Analyze Diet
Veterinary journal (London, England : 1997)2017; 231; 13-18; doi: 10.1016/j.tvjl.2017.11.004

Enteric coronavirus infection in adult horses.

Abstract: A new enteric virus of adult horses, equine coronavirus (ECoV), has recently been recognized. It is associated with fever, lethargy, anorexia, and less frequently, colic and diarrhea. This enteric virus is transmitted via the feco-oral route and horses become infected by ingesting fecally contaminated feed and water. Various outbreaks have been reported since 2010 from Japan, Europe and the USA. While the clinical signs are fairly non-specific, lymphopenia and neutropenia are often seen. Specific diagnosis is made by the detection of ECoV in feces by either quantitative real-time PCR, electron microscopy or antigen-capture ELISA. Supportive treatment is usually required, as most infections are self-limiting. However, rare complications, such as endotoxemia, septicemia and hyperammonemia-associated encephalopathy, have been reported, and have been related to the loss of barrier function at the intestinal mucosa. This review article will focus on the latest information pertaining to the virus, epidemiology, clinical signs, diagnosis, pathology, treatment and prevention of ECoV infection in adult horses.
Publication Date: 2017-11-20 PubMed ID: 29429482PubMed Central: PMC7110460DOI: 10.1016/j.tvjl.2017.11.004Google 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
  • Review

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 informs about a recently recognized enteric virus in adult horses called equine coronavirus (ECoV) that causes symptoms like lethargy, fever, and anorexia. The research extensively focuses on the nature of the virus, its transmission, symptoms, diagnosis, potential treatment, and prevention methods.

Virus Overview and Transmission

  • In this research, an enteric virus in adult horses known as equine coronavirus (ECoV) is being discussed. It is a newly recognized virus affecting horses.
  • The ECoV virus is associated with several symptoms that include fever, lethargy, anorexia, and in some cases, colic and diarrhea.
  • The transmission of this enteric virus occurs via the feco-oral route. Horses become infected when they consume feed and water contaminated with feces.

Epidemiology

  • The paper highlights various outbreaks reported since 2010 from different geographic regions like Japan, Europe, and the USA.
  • It is important to note that the study does not limit the prevalence of the virus to these regions only, signaling a global health concern for horses.

Clinical Signs and Diagnosis

  • The ECoV virus’s clinical signs are rather non-specific, but early indications could be conditions like lymphopenia and neutropenia.
  • According to the research, the diagnosis of ECoV in horses is done by detecting the virus in feces through various methods, including quantitative real-time PCR, electron microscopy, or antigen-capture ELISA.

Treatment and Complications

  • Mostly, the ECoV infections require supportive treatment as most of these infections are self-limiting. But rare complications could arise due to infections, such as endotoxemia, septicemia, and encephalopathy linked with hyperammonemia.
  • The study stipulates that such complications often arise due to the harmful effects of the virus on the intestinal mucosa, which leads to a loss in barrier function.

Conclusion and Future Work

  • Overall, this research article offers a detailed review of all the latest information relative to the ECoV virus, including its epidemiology, clinical signs, diagnosis, pathology, treatment, and prevention.
  • This study marks the beginning for future research aimed at reducing the prevalence of ECoV virus and enhancing the overall well-being of horses globally.

Cite This Article

APA
Pusterla N, Vin R, Leutenegger CM, Mittel LD, Divers TJ. (2017). Enteric coronavirus infection in adult horses. Vet J, 231, 13-18. https://doi.org/10.1016/j.tvjl.2017.11.004

Publication

ISSN: 1532-2971
NlmUniqueID: 9706281
Country: England
Language: English
Volume: 231
Pages: 13-18
PII: S1090-0233(17)30222-8

Researcher Affiliations

Pusterla, N
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA. Electronic address: npusterla@ucdavis.edu.
Vin, R
  • Myhre Equine Clinic, Rochester, NH 03867, USA.
Leutenegger, C M
  • IDEXX Laboratories, West Sacramento, CA 95605, USA.
Mittel, L D
  • College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
Divers, T J
  • College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.

MeSH Terms

  • Animals
  • Betacoronavirus 1 / physiology
  • Coronavirus Infections / diagnosis
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / prevention & control
  • Coronavirus Infections / veterinary
  • Horse Diseases / diagnosis
  • Horse Diseases / epidemiology
  • Horse Diseases / pathology
  • Horse Diseases / prevention & control
  • Horses

References

This article includes 33 references
  1. Brockmeier SL, Loving CL, Nicholson TL, Palmer MV. Coinfection of pigs with porcine respiratory coronavirus and Bordetella bronchiseptica.. Vet Microbiol 2008 Apr 1;128(1-2):36-47.
  2. Chang HW, Egberink HF, Halpin R, Spiro DJ, Rottier PJ. Spike protein fusion peptide and feline coronavirus virulence.. Emerg Infect Dis 2012 Jul;18(7):1089-95.
    pmc: PMC3376813pubmed: 22709821doi: 10.3201/eid1807.120143google scholar: lookup
  3. Chen WJ, Yang JY, Lin JH, Fann CS, Osyetrov V, King CC, Chen YM, Chang HL, Kuo HW, Liao F, Ho MS. Nasopharyngeal shedding of severe acute respiratory syndrome-associated coronavirus is associated with genetic polymorphisms.. Clin Infect Dis 2006 Jun 1;42(11):1561-9.
    pmc: PMC7107974pubmed: 16652313doi: 10.1086/503843google scholar: lookup
  4. Davis E, Rush BR, Cox J, DeBey B, Kapil S. Neonatal enterocolitis associated with coronavirus infection in a foal: a case report.. J Vet Diagn Invest 2000 Mar;12(2):153-6.
    pubmed: 10730946doi: 10.1177/104063870001200210google scholar: lookup
  5. Fielding CL, Higgins JK, Higgins JC, McIntosh S, Scott E, Giannitti F, Mete A, Pusterla N. Disease associated with equine coronavirus infection and high case fatality rate.. J Vet Intern Med 2015 Jan;29(1):307-10.
    pmc: PMC4858071pubmed: 25319406doi: 10.1111/jvim.12480google scholar: lookup
  6. Giannitti F, Diab S, Mete A, Stanton JB, Fielding L, Crossley B, Sverlow K, Fish S, Mapes S, Scott L, Pusterla N. Necrotizing Enteritis and Hyperammonemic Encephalopathy Associated With Equine Coronavirus Infection in Equids.. Vet Pathol 2015 Nov;52(6):1148-56.
    pubmed: 25648965doi: 10.1177/0300985814568683google scholar: lookup
  7. Guy JS, Breslin JJ, Breuhaus B, Vivrette S, Smith LG. Characterization of a coronavirus isolated from a diarrheic foal.. J Clin Microbiol 2000 Dec;38(12):4523-6.
  8. Hemida MG, Chu DKW, Perera RAPM, Ko RLW, So RTY, Ng BCY, Chan SMS, Chu S, Alnaeem AA, Alhammadi MA, Webby RJ, Poon LLM, Balasuriya UBR, Peiris M. Coronavirus infections in horses in Saudi Arabia and Oman.. Transbound Emerg Dis 2017 Dec;64(6):2093-2103.
    pmc: PMC7169745pubmed: 28296228doi: 10.1111/tbed.12630google scholar: lookup
  9. Hung IF, Lau SK, Woo PC, Yuen KY. Viral loads in clinical specimens and SARS manifestations.. Hong Kong Med J 2009 Dec;15 Suppl 9:20-2.
    pubmed: 20393220
  10. Kooijman LJ, James K, Mapes SM, Theelen MJ, Pusterla N. Seroprevalence and risk factors for infection with equine coronavirus in healthy horses in the USA.. Vet J 2017 Feb;220:91-94.
    pmc: PMC7110631pubmed: 28190504doi: 10.1016/j.tvjl.2017.01.007google scholar: lookup
  11. Miszczak F, Tesson V, Kin N, Dina J, Balasuriya UB, Pronost S, Vabret A. First detection of equine coronavirus (ECoV) in Europe.. Vet Microbiol 2014 Jun 25;171(1-2):206-9.
  12. Nemoto M, Oue Y, Morita Y, Kanno T, Kinoshita Y, Niwa H, Ueno T, Katayama Y, Bannai H, Tsujimura K, Yamanaka T, Kondo T. Experimental inoculation of equine coronavirus into Japanese draft horses.. Arch Virol 2014 Dec;159(12):3329-34.
    pmc: PMC7087042pubmed: 25139547doi: 10.1007/s00705-014-2205-1google scholar: lookup
  13. Nemoto M, Oue Y, Murakami S, Kanno T, Bannai H, Tsujimura K, Yamanaka T, Kondo T. Complete genome analysis of equine coronavirus isolated in Japan.. Arch Virol 2015 Nov;160(11):2903-6.
    pmc: PMC7086706pubmed: 26271151doi: 10.1007/s00705-015-2565-1google scholar: lookup
  14. Nemoto M, Oue Y, Higuchi T, Kinoshita Y, Bannai H, Tsujimura K, Yamanaka T, Kondo T. Low prevalence of equine coronavirus in foals in the largest thoroughbred horse breeding region of Japan, 2012-2014.. Acta Vet Scand 2015 Sep 22;57(1):53.
    pmc: PMC4579792pubmed: 26395082doi: 10.1186/s13028-015-0149-4google scholar: lookup
  15. O'Neill R, Mooney J, Connaghan E, Furphy C, Graham DA. Patterns of detection of respiratory viruses in nasal swabs from calves in Ireland: a retrospective study.. Vet Rec 2014 Oct 11;175(14):351.
    pubmed: 25037889doi: 10.1136/vr.102574google scholar: lookup
  16. Oue Y, Ishihara R, Edamatsu H, Morita Y, Yoshida M, Yoshima M, Hatama S, Murakami K, Kanno T. Isolation of an equine coronavirus from adult horses with pyrogenic and enteric disease and its antigenic and genomic characterization in comparison with the NC99 strain.. Vet Microbiol 2011 May 12;150(1-2):41-8.
  17. Oue Y, Morita Y, Kondo T, Nemoto M. Epidemic of equine coronavirus at Obihiro Racecourse, Hokkaido, Japan in 2012.. J Vet Med Sci 2013;75(9):1261-5.
    pubmed: 23648375doi: 10.1292/jvms.13-0056google scholar: lookup
  18. Pakpinyo S, Ley DH, Barnes HJ, Vaillancourt JP, Guy JS. Enhancement of enteropathogenic Escherichia coli pathogenicity in young turkeys by concurrent turkey coronavirus infection.. Avian Dis 2003 Apr-Jun;47(2):396-405.
  19. Pusterla N, Mapes S, Wademan C, White A, Ball R, Sapp K, Burns P, Ormond C, Butterworth K, Bartol J, Magdesian KG. Emerging outbreaks associated with equine coronavirus in adult horses.. Vet Microbiol 2013 Feb 22;162(1):228-31.
  20. Pusterla N, Holzenkaempfer N, Mapes S, Kass P. Prevalence of equine coronavirus in nasal secretions from horses with fever and upper respiratory tract infection.. Vet Rec 2015 Sep 19;177(11):289.
    pubmed: 26260064doi: 10.1136/vr.103263google scholar: lookup
  21. Pusterla N, Vin R, Leutenegger C, Mittel L.D, Divers T.J. Equine coronavirus: an emerging enteric virus of adult horses.. Equine Veterinary Education 2016;28:216–223.
  22. Saif LJ, Redman DR, Moorhead PD, Theil KW. Experimentally induced coronavirus infections in calves: viral replication in the respiratory and intestinal tracts.. Am J Vet Res 1986 Jul;47(7):1426-32.
    pubmed: 3017160
  23. Slovis NM, Elam J, Estrada M, Leutenegger CM. Infectious agents associated with diarrhoea in neonatal foals in central Kentucky: a comprehensive molecular study.. Equine Vet J 2014 May;46(3):311-6.
    pmc: PMC7163618pubmed: 23773143doi: 10.1111/evj.12119google scholar: lookup
  24. Srikumaran S, Kelling CL, Ambagala A. Immune evasion by pathogens of bovine respiratory disease complex.. Anim Health Res Rev 2007 Dec;8(2):215-29.
    pubmed: 18218162doi: 10.1017/s1466252307001326google scholar: lookup
  25. Tråvén M, Näslund K, Linde N, Linde B, Silván A, Fossum C, Hedlund KO, Larsson B. Experimental reproduction of winter dysentery in lactating cows using BCV -- comparison with BCV infection in milk-fed calves.. Vet Microbiol 2001 Jul 26;81(2):127-51.
  26. Tsunemitsu H, Smith DR, Saif LJ. Experimental inoculation of adult dairy cows with bovine coronavirus and detection of coronavirus in feces by RT-PCR.. Arch Virol 1999;144(1):167-75.
    pmc: PMC7086631pubmed: 10076517doi: 10.1007/s007050050493google scholar: lookup
  27. Vermeulen BL, Devriendt B, Olyslaegers DA, Dedeurwaerder A, Desmarets LM, Favoreel HW, Dewerchin HL, Nauwynck HJ. Suppression of NK cells and regulatory T lymphocytes in cats naturally infected with feline infectious peritonitis virus.. Vet Microbiol 2013 May 31;164(1-2):46-59.
  28. Wang XW, Li JS, Jin M, Zhen B, Kong QX, Song N, Xiao WJ, Yin J, Wei W, Wang GJ, Si BY, Guo BZ, Liu C, Ou GR, Wang MN, Fang TY, Chao FH, Li JW. Study on the resistance of severe acute respiratory syndrome-associated coronavirus.. J Virol Methods 2005 Jun;126(1-2):171-7.
  29. Wege H, Siddell S, ter Meulen V. The biology and pathogenesis of coronaviruses.. Curr Top Microbiol Immunol 1982;99:165-200.
    pubmed: 6178564doi: 10.1007/978-3-642-68528-6_5google scholar: lookup
  30. Weiss SR, Leibowitz JL. Coronavirus pathogenesis.. Adv Virus Res 2011;81:85-164.
  31. Welter MW. Adaptation and serial passage of bovine coronavirus in an established diploid swine testicular cell line and subsequent development of a modified live vaccine.. Adv Exp Med Biol 1998;440:707-11.
    pubmed: 9782348doi: 10.1007/978-1-4615-5331-1_91google scholar: lookup
  32. Woo PC, Lau SK, Lam CS, Lau CC, Tsang AK, Lau JH, Bai R, Teng JL, Tsang CC, Wang M, Zheng BJ, Chan KH, Yuen KY. Discovery of seven novel Mammalian and avian coronaviruses in the genus deltacoronavirus supports bat coronaviruses as the gene source of alphacoronavirus and betacoronavirus and avian coronaviruses as the gene source of gammacoronavirus and deltacoronavirus.. J Virol 2012 Apr;86(7):3995-4008.
    pmc: PMC3302495pubmed: 22278237doi: 10.1128/jvi.06540-11google scholar: lookup
  33. Zhang J, Guy JS, Snijder EJ, Denniston DA, Timoney PJ, Balasuriya UB. Genomic characterization of equine coronavirus.. Virology 2007 Dec 5;369(1):92-104.
    pmc: PMC7103287pubmed: 17706262doi: 10.1016/j.virol.2007.06.035google scholar: lookup

Citations

This article has been cited 34 times.
  1. Stummer M, Frisch V, Glitz F, Hinney B, Spergser J, Krücken J, Diekmann I, Dimmel K, Riedel C, Cavalleri JV, Rümenapf T, Joachim A, Lyrakis M, Auer A. Presence of Equine and Bovine Coronaviruses, Endoparasites, and Bacteria in Fecal Samples of Horses with Colic.. Pathogens 2023 Aug 15;12(8).
    doi: 10.3390/pathogens12081043pubmed: 37624003google scholar: lookup
  2. Bannai H, Kambayashi Y, Ohta M, Nemoto M, Tsujimura K. Prevalence of serum and salivary virus-neutralizing antibodies against equine coronavirus in four riding stables in Japan.. J Equine Sci 2023 Mar;34(1):13-18.
    doi: 10.1294/jes.34.13pubmed: 37155492google scholar: lookup
  3. Hepworth-Warren KL, Erwin SJ, Moore CB, Talbot JR, Young KAS, Neault MJ, Haugland JC, Robertson JB, Blikslager AT. Risk factors associated with an outbreak of equine coronavirus at a large farm in North Carolina.. Front Vet Sci 2023;10:1060759.
    doi: 10.3389/fvets.2023.1060759pubmed: 36937023google scholar: lookup
  4. Lan J, Chen P, Liu W, Ren W, Zhang L, Ding Q, Zhang Q, Wang X, Ge J. Structural insights into the binding of SARS-CoV-2, SARS-CoV, and hCoV-NL63 spike receptor-binding domain to horse ACE2.. Structure 2022 Oct 6;30(10):1432-1442.e4.
    doi: 10.1016/j.str.2022.07.005pubmed: 35917815google scholar: lookup
  5. Smith FL, Heller MC, Crossley BM, Clothier KA, Anderson ML, Barnum SS, Pusterla N, Rowe JD. Diarrhea outbreak associated with coronavirus infection in adult dairy goats.. J Vet Intern Med 2022 Mar;36(2):805-811.
    doi: 10.1111/jvim.16354pubmed: 35165938google scholar: lookup
  6. Shehata AA, Attia YA, Rahman MT, Basiouni S, El-Seedi HR, Azhar EI, Khafaga AF, Hafez HM. Diversity of Coronaviruses with Particular Attention to the Interspecies Transmission of SARS-CoV-2.. Animals (Basel) 2022 Feb 4;12(3).
    doi: 10.3390/ani12030378pubmed: 35158701google scholar: lookup
  7. Uzal FA, Arroyo LG, Navarro MA, Gomez DE, Asín J, Henderson E. Bacterial and viral enterocolitis in horses: a review.. J Vet Diagn Invest 2022 May;34(3):354-375.
    doi: 10.1177/10406387211057469pubmed: 34763560google scholar: lookup
  8. Islam A, Ferdous J, Islam S, Sayeed MA, Dutta Choudhury S, Saha O, Hassan MM, Shirin T. Evolutionary Dynamics and Epidemiology of Endemic and Emerging Coronaviruses in Humans, Domestic Animals, and Wildlife.. Viruses 2021 Sep 23;13(10).
    doi: 10.3390/v13101908pubmed: 34696338google scholar: lookup
  9. Nova N. Cross-Species Transmission of Coronaviruses in Humans and Domestic Mammals, What Are the Ecological Mechanisms Driving Transmission, Spillover, and Disease Emergence?. Front Public Health 2021;9:717941.
    doi: 10.3389/fpubh.2021.717941pubmed: 34660513google scholar: lookup
  10. Guo Z, Zhang Z, Prajapati M, Li Y. Lymphopenia Caused by Virus Infections and the Mechanisms Beyond.. Viruses 2021 Sep 20;13(9).
    doi: 10.3390/v13091876pubmed: 34578457google scholar: lookup
  11. Altan E, Hui A, Li Y, Pesavento P, Asín J, Crossley B, Deng X, Uzal FA, Delwart E. New Parvoviruses and Picornavirus in Tissues and Feces of Foals with Interstitial Pneumonia.. Viruses 2021 Aug 14;13(8).
    doi: 10.3390/v13081612pubmed: 34452477google scholar: lookup
  12. Brüssow H, Brüssow L. Clinical evidence that the pandemic from 1889 to 1891 commonly called the Russian flu might have been an earlier coronavirus pandemic.. Microb Biotechnol 2021 Sep;14(5):1860-1870.
    doi: 10.1111/1751-7915.13889pubmed: 34254725google scholar: lookup
  13. Luethy D, Feldman R, Stefanovski D, Aitken MR. Risk factors for laminitis and nonsurvival in acute colitis: Retrospective study of 85 hospitalized horses (2011-2019).. J Vet Intern Med 2021 Jul;35(4):2019-2025.
    doi: 10.1111/jvim.16147pubmed: 33938584google scholar: lookup
  14. Blondin-Brosseau M, Harlow J, Doctor T, Nasheri N. Examining the persistence of human Coronavirus 229E on fresh produce.. Food Microbiol 2021 Sep;98:103780.
    doi: 10.1016/j.fm.2021.103780pubmed: 33875208google scholar: lookup
  15. Schvartz G, Tirosh-Levy S, Barnum S, David D, Sol A, Pusterla N, Steinman A. Seroprevalence and Risk Factors for Exposure to Equine Coronavirus in Apparently Healthy Horses in Israel.. Animals (Basel) 2021 Mar 21;11(3).
    doi: 10.3390/ani11030894pubmed: 33800990google scholar: lookup
  16. Colina SE, Serena MS, Echeverría MG, Metz GE. Clinical and molecular aspects of veterinary coronaviruses.. Virus Res 2021 May;297:198382.
  17. Bonilauri P, Rugna G. Animal Coronaviruses and SARS-COV-2 in Animals, What Do We Actually Know?. Life (Basel) 2021 Feb 5;11(2).
    doi: 10.3390/life11020123pubmed: 33562645google scholar: lookup
  18. Lerner A, McCarty MF. The Aging Bowel Dysfunction and Elderly Vulnerability towards COVID-19 Infection.. Life (Basel) 2021 Jan 28;11(2).
    doi: 10.3390/life11020097pubmed: 33525368google scholar: lookup
  19. Barengolts E, Smith ED. Considerations for Gut Microbiota and Probiotics in Patients with Diabetes Amidst the Covid-19 Pandemic: A Narrative Review.. Endocr Pract 2020 Oct;26(10):1186-1195.
    doi: 10.4158/EP-2020-0336pubmed: 33471720google scholar: lookup
  20. O'Brien B, Goodridge L, Ronholm J, Nasheri N. Exploring the potential of foodborne transmission of respiratory viruses.. Food Microbiol 2021 May;95:103709.
    doi: 10.1016/j.fm.2020.103709pubmed: 33397626google scholar: lookup
  21. Zappulli V, Ferro S, Bonsembiante F, Brocca G, Calore A, Cavicchioli L, Centelleghe C, Corazzola G, De Vreese S, Gelain ME, Mazzariol S, Moccia V, Rensi N, Sammarco A, Torrigiani F, Verin R, Castagnaro M. Pathology of Coronavirus Infections: A Review of Lesions in Animals in the One-Health Perspective.. Animals (Basel) 2020 Dec 11;10(12).
    doi: 10.3390/ani10122377pubmed: 33322366google scholar: lookup
  22. Poudel U, Subedi D, Pantha S, Dhakal S. Animal coronaviruses and coronavirus disease 2019: Lesson for One Health approach.. Open Vet J 2020 Oct;10(3):239-251.
    doi: 10.4314/ovj.v10i3.1pubmed: 33282694google scholar: lookup
  23. Le NPK, Gerdts V, Singh B. Integrin alpha-v/beta3 expression in equine lungs and jejunum.. Can J Vet Res 2020 Oct;84(4):245-251.
    pubmed: 33012972
  24. Khamassi Khbou M, Daaloul Jedidi M, Bouaicha Zaafouri F, Benzarti M. Coronaviruses in farm animals: Epidemiology and public health implications.. Vet Med Sci 2021 Mar;7(2):322-347.
    doi: 10.1002/vms3.359pubmed: 32976707google scholar: lookup
  25. Haake C, Cook S, Pusterla N, Murphy B. Coronavirus Infections in Companion Animals: Virology, Epidemiology, Clinical and Pathologic Features.. Viruses 2020 Sep 13;12(9).
    doi: 10.3390/v12091023pubmed: 32933150google scholar: lookup
  26. Walshe N, Mulcahy G, Crispie F, Cabrera-Rubio R, Cotter P, Jahns H, Duggan V. Outbreak of acute larval cyathostominosis - A "perfect storm" of inflammation and dysbiosis.. Equine Vet J 2021 Jul;53(4):727-739.
    doi: 10.1111/evj.13350pubmed: 32920897google scholar: lookup
  27. Decaro N, Lorusso A. Novel human coronavirus (SARS-CoV-2): A lesson from animal coronaviruses.. Vet Microbiol 2020 May;244:108693.
    doi: 10.1016/j.vetmic.2020.108693pubmed: 32402329google scholar: lookup
  28. Mattei DN, Kopper JJ, Sanz MG. Equine Coronavirus-Associated Colitis in Horses: A Retrospective Study.. J Equine Vet Sci 2020 Apr;87:102906.
    doi: 10.1016/j.jevs.2019.102906pubmed: 32172908google scholar: lookup
  29. Zhao S, Smits C, Schuurman N, Barnum S, Pusterla N, Kuppeveld FV, Bosch BJ, Maanen KV, Egberink H. Development and Validation of a S1 Protein-Based ELISA for the Specific Detection of Antibodies against Equine Coronavirus.. Viruses 2019 Nov 30;11(12).
    doi: 10.3390/v11121109pubmed: 31801275google scholar: lookup
  30. Nemoto M, Schofield W, Cullinane A. The First Detection of Equine Coronavirus in Adult Horses and Foals in Ireland.. Viruses 2019 Oct 14;11(10).
    doi: 10.3390/v11100946pubmed: 31615132google scholar: lookup
  31. Altan E, Li Y, Sabino-Santos G Jr, Sawaswong V, Barnum S, Pusterla N, Deng X, Delwart E. Viruses in Horses with Neurologic and Respiratory Diseases.. Viruses 2019 Oct 14;11(10).
    doi: 10.3390/v11100942pubmed: 31614994google scholar: lookup
  32. Berryhill EH, Magdesian KG, Aleman M, Pusterla N. Clinical presentation, diagnostic findings, and outcome of adult horses with equine coronavirus infection at a veterinary teaching hospital: 33 cases (2012-2018).. Vet J 2019 Jun;248:95-100.
    doi: 10.1016/j.tvjl.2019.05.001pubmed: 31113572google scholar: lookup
  33. Manship AJ, Blikslager AT, Elfenbein JR. Disease features of equine coronavirus and enteric salmonellosis are similar in horses.. J Vet Intern Med 2019 Mar;33(2):912-917.
    doi: 10.1111/jvim.15386pubmed: 30632200google scholar: lookup
  34. Blacklaws BA, Daly JM. Emerging viruses of zoonotic and veterinary importance.. Vet J 2018 Mar;233:1-2.
    doi: 10.1016/j.tvjl.2017.12.022pubmed: 29486873google scholar: lookup