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Topic:Prophylaxis

Prophylaxis in horses refers to the preventive measures and strategies implemented to protect equine health by reducing the risk of disease occurrence. These measures can include vaccinations, parasite control, nutrition management, and biosecurity practices. Vaccinations help to stimulate the horse's immune system to protect against specific infectious diseases. Parasite control programs aim to minimize the impact of internal and external parasites through strategic deworming and environmental management. Nutrition management ensures that horses receive balanced diets that support their overall health and immune function. Biosecurity practices involve procedures to prevent the introduction and spread of infectious agents within equine populations. This page gathers peer-reviewed research studies and scholarly articles that explore various prophylactic approaches, their implementation, and their effectiveness in maintaining equine health.
Faecal shedding of CTX-M-producing Escherichia coli in horses receiving broad-spectrum antimicrobial prophylaxis after hospital admission.
Veterinary microbiology    July 14, 2011   Volume 154, Issue 3-4 298-304 doi: 10.1016/j.vetmic.2011.07.005
Damborg P, Marskar P, Baptiste KE, Guardabassi L.The objective of this longitudinal study was to investigate the occurrence and genetic background of faecal Escherichia coli resistant to cefotaxime (CTX) in horses receiving broad-spectrum antimicrobial prophylaxis after admission to a veterinary teaching hospital. The ten horses enrolled in the study were treated with cefquinome either alone (n=4) or in combination with metronidazole (n=3) or other antimicrobial agents (n=3). CTX-resistant coliforms in faeces collected before, during and after treatment were quantified on selective MacConkey agar supplemented with CTX, and a colony isolated ...
Clinical outcomes and virology of equine influenza in a naïve population and in horses infected soon after receiving one dose of vaccine.
Australian veterinary journal    July 8, 2011   Volume 89 Suppl 1 139-142 doi: 10.1111/j.1751-0813.2011.00768.x
Kannegieter NJ, Frogley A, Crispe E, Kirkland PD.As part of the control measures of the equine influenza (EI) outbreak, in addition to the strategic use of vaccination to provide buffer zones around infected populations, approval was obtained to vaccinate Thoroughbred racing horses. We review the clinical expression of the disease and virus excretion in a population of racehorses that were exposed to EI approximately 7 days after administration of a single dose of the canarypox-vectored recombinant compared with a similar unvaccinated population of horses at a nearby racetrack. Although this study was undertaken opportunistically and under t...
Vaccination program in the response to the 2007 equine influenza outbreak in Australia.
Australian veterinary journal    July 8, 2011   Volume 89 Suppl 1 126-134 doi: 10.1111/j.1751-0813.2011.00766.x
Perkins NR, Webster WR, Wright T, Denney I, Links I.At the time of the initial notification of the occurrence of equine influenza (EI) in Australia in August 2007, vaccination was restricted to horses for which it was an import requirement and only with the approval of the state or territory Chief Veterinary Officer. This paper describes the complexities involved in the selection of a vaccine and its distribution. A combination of ring, predictive and blanket vaccination was implemented during the response. The specific vaccination programs, including its use in buffer zones and for movement of horses, the performance of the vaccine, any advers...
Evaluation of the field efficacy of an avirulent live Lawsonia intracellularis vaccine in foals.
Veterinary journal (London, England : 1997)    July 7, 2011   Volume 192, Issue 3 511-513 doi: 10.1016/j.tvjl.2011.05.026
Nogradi N, Slovis NM, Gebhart CJ, Wolfsdorf KE, McCracken JL, Scoggin CF, Kass PH, Mapes SM, Toth B, Lundquist ML, Pusterla N.Equine proliferative enteropathy caused by Lawsonia intracellularis is an emerging disease with as yet unaddressed preventative measures. The hypothesis of this study was that vaccination will prevent clinical and sub-clinical disease. Weanling Thoroughbreds (n=202) from Central Kentucky were randomly assigned into two groups (vaccinated and non-vaccinated). Vaccinated foals received 30 mL of an avirulent, live L. intracellularis vaccine intra-rectally twice, 30 days apart. Foals were monitored for clinical disease, total solids and average weight gain until yearling age. There was an overall ...
Evaluation of the efficacy of gallium maltolate for chemoprophylaxis against pneumonia caused by Rhodococcus equi infection in foals.
American journal of veterinary research    July 7, 2011   Volume 72, Issue 7 945-957 doi: 10.2460/ajvr.72.7.945
Chaffin MK, Cohen ND, Martens RJ, O'Conor M, Bernstein LR.To determine the chemoprophylactic effect of gallium maltolate on the cumulative incidence of pneumonia caused by Rhodococcus equi infection in foals. Methods: 483 foals born and raised on 12 equine breeding farms with a history of endemic R equi infections. Methods: Group 1 foals were treated with a placebo and group 2 foals were treated with gallium maltolate (approx 30 mg/kg, PO, q 24 h) during the first 2 weeks after birth. Foals were monitored for development of pneumonia attributable to R equi infection and for adverse effects of gallium maltolate. Results: There were no significant diff...
Does immunotherapy protect equines from reinfection by the oomycete Pythium insidiosum?
Clinical and vaccine immunology : CVI    June 29, 2011   Volume 18, Issue 8 1397-1399 doi: 10.1128/CVI.05150-11
Santos CE, Marques LC, Zanette RA, Jesus FP, Santurio JM.A cutaneous Pythium insidiosum reinfection was diagnosed in an equine in Brazil. Lesions with focal presentation appeared 2 years apart. The first infection and even immunotherapy were not likely to develop enough immune response to prevent reinfection. The use of adjuvants should be considered in the immunotherapy of pythiosis.
Toltrazuril sulfone sodium salt: synthesis, analytical detection, and pharmacokinetics in the horse.
Journal of veterinary pharmacology and therapeutics    June 17, 2011   Volume 35, Issue 3 265-274 doi: 10.1111/j.1365-2885.2011.01315.x
Dirikolu L, Karpiesiuk W, Lehner AF, Tobin T.Toltrazuril sulfone (ponazuril) is a triazine-based antiprotozoal agent with clinical application in the treatment of equine protozoal myeloencephalomyelitis (EPM). In this study, we synthesized and determined the bioavailability of a sodium salt formulation of toltrazuril sulfone that can be used for the treatment and prophylaxis of EPM in horses. Toltrazuril sulfone sodium salt was rapidly absorbed, with a mean peak plasma concentration of 2400 ± 169 (SEM) ng/mL occurring at 8 h after oral-mucosal dosing and was about 56% bioavailable compared with the i.v. administration of toltrazuril sul...
Is the skin sensitivity test required for administering equine rabies immunoglobulin?
The National medical journal of India    June 15, 2011   Volume 24, Issue 2 80-82 
Sudarshan MK, Ashwath Narayana DH, Ravish HS.Rabies immunoglobulins are life-saving in patients with severe exposure to rabies. Despite the high degree of purification of equine rabies immunoglobulin (ERIG), the product inserts still recommend a skin sensitivity test before administration of this heterologous serum. A recent WHO recommendation states that there are no scientific grounds for performing a skin test before administering ERIG because testing does not predict reactions and it should be given irrespective of the result of the test. In this conflicting situation, we assessed the use of the skin sensitivity test in predicting ad...
Rabbit anti-rabies immunoglobulins production and evaluation.
Tropical biomedicine    May 24, 2011   Volume 28, Issue 1 138-148 
Liu X, Liu Q, Feng X, Tang Q, Wang Z, Li S, Feng Z, Zhu J, Guan X.Due to the disadvantages of human and equine rabies immunoglobulin, it is necessary to develop a substitute for HRIG and ERIG, especially for those people living in the developing countries. Because of higher affinity and lower immunogenicity of rabbit's immunoglobulins, anti-rabies immunoglobulins specific to rabies virus were produced in rabbits as a bioreactor, and had been characterized by ELISA, affinity assay, immunofluorescence assay (IFA), immunocytochemistry, rapid fluorescent focus inhibition test (RFFIT). ELISA, affinity assay and IFA showed that rabbit RIG (RRIG) bound specifically...
Serum antibody responses in horses and mice following immunization with Actinobacillus equuli outer membrane proteins and recombinant Aqx toxin.
Veterinary journal (London, England : 1997)    May 18, 2011   Volume 190, Issue 2 e91-e94 doi: 10.1016/j.tvjl.2011.04.006
Skaggs JS, Reed Holyoak G, Montelongo M, Ayalew S, Confer AW.The immune responsiveness of mice (without prior natural exposure) and mares (with naturally acquired antibodies) was determined following vaccination with Actinobacillus equuli outer membrane proteins (OMPs) and/or recombinant A. equuli toxin (rAqx). Mice were vaccinated subcutaneously on days 0 and 21 with one of three doses (5, 25 or 50μg) of A. equuli OMPs, rAqx or both, together with Freund's incomplete adjuvant (FIA). Antibodies against formalin-killed whole bacterial cells (WBCs), OMPs and Aqx were determined on days 0, 21 and 42. Mares were vaccinated subcutaneously on days 0 and 21 w...
Protection provided by a recombinant ALVAC(®)-WNV vaccine expressing the prM/E genes of a lineage 1 strain of WNV against a virulent challenge with a lineage 2 strain.
Vaccine    May 5, 2011   Volume 29, Issue 28 4608-4612 doi: 10.1016/j.vaccine.2011.04.058
Minke JM, Siger L, Cupillard L, Powers B, Bakonyi T, Boyum S, Nowotny N, Bowen R.The emergence of lineage 2 strains of WNV in Europe as a cause of clinical disease and mortality in horses raised the question whether the existing WNV vaccines, all based on lineage 1 strains, protect against circulating lineage 2 strains of WNV. In the present paper we have determined the level of cross protection provided by the recombinant ALVAC(®)-WNV vaccine in a severe challenge model that produces clinical signs of WNV type 2 disease. Ten horses were vaccinated twice at 4 weeks interval with one dose of the ALVAC-WNV vaccine formulated at the minimum protective dose. A further 10 hors...
Protective effects of broadly neutralizing immunoglobulin against homologous and heterologous equine infectious anemia virus infection in horses with severe combined immunodeficiency.
Journal of virology    May 4, 2011   Volume 85, Issue 13 6814-6818 doi: 10.1128/JVI.00077-11
Taylor SD, Leib SR, Wu W, Nelson R, Carpenter S, Mealey RH.Using the equine infectious anemia virus (EIAV) lentivirus model system, we previously demonstrated protective effects of broadly neutralizing immune plasma in young horses (foals) with severe combined immunodeficiency (SCID). However, in vivo selection of a neutralization-resistant envelope variant occurred. Here, we determined the protective effects of purified immunoglobulin with more potent broadly neutralizing activity. Overall, protection correlated with the breadth and potency of neutralizing activity in vitro. Four of five SCID foals were completely protected against homologous challen...
Conjunctival bacterial and fungal flora in healthy horses in the UK.
Veterinary ophthalmology    April 28, 2011   Volume 14, Issue 3 195-199 doi: 10.1111/j.1463-5224.2010.00867.x
Johns IC, Baxter K, Booler H, Hicks C, Menzies-Gow N.To describe the bacterial and fungal flora of the normal conjunctiva of horses in the UK; to determine the effect of horse age, sex, geographic location, and housing on this flora; and to determine the most appropriate antimicrobial drug(s) for prophylactic treatment of corneal ulcers. Methods: A total of 60 adult healthy horses were studied. Methods: Swabs of the conjunctiva were obtained from 60 horses housed in two locations within the UK. Specimens were cultured for aerobic bacteria and fungi, and sensitivity against six ophthalmic antimicrobials assessed. The effect of age, sex, location ...
Recent advances in leishmaniosis in pet animals: epidemiology, diagnostics and anti-vectorial prophylaxis.
Veterinary parasitology    April 19, 2011   Volume 181, Issue 1 23-30 doi: 10.1016/j.vetpar.2011.04.019
Gramiccia M.The leishmanioses are diseases caused by protozoa of the genus Leishmania, parasites infecting numerous mammal species, including humans, and transmitted by the bite of phlebotomine sand flies. They are a large group of diseases ranging over inter-tropical zones of America and Africa, and extend into temperate regions of Latin America, Europe and Asia. Pet animals are found infected with different Leishmania species but Leishmania infantum is the most widespread being dogs the main reservoir of zoonotic visceral leishmaniosis (ZVL). Dogs are very susceptible to this parasite and may suffer fro...
A comparison of antibody responses to commercial equine influenza vaccines following annual booster vaccination of National Hunt horses – a randomised blind study.
Vaccine    March 17, 2011   Volume 29, Issue 22 3917-3922 doi: 10.1016/j.vaccine.2011.03.003
Gildea S, Arkins S, Walsh C, Cullinane A.Protection against equine influenza virus (EIV) relies largely on the production of circulating antibodies specific for the haemagglutinin (HA) glycoprotein. The objective of this study was to determine the antibody response of National Hunt horses in training to booster vaccination. The antibody response to the six equine influenza vaccines available in Ireland (three whole inactivated vaccines, two subunit vaccines and a canary pox recombinant vaccine), was monitored by single radial haemolysis (SRH) for six months post vaccination. There was no significant difference between antibody respon...
The endocrine disruptive effects of ergopeptine alkaloids on pregnant mares.
The Veterinary clinics of North America. Equine practice    March 12, 2011   Volume 27, Issue 1 165-173 doi: 10.1016/j.cveq.2010.12.003
Evans TJ.During equine gestation, ergopeptine alkaloid exposure is not uncommon, and pregnant mares are particularly sensitive to the endocrine disruptive effects of these compounds on lactogenesis and steroidogenesis. Agalactia, prolonged gestation, abortion, dystocia, and placental and fetal abnormalities are all clinical manifestations of changes in the endocrine milieu induced by the ingestion of ergopeptine alkaloid-contaminated feedstuffs by mares during late gestation. An understanding of the endocrine disruptive effects of gestational exposure to ergopeptine alkaloids is necessary for the diagn...
Evaluation of a postexposure rabies prophylaxis protocol for domestic animals in Texas: 2000-2009.
Journal of the American Veterinary Medical Association    December 16, 2010   Volume 237, Issue 12 1395-1401 doi: 10.2460/javma.237.12.1395
Wilson PJ, Oertli EH, Hunt PR, Sidwa TJ.To determine whether postexposure rabies prophylaxis (PEP) in domestic animals, as mandated in Texas, has continued to be effective and to evaluate preexposure or postexposure vaccination failures from 2000 through 2009. Methods: Retrospective case series. Methods: 1,014 unvaccinated domestic animals (769 dogs, 126 cats, 72 horses, 39 cattle, 3 sheep, 4 goats, and 1 llama) that received PEP and 12 vaccinated domestic animals (7 dogs and 5 cats) with possible failure of protection. Methods: Zoonotic incident reports from 2000 through 2009 were reviewed for information regarding unvaccinated dom...
Pilot immunization of mice infected with an equine strain of Corynebacterium pseudotuberculosis.
Veterinary therapeutics : research in applied veterinary medicine    October 16, 2010   Volume 11, Issue 1 E1-E8 
Gorman JK, Gabriel M, MacLachlan NJ, Nieto N, Foley J, Spier S.This pilot study evaluated protection of an equine autogenous bacterin-toxoid vaccine against Corynebacterium pseudotuberculosis infection. Twenty-four BALB/c mice were inoculated with two doses of bacterin-toxoid vaccine or two injections of a placebo. Clinical, microbiologic, and pathologic outcomes were assessed after intradermal infection with one of two equine-origin C. pseudotuberculosis strains. Mice receiving bacterin-toxoid from fast-growing C. pseudotuberculosis showed significant protection from challenge infection, as evidenced by a higher survival rate, fewer gross and histopathol...
Duration of immunity induced by an equine influenza and tetanus combination vaccine formulation adjuvanted with ISCOM-Matrix.
Vaccine    August 20, 2010   Volume 28, Issue 43 6989-6996 doi: 10.1016/j.vaccine.2010.08.043
Heldens JG, Pouwels HG, Derks CG, Van de Zande SM, Hoeijmakers MJ.Equine influenza is a contagious disease caused by equine influenza virus which belongs to the orthomyxovirus family. Outbreaks of equine influenza cause severe economic loses to the horse industry and consequently horses in competition are required to be regularly vaccinated against equine influenza. Unlike the existing inactivated vaccines, Equilis Prequenza Te is the only one able to induce protection against clinical disease and virus excretion after a primary vaccination course consisting of two vaccine applications 4-6 weeks apart until the recommended time of the third vaccination. In t...
Low-molecular-weight heparin dosage in newborn foals.
Journal of veterinary internal medicine    July 28, 2010   Volume 24, Issue 5 1190-1195 doi: 10.1111/j.1939-1676.2010.0568.x
Armengou L, Monreal L, Delgado MÁ, Ríos J, Cesarini C, Jose-Cunilleras E.Heparin is used in humans as prophylaxis of hypercoagulable states and disseminated intravascular coagulation (DIC). However, babies need a higher heparin dose than do adults. Septic neonate foals are at high risk of hypercoagulable state and DIC, and there is limited objective information about heparin dose for equine neonates. Objective: To assess whether neonate foals require higher dosages of low-molecular-weight heparin (LMWH) than adults. Methods: Eighteen healthy and 11 septic neonate foals. Methods: Experimental and clinical studies. Firstly, healthy foals were randomly distributed in ...
Pharmacokinetics of an orally administered methylcellulose formulation of gallium maltolate in neonatal foals.
Journal of veterinary pharmacology and therapeutics    July 22, 2010   Volume 33, Issue 4 376-382 doi: 10.1111/j.1365-2885.2009.01150.x
Chaffin MK, Fajt V, Martens RJ, Arnold CE, Cohen ND, O'Conor M, Taylor RJ, Bernstein LR.Gallium is a trivalent semi-metal with anti-microbial effects because of its incorporation into crucial iron-dependent reproductive enzyme systems. Gallium maltolate (GaM) provides significant gallium bioavailability to people and mice following oral administration and to neonatal foals following intragastric administration. To study the prophylactic and therapeutic effects of GaM against Rhodococcus equi pneumonia in foals, we developed a methylcellulose formulation of GaM (GaM-MCF) for oral administration to neonatal foals. Normal neonatal foals were studied. Six foals received 20 mg/kg and ...
Practical aspects of equine parasite control: a review based upon a workshop discussion consensus.
Equine veterinary journal    July 20, 2010   Volume 42, Issue 5 460-468 doi: 10.1111/j.2042-3306.2010.00065.x
Nielsen MK, Fritzen B, Duncan JL, Guillot J, Eysker M, Dorchies P, Laugier C, Beugnet F, Meana A, Lussot-Kervern I, von Samson-Himmelstjerna G.Development of resistance of several important equine parasites to most of the available anthelmintic drug classes has led to a reconsideration of parasite control strategies in many equine establishments. Routine prophylactic treatments based on simple calendar-based schemes are no longer reliable and veterinary equine clinicians are increasingly seeking advice and guidance on more sustainable approaches to equine parasite control. Most techniques for the detection of equine helminth parasites are based on faecal analysis and very few tests have been developed as diagnostic tests for resistan...
The pharmacologic basis for the treatment of endocrinopathic laminitis.
The Veterinary clinics of North America. Equine practice    June 8, 2010   Volume 26, Issue 2 303-314 doi: 10.1016/j.cveq.2010.04.006
Durham A.Although the treatment and management of laminitis in the horse requires a holistic and often multidisciplinary approach from the veterinarian, farrier, and nutritionist, this review focuses on pharmacologic interventions that might have prophylactic benefit, specifically in the horse with laminitis as a result of pituitary pars intermedia dysfunction and equine metabolic syndrome.
Administration of perioperative penicillin reduces postoperative serum amyloid A response in horses being castrated standing.
Veterinary surgery : VS    April 29, 2010   Volume 39, Issue 5 638-643 doi: 10.1111/j.1532-950X.2010.00704.x
Busk P, Jacobsen S, Martinussen T.To compare postoperative inflammatory responses in horses administered perioperative procaine penicillin and those not administered penicillin using acute phase protein serum amyloid A (SAA) as a marker of inflammation. Methods: Randomized clinical trial. Methods: Stallions (n=50) castrated under field conditions. Methods: SAA concentrations were determined on days 0, 3, and 8. Six horses were subsequently excluded because of elevated SAA concentrations on day 0. Of the remaining 50 horses, 26 were administered nonsteroidal anti-inflammatory drug (NSAID) therapy and 24 were administered NSAID ...
Therapeutic hypothermia (cryotherapy) to prevent and treat acute laminitis.
The Veterinary clinics of North America. Equine practice    April 13, 2010   Volume 26, Issue 1 125-133 doi: 10.1016/j.cveq.2010.01.002
van Eps AW.Digital hypothermia successfully reduces the severity of experimentally induced laminitis. Continuous-distal limb cryotherapy may be a useful technique in clinical cases that are at risk of developing laminitis. This article examines the effects of hypothermia on tissue as well as the rationale, and suggested protocols for the usage of distal limb cryotherapy in the prevention and treatment of laminitis.
Changes in serum mineral concentrations, biochemical and hematological parameters in horses with pica.
Biological trace element research    March 9, 2010   Volume 139, Issue 3 301-307 doi: 10.1007/s12011-010-8660-y
Aytekin I, Onmaz AC, Aypak SU, Gunes V, Kucuk O.The aim of this study was to compare hematological, some biochemical parameters, and serum trace element concentrations in horses with or without pica. Fifteen horses with pica (group I) and another 15 healthy horses without pica (group II) were used. The hematological parameters were not changed between the two groups. In group I, hemoglobin values were lower than those of group II. However, the difference in hemoglobin values between the two groups was not significant (P > 0.05). Serum iron and copper concentrations and the copper/zinc ratio were lower in group I than those of group I...
West Nile Virus: is a vaccine needed?
Current opinion in investigational drugs (London, England : 2000)    January 30, 2010   Volume 11, Issue 2 139-146 
Martina BE, Koraka P, Osterhaus AD.West Nile virus (WNV) is a neurotropic Flavivirus that was associated with sporadic outbreaks of meningoencephalitis in Africa and the Middle East until 1999, when a more virulent strain emerged in the US that caused thousands of infections among humans and horses, with reported fatality rates between 10 and 50%. Although the epidemiology of WNV is changing into a more endemic pattern in the US, and the incidence of neuroinvasive disease is decreasing, the long-term effects of resolved WNV infections in humans, characterized as persistent movement disorders and various functional disabilities,...
The presence of anti-Yersinia pseudotuberculosis immunoglobulins in equine serum.
Polish journal of veterinary sciences    January 1, 2010   Volume 13, Issue 4 719-723 doi: 10.2478/v10181-010-0028-x
Czernomysy-Furowicz D, Silecka A, Nawrotek P, Jankowiak D, Karakulska J, Furowicz A.The research was conducted on clinically healthy mares (n = 40) and foals (n = 78) during Y. pseudotuberculosis associated enzootics. The animals were divided into groups: I to IV--mares, IA to IVA--their offsprings, IB to IVB--foals which mothers were not treated with any medicaments. The animals in group I, IA and IB were injected with PBS; in group II, IIA and IIB--with Y. pseudotuberculosis strain-based vaccine, in group III, IIIA and IIIB--with P. acnes strain-based immunostimulator; in group IV, IVA and IVB--with P. acnes strain-based immunostimulator and (5 days after the immunostimulat...
Current understanding of the equine immune response to Rhodococcus equi. An immunological review of R. equi pneumonia.
Veterinary immunology and immunopathology    December 23, 2009   Volume 135, Issue 1-2 1-11 doi: 10.1016/j.vetimm.2009.12.004
Dawson TRMY, Horohov DW, Meijer WG, Muscatello G.Rhodococcus equi is recognised to cause chronic purulent bronchopneumonia in foals of less than 6 months of age. Virulent strains of the bacteria possess a large 80-90 kb plasmid encoding several virulence-associated proteins, including virulence-associated protein A (VapA), which is associated with disease. R. equi pneumonia can represent significant costs and wastage to the equine breeding industry, especially on stud farms where the disease is endemic. This article reviews knowledge of the equine immune response, both in the immune adult and susceptible neonate, with respect to this pathoge...
Equine herpesvirus type 1 mutant defective in glycoprotein E gene as candidate vaccine strain.
The Journal of veterinary medical science    December 5, 2009   Volume 71, Issue 11 1439-1448 doi: 10.1292/jvms.001439
TSUJIMURA K, SHIOSE T, YAMANAKA T, NEMOTO M, KONDO T, MATSUMURA T.An equine herpesvirus type 1 (EHV-1) mutant, DeltagE, defective in glycoprotein E (gE) was evaluated as a modified live virus (MLV) vaccine. Colostrum-deprived Thoroughbred foals inoculated intranasally (i.n.) or intramuscularly (i.m.) with DeltagE did not exhibit any clinical signs of respiratory disease except for a mild nasal discharge in 1 i.n. inoculated foal on Days 1 and 3 post-infection. In contrast, the intranasal inoculation of foals with the revertant of DeltagE resulted in biphasic pyrexia, mucopurulent nasal discharge and swelling of submandibular lymph nodes. These results indica...
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