Analyze Diet
Veterinary research communications2023; doi: 10.1007/s11259-023-10213-y

Detection of fungi in the airways of horses according to the sample site: a methodological study.

Abstract: Fungal detection in equine airways may be performed on either tracheal wash (TW) or bronchoalveolar lavage fluid (BALF) by either cytology or culture. However, method comparisons are sparse. Our objective was to determine the prevalence of fungi in airways of horses according to the sample site and laboratory methodology. Sixty-two adult horses, investigated in the field or referred for respiratory disease, were included. Tracheal wash, and BALF collected separately from both lungs, were collected using a videoendoscope. Fungi were detected in cytologic samples examined by light microscopy, and by fungal culture. Hay was sampled in the field. Prevalence of fungi was of 91.9% in TW and 37.1% in BALF. Fungi were cultured from 82.3% of TW and 20.9% of BALF. Fungal elements were observed cytologically in 69.4% of TW and 22.6% of BALF. In 50% of horses, the same fungi were detected in both TW and hay, but fungi detected in BALF and hay differed in all horses. Poor agreement was found for the detection of fungi between TW and BALF and between fungal culture and cytologic examination (Cohen's kappa coefficient (κ) < 0.20). Moderate agreement was found between cytologic examination of left and right lungs (κ = 0.47). The prevalence of fungi detected cytologically on pooled BALF was significantly different (p = 0.023) than on combined left and right BALF. Fungi were more prevalent in the TW than BALF, and results suggest that hay might not be the primary source of fungi of the lower respiratory tract of horses.
Publication Date: 2023-09-13 PubMed ID: 37704768PubMed Central: 4913592DOI: 10.1007/s11259-023-10213-yGoogle Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study compares methods to detect fungi in the airways of horses. It finds that fungi were more commonly detected in tracheal wash than bronchoalveolar lavage fluid and suggests that hay may not be the primary source of these fungi.

Research Background

  • The research attempts to compare two different methods for detecting fungal presence in the respiratory system of horses. The methods compared are tracheal wash (TW) which involves introducing a liquid into the trachea and then collecting it back for laboratory analysis, and bronchoalveolar lavage fluid (BALF) which is a similar procedure but is aimed at collecting fluid from deeper within the lungs.
  • The study aims to determine the prevalence of fungi according to both the sample site and lab methodology, aiming to close the knowledge gap that currently exists, as previous comparisons of these methods are sparse.

Methodology

  • For this study, a total of 62 adult horses, both those referred due to respiratory disease and those investigated in the field, were included.
  • Both tracheal wash and BALF (collected from both lungs) were harvested from each horse using a videoendoscope, a device which allows for internal visualization of a patient’s body during sample collection.
  • Fungal presence was then detected using both light microscopy of the cytologic (cellular) samples and through fungal culture. Hay was also sampled for fungal presence.

Findings

  • The research found that the prevalence of fungi detected was significantly higher in TW samples (91.9%) than in BALF samples (37.1%). Further lab analysis demonstrated that fungi were cultured from 82.3% of TW samples and 20.9% of BALF samples.
  • Cytologically, fungal elements were found in 69.4% of TW samples and 22.6% of BALF samples.
  • In 50% of the horses, the same fungi were present in both tracheal wash and hay samples. However, in all cases, the fungi detected in BALF samples were different from those found in hay samples.
  • The study also reports poor agreement between the detection of fungi in tracheal wash and BALF samples, as well as between fungal cultures and cytologic examinations (Cohen’s kappa coefficient (k) < 0.20).
  • Moderate agreement was found between cytologic examinations of left and right lungs (k = 0.47).

Conclusion

  • The research concludes that fungi are more prevalent in samples from the trachea than from deeper within the lungs. Further, it also suggests that hay may not be the primary source of fungal presence in the lower respiratory tract of horses as unlike in tracheal wash samples, the same fungi were not found in bronchoalveolar lavage fluid and collected hay samples.

Cite This Article

APA
Lemonnier LC, Couroucé A, Cessans M, Petit L, Cardwell JM, Barbazanges P, Toquet M-, Richard EA. (2023). Detection of fungi in the airways of horses according to the sample site: a methodological study. Vet Res Commun. https://doi.org/10.1007/s11259-023-10213-y

Publication

ISSN: 1573-7446
NlmUniqueID: 8100520
Country: Switzerland
Language: English

Researcher Affiliations

Lemonnier, L C
  • CISCO-ONIRIS, Department of Equine Internal Medicine, University Veterinary Teaching Hospital, Oniris, 44300, Nantes, France. lemonnier.louise@gmail.com.
Couroucé, A
  • CISCO-ONIRIS, Department of Equine Internal Medicine, University Veterinary Teaching Hospital, Oniris, 44300, Nantes, France.
  • Université de Caen Normandie, BIOTARGEN UR7450, F-14000, Caen, France.
Cessans, M
  • CISCO-ONIRIS, Department of Equine Internal Medicine, University Veterinary Teaching Hospital, Oniris, 44300, Nantes, France.
Petit, L
  • LABÉO (Frank Duncombe), 1 route de Rosel, 14053, Caen, France.
Cardwell, J M
  • Department of Pathobiology and Population Sciences, Royal Veterinary College, Hatfield, Hertfordshire, UK.
Barbazanges, P
  • CISCO-ONIRIS, Department of Equine Internal Medicine, University Veterinary Teaching Hospital, Oniris, 44300, Nantes, France.
Toquet, M -P
  • Université de Caen Normandie, BIOTARGEN UR7450, F-14000, Caen, France.
  • LABÉO (Frank Duncombe), 1 route de Rosel, 14053, Caen, France.
Richard, E A
  • Université de Caen Normandie, BIOTARGEN UR7450, F-14000, Caen, France.
  • LABÉO (Frank Duncombe), 1 route de Rosel, 14053, Caen, France.

References

This article includes 39 references
  1. Bain FT. Cytology of the respiratory tract. Vet Clin North Am: Equine Pract 13:477–486.
    doi: 10.1016/S0749-0739(17)30225-0pubmed: 9368974google scholar: lookup
  2. Borman AM, Palmer MD, Delhaes L, Carrère J, Favennec L, Ranque S, Gangneux J-P, Horré R, Bouchara J-P. Lack of standardization in the procedures for mycological examination of sputum samples from CF patients: a possible cause for variations in the prevalence of filamentous fungi. Med Mycol 48:S88–S97.
    doi: 10.3109/13693786.2010.511287pubmed: 21067335google scholar: lookup
  3. Cha ML, Costa LRR. Inhalation therapy in horses. Vet Clin North Am: Equine Pract 33:29–46.
    doi: 10.1016/j.cveq.2016.11.007pubmed: 28325181google scholar: lookup
  4. Cian F, Monti P, Durham A. Cytology of the lower respiratory tract in horses: an updated review. Equine Vet Educ 27:544–553.
    doi: 10.1111/eve.12376google scholar: lookup
  5. Couëtil LL, Cardwell JM, Gerber V, Lavoie J-P, Léguillette R, Richard EA. Inflammatory airway disease of horses—revised consensus statement. J Vet Intern Med 30:503–515.
    doi: 10.1111/jvim.13824pubmed: 26806374pmc: 4913592google scholar: lookup
  6. Couetil LL, Thompson CA. Airway diagnostics. Veterinary clinics of North America. Equine Pract 36:87–103.
  7. Dauvillier J, Woort F, van Erck-Westergren E. Fungi in respiratory samples of horses with inflammatory airway disease. J Vet Intern Med 33:968–975.
    doi: 10.1111/jvim.15397pubmed: 30576012google scholar: lookup
  8. Denning DW, Pashley C, Hartl D, Wardlaw A, Godet C, Del Giacco S, Delhaes L, Sergejeva S. Fungal allergy in asthma–state of the art and research needs. Clin Translational Allergy 4:14.
    doi: 10.1186/2045-7022-4-14google scholar: lookup
  9. Depecker M, Richard EA, Pitel P-H, Fortier G, Leleu C, Couroucé-Malblanc A. Bronchoalveolar lavage fluid in standardbred racehorses: influence of unilateral/bilateral profiles and cut-off values on lower airway disease diagnosis. Vet J 199:150–156.
    doi: 10.1016/j.tvjl.2013.10.013pubmed: 24225534google scholar: lookup
  10. Derksen F. Equine respiratory disorders. In: Beech J (ed) Applied respiratory physiology. Lea & Febiger, Philadelphia (PA), p 1–26.
  11. Di Pietro R, Dubuc V, Manguin E, Giroux-Lafond R, Bédard C, Boivin R, Lavoie J-P, Vesper SJ, Leclere M. Characterization of fungal exposure and dectin-1 expression in healthy horses and horses with severe asthma. Am J Vet Res 83.
    doi: 10.2460/ajvr.21.09.0143google scholar: lookup
  12. Dial SM. Fungal diagnostics: current techniques and future trends. Vet Clin North Am: Small Anim Pract 37:373–392.
    doi: 10.1016/j.cvsm.2006.11.002pubmed: 17336680google scholar: lookup
  13. Doubli-Bounoua N, Richard EA, Léon A, Pitel P-H, Pronost S, Fortier G. Multiple molecular detection of respiratory viruses and associated signs of airway inflammation in racehorses. Virol J 13:197.
    doi: 10.1186/s12985-016-0657-5pubmed: 27899161pmc: 5129218google scholar: lookup
  14. Gerber V, Straub R, Marti E, Hauptman J, Herholz C, King M, Imhof A, Tahon L, Robinson NE. Endoscopic scoring of mucus quantity and quality: observer and horse variance and relationship to inflammation, mucus viscoelasticity and volume. Equine Vet J 36:576–582.
    doi: 10.2746/0425164044864525google scholar: lookup
  15. Hansen S, Honoré ML, Riihimaki M, Pringle J, Ammentorp AH, Fjeldborg J. Seasonal variation in tracheal mucous and bronchoalveolar lavage cytology for adult clinically healthy stabled horses. J Equine Vet Sci 71:1–5.
  16. Hermange T, Le Corre S, Bizon C, Richard EA, Couroucé A. Bronchoalveolar lavage fluid from both lungs in horses: diagnostic reliability of cytology from pooled samples. Vet J 244:28–33.
    doi: 10.1016/j.tvjl.2018.12.002pubmed: 30825891google scholar: lookup
  17. Heyder J. Deposition of inhaled particles in the human respiratory tract and consequences for regional targeting in respiratory drug delivery. Proc Am Thorac Soc 1:315–320.
    doi: 10.1513/pats.200409-046TApubmed: 16113452google scholar: lookup
  18. Ivester KM, Couëtil LL, Zimmerman NJ. Investigating the link between particulate exposure and airway inflammation in the horse. J Vet Intern Med 28:1653–1665.
    doi: 10.1111/jvim.12458pubmed: 25273818pmc: 4895611google scholar: lookup
  19. Jocelyn NA, Wylie CE, Lean M, Barrelet A, Foote AK. Association of neutrophil morphology with bacterial isolates in equine tracheal wash samples. Equine Vet J 50:752–758.
    doi: 10.1111/evj.12837pubmed: 29603335google scholar: lookup
  20. Kang H, Bienzle D, Lee GKC, Piché É, Viel L, Odemuyiwa SO, Beeler-Marfisi J. Flow cytometric analysis of equine bronchoalveolar lavage fluid cells in horses with and without severe equine asthma. Vet Pathol 59:91–99.
    doi: 10.1177/03009858211042588pubmed: 34521286google scholar: lookup
  21. Kutasi O, Balogh N, Lajos Z, Nagy K, Szenci O. Diagnostic approaches for the assessment of equine chronic pulmonary disorders. J Equine Vet Sci 31:400–410.
  22. Malikides N, Hughes K, Hodgson D, Hodgson J. Comparison of tracheal aspirates and bronchoalveolar lavage in racehorses 2. Evaluation of the diagnostic significance of neutrophil percentage. Australian Vet J 81:685–687.
  23. McGorum BC, Dixon PM, Halliwell REW. Responses of horses affected with chronic obstructive pulmonary disease to inhalation challenges with mould antigens. Equine Vet J 25:261–267.
  24. Nardoni S, Mancianti F, Sgorbini M, Taccini F, Corazza M. Identification and seasonal distribution of airborne fungi in three horse stables in Italy. Mycopathologia 160:29–34.
    doi: 10.1007/s11046-005-2669-3pubmed: 16160766google scholar: lookup
  25. Olave CJ, Ivester KM, Couetil LL, Kritchevsky JE, Tinkler SH, Mukhopadhyay A. Dust exposure and pulmonary inflammation in standardbred racehorses fed dry hay or haylage: a pilot study. Vet J 271:105654.
    doi: 10.1016/j.tvjl.2021.105654pubmed: 33840486google scholar: lookup
  26. Orard M, Depecker M, Hue E, Pitel P-H, Couroucé-Malblanc A, Richard EA. Influence of bronchoalveolar lavage volume on cytological profiles and subsequent diagnosis of inflammatory airway disease in horses. Vet J 207:193–195.
    doi: 10.1016/j.tvjl.2015.09.027pubmed: 27152385google scholar: lookup
  27. Pashley CH, Fairs A, Morley JP, Tailor S, Agbetile J, Bafadhel M, Brightling CE, Wardlaw AJ. Routine processing procedures for isolating filamentous fungi from respiratory sputum samples may underestimate fungal prevalence. Med Mycol 50:433–438.
    doi: 10.3109/13693786.2011.615762pubmed: 21961802google scholar: lookup
  28. Pirie RS, Collie DDS, Dixon PM, McGorum BC. Evaluation of nebulised hay dust suspensions (HDS) for the diagnosis and investigation of heaves. 2: Effects of inhaled HDS on control and heaves horses. Equine Vet J 34:337–342.
    doi: 10.2746/042516402776249074pubmed: 12117104google scholar: lookup
  29. Pirie RS, Collie DDS, Dixon PM, McGorum BC. Inhaled endotoxin and organic dust particulates have synergistic proinflammatory effects in equine heaves (organic dust-induced asthma): Dust particulates in equine heaves. Clin Experimental Allergy 33:676–683.
  30. Raidal S, Bailey G, Love D. Effect of transportation on lower respiratory tract contamination and peripheral blood neutrophil function. Australian Vet J 75:433–438.
  31. Raidal SL, Love DN, Bailey G. Effects of posture and accumulated airway secretions on tracheal mucociliary transport in the horse. Australian Vet J 73:45–49.
  32. Raker CW, Boles CL. Pharyngeal lymphoid hyperplasia in the horse. J Equine Med Surg 2(4):202–207.
  33. Richard EA, Fortier GD, Lekeux PM, Erck EV. Laboratory findings in respiratory fluids of the poorly-performing horse. Vet J 185:115–122.
    doi: 10.1016/j.tvjl.2009.05.003pubmed: 19481964google scholar: lookup
  34. Richard EA, Maillard K. Syndrome d’inflammation trachéale: évaluation clinique et bactériologique. Pratique Vétérinaire Équine 41:45–49.
  35. Robinson NE, Chairperson W. International workshop on equine chronic airway disease Michigan State University 16–18 June 2000. Equine Vet J 33:5–19.
    doi: 10.2746/042516401776767412pubmed: 11191611google scholar: lookup
  36. Rossi H, Virtala A-M, Raekallio M, Rahkonen E, Rajamäki MM, Mykkänen A. Comparison of tracheal wash and bronchoalveolar lavage cytology in 154 horses with and without respiratory signs in a referral hospital over 2009 – 2015. Front Vet Sci 5:61.
    doi: 10.3389/fvets.2018.00061pubmed: 29632867pmc: 5879091google scholar: lookup
  37. Secombe C, Lester G, Robertson I, Cullimore A. Retrospective survey of bronchoalveolar lavage fluid cytology in western australian horses presented for evaluation of the respiratory tract: effect of season on relative cell percentages. Aust Vet J 93:152–156.
    doi: 10.1111/avj.12315pubmed: 25939261google scholar: lookup
  38. Stewart AJ, Cuming RS. Update on fungal respiratory disease in horses. Vet Clin North Am: Equine Pract 31:43–62.
    doi: 10.1016/j.cveq.2014.11.005pubmed: 25620382google scholar: lookup
  39. Westermann CM, Laan TT, van Nieuwstadt RA, Bull S, Fink-Gremmels J. Effects of antitussive agents administered before bronchoalveolar lavage in horses. ajvr 66:1420–1424.
    doi: 10.2460/ajvr.2005.66.1420pubmed: 16173487google scholar: lookup

Citations

This article has been cited 0 times.