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Topic:Lyme Disease

Lyme disease in horses is caused by the bacterium *Borrelia burgdorferi*, which is transmitted through tick bites. Horses infected with Lyme disease may exhibit a range of clinical signs, including lameness, joint swelling, and behavioral changes. Diagnosis can be challenging due to the nonspecific nature of these symptoms and the variability in serological testing. Treatment typically involves the use of antibiotics, and management strategies may include tick control measures to prevent infection. This page collects peer-reviewed research studies and scholarly articles that explore the epidemiology, pathophysiology, diagnostic methods, and treatment options for Lyme disease in equine populations.
Brazilian borreliosis with special emphasis on humans and horses.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology]    October 4, 2016   Volume 48, Issue 1 167-172 doi: 10.1016/j.bjm.2016.09.005
Basile RC, Yoshinari NH, Mantovani E, Bonoldi VN, Macoris DD, Queiroz-Neto A.Borreliosis caused by Borrelia burgdorferi sensu lato is a cosmopolitan zoonosis studied worldwide; it is called Lyme disease in many countries of the Northern Hemisphere and Lyme-like or Baggio-Yoshinari Syndrome in Brazil. However, despite the increasing number of suspect cases, this disease is still neglected in Brazil by the medical and veterinary communities. Brazilian Lyme-like borreliosis likely involves capybaras as reservoirs and Amblyomma and Rhipicephalus ticks as vectors. Thus, domestic animals can serve as key carriers in pathogen dissemination. This zoonosis has been little studi...
Retrospective Evaluation of Horses Diagnosed with Neuroborreliosis on Postmortem Examination: 16 Cases (2004-2015).
Journal of veterinary internal medicine    June 21, 2016   Volume 30, Issue 4 1305-1312 doi: 10.1111/jvim.14369
Johnstone LK, Engiles JB, Aceto H, Buechner-Maxwell V, Divers T, Gardner R, Levine R, Scherrer N, Tewari D, Tomlinson J, Johnson AL.Equine neuroborreliosis (NB), Lyme disease, is difficult to diagnose and has limited description in the literature. Objective: Provide a detailed description of clinical signs, diagnostic, and pathologic findings of horses with NB. Methods: Sixteen horses with histologically confirmed NB. Methods: Retrospective review of medical records at the University of Pennsylvania and via an ACVIM listserv query with inclusion criteria requiring possible exposure to Borrelia burgdorferi and histologic findings consistent with previous reports of NB without evidence of other disease. Results: Sixteen hors...
Seroprevalence of Borrelia burgdorferi in Horses Presented for Coggins Testing in Southwest Virginia and Change in Positive Test Results Approximately 1 Year Later.
Journal of veterinary internal medicine    May 23, 2016   Volume 30, Issue 4 1300-1304 doi: 10.1111/jvim.13973
Funk RA, Pleasant RS, Witonsky SG, Reeder DS, Werre SR, Hodgson DR.Lyme disease can affect people, dogs, and horses, but it remains poorly understood, especially in the horse. Determining the seroprevalence of Borrelia burgdorferi in horses in different geographic areas will enable better understanding of the epidemiology of the disease, thus improving diagnosis and treatment of affected animals. Objective: To determine the seroprevalence of B. burgdorferi in horses in southwest Virginia. Methods: Horses presented for routine Coggins testing from January 2013 to January 2014 had additional blood drawn for Lyme Multiplex Assay testing. Methods: Of 492 samples ...
Molecular evidence for bacterial pathogens in Ixodes ricinus ticks infesting Shetland ponies.
Experimental & applied acarology    February 26, 2016   Volume 69, Issue 2 179-189 doi: 10.1007/s10493-016-0027-4
Skotarczak B, Wodecka B, Rymaszewska A, Adamska M.Ixodes ricinus has the potential to transmit zoonotic pathogens to humans and domestic animals. The feeding I. ricinus (n = 1737) collected from 49 Shetland ponies and questing ones from vegetation (n = 371) were tested for the presence and differentiation of the bacterial species. DNA of I. ricinus ticks was examined with PCR and sequencing analysis to identify species of Borrelia burgdorferi sensu lato (Bbsl), Anaplasma phagocytophilum and Rickettsia spp. Altogether, 24.3 % I. ricinus of the infested horses and 12.4 % ticks from vegetation carried at least one pathogen species. Horse-f...
Serological Detection of Borrelia burgdorferi among Horses in Korea.
The Korean journal of parasitology    February 26, 2016   Volume 54, Issue 1 97-101 doi: 10.3347/kjp.2016.54.1.97
Lee SH, Yun SH, Choi E, Park YS, Lee SE, Cho GJ, Kwon OD, Kwak D.Lyme disease is a tick-borne zoonotic infectious disease caused by Borrelia burgdorferi. The present study assessed the infection status of B. burgdorferi among horses reared in Korea using ELISA and PCR. Between 2009 and 2013, blood samples were collected from 727 horses throughout Korea. Data for each animal including age, gender, breed, and region of sample collection were used for epidemiological analysis. Overall, 38 (5.2%; true prevalence: 5.5%) of 727 horses were seropositive by ELISA. There were statistically significant differences according to breed and region (P<0.001) whose diff...
Anaphylactoid reaction caused by sodium ceftriaxone in two horses experimentally infected by Borrelia burgdorferi.
BMC veterinary research    August 12, 2015   Volume 11 197 doi: 10.1186/s12917-015-0478-6
Basile RC, Rivera GG, Del Rio LA, de Bonis TC, do Amaral GP, Giangrecco E, Ferraz G, Yoshinari NH, Canola PA, Queiroz Neto A.Lyme borreliosis is a disease transmitted by ticks to mammals, especially in horses and humans. Caused by a spirochete Borrelia burgdorferi, it can result in lameness, arthritis, carditis, dermatitis and neurological signs. Anaphylactoid reactions are severe responses caused by direct action of substances (drugs, toxins), which can pose risks to life. Still poorly documented in horses, these reactions are caused by the effects of inflammatory mediators such as histamine, kinins and arachidonic acid metabolites. The last two are the most clinically relevant for the species. Methods: The simulta...
Polysynovitis in a horse due to Borrelia burgdorferi sensu lato infection–Case study.
Annals of agricultural and environmental medicine : AAEM    June 23, 2015   Volume 22, Issue 2 247-250 doi: 10.5604/12321966.1152074
Passamonti F, Veronesi F, Cappelli K, Capomaccio S, Reginato A, Miglio A, Vardi DM, Stefanetti V, Coletti M, Bazzica C, Pepe M.Lyme borreliosis (LB) is a multi-systemic tick-borne disease affecting both humans and animals, including horses, and is caused by a group of interrelated spirochetes classified within the Borrelia burgdorferi sensu lato (s.l.) complex. Despite the high reported seroprevalence in the European equine population for B. burgdorferi s.l., to-date no documented clinical cases have been described. A 6-year-old Paint gelding was referred with a history of three weeks of fever, intermittent lameness and digital flexor tendon sheath effusion of the right hind limb. Based on a strict diagnostic protocol...
Comparison between available serologic tests for detecting antibodies against Anaplasma phagocytophilum and Borrelia burgdorferi in horses in Canada. Schvartz G, Epp T, Burgess HJ, Chilton NB, Lohmann KL.To investigate the agreement between available serologic tests for the detection of antibodies against Anaplasma phagocytophilum and Borrelia burgdorferi, 50 serum samples from horses of unknown clinical status and at low risk for infection were tested. In addition to a point-of-care enzyme-linked immunosorbent assay (pocELISA), the evaluated tests included 2 indirect fluorescent antibody tests (IFATs) for antibodies against A. phagocytophilum and an IFAT, an ELISA confirmed with Western blot, and the Lyme multiplex assay for antibodies against B. burgdorferi. For each pair-wise comparison bet...
Major emerging vector-borne zoonotic diseases of public health importance in Canada.
Emerging microbes & infections    June 10, 2015   Volume 4, Issue 6 e33 doi: 10.1038/emi.2015.33
Kulkarni MA, Berrang-Ford L, Buck PA, Drebot MA, Lindsay LR, Ogden NH.In Canada, the emergence of vector-borne diseases may occur via international movement and subsequent establishment of vectors and pathogens, or via northward spread from endemic areas in the USA. Re-emergence of endemic vector-borne diseases may occur due to climate-driven changes to their geographic range and ecology. Lyme disease, West Nile virus (WNV), and other vector-borne diseases were identified as priority emerging non-enteric zoonoses in Canada in a prioritization exercise conducted by public health stakeholders in 2013. We review and present the state of knowledge on the public heal...
Seroprevalence of equine granulocytic anaplasmosis and lyme borreliosis in Canada as determined by a point-of-care enzyme-linked immunosorbent assay (ELISA).
The Canadian veterinary journal = La revue veterinaire canadienne    June 2, 2015   Volume 56, Issue 6 575-580 
Schvartz G, Epp T, Burgess HJ, Chilton NB, Pearl DL, Lohmann KL.Equine granulocytic anaplasmosis (EGA) and Lyme borreliosis (LB) are an emerging concern in Canada. We estimated the seroprevalence of EGA and equine LB by testing 376 convenience serum samples from 3 provinces using a point-of-care SNAP(®) 4Dx(®) ELISA (IDEXX Laboratories, Westbrook, Maine, USA), and investigated the agreement between the point-of-care ELISA and laboratory-based serologic tests. The estimated seroprevalence for EGA was 0.53% overall (0.49% in Saskatchewan, 0.71% in Manitoba), while the estimated seroprevalence for LB was 1.6% overall (0.49% in Saskatchewan, 2.86% in Manitob...
Is Lyme disease overdiagnosed in horses?
Equine veterinary journal    August 6, 2013   Volume 45, Issue 5 529-530 doi: 10.1111/evj.12122
Bartol J.No abstract available
Antibodies to OspC, OspF and C6 antigens as indicators for infection with Borrelia burgdorferi in horses.
Equine veterinary journal    February 22, 2013   Volume 45, Issue 5 533-537 doi: 10.1111/evj.12033
Wagner B, Goodman LB, Rollins A, Freer HS.Lyme disease is caused by Borrelia burgdorferi, which is transmitted by infected ticks (Ixodes spp.). Reports on Lyme disease in horses have increased in recent years. Nevertheless, the diagnosis of Lyme disease in horses is still challenging owing to its vague clinical presentation and the limitations of diagnostic tests. Objective: This study used a new serological Lyme multiplex assay to examine antibody responses to 3 antigens of B. burgdorferi, outer surface protein (Osp) C, OspF and C6, and to verify their use as markers for early and late infection stages in horses. Methods: Multiplex...
Species’ life-history traits explain interspecific variation in reservoir competence: a possible mechanism underlying the dilution effect.
PloS one    January 24, 2013   Volume 8, Issue 1 e54341 doi: 10.1371/journal.pone.0054341
Huang ZY, de Boer WF, van Langevelde F, Olson V, Blackburn TM, Prins HH.Hosts species for multi-host pathogens show considerable variation in the species' reservoir competence, which is usually used to measure species' potential to maintain and transmit these pathogens. Although accumulating research has proposed a trade-off between life-history strategies and immune defences, only a few studies extended this to host species' reservoir competence. Using a phylogenetic comparative approach, we studied the relationships between some species' life-history traits and reservoir competence in three emerging infectious vector-borne disease systems, namely Lyme disease, W...
Prevalence of tick borne pathogens in horses from Italy.
The Journal of veterinary medical science    January 18, 2013   Volume 75, Issue 6 715-720 doi: 10.1292/jvms.12-0449
Laus F, Veronesi F, Passamonti F, Paggi E, Cerquetella M, Hyatt D, Tesei B, Fioretti DP.In order to investigate the prevalence of tick-borne diseases, equine piroplasmosis, equine granulocytic anaplasmosis and Lyme borreliosis in Central Italy, blood samples from 300 horses were analyzed for the presence of antibodies against Babesia caballi, Theileria equi, Anaplasma phagocytophilum and Borrelia burgdorferi using the IFAT. The blood samples were also subjected to PCR assays in order to detect pathogen DNA. A total of 78 (26.0%) and 123 (41.0%) horses were found to be seropositive for B. caballi and T. equi, respectively, while 41 (13. 4%) and 21 (7.0%) horses were, respectively,...
Changes in Borrelia burgdorferi ELISA antibody over time in both antibiotic treated and untreated horses.
Acta veterinaria Hungarica    November 20, 2012   Volume 60, Issue 4 421-429 doi: 10.1556/AVet.2012.036
Divers TJ, Grice AL, Mohammed HO, Glaser AL, Wagner B.Changes in ELISA serology are frequently used to determine antibiotic treatment success for Lyme disease in horses. This concept was based upon a previous report showing a marked decline in ELISA values in experimentally infected and antibiotic-treated ponies. Changes in Lyme serology following antibiotic treatment in naturally infected horses have not been reported. The objective of this study was to compare Borrelia ELISA antibody concentrations in naturally exposed horses both before and following antibiotic treatment for Lyme disease. A retrospective study was performed comparing oxytetrac...
Contact with horses is a risk factor for tick-borne lymphadenopathy (TIBOLA): a case control study.
Wiener klinische Wochenschrift    August 10, 2012   Volume 124, Issue 17-18 611-617 doi: 10.1007/s00508-012-0217-y
Lakos A, Kőrösi A, Földvári G.Tick-borne lymphadenopathy (TIBOLA) is an emerging infection caused by Rickettsia slovaca. We describe here the seasonal, age and gender characteristics as well as the association with horse contact as risk factors for acquiring TIBOLA in comparison with another, more frequent tick-borne disease, Lyme borreliosis.We analysed a dataset of 855 patients diagnosed with either Lyme (n = 805) or TIBOLA (n = 50) disease using Fisher's exact tests and generalized linear models. Then we performed a matched case-control study in which all TIBOLA patients were paired with one Lyme patient matching in age...
Dogs and horses with antibodies to outer-surface protein C as on-time sentinels for ticks infected with Borrelia burgdorferi in New York State in 2011.
Preventive veterinary medicine    July 28, 2012   Volume 107, Issue 3-4 275-279 doi: 10.1016/j.prevetmed.2012.07.002
Wagner B, Erb HN.Reported cases of Lyme disease (a chronic disease caused by infection with Borrelia burgdorferi) in humans increased more than two-fold between 1992 and 2006 in the United States. Recently, the annual number of reported human Lyme disease cases stabilized (according to the Center for Disease Control and Prevention) but the geographic distribution seemed to increase. In New York (NY) State, USA, a spread from the original Lyme disease focus in southeastern parts of the state has occurred. We determined incidence risks of new companion animal infection in 2011 with B. burgdorferi by county in 45...
Seroprevalence of Leptospira spp. and Borrelia burgdorferi sensu lato in Italian horses.
Annals of agricultural and environmental medicine : AAEM    June 30, 2012   Volume 19, Issue 2 237-240 
Ebani VV, Bertelloni F, Pinzauti P, Cerri D.The aim of the study was to determine the seroprevalence of Leptospira spp. and Borrelia burgdorferi sensu lato in healthy horses living in 7 provinces of central Italy. In the period 2007-2009, sera from 386 horses were tested by microagglutination test (MAT) to detect antibodies to Leptospira spp., employing the following serovars as antigens: Bratislava, Ballum, Canicola, Icterohaemorrhagiae, Grippotyphosa, Hardjo, Pomona, Tarassovi. 3 animals were positive for the serovars Icterohaemorrhagiae, 2 to Bratislava, and 1 to Pomona, for a total 1.5% seroprevalence. All sera were examined by immu...
Occurrence of Borrelia lusitaniae infection in horses.
Veterinary microbiology    June 27, 2012   Volume 160, Issue 3-4 535-538 doi: 10.1016/j.vetmic.2012.06.029
Veronesi F, Laus F, Passamonti F, Tesei B, Piergili Fioretti D, Genchi C.The aim of the study was to investigate Borrelia burgdorferi sensu lato (s.l.) infection in horses exposed to heavy tick infestations. Blood samples of 98 healthy horses from 5 stud farms were examined by SNAP(®) 4D× and PCR to detect antibodies against B. burgdorferi s.l. and Borrelia DNA, respectively. Ten samples (15.3%) were antibody positive and 5 samples (5.1%) were both antibody and PCR positive. Sequence analysis showed the highest homology with the B. lusitaniae genospecies. No differences were found between sexes and stud farms, while age was significantly related to seropositivity...
Diagnosis of Borrelia-associated uveitis in two horses.
Veterinary ophthalmology    February 23, 2012   Volume 15, Issue 6 398-405 doi: 10.1111/j.1463-5224.2012.01000.x
Priest HL, Irby NL, Schlafer DH, Divers TJ, Wagner B, Glaser AL, Chang YF, Smith MC.Borrelia burgdorferi, the etiologic agent of Lyme disease is a tick born spirochetal infection. Clinical signs of Lyme borreliosis are uncommon in horses, but when present they are often vague and nonspecific. In horses, Lyme borreliosis has been implicated in musculoskeletal, neurological, reproductive, and ocular disorders, including uveitis, but definitive diagnosis can be challenging as the causative agent is rarely isolated and serologic tests can be unreliable and do not confirm active disease. Here, we report two cases of equine uveitis associated with B. burgdorferi based on the identi...
A case of Borrelia-associated cutaneous pseudolymphoma in a horse.
Veterinary dermatology    October 26, 2011   Volume 23, Issue 2 153-156 doi: 10.1111/j.1365-3164.2011.01013.x
Sears KP, Divers TJ, Neff RT, Miller WH, McDonough SP.This case report describes a 10-year-old horse that developed multiple dermal papules over the right masseter area following removal of a tick from the same site 3 months earlier. Histological examination of a biopsy from a papule was suggestive of either a T-cell-rich B-cell lymphoma or cutaneous lymphoid hyperplasia, a form of pseudolymphoma sometimes associated with a tick bite. Positive serological testing and PCR of the biopsy sample for Borrelia in conjunction with immunohistochemical testing of the skin biopsy, the clinical history and response to treatment with doxycycline strongly sup...
Development of a multiplex assay for the detection of antibodies to Borrelia burgdorferi in horses and its validation using Bayesian and conventional statistical methods.
Veterinary immunology and immunopathology    August 17, 2011   Volume 144, Issue 3-4 374-381 doi: 10.1016/j.vetimm.2011.08.005
Wagner B, Freer H, Rollins A, Erb HN, Lu Z, Gröhn Y.Lyme disease is a zoonotic, vector-borne disease and occurs in mammals including horses. The disease is induced by infection with spirochetes of the Borrelia burgdorferi sensu lato group. Infection of mammalian hosts requires transmission of spirochetes by infected ticks during tick bites. Lyme disease diagnosis is based on clinical signs, possible exposure to infected ticks, and antibody testing which is traditionally performed by ELISA and Western blotting (WB). This report describes the development and validation of a new fluorescent bead-based multiplex assay for the detection of antibodie...
Antibody profiling of Borrelia burgdorferi infection in horses.
Clinical and vaccine immunology : CVI    July 20, 2011   Volume 18, Issue 9 1562-1567 doi: 10.1128/CVI.05123-11
Burbelo PD, Bren KE, Ching KH, Coleman A, Yang X, Kariu T, Iadarola MJ, Pal U.Infection with Borrelia burgdorferi is common in horses and ponies from the New England and mid-Atlantic regions of the United States. Here, we evaluated luciferase immunoprecipitation systems (LIPS) for profiling antibody responses against three different antigenic targets for the diagnosis of equine B. burgdorferi infection. LIPS testing of horse serum samples suspected of Lyme infection revealed that approximately 75% of the horse samples (114/159) were seropositive against the synthetic VOVO antigen, comprising repeated immunodominant C6 epitopes as well as OspC immunodominant epitopes. A ...
Lyme neuroborreliosis in 2 horses.
Veterinary pathology    February 1, 2011   Volume 48, Issue 6 1151-1157 doi: 10.1177/0300985811398246
Imai DM, Barr BC, Daft B, Bertone JJ, Feng S, Hodzic E, Johnston JM, Olsen KJ, Barthold SW.Lyme neuroborreliosis--characterized as chronic, necrosuppurative to nonsuppurative, perivascular to diffuse meningoradiculoneuritis--was diagnosed in 2 horses with progressive neurologic disease. In 1 horse, Borrelia burgdorferi sensu stricto was identified by polymerase chain reaction amplification of B burgdorferi sensu stricto-specific gene targets (ospA, ospC, flaB, dbpA, arp). Highest spirochetal burdens were in tissues with inflammation, including spinal cord, muscle, and joint capsule. Sequence analysis of ospA, ospC, and flaB revealed 99.9% sequence identity to the respective genes in...
Meningitis, cranial neuritis, and radiculoneuritis associated with Borrelia burgdorferi infection in a horse.
Journal of the American Veterinary Medical Association    November 16, 2010   Volume 237, Issue 10 1180-1185 doi: 10.2460/javma.237.10.1180
James FM, Engiles JB, Beech J.A 12-year-old Thoroughbred was examined because of signs of depression, neck stiffness, and poor performance. Results: Physical examination revealed that the horse was dull, appeared depressed, was reluctant to raise its neck and head above a horizontal plane, and had a temperature of 38.5°C (101.3°F). No radiographic or scintigraphic abnormalities of the neck were found; however, high plasma fibrinogen concentration and relative lymphopenia were identified and the horse was seropositive for antibodies against Borrelia burgdorferi. Analysis of CSF revealed neutrophilic inflammation, and resu...
Seroprevalence of Borrelia burgdorferi sensu lato and Anaplasma phagocytophilum in Danish horses.
Acta veterinaria Scandinavica    January 18, 2010   Volume 52, Issue 1 3 doi: 10.1186/1751-0147-52-3
Hansen MG, Christoffersen M, Thuesen LR, Petersen MR, Bojesen AM.Borrelia burgdorferi sensu lato and Anaplasma phagocytophilum are able to infect horses. However, the extend to which Danish horses are infected and seroconvert due to these two bacteria is unknown. The aim of the present study was to evaluate the seroprevalence of B. burgdorferi sensu lato and A. phagocytophilum in Danish horses. Methods: A total of 390 blood samples collected from all major regions of Denmark and with a geographical distribution corresponding to the density of the Danish horse population were analyzed. All samples were examined for the presence of antibodies against B. burgd...
Seroprevalence survey of equine Lyme borreliosis in France and in sub-Saharan Africa.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    November 3, 2009   Volume 10, Issue 5 535-537 doi: 10.1089/vbz.2009.0083
Maurizi L, Marié JL, Aoun O, Courtin C, Gorsane S, Chal D, Davoust B.A precise assessment of the epidemiological extent of equine Lyme disease is not well established in metropolitan France, French Guiana, and Africa (Chad, Djibouti, Ivory Coast, Gabon, and Democratic Republic of Congo). Blood samples were obtained from 570 horses. The samples were tested for Borrelia burgdorferi infection by a commercial ELISA Dot-Blot method (SNAP 4 Dx; IDEXX S. Laboratory). Lyme disease antibodies were only detected in metropolitan France, specifically in the eastern and center-western regions (48% and 31%). The geographical distribution of the disease follows the distributi...
Seroprevalence of anti-Borrelia burgdorferi antibodies in dogs and horses in Turkey.
Annals of agricultural and environmental medicine : AAEM    June 28, 2008   Volume 15, Issue 1 85-90 
Bhide M, Yilmaz Z, Golcu E, Torun S, Mikula I.The aim of the study was to determine the seroprevalence of anti-Borrelia burgdorferi antibodies in a population of Turkish dogs and horses, as well as to compare the sensitivity of novel flow-cytometry-based borreliacidal antibody test (BAT) with ELISA assay. Serum samples collected from 400 dogs and 300 horses were tested with enzyme-linked protein A/G assay (ELPAGA), using Borrelia whole cell antigens. ELPAGA test showed 93 dogs (23.2%) and 18 horses (6%) serologically positive for anti-Borrelia antibodies. In parallel testing of sera with BAT, we found 27.75% positive dogs and 6.33% positi...
Serological evidence of Borrelia burgdorferi sensu lato in horses and cattle from Poland and diagnostic problems of Lyme borreliosis.
Annals of agricultural and environmental medicine : AAEM    June 28, 2008   Volume 15, Issue 1 37-43 
Stefanciková A, Adaszek Ł, Pet'ko B, Winiarczyk S, Dudinák V.In the course of epizootological research on Lyme borreliosis in animals, the serological evidence of this zoonosis in horses and cattle from different voivodships of Poland was screened. We also discussed some diagnostic problems of Lyme borreliosis resulting from, in addition to other factors, genetic and geographical heterogeneity isolates B. burgdorferi s.l. used as antigens. Using ELISA from 395 sera of horses the total mean seroprevalence for anti-Borrelia IgG antibodies 25.6% was observed. In the respective years, significant differences in the mean seroprevalence were not recorded. In ...
Validation of an in-clinic enzyme-linked immunosorbent assay kit for diagnosis of Borrelia burgdorferi infection in horses. Johnson AL, Divers TJ, Chang YF.Confirmation of Borrelia burgdorferi infection in horses has required enzyme-linked immunosorbent assay (ELISA) or Western blot tests performed by reference laboratories. An in-clinic C6 ELISA SNAP kit has been marketed for dogs. This canine kit was evaluated for horses using serum from experimentally infected ponies. Serum samples originated from 2 previous studies. In the first study, 7 ponies were exposed to B. burgdorferi-infected ticks; 4 ponies served as uninfected controls. Serum samples were obtained bimonthly for 9 months. In the second study, 16 ponies were exposed to B. burgdorferi-...