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Topic:Fungal

Fungal infections in horses encompass a variety of conditions caused by different fungal species that can affect the skin, respiratory system, and other body systems. These infections can range from superficial skin infections, such as ringworm, to more serious systemic infections like aspergillosis. The presence of fungi in the equine environment and their interactions with the horse's immune system can influence the development and severity of these infections. Diagnosis often involves identifying the specific fungal organism through laboratory testing, while treatment may include antifungal medications and supportive care. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, diagnosis, and treatment of fungal infections in horses.
Effects of nebulized dexamethasone on the respiratory microbiota and mycobiota and relative equine herpesvirus-1, 2, 4, 5 in an equine model of asthma.
Journal of veterinary internal medicine    December 3, 2019   Volume 34, Issue 1 307-321 doi: 10.1111/jvim.15671
Bond SL, Workentine M, Hundt J, Gilkerson JR, Léguillette R.Prolonged exposure to environmental antigens or allergens elicits an immune response in both healthy horses and those with mild asthma. Corticosteroids often are used to treat lower airway inflammation. Objective: To investigate the changes in equine herpesvirus (EHV)-1,2,4,5 glycoprotein B gene expression and changes in respiratory bacterial and fungal communities after nebulized dexamethasone treatment of horses with asthma. Methods: Horses with naturally occurring mild asthma (n = 16) and healthy control horses (n = 4). Methods: Prospective, randomized, controlled, blinded clinical trial. P...
Fungal and chemical diversity in hay and wrapped haylage for equine feed.
Mycotoxin research    November 27, 2019   Volume 36, Issue 2 159-172 doi: 10.1007/s12550-019-00377-5
Andersen B, Phippen C, Frisvad JC, Emery S, Eustace RA.The presence of fungi and mycotoxins in silage (fermented maize) for cattle and other ruminants have been studied extensively compared to wrapped haylage (fermented grass) for horses and other monogastric animals. The purpose of this work was to examine the fungal diversity of wrapped haylage and conventional hay and to analyse the forage sample for fungal metabolites. Faeces samples were also analysed to study the fate of fungi and metabolites. Fungal diversity of the samples was determined by direct plating on DG18, V8 and MEA and chemical analyses were done using LC-MS/MS. The results show ...
Retrospective Analysis of Aetiological Agents Associated with Pulmonary Mycosis Secondary to Enteric Salmonellosis in Six Horses by Panfungal Polymerase Chain Reaction.
Journal of comparative pathology    November 26, 2019   Volume 174 1-7 doi: 10.1016/j.jcpa.2019.10.002
Hensel M, Meason-Smith C, Plumlee QD, Myers AN, Coleman MC, Lawhon S, Rodrigues Hoffmann A, Rech RR.Pulmonary mycosis secondary to enterocolitis is an uncommon diagnosis in equine medicine, but is thought to result from mucosal compromise and translocation of enteric fungi. The aetiological agent associated with translocation is often identified based on fungal culture or hyphal features in histological sections. In order to understand better the aetiological agents involved, six horses diagnosed with Salmonella enteritis and concurrent pulmonary mycosis were identified retrospectively through a database search of veterinary teaching hospital records. Samples from these cases were subjected ...
The gut microbiome of horses: current research on equine enteral microbiota and future perspectives.
Animal microbiome    November 13, 2019   Volume 1, Issue 1 14 doi: 10.1186/s42523-019-0013-3
Kauter A, Epping L, Semmler T, Antao EM, Kannapin D, Stoeckle SD, Gehlen H, Lübke-Becker A, Günther S, Wieler LH, Walther B.Understanding the complex interactions of microbial communities including bacteria, archaea, parasites, viruses and fungi of the gastrointestinal tract (GIT) associated with states of either health or disease is still an expanding research field in both, human and veterinary medicine. GIT disorders and their consequences are among the most important diseases of domesticated Equidae, but current gaps of knowledge hinder adequate progress with respect to disease prevention and microbiome-based interventions. Current literature on enteral microbiomes mirrors a vast data and knowledge imbalance, w...
Fungal Placentitis Caused by Aspergillus terreus in a Mare: Case Report.
Journal of equine veterinary science    October 15, 2019   Volume 83 102799 doi: 10.1016/j.jevs.2019.102799
Orellana-Guerrero D, Renaudin C, Edwards L, Rose E, Aleman M, Moore PF, Dujovne G.Placentitis has been reported as the most important cause of equine abortions, stillbirths, and perinatal deaths in horses. Most cases are caused by bacteria and less commonly by fungal elements. The aim of this report is to describe the clinical presentation of a fungal placentitis caused by Aspergillus terrerus. A 5-year-old thoroughbred maiden mare at the 217th day of gestation presented with some classic signs of placentitis (premature udder development and milk dripping). All ultrasonographic findings were consistent with a live fetus and a severe placentitis. On vaginal examination, pur...
Culture-independent and dependent evaluation of the equine paranasal sinus microbiota in health and disease.
Equine veterinary journal    October 10, 2019   Volume 52, Issue 3 455-463 doi: 10.1111/evj.13168
Beste KJ, Lawhon SD, Chamoun-Emanuelli AM, Duff AH, Coleman MC, Griffin CE, Hardy J, Whitfield-Cargile CM.Horses with bacterial sinusitis frequently undergo empirical treatment with antimicrobials, however, in some cases bacterial culture of the affected sinus is used to direct therapy. Data regarding which organisms are part of the commensal microbiota of the equine sinus are lacking making it difficult to interpret culture results and guide empiric antimicrobial selection. Objective: Our objectives were to describe the bacterial and fungal microbiota of the paranasal sinuses in clinically normal horses using culture-dependent and independent approaches and to compare the bacterial culture and su...
Phaeohyphomycotic Rhinitis Caused by Bipolaris hawaiiensis in a Horse.
Journal of equine veterinary science    October 1, 2019   Volume 82 102798 doi: 10.1016/j.jevs.2019.102798
Legere RM, Wooldridge AA, Sandey M, Hanson RR, Cole R.This case represents the first reported case of Bipolaris hawaiiensis infection in an equid, and its aggressive clinical course. This case provides important descriptive and prognostic information for horses diagnosed with phaeohyphomycotic rhinitis. A 19-year-old American Quarter Horse mare was presented for second opinion of stertor and exercise intolerance of four-month duration. Endoscopy revealed generalized, proximal nasal edema, and computed tomography identified a soft tissue mass eroded through the rostral nasal bone. Biopsy of the mass was identified as a fungal granuloma caused by B...
Screening of nematophagous-fungi from fresh faeces of grazing animals and soils.
Tropical biomedicine    September 1, 2019   Volume 36, Issue 3 687-693 
Farah Haziqah MT, Nur Hikmah AM, Mat Hasan H, Hamdan A, Nik Him NAII.An investigation was undertaken for screening and isolating nematophagous-fungi from the faecal samples of various grazing animals and soils in Malaysia. Total of 111 faeces and 50 soil samples were collected and the samples were cultured on 2% water agar plates. The growth of nematophagous-fungi was stimulated by sprinkling-baiting technique. The conidia of suspected nematophagous-fungi were inoculated on 2% water agar plates. All isolated were maintained on 2% cornmeal agar plates. Verticillium spp., Fusarium spp. and Arthrobotrys spp. were identified from the faecal and soil samples. 62.5% ...
Equine infectious keratitis in Finland: Associated microbial isolates and susceptibility profiles.
Veterinary ophthalmology    July 31, 2019   Volume 23, Issue 1 148-159 doi: 10.1111/vop.12701
Mustikka MP, Grönthal TSC, Pietilä EM.To retrospectively describe laboratory findings, treatment, and outcome associated with equine infectious keratitis in Finland. Unassigned: Medical records of horses diagnosed with infectious keratitis in University of Helsinki Equine Hospital from January 2007 to June 2018 were reviewed. Results: Forty-seven cases were included. Keratomycosis was diagnosed in 27 eyes and bacterial keratitis in 20 eyes. Aspergillus flavus was the most frequent fungal isolate (9/17, 53%), followed by Cylindrocarpon sp. (3/17, 18%) and Aspergillus fumigatus (2/17, 12%). Susceptibility was tested for 10/11 Asperg...
Do different livestock dwellings on single grassland share similar faecal microbial communities?
Applied microbiology and biotechnology    May 4, 2019   Volume 103, Issue 12 5023-5037 doi: 10.1007/s00253-019-09849-1
Yang J, Wang Y, Cui X, Zhang Y, Yu Z.Huge numbers of microorganisms reside in livestock faeces and constitute one of the most complex microbial ecosystems. Here, faecal microbial communities of three typical livestock in Xilingol steppe grassland, i.e. sheep, cattle, and horse, were investigated by Illumina MiSeq sequencing and quantitative real-time polymerase chain reaction (qPCR). Firmicutes and Bacteroidetes comprised the majority of bacterial communities in three livestock faeces. Sordariomycetes, Leotiomycetes, and Dothideomycetes were dominant in fungal communities, as well as Methanobacteria and Methanomicrobia were domin...
Equine ulcerative keratitis with furrow: A review of the outcomes of 72 cases from 1987 to 2015.
Equine veterinary journal    April 5, 2019   Volume 51, Issue 6 749-755 doi: 10.1111/evj.13101
Berkowski WM, Craft WF, Whitley RD, Brooks DE, Plummer CE.Ulcerative keratitis with peripheral furrow formation is a poorly-described condition which has been associated with a grave prognosis due to rapid necrosis of the cornea. Objective: To describe the infectious aetiologies associated with furrow-forming ulcerative keratitis, its overall clinical course and the efficacy of medical and surgical intervention in horses. Methods: Retrospective clinical case series. Methods: Medical records of 72 horses which presented with furrow-forming ulcerative keratitis at the University of Florida between 1987 and 2015 were reviewed. Results: Seventy-two horse...
Multi-locus DNA sequence analysis, antifungal agent susceptibility, and fungal keratitis outcome in horses from Southeastern United States.
PloS one    March 28, 2019   Volume 14, Issue 3 e0214214 doi: 10.1371/journal.pone.0214214
Cullen M, Jacob ME, Cornish V, VanderSchel IQ, Cotter HVT, Cubeta MA, Carbone I, Gilger BC.Morphological characterization and multi-locus DNA sequence analysis of fungal isolates obtained from 32 clinical cases of equine fungal keratitis (FK) was performed to identify species and determine associations with antifungal susceptibility, response to therapy and clinical outcome. Two species of Aspergillus (A. flavus and A. fumigatus) and three species of Fusarium (F. falciforme, F. keratoplasticum, and F. proliferatum) were the most common fungi isolated and identified from FK horses. Most (91%) equine FK Fusarium nested within the Fusarium solani species complex (FSSC) with nine geneti...
Fungi in respiratory samples of horses with inflammatory airway disease.
Journal of veterinary internal medicine    December 21, 2018   Volume 33, Issue 2 968-975 doi: 10.1111/jvim.15397
Dauvillier J, Ter Woort F, van Erck-Westergren E.Fungi contribute to the inflammatory response of lungs in horses with recurrent airway obstruction and in some forms of asthma in humans. The role of fungi in inflammatory airway disease (IAD) has not been assessed. Objective: Evaluate the prevalence of fungi in the respiratory samples of horses diagnosed with IAD, describe clinical signs associated with the presence of fungi in respiratory samples, and assess the risk factors associated with IAD and with the presence of fungi in the airways. Methods: Seven-hundred thirty-one active horses referred to a specialized ambulatory practice for sign...
Mycotic Rhinitis and Sinusitis in Florida Horses.
Veterinary pathology    December 17, 2018   Volume 56, Issue 4 586-598 doi: 10.1177/0300985818817046
More SN, Hernandez O, Castleman WL.Rhinitis and sinusitis caused by fungal pathogens were studied in biopsy samples submitted from 52 horses distributed throughout subtropical and tropical regions of Florida. Methods included routine histopathology as well as polymerase chain reaction (PCR) with panfungal/panoomycete primers and DNA sequencing on extracted DNA (DNA barcoding). Granulomatous, pyogranulomatous, and fibrinopurulent lesions in nasal and sinus mucosa were associated with signs of upper airway obstruction and noise as well as nasal discharge. Morphologic and histochemical assessment of cases identified 31 cases of zy...
Comparative effectiveness of Sumaq and Neem extract cream, Eniloconazole and glycerine iodine on dermatophytosis in Arabian horses: a randomized clinical trial.
Tropical animal health and production    December 15, 2018   Volume 51, Issue 4 905-910 doi: 10.1007/s11250-018-1773-6
Sayed-Ahmed MZ, Ahdy AM, Younis EE, El-Khodery SA, Baraka HN.Dermatophytosis is a contagious fungal disease among animal communities. The major concerns of dermatophytosis are cost of treatment, difficulty of control, and the public health consequences. The objective of the present study was to compare the clinical efficacy of Sumaq and Neem extract cream with that of traditional treatments, eniloconazole and glycerine iodine, on dermatophytosis in Arabian horses. For this purpose, 37 Arabian horses with dermatophytosis had been used. Fungal isolation and identification for each horse were carried out by standard microbiological procedures. Sumaq (Rhus ...
Therapy of Non-Dermatophytic Mycoses in Animals.
Journal of fungi (Basel, Switzerland)    October 30, 2018   Volume 4, Issue 4 doi: 10.3390/jof4040120
Elad D.This review focuses on aspects of antimycotic therapy specific to veterinary medicine. In the first part, drug availability, limited mostly by economic consideration but also by clinical applicability and specific adverse effects, is described for polyenes, 5 fluorocytosine, azoles, echinocandins and terbinafine. In the second part, current knowledge and experience in the treatment of selected fungal infections are overviewed. These mycoses include disseminated mold infections in small animals (dogs and cats) and avian species, upper respiratory tract infections of small animals (sino-nasal an...
Effect of topical application of 0.5% proparacaine on corneal culture results from 33 dogs, 12 cats, and 19 horses with spontaneously arising ulcerative keratitis.
Veterinary ophthalmology    September 7, 2018   Volume 22, Issue 4 415-422 doi: 10.1111/vop.12604
Edwards SG, Maggs DJ, Byrne BA, Kass PH, Lassaline ME.To investigate the effect of topically applied proparacaine on bacterial and fungal culture results and to compare cytologic and culture results in patients with ulcerative keratitis. Methods: Corneal samples were collected from 33 dogs, 19 horses, and 12 cats with spontaneously arising ulcerative keratitis. Samples for bacterial (dogs, cats, horses) and fungal (horses) cultures were collected prior to and following application of 0.5% proparacaine or saline. All patients then received a topical anesthetic, and samples were collected for cytology. Frequency of cultivatable bacteria before (Swa...
Identification of bacteria and fungi sampled from the conjunctival surface of normal horses in South-East Queensland, Australia.
Veterinary ophthalmology    July 2, 2018   Volume 22, Issue 3 265-275 doi: 10.1111/vop.12587
Hampson ECGM, Gibson JS, Barot M, Shapter FM, Greer RM.To identify bacteria and fungi found on the conjunctival surface of normal horse eyes; to investigate potential risk factors for these microflora; and to determine their susceptibility to common topical ophthalmic antimicrobials. Methods: A total of 95 client-owned horses were studied. Methods: Horses within sub-tropical Australia (South-East Queensland) were sampled once between April 2012 and March 2013. A conjunctival swab was taken from each eye and cultured for aerobic bacteria and fungi. Organisms were identified by colony morphology and phenotype. Antimicrobial disk diffusion susceptibi...
Field evaluation of Duddingtonia flagrans IAH 1297 for the reduction of worm burden in grazing animals: Pasture larval studies in horses, cattle and goats.
Veterinary parasitology    June 24, 2018   Volume 258 124-132 doi: 10.1016/j.vetpar.2018.06.017
Healey K, Lawlor C, Knox MR, Chambers M, Lamb J, Groves P.A series of placebo-controlled trials were conducted in horses, cattle and goats in different seasons and bioclimatic regions of New South Wales and Queensland, Australia, to evaluate the ability of BioWorma®, a feed supplement containing the spores of Duddingtonia flagrans IAH 1297, to reduce the larval development of parasitic gastrointestinal nematodes (GIN) and their subsequent migration from faeces onto the surrounding pasture. In each trial, faeces were collected from animals harbouring a burden of nematode parasites following a period of supplementation with a placebo and again after s...
The prevalence of Dermatophilus congolensis in horses with pastern dermatitis using PCR to diagnose infection in a population of horses in southern USA.
Veterinary dermatology    June 21, 2018   Volume 29, Issue 5 435-e144 doi: 10.1111/vde.12659
Aufox EE, Frank LA, May ER, Kania SA.Dermatophilus congolensis is a facultative anaerobic actinomycete that causes papular to exudative dermatitis with crusting in horses. This organism is frequently implicated as a cause of pastern dermatitis, but few data are available validating the organism's association with this disease. Objective: The aim of this study was to evaluate if D. congolensis is associated with pastern dermatitis in horses utilizing RT-qPCR. Methods: Fifteen client-owned horses diagnosed with pastern dermatitis and eight client-owned unaffected control horses were utilized for this study. Methods: A cross-sectio...
In vivo confocal microscopy characteristics of equine epithelial and subepithelial nonulcerative keratomycosis.
Veterinary ophthalmology    May 2, 2018   Volume 22, Issue 2 168-176 doi: 10.1111/vop.12576
Ledbetter EC, Irby NL, Teixeira LBC.To describe the in vivo confocal microscopy features of horses with epithelial and subepithelial nonulcerative keratomycosis. Methods: Four horses with a clinical diagnosis of epithelial or subepithelial keratomycosis. Methods: Horses were examined on one or more occasions by in vivo laser scanning confocal microscopy of the cornea. Confocal microscopic examination characteristics were correlated with clinical, cytological, and histopathological findings for the horses. Results: All horses had an irregular corneal epithelial surface during slit-lamp biomicroscopy examination. Epithelial or s...
Salpingopharyngeal fistula as a treatment for guttural pouch mycosis in seven horses.
Equine veterinary journal    April 24, 2018   Volume 50, Issue 6 781-786 doi: 10.1111/evj.12830
Watkins AR, Parente EJ.Guttural pouch mycosis (GPM) is a cause of nasal discharge, dysphagia and fatal haemorrhage in the horse. Objective: To report the complications and success of salpingopharyngeal fistulation in horses with GPM. We hypothesised that creating a direct static opening into the guttural pouch from the pharynx would cause a regression of fungal plaques due to a change in the guttural pouch environment and that this treatment would result in resolution of infection prior to secondary complications. Methods: Retrospective case series. Methods: The medical records of all horses diagnosed with GPM that ...
A combined effort to avoid strongyle infection in horses in an oceanic climate region: rotational grazing and parasiticidal fungi.
Parasites & vectors    April 12, 2018   Volume 11, Issue 1 240 doi: 10.1186/s13071-018-2827-3
Hernández JÁ, Sánchez-Andrade R, Cazapal-Monteiro CF, Arroyo FL, Sanchís JM, Paz-Silva A, Arias MS.An approach to preventing strongyle infection in horses was tested, comprising rotational pasturing and the administration of spores of two parasiticidal fungi, Mucor circinelloides and Duddingtonia flagrans. Twenty-two adult Spanish Sport Horses were dewormed with ivermectin (1 mg pour-on/kg body weight) and then randomly divided into three groups. G-1 was maintained with continuous grazing, and G-2 and G-3 were kept on a four-paddock rotation system. Commercial pelleted feed (2.5 kg/horse) was supplied to G-1 and G-2 twice a week; horses in G-3 received pellets containing 2 × 10 spores/kg o...
Effect of ionization, bedding, and feeding on air quality in a horse stable.
Journal of veterinary internal medicine    February 27, 2018   Volume 32, Issue 3 1234-1240 doi: 10.1111/jvim.15069
Siegers EW, Anthonisse M, van Eerdenburg FJCM, van den Broek J, Wouters IM, Westermann CM.Organic dust is associated with Equine asthma. Ionization should reduce airborne dust levels. Objective: To determine the effect of ionization of air, type of bedding, and feed on the levels of airborne dust, endotoxin, and fungal colonies in horse stables. Methods: 24 healthy University-owned horses occupied the stables. Methods: A randomized controlled cross-over study. Four units with 6 stables were equipped with an ionization installation (25 VA, 5000 Volt Direct Current). Horses were kept either on wood shavings and fed haylage (2 units), or on straw and fed dry hay (2 units). Measurement...
Reversible dysphagia secondary to guttural pouch mycosis in a gelding treated medically with voriconazole and surgically with carotid occlusion and esophagostomy.
The Canadian veterinary journal = La revue veterinaire canadienne    February 2, 2018   Volume 59, Issue 2 165-170 
Whitehead AE, Whitty J, Scott M, Léguillette R.A gelding was diagnosed with dysphagia and left guttural pouch mycosis. Treatments included topical antifungal drugs, systemic voriconazole, and balloon occlusion of the internal carotid artery. Ongoing dysphagia of neurological origin necessitated extra-oral feeding through an esophagostomy tube. Complementary case management included acupuncture. Clinical remission occurred over 10 weeks. Dysphagie réversible secondaire à une mycose de la poche gutturale chez un hongre traité médicalement avec du voriconazole et chirurgicalement par l’occlusion de la carotide et l’œsophagostomie. Un...
Corneal abrasion and microbial contamination in horses following general anaesthesia for non-ocular surgery.
Veterinary anaesthesia and analgesia    January 9, 2018   Volume 45, Issue 3 278-284 doi: 10.1016/j.vaa.2017.12.002
Scarabelli S, Timofte D, Malalana F, Bardell D.To evaluate the incidence of corneal abrasions/ulceration and microbial contamination in horses undergoing general anaesthesia. Methods: Prospective, observational, clinical study. Methods: A total of 40 client-owned healthy horses scheduled for elective non-ophthalmic procedures. Methods: Conjunctival sac swabs were taken, fluorescein dye applied and digital images recorded from both eyes of the horses after preanaesthetic medication and 24 hours after recovery from general anaesthesia. A paraffin-based bland ophthalmic ointment was applied on the ocular surface intraoperatively following col...
Antifungal Therapy in Equine Ocular Mycotic Infections.
The Veterinary clinics of North America. Equine practice    September 27, 2017   Volume 33, Issue 3 583-605 doi: 10.1016/j.cveq.2017.08.001
Ledbetter EC.Fungi are clinically important causes of ocular infections in the horse. Keratomycosis is the most common; however, a diverse range of mycotic infections, affecting numerous ocular tissues, may be encountered. Many equine mycoses are diagnostic and therapeutic challenges. Prompt and appropriate treatment is essential to minimize morbidity and reduce the likelihood of vision loss. Knowledge of the characteristics and properties of equine ophthalmology antifungal medications is essential to selecting an optimal treatment strategy, including selection of appropriate medication and effective admin...
The effect of stable bedding materials on dust levels, microbial air contamination and equine respiratory health.
Research in veterinary science    September 25, 2017   Volume 115 523-529 doi: 10.1016/j.rvsc.2017.09.022
Kwiatkowska-Stenzel A, Witkowska D, Sowińska J, Stopyra A.The choice of bedding material affects the quality of air in a stable and, consequently, the respiratory health of horses and humans. The risk of respiratory problems can be mitigated by improving the quality of air in the stable. The choice of bedding material is particularly important in cold climate conditions where horses are kept indoors throughout the year. This study examined the impact of three bedding materials: straw (S), peat with shavings (PS), and crushed wood pellets (CWP). The investigated factors were air contamination, including dust contamination and microbial (bacterial and ...
Further investigation of equine fescue oedema induced by Mediterranean tall fescue (Lolium arundinaceum) infected with selected fungal endophytes (Epichloë coenophiala).
New Zealand veterinary journal    August 23, 2017   Volume 65, Issue 6 322-326 doi: 10.1080/00480169.2017.1365660
Finch SC, Munday JS, Sutherland BL, Vlaming JB, Fletcher LR.AIMS To determine if equine fescue oedema (EFO) induced by grazing Mediterranean-type tall fescue (Lolium arundinaceum) infected with selected endophytes (Epichloë coenophiala) could be prevented by treatment with the corticosteroid, methylprednisolone, and anti-histamine, cetirizine, and to determine concentrations of lolines, specifically N-acetyl norloline (NANL), in grasses grazed by horses that did and did not develop EFO. METHODS Four horses were grazed on AR542-infected Mediterranean tall fescue pasture (from Day 0) for 7 days prior to being subjected to euthanasia. Two of these horses...
Risks for animal health related to the presence of zearalenone and its modified forms in feed.
EFSA journal. European Food Safety Authority    July 31, 2017   Volume 15, Issue 7 e04851 doi: 10.2903/j.efsa.2017.4851
Knutsen HK, Alexander J, Barregård L, Bignami M, Brüschweiler B, Ceccatelli S, Cottrill B, Dinovi M, Edler L, Grasl-Kraupp B, Hogstrand C....Zearalenone (ZEN), a mycotoxin primarily produced by Fusarium fungi, occurs predominantly in cereal grains. The European Commission asked EFSA for a scientific opinion on the risk to animal health related to ZEN and its modified forms in feed. Modified forms of ZEN occurring in feed include phase I metabolites α-zearalenol (α-ZEL), β-zearalenol (β-ZEL), α-zearalanol (α-ZAL), β-zearalanol (β-ZAL), zearalanone (ZAN) and phase II conjugates. ZEN has oestrogenic activity and the oestrogenic activity of the modified forms of ZEN differs considerably. For ZEN, the EFSA Panel on Contaminants...