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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.
Comparison of nasal swabs and handmade foam cubes for detecting equine herpesvirus 5 (EHV-5) by quantitative polymerase chain reaction (qPCR). Charbonnel A, Lavoie JP, Juette T, St-Sauveur VG, Denis S, Gagnon CA, Leclère M.The control of equine respiratory infections is a biosecurity challenge. Respiratory viruses are often rapidly detected using quantitative polymerase chain reaction (qPCR) on nasal swabs. In the past, some laboratories developed handmade techniques to increase the amount of nasal secretions collected, without comparing them with nasal swabs when qPCR replaced the use of viral culture. The objectives of this study were to compare nasal swabs and handmade foam cubes for i) the detection of a common equine herpesvirus (EHV-5) by qPCR, and ii) their tolerability. Forty-five polyester swabs and foa...
Could Serum Collectin-11, surfactant protein-A and D be suitable biomarkers for assessing pulmonary damage caused by Rhodococcus equi infection in foals on large farms?
Polish journal of veterinary sciences    December 30, 2024   Volume 27, Issue 3 355-362 doi: 10.24425/pjvs.2024.149367
Ekinci G, Deniz O, Tüfekci E, Timur MC, Onmaz AC, Günes V, Citil M, Keles I, Hoven RVD.Rhodococcus equi (R. equi) is a primary cause of pyogranulomatous pneumonia of foals between three weeks and five months of age. Early diagnosis of rhodococcal pneumonia has always been considered a preferable approach as it can lead to more successful treatment and better outcomes. Horse stud farms where the disease is common, neonatal foals are subjected to tests such as complete blood count and fibrinogen analysis at certain intervals. However, new biomarkers are needed in addition to blood count and fibrinogen measurement in this field for early diagnosis of diseases. Based on this need, i...
Prevalence, Associated Risk Factors, and Identification of the Genera of Equine Strongyles in Horses and Donkeys in and Around Bishoftu, Ethiopia.
Veterinary medicine international    December 28, 2024   Volume 2024 3224113 doi: 10.1155/vmi/3224113
Mulaw Berihun A, Bizu F, Maru M, Kassaw S.Equines play a significant role in the economy of the country. Besides their importance, equines face several challenges mainly helminth infections. Of these strongyle parasites are the most common, particularly in the study area. Thus, a cross-sectional study was conducted from February 2022 to July 2022 to determine the prevalence and associated risk factors and to identify the genera of equine strongyle parasites in and around Bishoftu. A total of 364 equines were randomly selected from five different areas and subjected to coprological examination using the floatation technique to detect s...
Severe auricular skin necrosis as potential postanaesthetic complication in a horse undergoing general anaesthesia for orthopaedic surgeries.
Veterinary anaesthesia and analgesia    December 28, 2024   S1467-2987(24)00416-1 doi: 10.1016/j.vaa.2024.12.004
Schiele AR, Valletti C, Ringer SK.A Trotter mare (aged 5 years 8 months) presented with severe thoracic limb lameness 2 years after screw fixation of a third carpal bone fracture. Septic arthritis of the intermediate carpal joint necessitated three anaesthetics: two arthroscopic lavages in dorsal recumbency, followed by a computed tomography-guided screw explantation with curettage of an infected, sclerotic third carpal bone in right lateral recumbency. For each anaesthetic, maintenance was with isoflurane carried in oxygen and air, and a medetomidine constant rate infusion. Twelve days after the third anaesthetic, the horse h...
Diagnostic innovations in Equine Parasitology: a Nanogold-ELISA for sensitive serodiagnosis of migratory strongylus vulgaris larvae infections.
BMC veterinary research    December 27, 2024   Volume 20, Issue 1 579 doi: 10.1186/s12917-024-04389-x
Baghdadi HBA, Abdelsalam M, Attia MM.Strongylus vulgaris, a devastating parasitic nematode in equids, causes life-threatening verminous aneurysms that are challenging to diagnose early. This study pioneered integrating nanotechnology into an indirect enzyme-linked immunosorbent assay (i-ELISA) system to enhance the sensitivity and specificity for detecting S. vulgaris larval antigens in equine serum samples, with PCR confirmation of the species. A conventional i-ELISA and an innovative nano-based ELISA were developed using excretory-secretory antigens from adult S. vulgaris worms. The nano-ELISA incorporated gold nanoparticles (1...
Molecular genotyping of Theileria spp. detected in horses from Corrientes City, Argentina.
Veterinary research communications    December 24, 2024   Volume 49, Issue 1 54 doi: 10.1007/s11259-024-10618-3
Benitez-Ibalo AP, Debárbora VN, Mangold AJ, Nava S, Sebastian PS.After the previous description and characterization of Theileria equi sensu stricto (Genotype A) in Argentina, the aim of the present study was to investigate the possible heterogeneity of 18 S rDNA genotypes circulating in this country. Therefore, blood samples from 18 horses from two different neighborhoods of Corrientes City, Corrientes Province, were analyzed for infection with Theileria species. Theileria DNA was detected in five samples (27.8%). Four nearly complete 18 S rDNA gene sequences were obtained and phylogenetic analyses were carried out. The maximum likelihood tree constructe...
Equine Infectious Anemia Virus Cellular Partners Along the Viral Cycle.
Viruses    December 24, 2024   Volume 17, Issue 1 5 doi: 10.3390/v17010005
Equine infectious anemia virus (EIAV) is the simplest described within the family, related to the human immunodeficiency viruses (HIV-1 and HIV-2). There is an important interplay between host cells and viruses. Viruses need to hijack cellular proteins for their viral cycle completion and some cellular proteins are antiviral agents interfering with viral replication. HIV cellular partners have been extensively studied and described, with a special attention to host proteins able to inhibit specific steps of the viral cycle, called restriction factors. Viruses develop countermeasures against ...
Gasterophilus in horses from Romania: diversity, prevalence, seasonal dynamics, and distribution.
Parasitology research    December 23, 2024   Volume 123, Issue 12 416 doi: 10.1007/s00436-024-08419-3
Rabei ȘO, Cârstolovean AS, Culda CA, Mihalca AD.This is the first study that targets the epidemiology of Gasterophilus spp. in slaughtered horses from Romania. Previously to our research, there were five recorded species: Gasterophilus haemorrhoidalis, Gasterophilus inermis, Gasterophilus intestinalis, Gasterophilus nasalis, and Gasterophilus pecorum with a dispersed distribution throughout the country, the data being recorded more than 73 years ago. The collection of Gasterophilus larvae was carried out from the digestive system (stomach, duodenum, and rectum) of horses in three abattoirs, monthly between January 2023 and December 2023. Fo...
Effect of refrigeration, room temperature, and processing time on serum immunofluorescent antibody titers for Sarcocystis neurona.
Journal of veterinary internal medicine    December 23, 2024   Volume 39, Issue 1 e17282 doi: 10.1111/jvim.17282
Valderrama-Martinez C, Packham A, Zheng S, Smith W, Plancarte M, Aleman M.Evaluating antibody titers for Sarcocystis neurona for the diagnosis of equine protozoal myeloencephalitis from serum samples is a common practice. However, ensuring timely and proper refrigeration is not always possible. Objective: To evaluate immunofluorescent antibody (IFA) titers for S. neurona from serum samples stored at room temperature and 4°C. Methods: Twenty-two serum samples. Methods: Prospective longitudinal study. Two serum aliquots of 1 mL each were stored at room temperature (20-23.3°C) and 4°C. The unrefrigerated aliquot was immediately tested for IFA titers. Both aliquots...
Survey of the approach to the diagnosis and management of bacterial pneumonia in adult horses by equine veterinarians.
Frontiers in veterinary science    December 23, 2024   Volume 11 1484970 doi: 10.3389/fvets.2024.1484970
Hepworth-Warren KL, Love K.Bacterial pneumonia is a common disease in adult horses, but there are no guidelines for practitioners regarding risk factors, diagnosis, and management of the disease. The objectives of this study were to describe how a group of equine veterinarians diagnose and treat bacterial pneumonia in adult horses. A 22-question survey was distributed via multiple platforms to equine veterinarians asking questions regarding the frequency with which they identified specific clinical findings and used certain diagnostic modalities, and the approach to antimicrobial and adjunct therapy. Three hundred nine ...
Effects of orally administered clioquinol on the fecal microbiome of horses.
Journal of veterinary internal medicine    December 22, 2024   Volume 39, Issue 1 e17276 doi: 10.1111/jvim.17276
Smith MZ, York M, Townsend KS, Martin LM, Gull T, Coghill LM, Ericsson AC, Johnson PJ.Whereas restoration of fecal consistency after treatment with clioquinol for chronic diarrhea and free fecal water syndrome has been attributed to its antiprotozoal properties, actions of clioquinol on the colonic bacterial microbiota have not been investigated. Objective: Characterize the dynamics of fecal microbial diversity before, during, and after PO administration of clioquinol to healthy horses. Methods: Experimental prospective cohort study using a single horse group. Methods: Eight healthy adult horses received PO clioquinol (10 g, daily) for 7 days. Feces were obtained daily for ...
Quantitative DNA metabarcoding reveals species composition of a macrocyclic lactone and pyrantel resistant cyathostomin population in the UK.
International journal for parasitology. Drugs and drug resistance    December 22, 2024   Volume 27 100576 doi: 10.1016/j.ijpddr.2024.100576
Bull KE, Hodgkinson J, Allen K, Poissant J, Peachey LE.Cyathostomins are the most abundant equid endoparasites globally. There are approximately fifty cyathostomin species and, whilst they occupy distinct niches within the large intestine, they are generally considered to share similar characteristics in terms of pathogenicity and response to drug treatment. There are three classes of anthelmintic licensed in the UK to treat cyathostomins (benzimidazoles, tetrahydropyrimidines and macrocyclic lactones) and cases of resistance have been documented for all classes. Previously, faecal egg count reduction tests (FECRT) on four UK Thoroughbred studs re...
Investigation of an Outbreak of Equine Herpesvirus-1 Myeloencephalopathy in a Population of Aged Working Equids.
Viruses    December 21, 2024   Volume 16, Issue 12 doi: 10.3390/v16121963
Pusterla N, Lawton K, Barnum S, Ross K, Purcell K.The objective of this study was to describe an outbreak of equine herpesvirus-1 myeloencephalopathy (EHM) in a population of aged equids. The outbreak was linked to the introduction of five healthy non-resident horses 15 days prior to the first case of acute recumbency. This fulminant EHM outbreak was predisposed by the grouping of the 33 unvaccinated animals in two large pens with shared water and feed troughs. Fourteen horses (42.4%) developed neurological deficits within the first week of the outbreak. Four additional equids developed fever and respiratory signs (EHV-1 infection), while fif...
Alcohol-based antisepsis without the use of chlorhexidine for arthroscopy in horses.
Journal of equine veterinary science    December 19, 2024   105257 doi: 10.1016/j.jevs.2024.105257
Nakamae Y, Elce YA, Saab ME, McClure JT, Doyle AJ.Alcohol-based antisepsis has shown experimentally to be as effective as 4% chlorhexidine gluconate (CHG) at reducing bacterial counts (colony forming units; CFU) on equine skin. Our objectives were to determine the immediate and post-surgical reduction in CFU/mL on equine skin prepared with CHG-based or 70% isopropyl alcohol (IPA)-based (without CHG) protocols in a clinical setting with arthroscopic surgery. Our hypotheses were that the logCFU/mL reduction would not significantly differ between protocols immediately after preparation or at the end of surgery. Six horses underwent a 40 min bila...
Occurrence and risk factors of equine piroplasmosis in Portugal: A five-year retrospective study.
Veterinary parasitology    December 19, 2024   Volume 334 110378 doi: 10.1016/j.vetpar.2024.110378
Cabete A, Xufre Â, Padre L, Bettencourt E, Nunes T, Gomes J.Equine piroplasmosis (EP) is a tick-borne disease of equids caused by Theileria equi, Theileria haneyi, and Babesia caballi. EP is endemic in most tropical and subtropical regions worldwide, and there is a likelihood that it is also endemic in Portugal. This retrospective study aimed to determine the seroprevalence, prevalence, and potential risk factors of EP in our country over the past five years. A total of 3063 diagnostic test records were analysed. Results from the competitive enzyme-linked immunosorbent assay (cELISA) revealed a seroprevalence of 32.7 % and 15.7 % for T. equi and B....
How to perform a transtracheal aspirate in horses for diagnosis of lower respiratory tract disease.
Journal of the American Veterinary Medical Association    December 18, 2024   1 doi: 10.2460/javma.24.11.0697
Bishop RC, Nobrega AD, Mersich I, Wilkins PA.To describe indications for and demonstrate the technique to perform a transtracheal aspirate in horses. Transtracheal aspirate is indicated to collect samples for cytology and bacteriologic culture in cases of suspected pneumonia or other lower respiratory tract disease. Methods: 1 healthy university-owned horse was used for demonstration purposes. Images of clinical case samples from the University of Illinois Veterinary Teaching Hospital are shown. Methods: The horse is restrained and sedated with detomidine or xylazine to facilitate restraint and butorphanol to minimize coughing. The ventr...
Profiling host- and parasite-derived miRNAs associated with Strongylus vulgaris infection in horses.
Veterinary parasitology    December 17, 2024   Volume 334 110379 doi: 10.1016/j.vetpar.2024.110379
Toft K, Honoré ML, Ripley N, Nielsen MK, Mardahl M, Fromm B, Hedberg-Alm Y, Tydén E, Nielsen LN, Nejsum P, Thamsborg SM, Cirera S, Pihl TH.The equine bloodworm, Strongylus vulgaris, is a common and highly pathogenic parasite in horses due to its migratory life cycle involving the intestinal arteries. Current diagnostic techniques cannot detect the prepatent migrating stages of S. vulgaris, highlighting the need for new biomarkers. Parasites release microRNAs (miRNAs) into their environment, which could potentially be detectable in host blood samples. Additionally, host miRNA expression patterns may change in response to infection. This study aimed to identify miRNAs associated with S. vulgaris infection by profiling the horse's m...
Leptospira seroprevalence in dogs, cats, and horses in Tennessee, USA. McCreight KA, Barbosa LN, Odoi A, Reed P, Rajeev S.We estimated the seroprevalence in dogs, cats, and horses from Tennessee, USA, using the microscopic agglutination test (MAT) against 12 serovars. We observed seropositivity in 110 of 374 (29.4%) dogs, 21 of 170 (12.4%) cats, and 42 of 88 (47.7%) horses. The highest seroprevalence was observed for serovars Autumnalis (74.6%) in dogs, and Bratislava in cats (42.9%) and horses (95.2%). We found a significant level of potential cross-reactivity between multiple serovars tested, with highest cross-reactivity to serovar Autumnalis in dogs. seroprevalence was significantly higher in vaccinated ...
Mixed strongyle parasite infections vary across host age and space in a population of feral horses.
Parasitology    December 12, 2024   1-18 doi: 10.1017/S0031182024001185
Ahn S, Redman EM, Gavriliuc S, Bellaw J, Gilleard JS, McLoughlin PD, Poissant J.Identifying factors that drive among-individual variation in mixed parasitic infections is fundamental to understanding the ecology and evolution of host–parasite interactions. However, a lack of non-invasive diagnostic tools to quantify mixed infections has restricted their investigation for host populations in the wild. This study applied DNA metabarcoding on parasite larvae cultured from faecal samples to characterize mixed strongyle infections of 320 feral horses on Sable Island, Nova Scotia, Canada, in 2014 to test for the influence of host (age, sex and reproductive/social status) and ...
Eastern Equine Encephalitis Virus: The Importance of Metabolism and Aging.
International journal of molecular sciences    December 12, 2024   Volume 25, Issue 24 13318 doi: 10.3390/ijms252413318
Kordowitzki P.Eastern equine encephalitis virus (EEEV) is a mosquito-transmitted alphavirus that, among humans, can cause a severe and often fatal illness. The zoonotic EEEV enzootic cycle involves a cycle of transmission between and avian hosts, frequently resulting in spillover to dead-end vertebrate hosts such as humans and horses. Interestingly, it has been described that the W132G mutation of the very low-density lipoprotein receptor (VLDLR), the receptor of EEEV, significantly enhanced the VLDLR-mediated cell attachment of EEEV. The patient's metabolism plays a pivotal role in shaping the complex lan...
Distinct molecular epidemiology of resistances to extended-spectrum cephalosporins and carbapenems in Enterobacter hormaechei in cats and dogs versus horses in France.
The Journal of antimicrobial chemotherapy    December 12, 2024   Volume 80, Issue 2 567-575 doi: 10.1093/jac/dkae448
Haenni M, Châtre P, Drapeau A, Cazeau G, Troncy J, François P, Madec JY.Enterobacter hormaechei is an important pathogen in humans and animals, which, in addition to its intrinsic AmpC, can acquire a wide variety of genes conferring resistances to extended-spectrum cephalosporins (ESCs) and carbapenems (CPs). In France, human clinical outbreaks of E. hormaechei resistant to ESC or carbapenem were reported. Objective: To study E. hormaechei isolates from cats and dogs (=59) as well as from horses (n = 55) presenting a non-susceptible phenotype to beta-lactams in order to determine which clones, resistance genes and plasmids are circulating in France. Methods: E. ho...
Evidence of Influenza A(H5N1) Spillover Infections in Horses, Mongolia.
Emerging infectious diseases    December 11, 2024   Volume 31, Issue 1 doi: 10.3201/eid3101.241266
Damdinjav B, Raveendran S, Mojsiejczuk L, Ankhanbaatar U, Yang J, Sadeyen JR, Iqbal M, Perez DR, Rajao DS, Park A, Viana M, Murcia PR.Recent outbreaks of influenza A(H5N1) have affected many mammal species. We report serologic evidence of H5N1 virus infection in horses in Mongolia. Because H3N8 equine influenza virus is endemic in many countries, horses should be monitored to prevent reassortment between equine and avian influenza viruses with unknown consequences.
Immunodeficiencies in Foals.
The Veterinary clinics of North America. Equine practice    December 9, 2024   Volume 40, Issue 2S e1-e19 doi: 10.1016/j.cveq.2024.11.006
Magdesian KG.Knowledge of immunodeficiencies is crucial to neonatal medicine, in that they predispose to sepsis in the newborn and neonatal foal, as well as recurrent infections in older foals. The most common immunodeficiency in newborn and neonatal foals is failure of passive transfer, which is an example of an acquired immunodeficiency. Congenital or developmental immunodeficiencies may be transient or permanent, and can either affect the cell-mediated or humoral arms of immunity, and in some cases both. Affected foals often have chronic or recurrent respiratory or gastrointestinal infections, often wit...
Egg reappearance periods associated with anthelmintic treatments given to horses in winter and summer over two years.
Veterinary parasitology, regional studies and reports    December 9, 2024   Volume 57 101182 doi: 10.1016/j.vprsr.2024.101182
Scott I, Lawrence KE, Gee EK.Shortened egg reappearance periods (ERP) have been seen as an early warning of anthelmintic resistance development in cyathostomins in horses. The hypothesis has been that in these instances, efficacy against egg laying adult cyathostomins remains high, but a decline in activity against later larval stages leads to the earlier resumption of egg shedding after treatment. In this study using a single herd of horses we investigated the ERP of a number of commonly used equine anthelmintics and examined whether ERP might show seasonal variation between winter and summer. Four main Faecal egg count ...
Histopathological and diagnostic aspects of glanders based on a case series from Brazil.
Journal of equine veterinary science    December 8, 2024   Volume 145 105248 doi: 10.1016/j.jevs.2024.105248
Nassar AFC, Chiebao DP, Fava CD, Miyashiro S, Castro V, Ogata RA, Yamamora JM, Monteiro CAS, Monteiro EJB.Glanders is a zoonotic disease of equids caused by the bacterium Burkholderia mallei, responsible for considerable economic loss. This study aimed to describe the clinical manifestations, pathological findings, and also bacteriological and molecular methods for agent detection in naturally infected animals (16 adult horses and one fetus) detected by serological survey from three glanders outbreaks. Of the 16 horses, 6 (37.5%) did not show clinical signs. After necropsy,samples of organs, lymph nodes, lesions and secretions were collectedfor histopathology, bacterial isolation, and PCR. The cli...
Efficacy of 0.2% povidone-iodine and 0.1% polyhexamethylene biguanide as preoperative antiseptics in equine ophthalmic procedures.
Veterinary ophthalmology    December 8, 2024   doi: 10.1111/vop.13306
Farkas A, Thieme K, Soimala T, Jensen CK, Eule JC.This retrospective study evaluates the efficacy of povidone-iodine (PI) and polyhexamethylene biguanide (PHMB) as preoperative antiseptics in equine ophthalmic procedures. Methods: Horses that underwent routine ophthalmic surgery and procedures. Methods: Data were collected retrospectively from the medical records of equine patients undergoing ophthalmic procedures. Inclusion criteria were sampling for aerobic microbial culture at three different time points (T0: pre-irrigation, T1: post-irrigation, and T2: postoperatively) and T0 showing bacterial growth. Microbiological outcomes were assesse...
Transport-related respiratory pathogens in horses travelling long distances: A prospective study on arrival at the slaughterhouse.
Research in veterinary science    December 7, 2024   Volume 183 105498 doi: 10.1016/j.rvsc.2024.105498
Padalino B, Pellegrini F, Felici M, Zappaterra M, Catella C, Cordisco M, Lorusso E, Cirone F, Pratelli A.Respiratory disorders (RDs) are a common transport-related welfare consequence in horses. This prospective study described the journeys of horses transported to two slaughterhouses in Italy, documented the prevalence of potentially RD-related pathogens, and identified possible predisposing factors. Data were recorded from arrival until 48 h after arrival and included the collection of Deep Nasopharyngeal Swabs (DNS), journey details and welfare assessment of horses (n = 155). PCR was used to quantify the presence of influenza A virus, reovirus, equine herpesvirus type 1 and 4, adenovirus, r...
Microbiological pathogens in fecal samples of foals during the first year of life.
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 5, 2024   Volume 52, Issue 6 327-335 doi: 10.1055/a-2450-9531
Jung C, Gentil M, Müller E.The objective of the study was to investigate the age dependent occurrence of different infectious agents in foals with diarrhea. Methods: Fecal samples, which were submitted to a commercial laboratory for a PCR-profile "Foal Diarrhea Pathogens" from 01.01.2021 up to 31.12.2022 (n=144), were examined for Equine Coronavirus (ECoV), , (), toxin-encoding genes , , , and , toxin-encoding genes and , as well as Rotavirus A via PCR. Results: Pathogens could be detected in a high proportion (42.9%) of the samples. Rotavirus A was the most prevalent pathogen in the current study, followed by clos...
[Equine piroplasmosis: Case descriptions and overview of the epidemiological situation in Europe with focus on Germany].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 4, 2024   doi: 10.1055/a-2457-5516
Axt CW, Springer A, von Luckner J, Naucke TJ, Müller E, Strube C, Schäfer I.Equine piroplasmosis (EP) is caused by (.) and (.) and is transmitted by hard ticks. Predominantly, the Mediterranean region is known as being endemic for both pathogens in Europe. However, autochthonous infections in central European countries such as Germany can no longer be ruled out due to individual case reports in horses without any stays abroad as well as the geographical expansion of the habitats of different tick species. The case reports presented underline the risk of infection for horses travelling to endemic areas and in horses imported from such areas to non-endemic countries...
[Equine granulocytic anaplasmosis (EGA): Case description and overview of the epidemiological situation with focus on Germany].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    December 4, 2024   Volume 52, Issue 6 352-360 doi: 10.1055/a-2418-6540
Axt CW, Springer A, Besse A, Naucke TJ, Müller E, Strube C, Schäfer I.Equine granulocytic anaplasmosis (EGA) is a tick-borne disease caused by Anaplasma (A.) phagocytophilum. In Central, Northern, Western, and Eastern Europe, ticks of the Ixodes (I.) ricinus/I. persulcatus complex, in Germany mainly I. ricinus, are considered as vectors. Ixodes ricinus ticks show peaks of activity during the spring and summer months, particularly April to July. Changing climatic conditions, however, have meanwhile led to a year-round risk of tick exposure and thus infections with A. phagocytophilum. The presented case report underlines the seasonal peak phase of the infection ri...
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