Cold atmospheric plasma-aerosol treatment of equine dermatophytosis: a novel therapeutic approach.
Abstract: Dermatophytosis is a common fungal skin infection in horses, particularly affecting young and immunocompromised animals. Traditional treatments often involve antifungal medications with potential side effects. Here, we present a case report that evaluated the efficacy of cold atmospheric plasma-aerosol (CAP-A) as a standalone treatment for equine dermatophytosis. Unassigned: A 2-year-old Westphalian warmblood stallion presented with confirmed dermatophyte lesions restricted to the left side of the mouth which were treated with CAP-A. Treatment was administered 2 times daily for 12 consecutive days; each session consisted of two 3-min fogging cycles. Microbiological samples were collected before and after the treatment period. Daily photographic documentation was maintained. Unassigned: Initial microbiological examination identified ssp. ( or ) as the definitive aetiology. Post-treatment samples were negative for all of the tested dermatophytes including spp., , and ssp. Clinical progression was documented through photographic evidence. The horse showed no signs of discomfort during or after the treatment sessions. Unassigned: CAP-A therapy demonstrated promising results as a non-pharmacological treatment option for equine dermatophytosis, achieving both clinical and microbiological resolution without adverse effects. This single case report will need to be followed up by a prospective study in a larger sample to draw definite conclusions about the efficacy of the treatment.
Copyright © 2025 Kurras, Knottenbelt, Schmelz, Schaal, Tischendorf, Fuchs, Schorling and Koene.
Publication Date: 2025-07-28 PubMed ID: 40792055PubMed Central: PMC12336151DOI: 10.3389/fvets.2025.1651946Google Scholar: Lookup
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Summary
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The article details a study involving the use of cold atmospheric plasma-aerosol (CAP-A) as a new method to treat a common fungal skin condition known as dermatophytosis in horses. This approach seems to be both efficient and free from significant side effects.
Study Overview
- The research evaluates the effectiveness of the cold atmospheric plasma-aerosol treatment (CAP-A), assessing its potency as a alternative therapeutic method for treating dermatophytosis in horses.
- The condition, dermatophytosis, is a common skin infection in horses, caused by fungi. It is particularly prevalent in young and immunocompromised horses.
- Historically, antifungal medications are used to treat dermatophytosis, but they could have potentially harmful side effects. Hence, the pursuit for a safer and at least equally efficient treatment method.
Methodology
- Researchers used a 2-year-old Westphalian warmblood stallion diagnosed with dermatophyte lesions restricted to the left side of the mouth as the case study.
- The horse was treated with CAP-A, receiving two treatments (or fogging sessions) each day for 12 successive days.
- Microbiological samples were collected before and after the treatment period for comparative analysis. Photographic documentation was maintained to track the progress of the treatment.
Results and Conclusion
- The initial microbiological investigation identified dermatophyte species as the confirmed cause of the skin infection.
- Following the CAP-A treatments, post-treatment samples tested negative for all the tested dermatophytes, suggesting that the treatment had successfully eliminated the fungal infection.
- Moreover, the horse exhibited no signs of discomfort during or after the treatment sessions, implying the non-intrusive nature of the CAP-A method.
- The results of the CAP-A therapy in this case demonstrated promising results as a potential non-drug treatment option for equine dermatophytosis, successfully achieving both clinical and microbiological resolution without negative impact.
- However, researchers emphasised that this is a single case report and a broader, prospective study with larger samples will be needed to draw definitive conclusions about the effectiveness of the treatment.
Cite This Article
APA
Kurras S, Knottenbelt D, Schmelz U, Schaal T, Tischendorf T, Fuchs R, Schorling T, Koene MHW.
(2025).
Cold atmospheric plasma-aerosol treatment of equine dermatophytosis: a novel therapeutic approach.
Front Vet Sci, 12, 1651946.
https://doi.org/10.3389/fvets.2025.1651946 Publication
Researcher Affiliations
- Tierklinik Lüsche GmbH, Bakum, Germany.
- Equine Medical Solutions Ltd, Stirling, Scotland, United Kingdom.
- Medical Microbiology, Drinking Water and Hygiene Laboratory, Hygiene and Medical Microbiology, Universitätsmedizin Göttingen, Fulda, Germany.
- Faculty of Health and Healthcare Sciences, University of Applied Sciences Zwickau, Zwickau, Germany.
- Faculty of Health and Healthcare Sciences, University of Applied Sciences Zwickau, Zwickau, Germany.
- Research and Development, WK-MedTec GmbH, Bückeburg, Germany.
- Research and Development, WK-MedTec GmbH, Bückeburg, Germany.
- Tierklinik Lüsche GmbH, Bakum, Germany.
Conflict of Interest Statement
RF and TiS are employed by WK-MedTec GmbH, the manufacturer of the PLASMO®VET device used in this study. US and ToS have been involved in the development of cold atmospheric plasma technology. DK was employed by Equine Medical Solutions Ltd. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References
This article includes 10 references
- Scott DW, Miller WH. Equine dermatology. 1st ed. Amsterdam, Netherlands: Elsevier. (2003) p. 261–320.
- Knottenbelt DC. Pascoe’s principles and practice of equine dermatology. 2nd ed. Philadelphia, USA: Saunders Ltd. (2009). p. 161–185.
- Cafarchia C, Figueredo LA, Otranto D. Fungal diseases of horses. Vet Microbiol (2013) 167:215–34.
- Mueller RS. Virale, bakterielle oder pilzbedingte Hautinfektionen beim Pferd. Pferde Spiegel (2013) 16:106–13.
- Schmelz U, Schaal T, Hämmerle G, Tischendorf T. The further development of cold plasma technology: the effectiveness of a contactless, indirect atmospheric cold plasma method for germ reduction on surfaces in vitro and in vivo. medRxiv (2024).
- Schaal T, Schmelz U. Plasma disinfection procedures for surfaces in emergency service vehicles: a field trial at the German red cross. Sci Rep (2023) 13:20737.
- Matzkeit N, Schulz L, Schleusser S, Jensen JO, Stang FH, Mailaender P. Cold atmospheric plasma improves cutaneous microcirculation in standardized acute wounds: results of a controlled, prospective cohort study. Microvasc Res (2021) 138:104211.
- Schleusser S, Schulz L, Song J, Deichmann H, Griesmann AC, Stang FH. A single application of cold atmospheric plasma (CAP) improves blood flow parameters in chronic wounds. Microcirculation (2022) 29:e12754.
- Jensen JO, Schulz L, Schleusser S, Matzkeit N, Stang FH, Mailaender P. The repetitive application of cold atmospheric plasma (CAP) improves microcirculation parameters in chronic wounds. Microvasc Res (2021) 138:104220.
- Schmelz U, Schaal T, Pitten FA, Tischendorf T. New approaches to disinfection of thermolabile medical devices using an indirect method with cold atmospheric plasma-aerosol. Sci Rep (2025) 15:19311.
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