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Topic:Respiratory Disease

Respiratory disease in horses encompasses a range of conditions affecting the respiratory system, including the upper and lower airways. These diseases can result from various etiologies such as infectious agents, environmental factors, or genetic predispositions. Common respiratory conditions in horses include equine asthma, equine influenza, and strangles. Clinical signs often associated with respiratory disease in horses include coughing, nasal discharge, and labored breathing. Diagnostic approaches may involve endoscopy, imaging, and laboratory tests to assess the function and health of the respiratory tract. This page compiles peer-reviewed research studies and scholarly articles that explore the pathophysiology, diagnosis, and management of respiratory diseases in equine populations.
Environmental exposures and airway inflammation in young thoroughbred horses.
Journal of veterinary internal medicine    March 12, 2014   Volume 28, Issue 3 918-924 doi: 10.1111/jvim.12333
Ivester KM, Couëtil LL, Moore GE, Zimmerman NJ, Raskin RE.Inflammatory airway disease (IAD) in horses is a widespread, performance-limiting syndrome believed to develop in response to inhaled irritants in the barn environment. Objective: To evaluate changes in bronchoalveolar lavage fluid (BALF) cytology and exposure to particulates, endotoxin, and ammonia during horses' first month in training. Methods: Forty-nine client-owned 12- to 36-month-old Thoroughbred horses entering race training. Methods: In this prospective cohort study, a convenience sample of horses was assigned to be fed hay from a net (n = 16), whereas the remaining horses were fed ha...
Pharmacological characterization of muscarinic receptors in the contractions of isolated bronchi in the horse.
Journal of veterinary pharmacology and therapeutics    March 7, 2014   Volume 37, Issue 4 325-331 doi: 10.1111/jvp.12108
Menozzi A, Pozzoli C, Poli E, Delvescovo B, Serventi P, Bertini S.We investigated the effects of nonselective muscarinic antagonist (atropine) and of selective muscarinic subtype 1 (M1), 2 (M2), 3 (M3) antagonists (VU0255035, methoctramine, pFHHSiD, respectively) on the contractions evoked by electrical field stimulation (EFS) or by exogenous ACh in isolated horse bronchial muscle. Atropine completely inhibited neurogenic contractions in a concentration-dependent fashion, whereas selective muscarinic antagonists induced relevant modifications only at the highest concentration tested. Experiments with selective muscarinic antagonists in combination showed tha...
A review of equid herpesvirus 1 for the veterinary practitioner. Part A: clinical presentation, diagnosis and treatment.
New Zealand veterinary journal    March 7, 2014   Volume 62, Issue 4 171-178 doi: 10.1080/00480169.2014.899945
Dunowska M.Equid herpesvirus (EHV) type 1 is a common pathogen of horses with worldwide distribution. Although severe tracheobronchitis has been described in some field outbreaks of EHV-1 respiratory disease, many EHV-1 infections occur asymptomatically or are accompanied only by signs of mild respiratory disease. However, EHV-1 infection can also result in outcomes other than respiratory disease such as abortion, neonatal death or neurological disease. This review provides an overview of the diagnosis, treatment and prognosis for EHV-1-associated diseases, with an emphasis on neurological presentations ...
Gammaherpesviruses and pulmonary fibrosis: evidence from humans, horses, and rodents.
Veterinary pathology    February 27, 2014   Volume 51, Issue 2 372-384 doi: 10.1177/0300985814521838
Williams KJ.Progressive lung fibrosis in humans, typified by idiopathic pulmonary fibrosis (IPF), is a serious cause of morbidity and mortality in people. Similar diseases have been described in dogs, cats, and horses. The cause and pathogenesis of such diseases in all species is poorly understood. There is growing evidence in human medicine that IPF is a manifestation of abnormal wound repair in response to epithelial injury. Because viruses can contribute to epithelial injury, there is increasing interest in a possible role of viruses, particularly gammaherpesviruses, in the pathogenesis of pulmonary fi...
N-butylscopolammonium bromide causes fewer side effects than atropine when assessing bronchoconstriction reversibility in horses with heaves.
Equine veterinary journal    February 25, 2014   Volume 46, Issue 4 474-478 doi: 10.1111/evj.12229
de Lagarde M, Rodrigues N, Chevigny M, Beauchamp G, Albrecht B, Lavoie JP.Bronchospasm results in airway obstruction in horses with heaves. Atropine is the most potent bronchodilator drug currently available for horses, but is associated with side effects that limit its use. Like atropine, N-butylscopolammonium bromide (NBB) is an anticholinergic agent with bronchodilatory properties. Objective: To compare the bronchodilating effects and side effects of atropine and NBB in horses with heaves. Methods: Cross-over experiment using horses with heaves. Methods: Eight horses with heaves were administered atropine and NBB, using a cross-over design. Heart rate, pupillary ...
Age effects on blood gas, spirometry, airway reactivity, and bronchoalveolar lavage fluid cytology in clinically healthy horses.
Journal of veterinary internal medicine    February 16, 2014   Volume 28, Issue 2 603-608 doi: 10.1111/jvim.12318
Pacheco AP, Paradis MR, Hoffman AM, Hermida P, Sanchez A, Nadeau JA, Tufts M, Mazan MR.Despite the increasing number of geriatric horses attended by veterinarians, there is a lack of understanding of aging-related changes on the respiratory system of horses. Objective: To identify aging-related changes on the respiratory function and bronchoalveolar lavage fluid (BALF) cytology of horses. Methods: Fifteen healthy young adult (2-11 years) and 16 healthy aged (≥20 years) horses. Methods: The respiratory system was examined by measurement of arterial blood gases (ABG), use of respiratory inductive plethysmography (RIP) for assessment of breathing pattern and ventilatory paramet...
A comparison of pro-inflammatory cytokine mRNA expression in equine bronchoalveolar lavage (BAL) and peripheral blood.
Veterinary immunology and immunopathology    February 9, 2014   Volume 158, Issue 3-4 238-243 doi: 10.1016/j.vetimm.2014.02.001
Hansen S, Baptiste KE, Fjeldborg J, Betancourt A, Horohov DW.An imbalance in various cytokine mRNA expression in bronchoalveolar lavage (BAL) and peripheral blood mononuclear cells (PBMC) in horses suffering from recurrent airway obstruction (RAO) has been demonstrated; however, the natural variation of cytokine expression in healthy horses has yet to be described. The objectives of this study were to: (1) identify age-related differences in the expression of pro-inflammatory cytokines in BAL and PBMC, (2) compare the expression of pro-inflammatory cytokines between BAL and PBMC, and (3) evaluate the relationship between BAL pro-inflammatory cytokine ex...
Training modifies innate immune responses in blood monocytes and in pulmonary alveolar macrophages.
American journal of respiratory cell and molecular biology    February 8, 2014   Volume 51, Issue 1 135-142 doi: 10.1165/rcmb.2013-0341OC
Frellstedt L, Waldschmidt I, Gosset P, Desmet C, Pirottin D, Bureau F, Farnir F, Franck T, Dupuis-Tricaud MC, Lekeux P, Art T.In humans, strenuous exercise causes increased susceptibility to respiratory infections associated with down-regulated expression of Toll-like receptors (TLRs) and costimulatory and antigen-presenting molecules. Lower airway diseases are also a common problem in sport and racing horses. Because innate immunity plays an essential role in lung defense mechanisms, we assessed the effect of acute exercise and training on innate immune responses in two different compartments. Blood monocytes and pulmonary alveolar macrophages (PAMs) were collected from horses in untrained, moderately trained, inten...
The evaluation of three diagnostic tests for the detection of equine influenza nucleoprotein in nasal swabs.
Influenza and other respiratory viruses    February 7, 2014   Volume 8, Issue 3 376-383 doi: 10.1111/irv.12235
Galvin P, Gildea S, Nelly M, Quinlivan M, Arkins S, Walsh C, Cullinane A.Equine influenza (EI) is a highly contagious respiratory disease of horses. Objective: The aim of this study was to evaluate two rapid antigen detection kits (Directigen or DFA, and Espline) and a commercial ELISA for the detection of EI nucleoprotein in nasal swabs. Methods: Nasal swab samples from naturally and experimentally infected horses were used to compare the sensitivity and specificity of these assays to virus isolation (VI) and real-time RT-PCR. Results: If real-time RT-PCR was considered as the gold standard, the sensitivity of the other tests in field samples was 68% (DFA), 35% (E...
Characterization of a mucoid clone of Streptococcus zooepidemicus from an epizootic of equine respiratory disease in New Caledonia.
Veterinary journal (London, England : 1997)    February 1, 2014   Volume 200, Issue 1 82-87 doi: 10.1016/j.tvjl.2014.01.014
Velineni S, Desoutter D, Perchec AM, Timoney JF.Streptococcus equi subspecies zooepidemicus (Sz) is a tonsillar and mucosal commensal of healthy horses with the potential to cause opportunistic infections of the distal respiratory tract stressed by virus infection, transportation, training or high temperature. The invasive clone varies from horse to horse with little evidence of lateral transmission in the group. Tonsillar isolates are non-mucoid although primary isolates from opportunist lower respiratory tract infections may initially be mucoid. In this study, a novel stably mucoid Sz (SzNC) from a clonal epizootic of respiratory disease ...
Diagnostic challenge: mare with clinical history of chronic respiratory disease. Severe interstitial pneumonia.
Australian veterinary journal    January 30, 2014   Volume 92, Issue 1-2 46-48 doi: 10.1111/avj.12134
Kessell AE, Wilkes E, Raidal S, Browne EA, Hughes K.No abstract available
Characteristics of respiratory tract disease in horses inoculated with equine rhinitis A virus.
American journal of veterinary research    January 30, 2014   Volume 75, Issue 2 169-178 doi: 10.2460/ajvr.75.2.169
Diaz-Méndez A, Hewson J, Shewen P, Nagy E, Viel L.To develop a method for experimental induction of equine rhinitis A virus (ERAV) infection in equids and to determine the clinical characteristics of such infection. Methods: 8 ponies (age, 8 to 12 months) seronegative for antibodies against ERAV. PROCEDURES-Nebulization was used to administer ERAV (strain ERAV/ON/05; n = 4 ponies) or cell culture medium (control ponies; 4) into airways of ponies; 4 previously ERAV-inoculated ponies were reinoculated 1 year later. Physical examinations and pulmonary function testing were performed at various times for 21 days after ERAV or mock inoculation. Va...
Equine pulmonary aspergillosis with encephalitic, myocardial, and renal dissemination.
Mycopathologia    January 24, 2014   Volume 177, Issue 1-2 129-135 doi: 10.1007/s11046-013-9726-0
Headley SA, de Carvalho PH, Cunha Filho LF, Yamamura AA, Okano W.The cause of the death of a 16-month-old Brasileiro-de-Hipismo filly and a 3-year-old male Paint Horse with clinical manifestations of anemia and apathy from southern Brazil was investigated. These horses were maintained at the same stable; received hay as part of their diet and were submitted for routine necropsy evaluations. Significant gross findings included several nodules randomly distributed throughout the pulmonary lobes of both horses, and the kidneys, myocardium, and the frontal lobes of the cerebrum of the filly. Histopathological evaluation revealed pyogranulomatous bronchopneumoni...
Evaluation of coughing and nasal discharge as early indicators for an increased risk to develop equine recurrent airway obstruction (RAO).
Journal of veterinary internal medicine    January 13, 2014   Volume 28, Issue 2 618-623 doi: 10.1111/jvim.12279
Bosshard S, Gerber V.It is often assumed that horses with mild respiratory clinical signs, such as mucous nasal discharge and occasional coughing, have an increased risk of developing recurrent airway obstruction (RAO). Objective: Compared to horses without any clinical signs of respiratory disease, those with occasional coughing, mucous nasal discharge, or both have an increased risk of developing signs of RAO (frequent coughing, increased breathing effort, exercise intolerance, or a combination of these) as characterized by the Horse Owner Assessed Respiratory Signs Index (HOARSI 1-4). Methods: Two half-sibling ...
Expression of the hemagglutinin HA1 subunit of the equine influenza virus using a baculovirus expression system.
Revista Argentina de microbiologia    January 10, 2014   Volume 45, Issue 4 222-228 doi: 10.1016/S0325-7541(13)70028-2
Sguazza GH, Fuentealba NA, Tizzano MA, Galosi CM, Pecoraro MR.Equine influenza virus is a leading cause of respiratory disease in horses worldwide. Disease prevention is by vaccination with inactivated whole virus vaccines. Most current influenza vaccines are generated in embryonated hens' eggs. Virions are harvested from allantoic fluid and chemically inactivated. Although this system has served well over the years, the use of eggs as the substrate for vaccine production has several well-recognized disadvantages (cost, egg supply, waste disposal and yield in eggs). The aim of this study was to evaluate a baculovirus system as a potential method for prod...
Participation of T regulatory cells in equine recurrent airway obstruction.
Veterinary immunology and immunopathology    January 7, 2014   Volume 158, Issue 3-4 128-134 doi: 10.1016/j.vetimm.2013.12.005
Henríquez C, Perez B, Morales N, Sarmiento J, Carrasco C, Morán G, Folch H.Recurrent airway obstruction (RAO) is an equine immune-mediated disease with a high incidence worldwide. The aim of this work was to contribute to the understanding of RAO pathogenesis by studying T cells bearing regulatory markers in peripheral blood (PB) and in bronchoalveolar lavage fluid (BALF) recovered from the same group of susceptible horses before and after exposure to moldy hay, which has been shown to induce RAO signology in our horse herd. With this purpose, mononuclear cells were obtained from the BALF and PB from horses before and after antigenic challenge and were stained with f...
Recurrent airway obstruction: a review.
Equine veterinary journal    January 7, 2014   Volume 46, Issue 3 276-288 doi: 10.1111/evj.12204
Pirie RS.Recurrent airway obstruction is a widely recognised airway disorder, characterised by hypersensitivity-mediated neutrophilic airway inflammation and lower airway obstruction in a subpopulation of horses when exposed to suboptimal environments high in airborne organic dust. Over the past decade, numerous studies have further advanced our understanding of different aspects of the disease. These include clarification of the important inhaled airborne agents responsible for disease induction, improving our understanding of the underlying genetic basis of disease susceptibility and unveiling the fu...
Radiographic appearance of maxillary sinus feed impaction in a horse.
Journal of veterinary dentistry    January 1, 2014   Volume 30, Issue 3 158-160 doi: 10.1177/089875641303000304
Montgomery JE, Carmalt JL.A 15-year-old Belgian gelding presented in respiratory distress, with bilateral mucopurulent nasal discharge, and right-sided epistaxis. The horse had a 5-year history of dental disease and had been recently losing weight. Radiographs indicated tooth root abscessation of the right maxillary third molar tooth and probable maxillary sinus feed impaction. These findings were confirmed at surgery and necropsy. The stippled, granular radiographic appearance described here is highly characteristic of sinus feed impaction.
Characterization of arginase expression by equine neutrophils.
Veterinary immunology and immunopathology    December 30, 2013   Volume 157, Issue 3-4 206-213 doi: 10.1016/j.vetimm.2013.12.007
Lavoie-Lamoureux A, Martin JG, Lavoie JP.Neutrophils are the predominant cells recruited in the airways of horses suffering from heaves. These cells have been shown to express arginase in some species. The metabolism of l-arginine is thought to be involved in chronic inflammation, and airway obstruction and remodeling. The aim of this study was to assess the expression, regulation, activity, and functional role of arginase isoforms in equine neutrophils. Arginase I, arginase II, ornithine decarboxylase (ODC) and ornithine aminotransferase (OAT) expression were assessed in resting and stimulated (IL-4, LPS/fMLP, PMA; 5 and 18 h) blood...
Detection and quantitation of equid gammaherpesviruses (EHV-2, EHV-5) in nasal swabs using an accredited standardised quantitative PCR method.
Journal of virological methods    December 24, 2013   Volume 198 18-25 doi: 10.1016/j.jviromet.2013.12.008
Hue ES, Fortier GD, Fortier CI, Leon AM, Richard EA, Legrand LJ, Pronost SL.Equid gammaherpesviruses-2 and -5 are involved in respiratory problems, with potential clinical manifestations such as nasal discharge, pharyngitis and swollen lymph nodes. These viruses are sometimes associated with a poor-performance syndrome, which may result in a significant and negative economic impact for the horse industry. The aim of the present study was to develop and validate quantitative PCR methods for the detection and quantitation of EHV-2 and EHV-5 in equine respiratory fluids. Two distinct tests were characterised: (a) for the qPCR alone and (b) for the whole method (extractio...
Dominant obligate anaerobes revealed in lower respiratory tract infection in horses by 16S rRNA gene sequencing.
The Journal of veterinary medical science    December 20, 2013   Volume 76, Issue 4 587-591 doi: 10.1292/jvms.13-0272
Kinoshita Y, Niwa H, Katayama Y, Hariu K.Obligate anaerobes are important etiological agents in pneumonia or pleuropneumonia in horses, because they are isolated more commonly from ill horses that have died or been euthanized than from those that survive. We performed bacterial identification and antimicrobial susceptibility testing for obligate anaerobes to establish effective antimicrobial therapy. We used 16S rRNA gene sequencing to identify 58 obligate anaerobes and compared the results with those from a phenotypic identification kit. The identification results of 16S rRNA gene sequencing were more reliable than those of the comm...
Plasma cortisol concentration increases within 6 hours of stabling in RAO-affected horses.
Equine veterinary journal    December 19, 2013   Volume 46, Issue 5 642-644 doi: 10.1111/evj.12201
Shaba JJ, Behan Braman A, Robinson NE.In many inflammatory diseases plasma cortisol concentration (CORT) increases at the onset of acute inflammation, but the situation in recurrent airway obstruction (RAO) of horses is unknown. Methods: Split-plot repeated measures design with one grouping factor (disease) and two repeated factors (day and 3-hour intervals). Objective: To test the hypothesis that CORT increases as acute exacerbations of RAO develop. Methods: Four RAO-susceptible and 4 control horses were placed in a low dust environment (LDEnv) for 2 days followed by 2 days in a high dust environment (HDEnv). Exacerbations of RAO...
In vitro effectiveness of the antimicrobial peptide eCATH1 against antibiotic-resistant bacterial pathogens of horses.
FEMS microbiology letters    December 18, 2013   Volume 350, Issue 2 216-222 doi: 10.1111/1574-6968.12337
Schlusselhuber M, Guldbech K, Sevin C, Leippe M, Petry S, Grötzinger J, Giguère S, Cauchard J.The equine antimicrobial peptide eCATH1 previously has been shown to have in vitro activity against antibiotic-susceptible reference strains of Rhodococcus equi and common respiratory bacterial pathogens of foals. Interestingly, eCATH1 was also found to be effective in the treatment of R. equi infection induced in mice. The aim of this study was to assess the in vitro activity of eCATH1 against equine isolates of Gram-negative (Escherichia coli, Salmonella enterica, Klebsiella pneumoniae and Pseudomonas spp.) and Gram-positive (R. equi, Staphylococcus aureus) bacteria resistant to multiple cla...
Systemic and respiratory oxidative stress in the pathogenesis and diagnosis of Rhodococcus equi pneumonia.
Equine veterinary journal. Supplement    December 1, 2013   Issue 45 20-25 doi: 10.1111/evj.12166
Crowley J, Po E, Celi P, Muscatello G.Oxidative stress (OS) is most simply defined as an imbalance between oxidants and antioxidants. Oxidative stress has been suggested to play roles in various equine respiratory diseases and the significance of OS in the pathogenesis of Rhodococcus equi pneumonia is unknown. Objective: To measure and relate biomarkers of OS to lesions consistent with R. equi pneumonia. Methods: Case-control study. Methods: Various OS biomarkers were measured from blood and exhaled breath condensate (EBC) samples collected from 26 foals between 1 and 2 months of age (n = 12 cases and n = 14 controls) on 2 Thoro...
Evidence of lateral gene transfer among strains of Streptococcus zooepidemicus in weanling horses with respiratory disease.
Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases    November 19, 2013   Volume 21 157-160 doi: 10.1016/j.meegid.2013.11.006
Velineni S, Breathnach CC, Timoney JF.Streptococcus zooepidemicus (Sz) is a tonsillar commensal of healthy horses but with potential to opportunistically invade the lower respiratory tract. Sz is genetically variable and recombinogenic based on analysis of gene sequences including szp, szm and MLST data. Although a variety of serovars of the protective SzP are commonly harbored in the tonsils of the same horse, lower respiratory infections usually involve a single clone. Nevertheless, isolation of specific clones from epizootics of respiratory disease has been recently reported in horses and dogs in N. America, Europe and Asia. In...
Purulent pericarditis and pneumonia caused by Streptococcus equi subsp. zooepidemicus.
Journal of medical microbiology    November 15, 2013   Volume 63, Issue Pt 2 313-316 doi: 10.1099/jmm.0.066290-0
Held J, Schmitz R, van der Linden M, Nührenberg T, Häcker G, Neumann FJ.Purulent pericarditis is a life-threatening disease that usually manifests following bacteraemia or through spreading from an intrathoracic focus. Only a few cases of this disease have been reported with Lancefield group C streptococci as aetiological agents, and the primary focus in these infections remains unknown. We report a case of purulent pericarditis with septic and cardiogenic shock, caused by Streptococcus equi subsp. zooepidemicus (group C) in a 51-year-old patient. The pathogen was possibly contracted through contact with horses. Most probably, it caused initially pneumonia before ...
Malignant melanoma in a grey horse: case presentation and review of equine melanoma treatment options.
Irish veterinary journal    November 6, 2013   Volume 66, Issue 1 22 doi: 10.1186/2046-0481-66-22
Metcalfe LV, O'Brien PJ, Papakonstantinou S, Cahalan SD, McAllister H, Duggan VE.A 15 year-old grey Thoroughbred gelding presented for investigation of chronic weight loss and recent onset of respiratory difficulty. Clinical examination confirmed tachypnoea with increased respiratory effort. Thoracic ultrasound examination detected pleural effusion. The dyspnoea was related to the large volume of pleural effusion and, following post-mortem examination, to the presence of a large mediastinal mass. Multiple pigmented masses, likely melanomas, were detected peri-anally. Thoracic radiography, cytological examination of the pleural fluid and a fine needle aspirate of a thoraci...
Stimulation of airway neutrophils following dexamethasone administration and equid herpesvirus-2 challenge in horses.
Veterinary journal (London, England : 1997)    October 26, 2013   Volume 199, Issue 1 181-183 doi: 10.1016/j.tvjl.2013.10.018
Richard EA, Pitel PH, Lemaitre L, Jas D, Lekeux P, Pronost S, Fortier G.The aim of this study was to investigate neutrophil stimulation following experimentally-induced airway inflammation in healthy horses. Six horses received dexamethasone and four were then inoculated with equid herpesvirus-2 (EHV-2). Significant neutrophilia was detected in tracheal wash and bronchoalveolar lavage fluid for up to 6 days. Concentrations of neutrophil elastase (NE) and myeloperoxidase (MPO) were significantly increased compared to baseline for up to 14 days in tracheal washes and both markers were significantly correlated with neutrophil counts. Serum levels of surfactant protei...
Update on equine allergies.
The Veterinary clinics of North America. Equine practice    October 25, 2013   Volume 29, Issue 3 541-550 doi: 10.1016/j.cveq.2013.08.005
Fadok VA.Horses develop many skin and respiratory disorders that have been attributed to allergy. These disorders include pruritic skin diseases, recurrent urticaria, allergic rhinoconjunctivitis, and reactive airway disease. Allergen-specific IgE has been detected in these horses, and allergen-specific immunotherapy is used to ameliorate clinical signs. The best understood atopic disease in horses is insect hypersensitivity, but the goal of effective treatment with allergen-specific immunotherapy remains elusive. In this review, updates in pathogenesis of allergic states and a brief mention of the new...
Effect of hay steaming on forage nutritive values and dry matter intake by horses.
Journal of animal science    October 21, 2013   Volume 91, Issue 12 5813-5820 doi: 10.2527/jas.2013-6333
Earing JE, Hathaway MR, Sheaffer CC, Hetchler BP, Jacobson LD, Paulson JC, Martinson KL.Management strategies for horses with respiratory disease include soaking hay before feeding. Hay steaming is an alternative to this practice; however, little is known about its impact on forage nutritive values or intake. The objective was to determine the effect of steaming on forage nutritive value and intake by horses. Two alfalfa (Medicago sativa L.)-orchardgrass (Dactylis glomerata L.) mixed hays were evaluated: a low moldy (NM) and moderately moldy (MM) hay. Six mature horses were used in a 10 d crossover design. Three horses were assigned to each hay type and treatments were switched o...
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