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Topic:Infectious Disease

Infectious diseases in horses encompass a range of illnesses caused by bacteria, viruses, fungi, or parasites. These diseases can affect various systems within the equine body, leading to symptoms that range from mild discomfort to severe systemic illness. Common infectious diseases in horses include equine influenza, strangles, equine herpesvirus, and West Nile virus. These diseases can be transmitted through direct contact with infected animals, contaminated surfaces, or vectors such as insects. Understanding the mechanisms of transmission, pathogenesis, and immune response is essential for effective prevention and control. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, diagnosis, treatment, and management of infectious diseases in horses.
Co-Occurrence of Multidrug Resistant Klebsiella pneumoniae Pathogenic Clones of Human Relevance in an Equine Pneumonia Case.
Microbiology spectrum    May 17, 2022   Volume 10, Issue 3 e0215821 doi: 10.1128/spectrum.02158-21
Venturini C, Bowring B, Partridge SR, Ben Zakour NL, Fajardo-Lubian A, Lopez Ayala A, Qin J, Totsika M, van Galen G, Norris J, Iredell J.The global epidemiology of multidrug resistant Klebsiella pneumoniae, a serious threat to both animal and human health, is dominated by the spread of pathogenic clones, each separately evolving via acquisition of transferable antibiotic resistance or niche-specific virulence determinants. In horses, K. pneumoniae infection can lead to severe respiratory illness. Here, we characterized multiple isolates recovered from bronchial aspirates of a mare with pneumonia refractory to antibiotics. First, we used a combination of standard microbiology, bacteriophage cross-susceptibility and antibiotic re...
First detection and genomic characterization of a new parvovirus in equines in China.
Archives of virology    May 16, 2022   Volume 167, Issue 7 1607-1609 doi: 10.1007/s00705-022-05455-1
Xu Y, Zhang X, Peng P, Liu Y, Yu M, Xie L.Equine copivirus (EqCoPV) is a newly discovered parvovirus that infects equines. Currently, it is unclear whether this virus is prevalent in China. In the present study, serum samples were collected from equines in China and were processed for EqCoPV DNA detection by PCR. The results demonstrated that EqCoPV was circulating among the sampled equines, with a low detection rate of 0.94%. The genome sequence of one Chinese EqCoPV strain, UH26, was determined and used for genetic and phylogenetic analysis. The results demonstrated that UH26 has a close genetic relationship to EqCoPV strains from t...
Detection of Equus caballus papillomavirus-2 in equine penile/preputial papillomas and squamous cell carcinomas in southern Brazil.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    May 16, 2022   Volume 53, Issue 3 1707-1713 doi: 10.1007/s42770-022-00769-3
da Silva TRO, Gonçalves PNC, Marcus VB, Mucellini CI, Dos Santos IR, Kommers G, Driemeier D, Flores EF, Cargnelutti JF, Flores MM.For approximately one decade, a novel papillomavirus termed Equus caballus papillomavirus-2 (EcPV-2) has been associated with equine penile/preputial papillomas and squamous cell carcinomas (SCCs). It is currently believed that the virus has a carcinogenic activity, being able to induce such neoplastic lesions. After being first described, EcPV-2 has been detected in many countries from North America, Europe, and Asia; however, to date, it has not been reported in Brazil. The aim of this research was to investigate the presence of EcPV-2 in penile/preputial papillomas and SCCs of Brazilian hor...
Seroprevalence and Risk Factors of African Horse Sickness in Three Agroecological Zones of Cameroon.
Veterinary medicine international    May 14, 2022   Volume 2022 2457772 doi: 10.1155/2022/2457772
Ndebé MMF, Mouiche MMM, Moffo F, Poueme RNS, Awah-Ndukum J.African horse sickness (AHS), a highly fatal arbovirosis of equines is endemic in sub-Saharan Africa. However, its epidemiology is poorly known in Cameroon. This study aimed to investigate the prevalence profile and risk factors of African horse sickness in Cameroon. Horse sera were subjected to the ELISA blocking test for the determination of antibodies against African horse sickness virus, and positive samples were submitted to capture ELISA to determine the presence of antigens. Potential risk factors associated with AHS were assessed based on the information collected in the field. The chi...
SARS-CoV-2 Seroconversion in an Adult Horse with Direct Contact to a COVID-19 Individual.
Viruses    May 14, 2022   Volume 14, Issue 5 1047 doi: 10.3390/v14051047
Pusterla N, Chaillon A, Ignacio C, Smith DM, Barnum S, Lawton KOY, Smith G, Pickering B.The authors report on a possible direct exposure to SARS-CoV-2 from a COVID-19-positive individual to an adult horse. The individual, diagnosed with COVID-19 (Delta B.1.617.2), had daily contact to her two horses prior to and during the development of clinical disease. None of the two horses developed abnormal clinical signs or had detectable SARS-CoV-2 in blood, nasal secretion, or feces via RT-qPCR. However, one of the two horses showed close temporal seroconversion to SARS-CoV-2 using a protein-based ELISA and the plaque reduction neutralization test. The results suggest that horses can bec...
Human versus equine intramuscular antitoxin, with or without human intrathecal antitoxin, for the treatment of adults with tetanus: a 2 × 2 factorial randomised controlled trial.
The Lancet. Global health    May 14, 2022   Volume 10, Issue 6 e862-e872 doi: 10.1016/S2214-109X(22)00117-6
Van Hao N, Loan HT, Yen LM, Kestelyn E, Hong DD, Thuy DB, Nguyen NT, Duong HTH, Thuy TTD, Nhat PTH, Khanh PNQ, Dung NTP, Phu NH, Phong NT, Lieu PT....Intramuscular antitoxin is recommended in tetanus treatment, but there are few data comparing human and equine preparations. Tetanus toxin acts within the CNS, where there is limited penetration of peripherally administered antitoxin; thus, intrathecal antitoxin administration might improve clinical outcomes compared with intramuscular injection. In a 2  × 2 factorial trial, all patients aged 16 years or older with a clinical diagnosis of generalised tetanus admitted to the intensive care unit of the Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam, were eligible for study entr...
Molecular characteristics and pathogenicity of an equid alphaherpesvirus 1 strain isolated in China.
Virus genes    May 14, 2022   Volume 58, Issue 4 284-293 doi: 10.1007/s11262-022-01910-y
Hu Y, Jia Q, Liu J, Sun W, Bao Z, Che C, Wu G, Fan B, Jarhen , Ran D.Equid alphaherpesvirus 1 (EHV-1) is prevalent in China, and causes notable economic damage to the equine industry. However, there is no information regarding the molecular characteristics and pathogenicity of the Chinese strains. Therefore, an EHV-1 strain, named YM2019, was isolated from the lung tissue of an aborted horse fetus in Xinjiang, China, and its genome and pathogenicity were analyzed. The full genome of the isolate was 150,267 base pairs in length, with 56.7% G + C content. Genetic and phylogenetic analysis showed that strain YM2019 (GenBank: MT063054) belonged to the ORF30 N75...
Investigation of the Use of Non-Invasive Samples for the Molecular Detection of EHV-1 in Horses with and without Clinical Infection.
Pathogens (Basel, Switzerland)    May 13, 2022   Volume 11, Issue 5 574 doi: 10.3390/pathogens11050574
Price D, Barnum S, Mize J, Pusterla N.The purpose of this study was to explore sampling options for a reliable and logistically more feasible protocol during a large EHV-1 outbreak. Seventeen horses with clinical infection as well as nineteen healthy herdmates, all part of an EHM outbreak, were enrolled in the study. Each horse was sampled two-four times at intervals of 2-6 days during the outbreak. All samples were collected using 6'' rayon-tipped swabs. Nasal secretions were used as the diagnostic sample of choice. Additional samples, including swabs from the muzzle/nares, swabs from the front limbs, rectal swabs, swabs of the f...
Assessment of listing and categorisation of animal diseases within the framework of the Animal Health Law (Regulation (EU) No 2016/429): antimicrobial-resistant Escherichia coli in dogs and cats, horses, swine, poultry, cattle, sheep and goats.
EFSA journal. European Food Safety Authority    May 10, 2022   Volume 20, Issue 5 e07311 doi: 10.2903/j.efsa.2022.7311
Nielsen SS, Bicout DJ, Calistri P, Canali E, Drewe JA, Garin-Bastuji B, Gonzales Rojas JL, Gortázar C, Herskin M, Michel V, Miranda Chueca MÁ.... () was identified among the most relevant antimicrobial-resistant (AMR) bacteria in the EU for dogs and cats, horses, swine, poultry, cattle, sheep and goats in previous scientific opinions. Thus, it has been assessed according to the criteria of the Animal Health Law (AHL), in particular criteria of Article 7 on disease profile and impacts, Article 5 on its eligibility to be listed, Annex IV for its categorisation according to disease prevention and control rules as in Article 9 and Article 8 for listing animal species related to the bacterium. The assessment has been performed following a m...
Experimental cross-species infection of donkeys with equine hepacivirus and analysis of host immune signatures.
One health outlook    May 9, 2022   Volume 4, Issue 1 9 doi: 10.1186/s42522-022-00065-y
Gömer A, Puff C, Reinecke B, Bracht S, Conze M, Baumgärtner W, Steinmann J, Feige K, Cavalleri JMV, Steinmann E, Todt D.The Equine Hepacivirus (EqHV) is an equine-specific and liver-tropic virus belonging to the diverse genus of Hepaciviruses. It was recently found in a large donkey (Equus asinus) cohort with a similar seroprevalence (30%), but lower rate of RNA-positive animals (0.3%) compared to horses. These rare infection events indicate either a lack of adaptation to the new host or a predominantly acute course of infection. Methods: In order to analyze the susceptibility and the course of EqHV infection in donkeys, we inoculated two adult female donkeys and one control horse intravenously with purified Eq...
Ensuring Viral Safety of Equine Immunoglobulins during Production.
Pharmaceutical chemistry journal    May 7, 2022   Volume 56, Issue 2 283-288 doi: 10.1007/s11094-022-02632-z
Mashin VV, Sergeev AN, Martynova NN, Oganov MD, Sergeev AA, Kataeva VV, Zagidullin NV.Equine blood plasma/serum and intermediates must be monitored for the presence of live viruses pathogenic in humans during production of equine immunoglobulins. Information concerning low-cost and simple methods for the detection of live horse viruses pathogenic and non-pathogenic to humans was gained using data of modern domestic and foreign literature. These methods are based on cultivation of these viruses on sensitive biosystems. The presented information can be used to set up blood plasma/serum control of horses at different stages of immunoglobulin production, i.e., when taking blood fro...
[Management and hygiene measures during an outbreak of herpes, influenza, strangles or infections with multidrug resistant bacteria].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    May 6, 2022   Volume 50, Issue 2 115-125 doi: 10.1055/a-1809-2163
Gehlen H, Rutenberg D, Simon C, Reinhold-Fritzen B, Drozdzewska K.The aim of this review is to describe general guidelines of hygiene measures in the horse stable as well as to provide current recommendations for an outbreak of a common infectious disease. General cleanliness, hand hygiene, avoidance of stress, regular deworming, and vaccinations belong to the basic hygiene measures in a horse herd. All new or returning equids should be submitted to a quarantine period as an important prevention measure. Repeated washing and disinfection of hands may prevent spreading of infectious agents to people and horses.The conception of a hygiene plan, including gener...
Novel Quantitative PCR for Rhodococcus equi and Macrolide Resistance Detection in Equine Respiratory Samples.
Animals : an open access journal from MDPI    May 3, 2022   Volume 12, Issue 9 1172 doi: 10.3390/ani12091172
Narváez SÁ, Fernández I, Patel NV, Sánchez S. is an important veterinary pathogen that takes the lives of many foals every year. With the emergence and spread of MDR to current antimicrobial treatment, new tools that can provide a fast and accurate diagnosis of the disease and antimicrobial resistance profile are needed. Here, we have developed and analytically validated a multiplex qPCR for the simultaneous detection of and related macrolide resistance genes in equine respiratory samples. The three sets of oligos designed in this study to identify housekeeping gene and macrolide resistance genes (46) and (51) showed high analytic se...
Assessment of the Costs Related to West Nile Virus Monitoring in Lombardy Region (Italy) between 2014 and 2018.
International journal of environmental research and public health    May 3, 2022   Volume 19, Issue 9 5541 doi: 10.3390/ijerph19095541
Defilippo F, Dottori M, Lelli D, Chiari M, Cereda D, Farioli M, Chianese R, Cerioli MP, Faccin F, Canziani S, Trogu T, Sozzi E, Moreno A, Lavazza A....In Italy, the West Nile Virus surveillance plan considers a multidisciplinary approach to identify the presence of the virus in the environment (entomological, ornithological, and equine surveillance) and to determine the risk of infections through potentially infected donors (blood and organ donors). The costs associated with the surveillance program for the Lombardy Region between 2014 and 2018 were estimated. The costs of the program were compared with a scenario in which the program was not implemented, requiring individual blood donation nucleic acid amplification tests (NAT) to detect th...
Dynamics of Theileria equi Infection in Rhipicephalus (Boophilus) microplus during the Parasitic Phase in a Chronically Infected Horse.
Pathogens (Basel, Switzerland)    April 29, 2022   Volume 11, Issue 5 525 doi: 10.3390/pathogens11050525
Peckle M, Santos H, Pires M, Silva C, Costa R, Vitari G, Camilo T, Meireles N, Paulino P, Massard C.Experimental studies have demonstrated that () transmits to horses. However, the degree and dynamics of this protozoan infection in the vector's organism have not been fully elucidated. Therefore, this study aimed to evaluate the infection rate and parasitic load of in , the infection dynamics in this arthropod during experimental infestation in a horse chronically infected with , and to evaluate the trans-stadial and intrastadial transmission competence of by . The experimental infestation period of on the horse was 33 days, but males were found on the animal up to 60 days post-infestat...
Inference for a spatio-temporal model with partial spatial data: African horse sickness virus in Morocco.
Epidemics    April 28, 2022   Volume 39 100566 doi: 10.1016/j.epidem.2022.100566
Fairbanks EL, Baylis M, Daly JM, Tildesley MJ.African horse sickness virus (AHSV) is a vector-borne virus spread by midges (Culicoides spp.). The virus causes African horse sickness (AHS) disease in some species of equid. AHS is endemic in parts of Africa, previously emerged in Europe and in 2020 caused outbreaks for the first time in parts of Eastern Asia. Here we analyse a unique historic dataset from the 1989-1991 emergence of AHS in Morocco in a naïve population of equids. Sequential Monte Carlo and Markov chain Monte Carlo techniques are used to estimate parameters for a spatial-temporal model using a transmission kernel. These para...
Theriogenology Question of the Month.
Journal of the American Veterinary Medical Association    April 27, 2022   Volume 260, Issue 10 1181-1183 doi: 10.2460/javma.22.02.0087
Stewart JL, Clark SG, Claffey E, Cardona G, Helms A, Hassebroek AM.No abstract available
Fecal concentration of Rhodococcus equi determined by quantitative polymerase chain reaction of rectal swab samples to differentiate foals with pneumonia from healthy foals.
Journal of veterinary internal medicine    April 27, 2022   Volume 36, Issue 3 1146-1151 doi: 10.1111/jvim.16438
Cohen ND, Flores-Ahlschewde P, Gonzales GM, Kahn SK, da Silveira BP, Bray JM, King EE, Blair CC, Bordin AI.Diagnostic accuracy of real-time, quantitative PCR (qPCR) assays to quantify virulent Rhodococcus equi using rectal swab samples has not been systematically evaluated. Objective: To evaluate the accuracy of qPCR of rectal swab samples to differentiate foals with pneumonia from healthy foals of similar age from the same environment. Methods: One hundred privately owned foals born in 2021 from 2 farms in New York. Methods: An incident case-control study design was used. Rectal swabs were collected from all foals diagnosed with R. equi pneumonia at 2 horse-breeding farms (n = 47). Eligible pneu...
Laboratory diagnosis of Clostridioides (Clostridium) difficile infection in domestic animals: A short review.
Anaerobe    April 25, 2022   Volume 75 102574 doi: 10.1016/j.anaerobe.2022.102574
Carvalho GM, Ramos CP, Lobato FCF, Guedes RMC, Giaretta PR, Silva ROS.Despite the known importance of Clostridioides (Clostridium) difficile infection (CDI) in animals, there are no published guidelines for the diagnosis of CDI. The performance of the available commercial methods, all standardized for human stool samples, can vary according to the animal species. Thus, the aim of the present study was to review the literature on the detection of C. difficile in pigs, horses, and dogs. The detection of toxins A and B using enzyme immunoassays seems to have low performance in piglet and dog samples, while it shows high sensitivity for the diagnosis of CDI in foal...
Absence of Polymorphisms in Codons 167, 198 and 200 of All Seven β-Tubulin Isotypes of Benzimidazole Susceptible and Resistant Parascaris spp. Specimens from Australia.
Pathogens (Basel, Switzerland)    April 20, 2022   Volume 11, Issue 5 490 doi: 10.3390/pathogens11050490
Özben M, von Samson-Himmelstjerna G, Freiin von Streit MKB, Wilkes EJA, Hughes KJ, Krücken J.Benzimidazoles resistance is widespread in strongyle parasitic nematodes and associated with polym orphisms in the codons 167, 198 and 200 of isotype 1 β-tubulin (tbb-1). In ascarids, benzimidazole (BZ) resistance has rarely been reported and in none of these cases were any of these polymorphisms detected. Here, available genome and transcriptome data from WormBase ParaSite were used to compare the complete β-tubulin reservoirs of , and . Adult spp. specimens collected in Australia from horses after BZ treatment (susceptible, n = 13) or surviving BZ treatment and collected after ivermectin...
Colpodella sp. (Phylum Apicomplexa) Identified in Horses Shed Light on Its Potential Transmission and Zoonotic Pathogenicity.
Frontiers in microbiology    April 18, 2022   Volume 13 857752 doi: 10.3389/fmicb.2022.857752
Xu M, Hu Y, Qiu H, Wang J, Jiang J. species, which mainly feed on protists and algae, are free-living close relatives of apicomplexans. Recent reports have identified sp. infections in an immunocompromised individual and a suspected case of tick-transmitted infection resulting in neurological symptoms. Our molecular examination of piroplasmosis-infected horses in China identified nearly whole 18S rRNA gene sequences that are closely related to sp. ATCC 50594 isolated from brown woodland soil at Gambrill State Park, located in Frederick, MD, shedding light on an underreported emerging zoonotic pathogen.
Social identity processes associated with perceived risk at pilot sporting events during COVID-19.
The British journal of social psychology    April 15, 2022   Volume 61, Issue 4 1376-1399 doi: 10.1111/bjso.12541
Smith K, Templeton A.Previous research suggests that shared social identification and expected support from others can reduce the extent to which attendees of mass events perceive that others pose health risks. This study evaluated the social identity processes associated with perceived risk at UK pilot sporting events held during COVID-19, including the government Events Research Programme. An online survey (N = 2029) measured attendee perceptions that other spectators adhered to safety measures, shared social identity with other attendees, expectations that others would provide support, and the perceived risk ...
Detection of Equid Alphaherpesvirus 1 from Arabian Horses with different clinical presentations between 2016-2019 in Egypt.
Journal of equine veterinary science    April 14, 2022   Volume 114 103960 doi: 10.1016/j.jevs.2022.103960
Ahdy AM, Ahmed BM, Elgamal MA, Shaalan M, Farag IM, Mahfouz ER, Darwish HR, Sayed-Ahmed MZ, Shalaby MA, El-Sanousi AA.Equid alphaherpesvirus 1 (EHV-1) is an important virus causing pathological disorders in horses. This highly contagious pathogen causes persistent outbreaks of upper respiratory tract infection, ocular affections, abortion, and neurological disorders with high mortality in Arabian horses in Egypt. The quick and accurate diagnosis is important to broaden our understanding about EHV-1 in the field, and to implicate stronger preventive, and control measures. Sixty-six Arabian horses from Cairo and Giza governorates were sampled from respiratory, abortigenic and neurological outbreaks over a perio...
Molecular Detection of Equine Adenovirus 1 in Nasal Swabs from Horses in the Republic of Korea.
Veterinary sciences    April 13, 2022   Volume 9, Issue 4 187 doi: 10.3390/vetsci9040187
Lee SK, Choi J, Yoon J, Jung J, Park JY, Park J, Kim Y, Park JY, Park D.Equine adenovirus 1 (EAdV-1) can cause upper respiratory disease in horses and has been reported worldwide. In this study, and for the first time in Korea, the prevalence of EAdV-1 in equine nasal swabs was investigated using a PCR to identify potential risk factors and examine the genetic diversity of its DNA sequences by a comparison with foreign strains. Nasal swabs collected from 359 horses reared at Korea Racing Authority facilities were tested using an EAdV-1 hexon-specific PCR and the associations between EAdV-1 infection and sex, age, region, breed, and activity were analyzed. Five sam...
Seroprevalence of Tick-Borne Infections in Horses from Northern Italy.
Animals : an open access journal from MDPI    April 12, 2022   Volume 12, Issue 8 doi: 10.3390/ani12080999
Villa L, Gazzonis AL, Allievi C, De Maria C, Persichetti MF, Caracappa G, Zanzani SA, Manfredi MT.Tick-borne diseases in horses are considered an emergent problem worldwide; the geographical redistribution of ticks, due to climatic and ecological changes, and the movements of infected horses between different nations play important roles in the spread of tick-borne diseases affecting these hosts. In this study, a survey was planned to estimate the seroprevalence of the Gram-negative bacterium Anaplasma phagocytophilum and the piroplasmid protozoa Babesia caballi and Theileria equi in Italian horses, as well as to evaluate possible risk factors associated with seropositive cases. Serum samp...
Molecular Identification of Infectious Enteropathogens in Faeces of Healthy Horses.
Microbiology insights    April 11, 2022   Volume 15 11786361221089005 doi: 10.1177/11786361221089005
Paruch L, Paruch AM.Zoogenic faecal contamination of the environment is one of the indices included in the evaluation of ecological threats, health hazards and adverse impacts on various ecosystems. The risks and environmental concerns are associated with the fact that faeces of wild and domesticated animals constitute the largest source of environmental loading of enteropathogens associated with transmission of zoonotic diseases (enteric zoonoses). Although sick animals are more likely to transmit pathogens, healthy ones can also be the carriers and defecate them into the environment. This is of particular impor...
Factors Influencing Veterinarian Opinion on Reporting of Equine Strangles in the United States.
Journal of equine veterinary science    April 10, 2022   Volume 114 103947 doi: 10.1016/j.jevs.2022.103947
Martin KH, Redding LE, Boyle AG.Although equine strangles is reportable in all states, synchronous reporting of this disease does not occur across the country. States have variable regulations on reporting (actionable, notifiable, and monitored) and no mandatory comprehensive databases exist for tracking prevalence. In this study, we solicited veterinarians' opinions on reporting of strangles and factors influencing their opinion. Two hundred and fifty veterinarians practicing within the United States A structured survey was administered online. A total of 250 veterinarians participated: 84 participants (34%) believed that s...
Culturable Microbial Population From the Upper Respiratory Tract of 1,010 Clinically Healthy Horses in Southern Brazil.
Journal of equine veterinary science    April 9, 2022   Volume 114 103946 doi: 10.1016/j.jevs.2022.103946
Espíndola JP, Machado G, Diehl GN, Dos Santos LC, de Vargas AC, Gressler LT.Microbiological diagnosis of equine respiratory infections is essential for disease management. However, reliable diagnosis can be a challenge due to colonization of the upper respiratory tract (URT) by a diverse microbial population, and because there is a lack of studies with samples from healthy animals. Aiming to guide adequate URT culture, this work reports culturable microbial population from the URT of 1,010 apparently healthy horses from 341 farms in Southern Brazil and identifies the putative presence of pathogenic microorganisms. Nasal swabs were cultured in 5% blood agar, and the is...
Virus Infection in Equine.
Animals : an open access journal from MDPI    April 8, 2022   Volume 12, Issue 8 957 doi: 10.3390/ani12080957
Steinman A, Erster O, Tirosh-Levy S.The relationship between men and horses has significantly evolved over the last century [...].
Contribution of the immune response to the pathogenesis of equine herpesvirus-1 (EHV-1): Are there immune correlates that predict increased risk or protection from EHV-1 myeloencephalopathy?
Veterinary journal (London, England : 1997)    April 8, 2022   Volume 282 105827 doi: 10.1016/j.tvjl.2022.105827
Hussey GS, Giessler KS.Equine herpesvirus-1 (EHV-1) myeloencephalopathy (EHM) is a devastating consequence of EHV-1 infection that has significant economic consequences. However, clinical EHM is relatively rare and occurs in only approximately 10% of infected horses. While there is a positive correlation between the duration and magnitude of viremia and incidence of EHM, it is likely that a combination of host and viral factors determine whether EHM occurs. The identification of these factors is of high interest for the equine community and has been the topic of much research for vaccine development and to predict w...
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