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Topic:Infection

Infections in horses encompass a range of diseases caused by various pathogens, including bacteria, viruses, fungi, and parasites. These infections can affect different systems within the horse, such as the respiratory, gastrointestinal, and integumentary systems, leading to a variety of clinical signs depending on the pathogen and the severity of the infection. Common infectious diseases in horses include equine influenza, strangles, and equine herpesvirus. Diagnosis often involves clinical examination, laboratory testing, and sometimes imaging, to identify the causative agent and assess the extent of the disease. Treatment strategies may include antimicrobial therapy, supportive care, and preventive measures such as vaccination and biosecurity practices. This page aggregates peer-reviewed research studies and scholarly articles that explore the pathogenesis, diagnosis, treatment, and prevention of infectious diseases in equine populations.
Occurrence of Stenotrophomonas maltophilia in agricultural soils and antibiotic resistance properties.
Research in microbiology    January 14, 2016   Volume 167, Issue 4 313-324 doi: 10.1016/j.resmic.2016.01.001
Deredjian A, Alliot N, Blanchard L, Brothier E, Anane M, Cambier P, Jolivet C, Khelil MN, Nazaret S, Saby N, Thioulouse J, Favre-Bonté S.The occurrence of Stenotrophomonas maltophilia was monitored in organic amendments and agricultural soils from various sites in France and Tunisia. S. maltophilia was detected in horse and bovine manures, and its abundance ranged from 0.294 (±0.509) × 10(3) to 880 (±33.4) × 10(3) CFU (g drywt)(-1) of sample. S. maltophilia was recovered from most tested soil samples (104/124). Its abundance varied from 0.33 (±0.52) to 414 (±50) × 10(3) CFU (g drywt)(-1) of soil and was not related to soil characteristics. Antibiotic resistance properties of a set of environmental strains were ...
Equine Arteritis Virus Uses Equine CXCL16 as an Entry Receptor.
Journal of virology    January 13, 2016   Volume 90, Issue 7 3366-3384 doi: 10.1128/JVI.02455-15
Sarkar S, Chelvarajan L, Go YY, Cook F, Artiushin S, Mondal S, Anderson K, Eberth J, Timoney PJ, Kalbfleisch TS, Bailey E, Balasuriya UB.Previous studies in our laboratory have identified equine CXCL16 (EqCXCL16) to be a candidate molecule and possible cell entry receptor for equine arteritis virus (EAV). In horses, the CXCL16 gene is located on equine chromosome 11 (ECA11) and encodes a glycosylated, type I transmembrane protein with 247 amino acids. Stable transfection of HEK-293T cells with plasmid DNA carrying EqCXCL16 (HEK-EqCXCL16 cells) increased the proportion of the cell population permissive to EAV infection from <3% to almost 100%. The increase in permissiveness was blocked either by transfection of HEK-EqCXCL16 c...
Relationship between uterine biopsy score, endometrial infection and inflammation in the mare.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    January 13, 2016   Volume 44, Issue 3 158-163 doi: 10.15653/TPG-150581
Buczkowska J, Kozdrowski R, Nowak M, Sikora M.Endometrial biopsy score is an accepted marker of uterine health and predicted fertility, and it has been suggested that endometrial alternations are correlated with susceptibility to persistent infectious endometritis. The objective of this study was to investigate associations of endometrial biopsy score with: 1) presence of polymorphonuclear cells (PMNs) in the epithelium and stratum compactum in histopathology; 2) presence of PMNs in cytology and 3) presence of infection in microbiology. Methods: The material for examination was collected from 69 mares suspected for subclinical endometriti...
Preventing haemorrhage in equine guttural pouch mycosis.
The Veterinary record    January 9, 2016   Volume 178, Issue 2 42-43 doi: 10.1136/vr.i37
Dixon PM.No abstract available
Isolation of a lytic bacteriophage against virulent Aeromonas hydrophila from an organized equine farm.
Journal of basic microbiology    January 8, 2016   Volume 56, Issue 4 432-437 doi: 10.1002/jobm.201500318
Anand T, Vaid RK, Bera BCh, Singh J, Barua S, Virmani N, Rajukumar K, Yadav NK, Nagar D, Singh RK, Tripathi BN.A bacteriophage (VTCCBPA6) against a pathogenic strain of Aeromonas hydrophila was isolated from the sewage of an organized equine breeding farm. On the basis of TEM analysis, phage belonged to family Myoviridae. PCR amplification and sequence analysis of gp23 gene (encoding for major capsid protein) revealed phylogenetic resemblance to T4 like virus genus. Protein profiling by SDS-PAGE also indicated its resemblance to T4 like phage group. However, the comparison of its gp23 gene sequence with previously reported phages showed similarity with T4-like phages infecting Enterobacteriaceae instea...
A Rare Case of Gastric Myiasis in a Lion Caused by Gasterophilus intestinalis (Diptera: Gasterophilidae)-Case Report.
Journal of arthropod-borne diseases    January 6, 2016   Volume 10, Issue 3 421-423 
Ganjali M, Keighobadi M.Myiasis is the infection caused by a variety of dipterous (fly) larvae in vertebrate's tissue (man and domestic or wild animals). Species of Gasterophilus are obligate parasite of horses, donkeys, zebras, elephants and rhinoceroses. There are records worldwide, but mostly, in tropical and subtropical regions. This case report describes a type of gastric myiasis caused by G. intestinalis in an old lion in a zoo in Sistan, southeast Iran. Myiasis in lions is rarely reported and this is the first report of gastric myiasis in lion.
Alleviation of Epiphora by Canaliculosinostomy into the Caudal Maxillary Sinus in the Horse.
Veterinary surgery : VS    January 6, 2016   Volume 45, Issue 1 115-120 doi: 10.1111/vsu.12424
Robinson CS, Wylie CE, Compston PC, Payne RJ.To describe a technique of canaliculosinostomy into the caudal maxillary sinus to alleviate epiphora secondary to nasolacrimal duct obstruction and to report the long-term outcome in 5 horses. Methods: Case series. Methods: Five client-owned horses. Methods: Case records of all horses presented for chronic epiphora to a single equine hospital that underwent surgical treatment were reviewed. All included horses had a Jones test or dacryocystography to confirm nasolacrimal duct obstruction. All horses were anesthetized and canaliculosinostomy was created from the medial canthus of the eye into t...
Conserved arginine residues in the carboxyl terminus of the equine arteritis virus E protein may play a role in heparin binding but may not affect viral infectivity in equine endothelial cells.
Archives of virology    January 6, 2016   Volume 161, Issue 4 873-886 doi: 10.1007/s00705-015-2733-3
Lu Z, Sarkar S, Zhang J, Balasuriya UB.Equine arteritis virus (EAV), the causative agent of equine viral arteritis, has relatively broad cell tropism in vitro. In horses, EAV primarily replicates in macrophages and endothelial cells of small blood vessels. Until now, neither the cellular receptor(s) nor the mechanism(s) of virus attachment and entry have been determined for this virus. In this study, we investigated the effect of heparin on EAV infection in equine endothelial cells (EECs). Heparin, but not other glycosaminoglycans, could reduce EAV infection up to 93 %. Sequence analysis of the EAV E minor envelope protein reveale...
Horses naturally infected with EIAV harbor 2 distinct SU populations but are monophyletic with respect to IN.
Virus genes    January 6, 2016   Volume 52, Issue 1 71-80 doi: 10.1007/s11262-015-1280-z
Cervantes DT, Ball JM, Edwards J, Payne S.Equine infectious anemia virus (EIAV) causes lifelong infections ranging from acutely fatal, to chronic, to asymptomatic. Within infected animals, EIAV is found as a quasispecies. Many experimental studies on EIAV, carried out in the U.S. over the past 70 years, have used either the highly virulent Wyoming (EIAVWYO) field strain or various derivatives of that strain. These infections have provided insights into the variety of genetic changes that accumulate in the env gene and LTR in experimentally infected horses. In the current study, we obtained EIAV sequences from blood samples collected f...
Further evaluation and validation of a commercially available competitive ELISA (cELISA) for the detection of antibodies specific to equine arteritis virus (EAV).
The Veterinary record    January 5, 2016   Volume 178, Issue 4 95 doi: 10.1136/vr.103362
Pfahl K, Chung C, Singleton MD, Shuck KM, Go YY, Zhang J, Campos J, Adams E, Adams DS, Timoney PJ, Balasuriya UB.The purpose of this study was to further evaluate and validate two commercially available equine arteritis virus (EAV) competitive ELISAs (original and enhanced cELISAs) using archived equine sera from experimentally inoculated animals and field sera submitted for laboratory diagnosis. First, the original and subsequently enhanced cELISAs were compared with the virus neutralisation test (VNT) using a panel of archived serum samples from experimentally inoculated animals. Then, the enhanced cELISA was compared with the VNT using a large panel of archived serum samples. The total number of equin...
The incidence and species composition of Gasterophilus (Diptera, Gasterophilidae) causing equine myiasis in northern Xinjiang, China.
Veterinary parasitology    January 2, 2016   Volume 217 36-38 doi: 10.1016/j.vetpar.2015.12.028
Liu SH, Li K, Hu DF.A survey was conducted on the detection of the larval Gasterophilus species in 90 equines via necropsy or after administering oral ivermectin in Xinjian, China, from 2008 to 2013. All 90 (100%) equines were infested by larval Gasterophilus, and 3723second instar larvae (L2) and 63,778 third instar larvae (L3) were collected from faecal samples and the digestive tract, a ratio of L2:L3=1:17. Over 84.45% of the animals contained ≤1500 larvae and 7.78% had >2000 larvae. The highest totals of L2 and L 3 larvae in any one animal were 1208 in Mongolian wild ass (Equus hemionus hemionus), 2491 i...
Leptospirosis in domestic animals in France: serological results from 1988 to 2007.
Revue scientifique et technique (International Office of Epizootics)    January 1, 2016   Volume 35, Issue 3 913-923 doi: 10.20506/rst.35.3.2579
André-Fontaine G.Leptospirosis is a common infection in domestic animals. The microscopic agglutination test (MAT) is used for serological diagnosis. From 1988 to 2007, the Leptospira Medical and Molecular Bacteriology Laboratory at the Nantes National College of Veterinary Medicine, Food Science and Engineering used the MAT to test serum samples from more than 40,000 cattle, 40,000 pigs, 20,000 horses and 9,500 dogs. Five Leptospira serogroups were prominent, with specific variations within the four animal species: Icterohaemorrhagiae, Australis, Sejroë, Grippotyphosa and Autumnalis. The prevalence and incid...
Equine herpesvirus type 1 (EHV1) induces alterations in the immunophenotypic profile of equine monocyte-derived dendritic cells.
Veterinary journal (London, England : 1997)    December 29, 2015   Volume 210 85-88 doi: 10.1016/j.tvjl.2015.12.008
Claessen C, De Lange V, Huang T, Ma G, Osterrieder N, Favoreel H, Van de Walle GR.Equine herpesvirus 1 (EHV1) is an α-herpesvirus that can infect a variety of different cells in vitro and in vivo, including dendritic cells (DC) which are essential in the immune response against EHV1. Infection of equine monocyte-derived DC (MDDC) with EHV1 induced down-regulation of major histocompatibility complex I (MHCI), CD83, CD86, CD206, CD29 and CD172a, but not of CD11a/CD18 and MHCII. This down-regulation was not mediated by the virion host-shutoff (VHS) protein or pUL49.5. Interestingly, down-regulation of CD83 and CD86 was in part mediated by pUL56. Taken together, these data ind...
In vitro growth inhibitory efficacy of some target specific novel drug molecules against Theileria equi.
Veterinary parasitology    December 29, 2015   Volume 217 1-6 doi: 10.1016/j.vetpar.2015.12.024
Gopalakrishnan A, Maji C, Dahiya RK, Suthar A, Kumar R, Gupta AK, Dimri U, Kumar S.The in vitro growth inhibitory efficacies of five drug molecules against Theileria equi were evaluated in in vitro cultured parasites. A continuous microaerophilic stationary-phase culture (MASP) system was established for propagation of T. equi parasites. This in vitro culture system was used to assess the growth inhibitory effect of harmaline hydrochloride dihydrate (HHD), hexadecyltrimethylammonium bromide (HDTAB), hesparidin methyl chalcone (HMC), andrographolide and imidocarb dipropionate against T. equi. The 50% inhibitory concentration value of HHD, HDTAB, HMC, and imidocarb dipropionat...
Seasonal microbiological quality of air in veterinary practices in Poland.
Annals of agricultural and environmental medicine : AAEM    December 29, 2015   Volume 22, Issue 4 614-624 doi: 10.5604/12321966.1185763
Sitkowska J, Sitkowski W, Sitkowski Ł, Lutnicki K, Adamek Ł, Wilkołek P.Numerous studies focused on the bioaerosols in the areas of industry, agriculture and animal husbandry, concerning both residential and public buildings, have been conducted continuously for many years. The aim of the present work was to determine the concentration and composition of mesophilic bacterial flora in the air of selected medical and veterinary clinics located in the cities and in the countryside. Air sampling was carried out in 2011-2013 in 44 veterinary practices in autumn-winter and spring-summer seasons. The concentration of bacteria ranged from 39 - 5,034 cfu/m(3) , with higher...
Evaluation of in vitro inhibitory effect of enoxacin on Babesia and Theileria parasites.
Experimental parasitology    December 25, 2015   Volume 161 62-67 doi: 10.1016/j.exppara.2015.12.016
Omar MA, Salama A, Elsify A, Rizk MA, Al-Aboody MS, AbouLaila M, El-Sayed SA, Igarashi I.Enoxacin is a broad-spectrum 6-fluoronaphthyridinone antibacterial agent (fluoroquinolones) structurally related to nalidixic acid used mainly in the treatment of urinary tract infections and gonorrhea. Also it has been shown recently that it may have cancer inhibiting effect. The primary antibabesial effect of Enoxacin is due to inhibition of DNA gyrase subunit A, and DNA topoisomerase. In the present study, enoxacin was tested as a potent inhibitor against the in vitro growth of bovine and equine Piroplasms. The in vitro growth of five Babesia species that were tested was significantly inh...
Antimicrobial selection and dosing in the treatment of wounds in the United Kingdom.
Equine veterinary journal    December 25, 2015   Volume 48, Issue 6 676-680 doi: 10.1111/evj.12535
Ross SE, Duz M, Rendle DI.Antimicrobial stewardship within the veterinary profession is recognised by governing and professional bodies as being important; the attitudes and behaviour of veterinary surgeons merit investigation. Objective: To investigate levels of protected antimicrobial use and accuracy of antimicrobial dosing in a common clinical scenario in equine practice. Methods: Retrospective cohort study. Methods: Antimicrobial use was evaluated retrospectively in 113 cases subsequently referred to a single referral hospital for the treatment of limb wounds over a 20-month period. Antimicrobial classification (f...
Sero-epidemiology of equine toxoplasmosis using a latex agglutination test in the three metropolises of Punjab, Pakistan.
Tropical biomedicine    December 23, 2015   Volume 32, Issue 2 276-285 
Saqib M, Hussain MH, Sajid MS, Mansoor MK, Asi MN, Fadya AA, Zohaib A, Sial AU, Muhammad G, Ullah I.Toxoplasmosis is a serious threat for livestock in addition to being of zoonotic significance. In this study, serodiagnosis of equine toxoplasmosis was conducted in a randomly selected population from the 3 metropolises of Punjab, Pakistan. To this end, 272 draught equines were screened using a commercial latex agglutination assay kit. Association of probable risk factors of equine toxoplasmosis was also documented. A total of 91 (33.5%) equines were found sero-positive for Toxoplama (T.) gondii having antibody titers ranging between 1:32 to 1:612. The highest rates of seropositive cases were ...
Use of Liposomal Gentamicin for Treatment of 5 Foals with Experimentally Induced Rhodococcus equi Pneumonia.
Journal of veterinary internal medicine    December 22, 2015   Volume 30, Issue 1 322-325 doi: 10.1111/jvim.13810
Cohen ND, Giguère S, Burton AJ, Rocha JN, Berghaus LJ, Brake CN, Bordin AI, Coleman MC.Adverse effects of, and bacterial resistance to, macrolides used to treat Rhodococcus equi infections have prompted search for clinically effective alternative antimicrobials. Liposomal gentamicin (LG) is effective against R. equi in vitro and decreases tissue concentrations of R. equi in experimentally infected mice. Effectiveness of LG treatment of foals with R. equi pneumonia, however, has not been described. Objective: Liposomal gentamicin is safe and effective for treating foals with R. equi pneumonia. Methods: Ten foals with experimentally induced R. equi pneumonia. Methods: Pilot treatm...
The first reported case of equine Nocardioform placentitis in New Zealand.
New Zealand veterinary journal    December 21, 2015   Volume 64, Issue 3 198-199 doi: 10.1080/00480169.2015.1120166
Hanlon DW, McLachlan AD, Gibson I.No abstract available
The neuropathogenic T953 strain of equine herpesvirus-1 inhibits type-I IFN mediated antiviral activity in equine endothelial cells.
Veterinary microbiology    December 19, 2015   Volume 183 110-118 doi: 10.1016/j.vetmic.2015.12.011
Sarkar S, Balasuriya UB, Horohov DW, Chambers TM.Equine herpesvirus-1 (EHV-1) infects equine endothelial cells (EECs) lining the small blood vessels in the central nervous system. However, the effect of type I IFN on EHV-1 replication in the EECs is not well studied. Thus, the primary objective of this study was to investigate the effect of type-I IFN on the replication of the neuropathogenic T953 strain of EHV-1 in vitro in EECs. The initial data showed that the EHV-1 was partly resistant to the biological effect of exogenously supplied recombinant equine IFN-α. Subsequent investigation into the mechanism of resistance showed that EHV-1 in...
Effect of vacuum packing and temperature on survival and hatching of strongyle eggs in faecal samples.
Veterinary parasitology    December 18, 2015   Volume 217 21-24 doi: 10.1016/j.vetpar.2015.12.014
Sengupta ME, Thapa S, Thamsborg SM, Mejer H.Strongyle eggs of helminths of livestock usually hatch within a few hours or days after deposition with faeces. This poses a problem when faecal sampling is performed in the field. As oxygen is needed for embryonic development, it is recommended to reduce air supply during transport and refrigerate. The present study therefore investigated the combined effect of vacuum packing and temperature on survival of strongyle eggs and their subsequent ability to hatch and develop into L3. Fresh faecal samples were collected from calves infected with Cooperia oncophora, pigs infected with Oesophagostomu...
Streptococcus equi Detection Polymerase Chain Reaction Assay for Equine Nasopharyngeal and Guttural Pouch Wash Samples.
Journal of veterinary internal medicine    December 17, 2015   Volume 30, Issue 1 276-281 doi: 10.1111/jvim.13808
Boyle AG, Rankin SC, D○ L, Boston RC, Wheeler-Aceto H.Bacterial culture and polymerase chain reaction (PCR) assays for the detection of Streptococcus equi in nasopharyngeal washes (NPW) and guttural pouch lavage (GPL) samples have low sensitivity. In human diagnostics, processing of samples with flocked swabs has improved recovery rates of bacterial agents because of improved surface area and elution factors. Objective: For S. equi subsp. equi (S. equi) detection in NPW and GPL samples we hypothesized that: direct-PCR would be more reliable than flocked swab culture (FS culture); flocked swab PCR (FS-PCR) would be equivalent to direct-PCR; and FS...
Multiple specificities of immunoglobulin M in equine fetuses infected with Leptospira interrogans indicate a competent immune response.
Equine veterinary journal    December 16, 2015   Volume 48, Issue 6 704-709 doi: 10.1111/evj.12527
Velineni S, Timoney JF, Artiushin SC, Donahue JM, Steinman M.Foals of mares infected with Leptospira interrogans serovar Pomona type kennewicki (Lk) may be aborted/stillborn or delivered as healthy foals. Is fetal survival explained in part by the immune response of the fetus to Leptospira antigens? Objective: To describe an outbreak of Leptospira abortion in which infected mares delivered dead/sick or normal foals and determine specificities of antibody in a collection of 54 fetuses from similar outbreaks. Methods: Outbreak investigation in combination with a case-control study of a larger set of samples from aborted fetuses. Methods: Serology and poly...
Historical cases of anthrax in Sweden 1916-1961.
Transboundary and emerging diseases    December 15, 2015   Volume 64, Issue 3 892-898 doi: 10.1111/tbed.12456
Elvander M, Persson B, Sternberg Lewerin S.As in most European countries, anthrax was common in Swedish livestock during the centuries leading up to the mid-twentieth century. After 1957, the disease was regarded as practically extinct. However, in the past 7 years, three outbreaks have caused public alarm because of the risk of environmental contamination. Properly buried carcasses should present little risk of spore contamination, and instructions were in place to ensure this since the 1890s. However, as has been demonstrated in recent outbreaks, carcasses were not always adequately buried and viable spores may remain in some sites....
Isolation and characterization of antimicrobial-resistant Escherichia coli from national horse racetracks and private horse-riding courses in Korea.
Journal of veterinary science    December 10, 2015   Volume 17, Issue 2 199-206 doi: 10.4142/jvs.2016.17.2.199
Chung YS, Song JW, Kim DH, Shin S, Park YK, Yang SJ, Lim SK, Park KT, Park YH.Limited information is available regarding horse-associated antimicrobial resistant (AR) Escherichia (E.) coli. This study was designed to evaluate the frequency and characterize the pattern of AR E. coli from healthy horse-associated samples. A total of 143 E. coli (4.6%) were isolated from 3,078 samples collected from three national racetracks and 14 private horse-riding courses in Korea. Thirty of the E. coli isolates (21%) showed antimicrobial resistance to at least one antimicrobial agent, and four of the AR E. coli (13.3%) were defined as multi-drug resistance. Most of the AR E. coli har...
Potential for iatrogenic coil embolization of the caudal cerebellar artery during treatment of internal carotid artery bifurcation in two horses with guttural pouch mycosis.
Journal of the American Veterinary Medical Association    December 8, 2015   Volume 247, Issue 12 1427-1432 doi: 10.2460/javma.247.12.1427
Bonilla AG, Scansen BA, Hurcombe SD, Mudge MC.2 horses were examined for chronic nasal discharge secondary to unilateral guttural pouch mycosis. Results: Initial endoscopic examination of both horses confirmed the presence of a fungal plaque on the dorsomedial aspect of the medial compartment of the guttural pouch (auditory tube diverticulum) involving the internal carotid artery (ICA). No signs of hemorrhage or neurologic deficits were present at admission. Results: Transarterial stainless steel coil embolization of the affected ICA was performed under general anesthesia, with fluoroscopic guidance. During treatment, an aberrant branch o...
Development and evaluation of the internal-controlled real-time PCR assay for Rhodococcus equi detection in various clinical specimens.
The Journal of veterinary medical science    December 8, 2015   Volume 78, Issue 4 543-549 doi: 10.1292/jvms.15-0516
Stefańska I, Witkowski L, Rzewuska M, Dzieciątkowski T.Rhodococcus equi is the causative agent of rhodococcosis in horses, resulting in significant morbidity and mortality in foals. This bacterium has also been isolated from a variety of animals and is being increasingly reported as a cause of infection in humans, mainly in immunosuppressed individuals. Laboratory diagnostics of R. equi infections based only on conventional microbiological methods shows low accuracy and can lead to misidentification. The objective of the study was to develop and evaluate a real-time PCR assay for direct detection of R. equi in various clinical specimens, including...
First report of fatal systemic Halicephalobus gingivalis infection in two Lipizzaner horses from Romania: clinical, pathological, and molecular characterization.
Parasitology research    December 2, 2015   Volume 115, Issue 3 1097-1103 doi: 10.1007/s00436-015-4839-7
Taulescu MA, Ionicã AM, Diugan E, Pavaloiu A, Cora R, Amorim I, Catoi C, Roccabianca P.Halicephalobus gingivalis (H. gingivalis) causes a rare and fatal infection in horses and humans. Despite the zoonotic potential and severity of the disease, the epidemiology and pathogenesis of halicephalobiasis are still poorly understood. Several European cases of equine halicephalobiasis have been documented; however, in South-Eastern European countries, including Romania, equine neurohelminthiasis caused by H. gingivalis has not been previously described. Two Lipizzaner horses with a clinical history of progressive neurological signs were referred to the Pathology Department of the Cluj-N...
Multiple etiologies of equine recurrent uveitis–A natural model for human autoimmune uveitis: A brief review.
Comparative immunology, microbiology and infectious diseases    December 2, 2015   Volume 44 14-20 doi: 10.1016/j.cimid.2015.11.004
Witkowski L, Cywinska A, Paschalis-Trela K, Crisman M, Kita J.Equine recurrent uveitis (ERU) has various etiologies, with Leptospira infection and genetic predisposition being the leading risk factors. Regardless of etiology, expression of ocular proteins associated with maintenance of the blood-ocular barrier is impaired in ERU. The recurring-remitting cycle of ERU repeatedly disrupts the blood-ocular barrier, allowing the previously immune-privileged ocular environment to become the site of a progressive local autoimmune pathology that ultimately results in tissue destruction and vision loss. The immune-mediated process involves humoral and cellular me...