpest, followed by VMRD, IDvet, and Idexx. The test results for all 285 samples...
Corrigendum to “Comparative proteome analysis of serum uncovers differential expression of proteins in donkeys (Equus asinus) with endometritis caused by Escherichia coli” [Journal of Equine Veterinary Science, Volume 122, March 2023, 104221].
Journal of equine veterinary science    May 2, 2023   Volume 128 104269 doi: 10.1016/j.jevs.2023.104269
Li J, Zhao Y, Mi J, Yi Z, Holyoak GR, Wu R, Wang Z, Zhu Y, Zeng S.No abstract available
Characterization of the equine placental microbial population in healthy pregnancies.
Theriogenology    May 2, 2023   Volume 206 60-70 doi: 10.1016/j.theriogenology.2023.04.022
van Heule M, Monteiro HF, Bazzazan A, Scoggin K, Rolston M, El-Sheikh Ali H, Weimer BC, Ball B, Daels P, Dini P.In spite of controversy, recent studies present evidence that a microbiome is present in the human placenta. However, there is limited information about a potential equine placental microbiome. In the present study, we characterized the microbial population in the equine placenta (chorioallantois) of healthy prepartum (280 days of gestation, n = 6) and postpartum (immediately after foaling, 351 days of gestation, n = 11) mares, using 16S rDNA sequencing (rDNA-seq). In both groups, the majority of bacteria belonged to the phyla Proteobacteria, Firmicutes, Actinobacteria, and Bacteroidota. T...
What Is the Microbiota and What Is Its Role in Colic?
The Veterinary clinics of North America. Equine practice    April 28, 2023   Volume 39, Issue 2 381-397 doi: 10.1016/j.cveq.2023.03.004
Arnold CE, Pilla R.The fecal microbiome of the horse is reflective of the large colon and plays an important role in the health of the horse. The microbes of the gastrointestinal tract digest fiber and produce energy for the host. Healthy horses have Firmicutes, Bacteroidetes, and Verrucromicrobia as the most common phyla. During gastrointestinal disease such as colic or colitis, the microbiome shows less diversity and changes in bacterial community composition.
Factors Influencing Equine Affiliate Opinion on Reporting of Equine Strangles in the United States.
Journal of equine veterinary science    April 28, 2023   Volume 128 104534 doi: 10.1016/j.jevs.2023.104534
Martin KH, Redding LE, Boyle AG.Although equine strangles is reportable in all states, synchronous reporting of this disease does not occur across the country. States have variable regulations on reporting (actionable, notifiable, and monitored) and no mandatory comprehensive databases exist for tracking prevalence. In this study, which is a companion to our recent publication on veterinarians' opinions on this topic, we solicited equine affiliates' (including horse owners, horse business owners/trainers, breeders, and barn managers) opinions on reporting of strangles and factors influencing their opinion. A total of 518 equ...
Subarachnoid hemorrhage and axonal degeneration after C1-C2 cervical centesis in 2 horses.
Journal of veterinary internal medicine    April 25, 2023   Volume 37, Issue 3 1256-1261 doi: 10.1111/jvim.16716
Luethy D, Colmer S, Jodzio D, Bender S, Porter E, Hemmen Z, Fultz L, Craft W, Walker R, Johnson A, Holbrook T.Ultrasound-guided cervical centesis has gained popularity as a method for collecting cerebrospinal fluid (CSF) from standing horses. There are anecdotal reports of neck stiffness, regional swelling, sensitivity to palpation, and fever after the procedure. We report 2 horses with complications that occurred within days of C1-C2 centesis and ultimately resulted in euthanasia. Both C1-C2 centesis were performed routinely, with CSF cytologic analysis providing no evidence of blood contamination. Post-mortem examination revealed equine degenerative myeloencephalopathy as the primary disorder causin...
SNP-Based Heritability of Osteochondrosis Dissecans in Hanoverian Warmblood Horses.
Animals : an open access journal from MDPI    April 25, 2023   Volume 13, Issue 9 doi: 10.3390/ani13091462
Zimmermann E, Distl O.Before the genomics era, heritability estimates were performed using pedigree data. Data collection for pedigree analysis is time consuming and holds the risk of incorrect or incomplete data. With the availability of SNP-based arrays, heritability can now be estimated based on genotyping data. We used SNP array and 1.6 million imputed genotype data with different minor allele frequency restrictions to estimate heritabilities for osteochondrosis dissecans in the fetlock, hock and stifle joints of 446 Hanoverian warmblood horses. SNP-based heritabilities were estimated using a genomic restricted...
World Association for the Advancement of Veterinary Parasitology (W.A.A.V.P.) guideline for diagnosing anthelmintic resistance using the faecal egg count reduction test in ruminants, horses and swine.
Veterinary parasitology    April 23, 2023   Volume 318 109936 doi: 10.1016/j.vetpar.2023.109936
Kaplan RM, Denwood MJ, Nielsen MK, Thamsborg SM, Torgerson PR, Gilleard JS, Dobson RJ, Vercruysse J, Levecke B.The faecal egg count reduction test (FECRT) remains the method of choice for establishing the efficacy of anthelmintic compounds in the field, including the diagnosis of anthelmintic resistance. We present a guideline for improving the standardization and performance of the FECRT that has four sections. In the first section, we address the major issues relevant to experimental design, choice of faecal egg count (FEC) method, statistical analysis, and interpretation of the FECRT results. In the second section, we make a series of general recommendations that are applicable across all animals ad...
Evidence and Molecular Characterization of Multidrug Resistant Staphylococcus aureus Isolated From Equines in Pakistan.
Journal of equine veterinary science    April 21, 2023   Volume 126 104498 doi: 10.1016/j.jevs.2023.104498
Anwaar F, Ijaz M, Rasheed H, Shah SFA, Haider SAR, Sabir MJ.The purpose of the current study was to investigate the nasal colonization and drug resistance profile of Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), and vancomycin-resistant S. aureus (VRSA) in donkeys (n =63), mules (n = 42), and horses (n = 98). MRSA and VRSA were confirmed based on phenotypic and molecular methods, followed by phylogenetic analysis. Furthermore, the association of various animal and management-based risk factors with S. aureus colonization was also evaluated. The presence of nuc gene on polymerase chain reaction showed an overall prevalence of 42.86%...
Vulvar Complex Apocrine Carcinoma in a Horse (Equus caballus): A Case Report and Review of Literature.
Journal of equine veterinary science    April 20, 2023   Volume 127 104495 doi: 10.1016/j.jevs.2023.104495
Kumbhani TR, Raval SH, Parmar RS, Patel JG, Bechara VJ, Sindhi PI, Modh SP.A 6-year-old Marwari mare presented with recurrent vulvar growth. The growth was surgically excised, fixed and processed routinely. Microscopically, neoplasm showed proliferation of epithelial and myoepithelial cells with tubulopapillary pattern. On immunohistochemistry, myoepithelial cells showed strong immunoreactivity with smooth muscle actin alpha and p63. On basis of histopathology and immunohistochemistry, tumour was diagnosed as complex apocrine carcinoma. This case report describes first confirm vulvar complex apocrine carcinoma in equines.
Anti-Toxoplasma gondii and Anti-Neospora caninum Antibodies in Urban Traction Equids in Northeast Brazil: Seroprevalence and Risk Factors.
Tropical medicine and infectious disease    April 20, 2023   Volume 8, Issue 4 234 doi: 10.3390/tropicalmed8040234
Costa PWL, Oliveira CSM, Bezerra RA, Alvares FBV, Formiga VHAS, Martins MRDD, Feitosa TF, Vilela VLR.The aim of this study was to describe the prevalence of anti- and anti- antibodies in equids that carry out traction work in Northeastern Brazil, and to establish the potential risk factors associated with seropositivity for these agents. Blood samples were collected from 322 traction equids (horses, donkeys and mules) in urban areas of 16 municipalities in the State of Paraíba, Brazil. The samples were sent for serological diagnosis using the Immunofluorescence Antibody Test (IFAT). Epidemiological questionnaires were given to the owners to assess the possible risk factors associated with in...
Safety and efficacy of a feed additive consisting of Lactiplantibacillus plantarum DSM 11520 for horses, dogs, cats and pet rabbits (Animal Probiotics Sweden AB).
EFSA journal. European Food Safety Authority    April 20, 2023   Volume 21, Issue 4 e07974 doi: 10.2903/j.efsa.2023.7974
Bampidis V, Azimonti G, Bastos ML, Christensen H, Dusemund B, Durjava M, Kouba M, López-Alonso M, López Puente S, Marcon F, Mayo B, Pechová A....Following a request from the European Commission, EFSA was asked to deliver a scientific opinion on DSM 11520 when used as a technological additive (acidity regulator) in feed for horses, dogs, cats and pet rabbits. The additive is intended to be incorporated into oat-derived products (ca. 55% moisture content), carrot root-derived products (≥ 90% moisture) and coconut flesh-derived products (≥ 90% moisture) at a minimum inclusion level of 8.0 × 10 CFU/kg of the feed material under scope. The bacterial species is considered by EFSA to be suitable for the qualified presumption ...
Extracellular vesicles in the treatment and prevention of osteoarthritis: can horses help us translate this therapy to humans?
Extracellular vesicles and circulating nucleic acids    April 17, 2023   Volume 4, Issue 2 151-169 doi: 10.20517/evcna.2023.11
O'Brien TJ, Hollinshead F, Goodrich LR.Osteoarthritis (OA) is a common joint disease affecting humans and horses, resulting in significant morbidity, financial expense, and loss of athletic use. While the pathogenesis is incompletely understood, inflammation is considered crucial in the development and progression of the disease. Mesenchymal stromal cells (MSCs) have received increasing scientific attention for their anti-inflammatory, immunomodulatory, and pro-regenerative effects. However, there are concerns about their ability to become a commercially available therapeutic. Extracellular vesicles (EVs) are now recognized to play...
Tracking the Source of Human Q Fever from a Southern French Village: Sentinel Animals and Environmental Reservoir.
Microorganisms    April 13, 2023   Volume 11, Issue 4 1016 doi: 10.3390/microorganisms11041016
Laidoudi Y, Rousset E, Dessimoulie AS, Prigent M, Raptopoulo A, Huteau Q, Chabbert E, Navarro C, Fournier PE, Davoust B., also known as the causal agent of Q fever, is a zoonotic pathogen infecting humans and several animal species. Here, we investigated the epidemiological context of from an area in the Hérault department in southern France, using the One Health paradigm. In total, 13 human cases of Q fever were diagnosed over the last three years in an area comprising four villages. Serological and molecular investigations conducted on the representative animal population, as well as wind data, indicated that some of the recent cases are likely to have originated from a sheepfold, which revealed bacterial c...
Direct and culture-enriched 16S rRNA sequencing of cecal content of healthy horses and horses with typhlocolitis.
PloS one    April 13, 2023   Volume 18, Issue 4 e0284193 doi: 10.1371/journal.pone.0284193
Zakia LS, Gomez DE, Caddey BB, Boerlin P, Surette MG, Arroyo LG.Next generation sequencing has demonstrated that alpha diversity of the fecal microbiota is significantly altered in horses with typhlocolitis. The objective of this study was to evaluate the bacterial composition of the cecum content of horses with and without typhlocolitis through direct and culture-enriched 16S gene sequencing of six healthy horses and six horses with acute typhlocolitis; a case-control study design. Cecal content was collected after euthanasia. An aliquot was used for direct 16S gene sequencing. Another was serially diluted with brain heart infusion (BHI) and plated onto f...
Homocysteine-Potential Novel Diagnostic Indicator of Health and Disease in Horses.
Animals : an open access journal from MDPI    April 11, 2023   Volume 13, Issue 8 1311 doi: 10.3390/ani13081311
Gołyński M, Metyk M, Ciszewska J, Szczepanik MP, Fitch G, Bęczkowski PM.Homocysteine is an endogenous, non-protein sulfuric amino acid, an intermediate metabolite formed by the methionine transmethylation reaction. Its elevated serum concentration in humans, hyperhomocysteinemia, is a sensitive indicator and a risk factor for coagulation disorders, cardiovascular diseases and dementia. However, the role of homocysteine in veterinary species has not been unequivocally established. Although some research has been conducted in dogs, cats, cattle and pigs, relatively few studies on homocysteine have been conducted in horses. So far, it has been established in this spe...
Endoscopic-guided diagnosis of and interventional stent placement for nasolacrimal duct obstruction in a horse.
Veterinary ophthalmology    April 8, 2023   Volume 26, Issue 3 256-261 doi: 10.1111/vop.13094
Smith LH, Adams L, Derré M, Townsend WM.To describe the successful use of endoscopy to visualize and place a soft canine ureteral stent to relieve a chronic nasolacrimal duct (NLD) obstruction in a horse. Methods: A 7-year-old, Quarter horse gelding. Methods: Under general anesthesia, retrograde nasolacrimal endoscopy was performed using an 8.5 Fr Storz Flex XC ureteroscope through the nasal punctum (NP). An obstructive web of fibrous tissue was visualized approximately 20 cm proximal to the NP. A 0.035″/150 cm hydrophilic guidewire was passed normograde from the ventral lacrimal punctum and used to puncture the stenotic tissu...
A case of chronic schistosomiasis in a Dongola stallion (Equus ferus caballus Linnaeus, 1758) from Nigeria.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    April 8, 2023   Volume 47, Issue 2 442-450 doi: 10.1007/s12639-023-01581-y
Abalaka SE, Audu Z, Kolawole VO, Adeyemo BT, Idoko IS, Okafor ROS, Oyelowo-Abdulraheem FO, Tags SZ, Ogbe AO, Sanni S, Jegede OC, Sani NA, Tenuche OZ....Schistosomiasis is a worldwide snail-borne parasitic infestation of man and animals with acute or chronic phases having devastating sequelae. The present case report focused on post-mortem examination of a cachexic Dongola stallion ( Linnaeus, 1758) in Abuja, Nigeria, that failed to respond to treatment. Typical dense collagenous granulomatous lesions with marked inflammatory responses and fibrosis occurred in the liver and several visceral organs of the horse along with other lesions indicative of systemic collapse. Special Ziehl-Neelsen and Periodic Acid-Schiff staining as well as microbial ...
Plasma UCHL-1 as a Biomarker of Brain Injury in Hospitalized Foals With Neonatal Encephalopathy.
Journal of equine veterinary science    April 7, 2023   Volume 126 104490 doi: 10.1016/j.jevs.2023.104490
Ryan CA, Giguère S, Morresey PR.A plasma biomarker such as ubiquitin carboxyl-terminal hydrolase L1 (UCHL-1) to distinguish neonatal encephalopathy (NE) from other disorders and provide prognostic information would be useful for equine practitioners. In this prospective study, plasma UCHL-1 was measured in 331 hospitalized foals ≤4 days of age. Clinical diagnoses of neonatal encephalopathy only (NE group, n = 77), sepsis only (Sepsis group, n = 34), concurrent sepsis and NE (NE+Sepsis group, n = 85), or neither sepsis nor NE (Other group, n = 101) were made by the attending veterinarian. Plasma UCHL-1 concentration...
Antibiograms of field and hospital acquired equine neonatal bacterial fluid cultures in the Midwestern United States: 149 samples (2007-2018).
Journal of veterinary internal medicine    April 7, 2023   Volume 37, Issue 3 1193-1200 doi: 10.1111/jvim.16671
Bookbinder LC, Mani R, Carr EA.Contemporary data reflecting local pathogens and their antibiograms is necessary to select empirical antimicrobial therapy for equine neonates. Objective: Describe bacterial isolates associated with equine neonatal infection and their antibiograms in the Midwestern United States. An increase in gram-positive infection and antibiotic resistance compared to previous literature was expected. Methods: Data from 149 fluid samples from 133 foals <30 days of age submitted for bacterial culture between January 2007 and December 2018. Methods: A retrospective evaluation of equine neonatal fluid cu...
Relevant Brachycera (Excluding Oestroidea) for Horses in Veterinary Medicine: A Systematic Review.
Pathogens (Basel, Switzerland)    April 6, 2023   Volume 12, Issue 4 568 doi: 10.3390/pathogens12040568
Frisch V, Fuehrer HP, Cavalleri JV.In equine stables and their surroundings, a large number of insects are present that can be a nuisance to their equine hosts. Previous studies about dipterans transmitting infectious agents to Equidae have largely focused on Nematocera. For the preparation of this systematic review, the existing literature (until February 2022) was systematically screened for various infectious agents transmitted to Equidae via insects of the suborder Brachycera, including Tabanidae, Muscidae, Glossinidae and Hippoboscidae, acting as pests or potential vectors. The PRISMA statement 2020 (Preferred Reporting It...
Correction to: Seroprevalence of Theileria equi, Babesia caballi, and Trichinella spp. infections in horses and donkeys from Nigeria, West Africa.
Tropical animal health and production    April 5, 2023   Volume 55, Issue 3 147 doi: 10.1007/s11250-023-03553-z
Kamani J, Bártová E, Kašpárková N, Mohammed SJ, Budíková M, Sedlák K.No abstract available
Whole genome sequencing to study antimicrobial resistance and RTX virulence genes in equine Actinobacillus isolates.
Veterinary research    April 5, 2023   Volume 54, Issue 1 33 doi: 10.1186/s13567-023-01160-2
Vereecke N, Vandekerckhove A, Theuns S, Haesebrouck F, Boyen F.Actinobacillus equuli is mostly associated with disease in horses and is most widely known as the causative agent of sleepy foal disease. Even though existing phenotypic tools such as biochemical tests, 16S rRNA gene sequencing, and Matrix Assisted Laser Desorption Ionization Time of Flight Mass Spectrometry (MALDI-TOF MS) can be used to identify members of the Actinobacillus genus, these methods struggle to differentiate between certain species and do not allow strain, virulence, and antimicrobial susceptibility typing. Hence, we performed in-depth analysis of 24 equine Actinobacillus isolate...
Prevalence and Risk Factors Associated With Natural Infection by Trypanosoma evansi in Campeiro Horses.
Journal of equine veterinary science    March 31, 2023   Volume 126 104300 doi: 10.1016/j.jevs.2023.104300
Golombieski L, Bassi das Neves G, Casa MDS, Costa GCS, Miletti LC, Saito ME, Fonteque JH.Campeiro horse is a breed locally adapted to the Santa Catarina plateau region and its main characteristic is the gait, it is known as "Marchador das Araucárias." It is a breed considered in danger of extinction, being fundamental the search for the preservation of this important genetic resource. Surra, caused by the protozoan Trypanosoma evansi, is among the diseases that affect horses. However, there are no data on the prevalence of infection in Campeiro horses. This study aimed to determine the prevalence of T. evansi in Campeiro horses, correlate hematology and serum biochemistry, and id...
Anthelmintic resistance of horse strongyle nematodes to ivermectin in São Paulo state, Brazil.
Veterinary parasitology, regional studies and reports    March 30, 2023   Volume 41 100864 doi: 10.1016/j.vprsr.2023.100864
de Favare GM, de Almeida Cipriano I, do Carmo TA, Mena MO, Guelpa GJ, do Amarante AFT, de Soutello RVG.The indiscriminate use of drugs to control gastrointestinal helminths in horses can lead to serious consequences for the animals, which represents a growing problem for health, animal welfare and productivity. Therefore, the present study aimed to evaluate the anthelmintic efficacy of ivermectin in naturally infected horses in the western region of the state of São Paulo. From May 2021 to April 2022, 123 naturally infected adult horses in 12 equine breeding farms (7 to 14 animals per farm) were evaluated with the fecal egg count reduction test. The horses had not been treated with anthelminti...
Clinical evaluation of the Immulite® 1000 chemiluminescent immunoassay for measurement of equine serum insulin.
Frontiers in veterinary science    March 27, 2023   Volume 10 1018230 doi: 10.3389/fvets.2023.1018230
Go YY, Hazard NW, Balasuriya UBR, Chapman AM, Fitton NS, Kenéz Á, Andrews FM.Accurate quantitative analysis of equine insulin in blood samples is critical for assessing hyperinsulinemia in horses. Although there are various laboratory methods for evaluating equine serum insulin, different immunoassays show significant discrepancies between the determined insulin concentrations and are often not comparable. The aim of this study was to evaluate the Immulite® 1000 chemiluminescent immunoassay (CLIA) to establish independent laboratory and assay-specific cut values to provide an accurate diagnosis of hyperinsulinemia in horses. Thus, the analytical and clinical performan...
Enhanced detection of Taylorella equigenitalis by qPCR using ‘Dry’ swabs.
Journal of equine science    March 24, 2023   Volume 34, Issue 1 7-12 doi: 10.1294/jes.34.7
Mawhinney I, Bollard A.Detection of Taylorella equigenitalis (CEMO) in the horse uses genital swabs. These swabs traditionally have been put in Amies charcoal transport medium for detection by culture but are also used for PCR. We determined the suitability of swabs without transport medium (Dry swabs) for CEMO PCR compared to swabs in Amies charcoal transport medium. The experiment was a factorial design using swab type and dilution of organism in culture suspensions, done in two parts. Simulated genital swabs were prepared in the laboratory by dipping in pairs into culture suspensions containing T. equigenitalis w...
Evaluation of a commercial NGS service for detection of bacterial and fungal pathogens in infectious ulcerative keratitis.
Veterinary ophthalmology    March 21, 2023   Volume 26, Issue 6 500-513 doi: 10.1111/vop.13069
Bendlin A, Gemensky-Metzler AJ, Diaz-Campos D, Newbold GM, Miller EJ, Chandler HL.To compare results from a commercial next-generation sequencing (NGS) service to corneal cytology and culture for identification of causative organisms in veterinary patients presenting for infectious ulcerative keratitis (IUK). Methods: Swabs for corneal aerobic and fungal cultures and DNA swabs for NGS were submitted for canine and equine normal controls (n = 11 and n = 4, respectively) and IUK patients (n = 22 and n = 8, respectively) for which microbrush cytology specimens confirmed the presence of infectious organisms. The sensitivity of the NGS results was compared with bacterial...
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