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Topic:Epidemiology

Epidemiology in horses involves the study of the distribution and determinants of health-related states and events in equine populations. It encompasses the investigation of patterns, causes, and effects of diseases and health conditions within horse populations. This field of study aims to identify risk factors for disease and targets for preventive healthcare. Key components of equine epidemiology include disease surveillance, outbreak investigation, and the study of disease dynamics within herds or regions. Research in this area often focuses on infectious diseases, zoonotic diseases, and the impact of environmental factors on equine health. This page compiles peer-reviewed research studies and scholarly articles that explore various aspects of epidemiology in horses, including disease prevalence, transmission pathways, and strategies for disease prevention and control.
Risk Factors Associated With Seroreactivity Against Leptospira sp. in Horses From Brazilian Amazon.
Journal of equine veterinary science    May 22, 2018   Volume 68 59-62 doi: 10.1016/j.jevs.2018.05.197
Peixoto Ribeiro TM, Correia L, Hofstaetter Spohr KA, Aguiar DM, Martins G, de Sá Jayme V.This study investigated the risk factors associated with seroreactivity to Leptospira sp. in horses from Brazilian Amazon. Blood samples were collected and microscopic agglutination test was performed, and univariate and multivariate analyses were conducted for association with risk factors. General seroprevalence was 32.7% and the most prevalent serogroup observed was Sejroe (5.9%). Seroreactivity was associated with age, sex, activity (work, leisure, or both), feed supplementation, trash accumulation, and presence of felines. Epidemiology of leptospirosis remains poorly understood in Amazon ...
Ontario Racehorse Death Registry, 2003-2015: Descriptive analysis and rates of mortality.
Equine veterinary journal    May 18, 2018   Volume 51, Issue 1 64-76 doi: 10.1111/evj.12955
Physick-Sheard PW, Avison A, Chappell E, MacIver M.The Province of Ontario maintains a registry of racehorse deaths occurring within 60 days of a race or trial entry that provides insight into mortality rates and costs of competition. Objective: To characterise and quantify mortality and identify breed differences. Methods: Retrospective annualised cohort study. Methods: The Ontario Death Registry for 2003-2015, containing 1713 cases, was audited and information on the relationship between death and official work added. Race and trial data from industry performance databases were used to determine mortality rates according to breed, year, age...
Respiratory disease and sero-epidemiology of respiratory pathogens in the working horses of Ethiopia.
Equine veterinary journal    May 17, 2018   Volume 50, Issue 6 793-799 doi: 10.1111/evj.12834
Laing G, Christley R, Stringer A, Aklilu N, Ashine T, Newton R, Radford A, Pinchbeck G.Pathogens are frequently implicated in equine respiratory disease. In Ethiopia, respiratory disease is a frequent cause for presentation at veterinary clinics and a priority concern for users of working horses. However, there is little existing literature on possible aetiologies. Objective: Determine prevalence of respiratory signs and exposure to major respiratory pathogens through a serological survey. Methods: Cross-sectional. Methods: Systematically selected horses from 19 sites in central Ethiopia were examined clinically and sampled once (August-December 2013). A face-to-face interview c...
Contracting for care – the construction of the farrier role in supporting horse owners to prevent laminitis.
Equine veterinary journal    May 17, 2018   Volume 50, Issue 5 658-666 doi: 10.1111/evj.12950
Lynden J, Ogden J, Hollands T.Emerging research highlights how, due to demographic changes in horse owner populations in Western societies, complex owner-horse relationships are leading to inappropriate horse care, including overnutrition, which in turn can lead to laminitis. Farriers, due to their regular visits, may be in a position to support owners in dealing with this problem. Objective: This study explored whether UK farriers have a role in working with horse owners to support horse welfare and prevent laminitis. Methods: Grounded theory analysis, a qualitative methodology. Methods: Semi-structured interviews were co...
Validity and application of immunoturbidimetric and enzyme-linked immunosorbent assays for the measurement of adiponectin concentration in ponies.
Equine veterinary journal    May 17, 2018   Volume 51, Issue 1 33-37 doi: 10.1111/evj.12960
Menzies-Gow NJ, Knowles EJ, Rogers I, Rendle DI.Circulating adiponectin concentrations were lower in ponies with a history of endocrinopathic laminitis and in nonlaminitic ponies that subsequently developed laminitis. The assays used in these studies have been discontinued or are no longer valid. Objective: (1) to determine the validity of immunoturbidimetric (IT) and enzyme linkedimmunosorbent (ELISA) assays for equine total and high molecular weight (HMW) [adiponectin] measurement and (2) to investigate the association between [adiponectin] measured using these assays and endocrinopathic laminitis. Methods: Method validation and cohort st...
Sequential bacterial sampling of the midline incision in horses undergoing exploratory laparotomy.
Equine veterinary journal    May 17, 2018   Volume 51, Issue 1 38-44 doi: 10.1111/evj.12958
Isgren CM, Salem SE, Townsend NB, Timofte D, Maddox TW, Archer DC.There is limited information about bacterial isolates that are present on the equine midline incision during and following exploratory laparotomy. Objective: To investigate the bacterial species cultured from the ventral midline pre-, intra- and post- laparotomy, whether particular bacterial isolates are associated with the development of surgical site infections (SSIs) and to report the antimicrobial resistance phenotypes of these isolates. Methods: Prospective cohort study. Methods: The ventral midline of 31 horses undergoing exploratory laparotomy was sampled for bacterial culture at set ti...
Noncatastrophic and catastrophic fractures in racing Thoroughbreds at the Hong Kong Jockey Club.
Equine veterinary journal    May 17, 2018   Volume 51, Issue 1 77-82 doi: 10.1111/evj.12953
Sun TC, Riggs CM, Cogger N, Wright J, Al-Alawneh JI.Reports of fractures in racehorses have predominantly focused on catastrophic injuries, and there are limited data identifying the location and incidence of fractures that did not result in a fatal outcome. Objective: To describe the nature and the incidence of noncatastrophic and catastrophic fractures in Thoroughbreds racing at the Hong Kong Jockey Club (HKJC) over seven racing seasons. Methods: Retrospective cohort study. Methods: Data of fractures sustained in horses while racing and of race characteristics were extracted from the HKJC Veterinary Management Information System (VMIS) and Ra...
Conjugated equine estrogen and medroxyprogesterone acetate are associated with decreased risk of breast cancer relative to bioidentical hormone therapy and controls.
PloS one    May 16, 2018   Volume 13, Issue 5 e0197064 doi: 10.1371/journal.pone.0197064
Zeng Z, Jiang X, Li X, Wells A, Luo Y, Neapolitan R.By the 1990s it became popular for women to use hormone therapy (HT) to ease menopause symptoms. Bioidentical estrogen and progesterone are supplements whose molecular structures are identical to what is made in the human body, while synthetic supplements are ones whose structures are not. After the Women's Health Initiative found that the combined use of the synthetics conjugated equine estrogen (CEE) and medroxyprogesterone acetate (MPA) increased breast cancer risk, prescriptions for synthetic HT declined considerably. Since then there has been an increased interest in bioidentical HT; toda...
Diagnostic accuracy of post-ACTH challenge salivary cortisol concentrations for identifying horses with equine glandular gastric disease.
Journal of animal science    May 16, 2018   Volume 96, Issue 6 2154-2161 doi: 10.1093/jas/sky074
Sauer FJ, Bruckmaier RM, Ramseyer A, Vidondo B, Scheidegger MD, Gerber V.The aims of this study were to better characterize the adrenal response to i.v. adrenocorticotropic hormone (ACTH) in horses with and without gastric disease and to validate and simplify the ACTH stimulation test by determining the diagnostic accuracy of six consecutive sampling time points after ACTH administration for equine glandular gastric disease (EGGD) and equine squamous gastric disease (ESGD). Twenty-six endurance and eventing horses without clinical disease [Sport Horse Population (SHP)] and an independent population of 62 horses [General Population (GP)] were grouped by gastroscopic...
An epizootic of Chlamydia psittaci equine reproductive loss associated with suspected spillover from native Australian parrots.
Emerging microbes & infections    May 16, 2018   Volume 7, Issue 1 88 doi: 10.1038/s41426-018-0089-y
Jenkins C, Jelocnik M, Micallef ML, Galea F, Taylor-Brown A, Bogema DR, Liu M, O'Rourke B, Chicken C, Carrick J, Polkinghorne A.Chlamydia psittaci is an avian pathogen capable of spill-over infections to humans. A parrot C. psittaci strain was recently detected in an equine reproductive loss case associated with a subsequent cluster of human C. psittaci infections. In this study, we screened for C. psittaci in cases of equine reproductive loss reported in regional New South Wales, Australia during the 2016 foaling season. C. psittaci specific-PCR screening of foetal and placental tissue samples from cases of equine abortion (n = 161) and foals with compromised health status (n = 38) revealed C. psittaci positiv...
Novel findings from a beta coronavirus outbreak on an American Miniature Horse breeding farm in upstate New York.
Equine veterinary education    May 16, 2018   Volume 32, Issue 3 150-154 doi: 10.1111/eve.12938
Goodrich EL, Mittel LD, Glaser A, Ness SL, Radcliffe RM, Divers TJ.This case report describes an outbreak and novel findings associated with a beta coronavirus (BCoV) infection that occurred on an American Miniature Horse (AMH) breeding farm in upstate New York, in January and February of 2013. Twenty-nine AMH and one donkey were present on the farm when the outbreak occurred. One 10-year-old Quarter Horse mare, stabled at a separate location and owned by an employee of the farm, also tested positive. A polymerase chain reaction (PCR) assay for the detection of BCoV was performed at the Animal Health Diagnostic Center (AHDC) at Cornell on all faecal samples. ...
Marginal ancestral contributions to atrial fibrillation in the Standardbred racehorse: Comparison of cases and controls.
PloS one    May 15, 2018   Volume 13, Issue 5 e0197137 doi: 10.1371/journal.pone.0197137
Kraus M, Physick-Sheard P, Brito LF, Sargolzaei M, Schenkel FS.Admissions of Standardbred racehorses (Std) to the Ontario Veterinary College Teaching Hospital (OVCTH) for treatment of atrial fibrillation (AF) began to increase in the early 1990s. The arrhythmia has been shown to have a modest heritability (h2 ≃ 0.15), with some stallions appearing as sires or sires of mares used in breeding (broodmares) of affected horses more frequently than others. The objective of this study was to determine the marginal genetic contributions of ancestors to cohorts of Std affected with AF and their contemporary control groups, and whether these ancestors contribute ...
Frequency of shedding of respiratory pathogens in horses recently imported to the United States.
Journal of veterinary internal medicine    May 15, 2018   Volume 32, Issue 4 1436-1441 doi: 10.1111/jvim.15145
Smith FL, Watson JL, Spier SJ, Kilcoyne I, Mapes S, Sonder C, Pusterla N.Imported horses that have undergone recent long distance transport might represent a serious risk for spreading infectious respiratory pathogens into populations of horses. Objective: To investigate the frequency of shedding of respiratory pathogens in recently imported horses. Methods: All imported horses with signed owner consent (n = 167) entering a USDA quarantine for contagious equine metritis from October 2014 to June 2016 were enrolled in the study. Methods: Prospective observational study. Enrolled horses had a physical examination performed and nasal secretions collected at the ti...
Using a computer simulation model to examine the impact of biosecurity measures during a facility-level outbreak of equine influenza.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    May 15, 2018   Volume 82, Issue 2 89-96 doi: 10.1016/j.vetmic.2013.03.029
Spence KL, O'Sullivan TL, Poljak Z, Greer AL.On-farm biosecurity measures are an important part of a control plan to minimize the introduction and spread of infectious diseases, such as equine influenza, in an equine facility. It can be challenging, however, to evaluate the efficacy of biosecurity measures under field conditions. We used an agent-based computer simulation model to describe the impact of: i) preventive vaccination; ii) reduced horse-to-horse contact; and iii) a combination of vaccination and reduced contact during an outbreak of equine influenza in a simulated horse facility. The model demonstrated that the most effective...
Survey of UK horse owners’ knowledge of equine arboviruses and disease vectors.
The Veterinary record    May 15, 2018   Volume 183, Issue 5 159 doi: 10.1136/vr.104521
Chapman GE, Baylis M, Archer DC.Increased globalisation and climate change have led to concern about the increasing risk of arthropod-borne virus (arbovirus) outbreaks globally. An outbreak of equine arboviral disease in northern Europe could impact significantly on equine welfare, and result in economic losses. Early identification of arboviral disease by horse owners may help limit disease spread. In order to determine what horse owners understand about arboviral diseases of horses and their vectors, the authors undertook an open, cross-sectional online survey of UK horse owners. The questionnaire was distributed using soc...
Risk factors for equine glandular and squamous gastric disease in show jumping Warmbloods.
Equine veterinary journal    May 12, 2018   Volume 50, Issue 6 747-751 doi: 10.1111/evj.12949
Pedersen SK, Cribb AE, Windeyer MC, Read EK, French D, Banse HE.Prevalence of, and risk factors for, equine squamous gastric disease (ESGD) are well established. Limited data exists on risk factors for equine glandular gastric disease (EGGD). Objective: To identify management factors associated with EGGD in show jumping Warmbloods in training. A secondary objective was to identify management factors associated with ESGD. Methods: Cross-sectional. Methods: Gastroscopies were performed in horses following a 12-16 h fast. Management questionnaires were collected for each horse. Risk factors were determined using multivariable logistic regression modelling. Re...
Equine infectious anemia virus in naturally infected horses from the Brazilian Pantanal.
Archives of virology    May 11, 2018   Volume 163, Issue 9 2385-2394 doi: 10.1007/s00705-018-3877-8
Cursino AE, Vilela APP, Franco-Luiz APM, de Oliveira JG, Nogueira MF, Júnior JPA, de Aguiar DM, Kroon EG.Equine infectious anemia (EIA) has a worldwide distribution, and is widespread in Brazil. The Brazilian Pantanal presents with high prevalence comprising equine performance and indirectly the livestock industry, since the horses are used for cattle management. Although EIA is routinely diagnosed by the agar gel immunodiffusion test (AGID), this serological assay has some limitations, so PCR-based detection methods have the potential to overcome these limitations and act as complementary tests to those currently used. Considering the limited number of equine infectious anemia virus (EIAV) seque...
Diagnostic DIVA tests accompanying the Disabled Infectious Single Animal (DISA) vaccine platform for African horse sickness.
Vaccine    May 11, 2018   Volume 36, Issue 25 3584-3592 doi: 10.1016/j.vaccine.2018.05.044
van Rijn PA, Maris-Veldhuis MA, Boonstra J, van Gennip RGP.African Horse Sickness Virus (AHSV) (Orbivirus genus, Reoviridae family) causes high mortality in naïve domestic horses with enormous economic and socio-emotional impact. There are nine AHSV serotypes showing limited cross neutralization. AHSV is transmitted by competent species of Culicoides biting midges. AHS is a serious threat beyond the African continent as endemic Culicoides species in moderate climates transmit the closely related prototype bluetongue virus. There is a desperate need for safe and efficacious vaccines, while DIVA (Differentiating Infected from Vaccinated) vaccines would...
Salivary alpha-amylase activity and cortisol in horses with acute abdominal disease: a pilot study.
BMC veterinary research    May 10, 2018   Volume 14, Issue 1 156 doi: 10.1186/s12917-018-1482-4
Contreras-Aguilar MD, Escribano D, Martín-Cuervo M, Tecles F, Cerón JJ.The aim of this study was to evaluate salivary alpha-amylase (sAA), considered a non-invasive biomarker for sympathetic nervous system (SNS) activity, and salivary cortisol as possible pain-induced stress biomarker, in horses with acute abdominal disease. Therefore, a prospective observational study was performed in which both biomarkers were analyzed in a group of horses with acute abdomen syndrome, and compared with a group of healthy control horses by an unpaired Student's t-test. In addition, the possible relationship between both biomarkers, the score in Equine Acute Abdominal Pain scal...
A study of the environmental survival of Streptococcus equi subspecies equi.
Equine veterinary journal    May 7, 2018   Volume 50, Issue 6 861-864 doi: 10.1111/evj.12840
Durham AE, Hall YS, Kulp L, Underwood C.Streptococcus equi represents a common hazard to equids worldwide. Environmental contamination with bacteria shed from an infected horse may represent a significant source of contagion and further knowledge of ex vivo bacterial survival under different conditions is important for disinfection and isolation protocols. Objective: To determine the potential duration of survival and vigour of growth of S. equi inoculated onto surfaces relevant to equine veterinary practice and stabling in summer and winter. Methods: Repeat sampling of environmental inocula of S. equi. Methods: Cultures of S. equi ...
Validation of a Risk Index Model for Predicting Eastern Equine Encephalitis Virus Transmission to Horses in Florida.
Journal of medical entomology    May 4, 2018   Volume 55, Issue 5 1143-1149 doi: 10.1093/jme/tjy067
Downs J, Vaziri M, Jenkins A, Unnasch T.Eastern Equine Encephalitis Virus (EEEV) is the most pathogenic arbovirus endemic to the United States. EEEV primarily infects birds but can be fatal to humans, horses, and some other mammals. Although EEEV transmission occurs in the Northeastern, Southeastern, and Midwestern United States, the largest number of horse and human cases have been reported in Florida, the only state where transmission occurs year round. Currently, a GIS-based risk index (RI) model is used to map EEE transmission risk to horses in Florida. This study validates that RI model using a 5-yr dataset of horse cases in Fl...
Genetic diversity of Theileria equi and Babesia caballi infecting horses of Central-Southern Italy and preliminary results of its correlation with clinical and serological status.
Ticks and tick-borne diseases    May 4, 2018   Volume 9, Issue 5 1212-1220 doi: 10.1016/j.ttbdis.2018.05.005
Manna G, Cersini A, Nardini R, Bartolomé Del Pino LE, Antognetti V, Zini M, Conti R, Lorenzetti R, Veneziano V, Autorino GL, Scicluna MT.Babesia caballi and Theileria equi are tick-borne pathogens causing equine piroplasmosis infecting the Equidae family in which they cause significant sanitary and economic losses. Furthermore, equine piroplasmosis is included in the World Animal Health Organization (OIE) notifiable diseases list with possible movement restrictions for positive horses. Thirty-nine EDTA and whole-blood samples collected during 2013 and 2014 from symptomatic and asymptomatic horses of Central-Southern Italy were included in the present study either because of their strongly positive results in Real Time (RT) PCRs...
Human and Equine Infection with Alphaviruses and Flaviviruses in Panamá during 2010: A Cross-Sectional Study of Household Contacts during an Encephalitis Outbreak.
The American journal of tropical medicine and hygiene    May 3, 2018   Volume 98, Issue 6 1798-1804 doi: 10.4269/ajtmh.17-0679
Carrera JP, Bagamian KH, Travassos da Rosa AP, Wang E, Beltran D, Gundaker ND, Armien B, Arroyo G, Sosa N, Pascale JM, Valderrama A, Tesh RB....Members of the genera (family ) and (family ) are important zoonotic human and equine etiologic agents of neurologic diseases in the New World. In 2010, an outbreak of Madariaga virus (MADV; formerly eastern equine encephalitis virus) and Venezuelan equine encephalitis virus (VEEV) infections was reported in eastern Panamá. We further characterized the epidemiology of the outbreak by studying household contacts of confirmed human cases and of equine cases with neurological disease signs. Serum samples were screened using a hemagglutination inhibition test, and human results were confirmed u...
Molecular characterization of Theileria equi infection in horse populations belonging to West Azerbaijan, Iran: insights into the importance of Equine Merozoite Antigen (EMA)-1 in its diagnosis.
Annals of parasitology    May 3, 2018   Volume 64, Issue 1 21-27 doi: 10.17420/ap6401.128
Ebrahimi M, Adinehbeigi K, Hamidinejat H, Tabandeh MR.The major agent of equine piroplasmosis (EP), Theileria equi, contributes to significant losses in the equine industry. This study was designed to evaluate T. equi infection among horses from West Azerbaijan by microscopy and molecular approaches. One hundred and twenty six blood samples were collected from the jugular vein and placed in sterile tubes containing EDTA; these tubes were either used immediately for blood smears or stored at –20°C for later examination by PCR. T. equi was detected in 3.2% and 27.7% of the animals examined using light microscopy and PCR methods, respectively. Th...
Risk factors associated with clinical signs of vesicular stomatitis and seroconversion without clinical disease in Colorado horses during the 2014 outbreak.
Preventive veterinary medicine    May 2, 2018   Volume 156 28-37 doi: 10.1016/j.prevetmed.2018.05.002
Urie NJ, Lombard JE, Marshall KL, Digianantonio R, Pelzel-McCluskey AM, McCluskey BJ, Traub-Dargatz JL, Kopral CA, Swenson SL, Schiltz JJ.Vesicular stomatitis (VS) is caused by a contagious rhabdovirus that affects horses, cattle, and swine. Clinical signs of vesicular stomatitis virus (VSV) infection in pigs and cattle are indistinguishable from foot-and-mouth disease (FMD), a foreign animal disease and reportable disease in the United States (Rodriguez et al., 2000). A VS epidemic occurred in the Rocky Mountain region in 2014-15. A study was conducted in Colorado to evaluate horse- and management-level factors associated with VS. For a horse to be considered a clinical VS horse, there were two requirements. First, clinical VS ...
Equine strongyle communities are constrained by horse sex and species dipersal-fecundity trade-off.
Parasites & vectors    May 2, 2018   Volume 11, Issue 1 279 doi: 10.1186/s13071-018-2858-9
Sallé G, Kornaś S, Basiaga M.Equine strongyles are a major health issue. Large strongyles can cause death of horses while cyathostomins (small strongyles) have shown increased resistance to anthelmintics worldwide. Description of strongyle communities have accumulated but little is known about the diversity of these communities and underpinning environmental factors. Strongyles were recovered after ivermectin treatment from 48 horses located in six premises in Poland. Correlation between previously published species fecundity and the observed relative abundance and prevalence were estimated. Significance of horse sex was ...
Evolutionary Analysis Provides Insight Into the Origin and Adaptation of HCV.
Frontiers in microbiology    May 1, 2018   Volume 9 854 doi: 10.3389/fmicb.2018.00854
Forni D, Cagliani R, Pontremoli C, Pozzoli U, Vertemara J, De Gioia L, Clerici M, Sironi M.Hepatitis C virus (HCV) belongs to the genus and is genetically heterogeneous, with seven major genotypes further divided into several recognized subtypes. HCV origin was previously dated in a range between ∼200 and 1000 years ago. Hepaciviruses have been identified in several domestic and wild mammals, the largest viral diversity being observed in bats and rodents. The closest relatives of HCV were found in horses/donkeys (equine hepaciviruses, EHV). However, the origin of HCV as a human pathogen is still an unsolved puzzle. Using a selection-informed evolutionary model, we show that the c...
Exploring relationships between body condition score, body fat, activity level and inflammatory biomarkers.
Journal of animal physiology and animal nutrition    April 29, 2018   Volume 102, Issue 4 1062-1068 doi: 10.1111/jpn.12893
Pearson W, Wood K, Stanley S, MacNicol J.Obesity is associated with inflammatory disorders in humans, including degenerative joint disease. While obesity is endemic in horses, its relationship to equine degenerative joint disease has not been explored. The current study sought to describe relationships between: body weight (BW), body condition score (BCS), lameness grade (AAEP), total body fat mass (kg; FM) and fat per cent (FP) [multifrequency bioelectrical impedance analysis (mfBIA)], age, gender, activity level (AL), synovial fluid (SF) and plasma (PL) PGE and glycosaminoglycan (GAG) in horses. During this field investigation, the...
Markers of Bone Health, Bone-Specific Physical Activities, Nutritional Intake, and Quality of Life of Professional Jockeys in Hong Kong.
International journal of sport nutrition and exercise metabolism    April 28, 2018   Volume 28, Issue 4 440-446 doi: 10.1123/ijsnem.2016-0176
Poon ET, O'Reilly J, Sheridan S, Cai MM, Wong SH.Weight-making practices, regularly engaged in by horse racing jockeys, have been suggested to impair both physiological and mental health. This study aimed to assess bone health markers, nutritional intake, bone-specific physical activity (PA) habits, and quality of life of professional jockeys in Hong Kong (n = 14), with gender-, age-, and body mass index-matched controls (n = 14). Anthropometric measurements, serum hormonal biomarkers, bone mineral density, bone-specific PA habits, nutritional intake, and quality of life were assessed in all participants. The jockey group displayed s...
Case series: periocular habronemiasis in five horses in the Netherlands.
The Veterinary record    April 25, 2018   Volume 182, Issue 26 746 doi: 10.1136/vr.104265
Verhaar N, Hermans H, van Rooij E, van Oldruitenborgh-Oosterbaan MS, Ensink J.In tropical and subtropical climates, infection of periocular tissue by Habronema larvae is a recognised cause of conjunctivitis or blepharitis. To the authors' knowledge, only a few cases of habronemiasis have been described in Western Europe, and it has not been documented previously in the Netherlands. The objective of this report is to describe the occurrence of five cases of (peri)ocular habronemiasis in the Netherlands, of which four date from the past few years. The diagnosis was based on the history, clinical signs and histopathologic examination of biopsy specimens. A granulomatous co...
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