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Equine monocytic Ehrlichiosis (Potomac horse fever) in horses in Uruguay and southern Brazil.

Abstract: A disease named locally as churrío or churrido equino (i.e., equine scours) has occurred for at least 100 years in Uruguay and southern Brazil in farms along both shores of the Merín lake. This report describes cases of churrido equino and provides serologic, pathologic, and DNA-based evidence indicating that the disease is in fact equine monocytic ehrlichiosis (Potomac horse fever). Results of an epidemiological investigation conducted on an endemic farm are also presented. Clinical signs in 12 horses were fever, depression, diarrhea, dehydration, and sometimes colic and distal hind limb edema. Postmortem findings of 3 horses were of acute enterocolitis. Inclusion bodies containing ehrlichial organisms were found in the cytoplasm of macrophages of the large colon of 1 horse. Eleven of the 12 horses were serologically positive to Ehrlichia risticii (indirect fluorescent antibody assay) and, of 3 paired samples, 2 showed seroconversion. Ehrlichia risticii DNA was identified by a nested polymerase chain reaction in peripheral blood of an affected horse. A healthy horse inoculated with peripheral blood from an affected horse developed the disease and antibodies to E. risticii. The disease had a peak incidence in March (summer) and was statistically associated with a marshy ecosystem near the Merín lake, where large numbers of Pomacea spp. (Ampullariidae) snails were found. Incidence density was almost 8 times higher in nonnative horses than in native horses. It was concluded that the previous diarrheic disease of horses known in Uruguay and southern Brazil as churrido equino is equine monocytic ehrlichiosis.
Publication Date: 2001-10-03 PubMed ID: 11580069DOI: 10.1177/104063870101300514Google Scholar: Lookup
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  • Journal Article

Summary

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This research discovered that a disease known to local communities in Uruguay and southern Brazil as churrío or churrido equino, which has been prevalent for 100 years, is actually equine monocytic ehrlichiosis (Potomac horse fever). Clinical signs from 12 horses, together with epidemiological, pathological, and DNA analysis, confirmed this finding. Plus, the disease showed high connection with the marshy ecosystem doing summers near Merín Lake, where large numbers of Pomacea spp. snails are found. Interestingly, nonnative horses were found to be almost eight times more likely to contract the disease than native horses.

Overview of the Study

  • The purpose of this research was to accurately identify a mostly misinterpreted disease known amongst local communities in Uruguay and southern Brazil as equine scours or churrido equino.
  • This study involved the examination of 12 affected horses, with the extensive analysis of clinical signs, as well as the postmortem findings of 3 horses.
  • In addition, the research also involved an epidemiological investigation conducted on an endemic farm.

Findings and Evidence

  • The symptoms exhibited by the 12 horses involved fever, depression, diarrhea, dehydration, and occasionally edema in the hind limbs and colic.
  • The acute enterocolitis found in the postmortem of three horses, along with cytoplasmic inclusion of ehrlichial organisms in a horse’s large colon, linked strongly to Potomac horse fever.
  • Evidence of Ehrlichia risticii was found in 11 of the horses using the indirect fluorescent antibody assay. More so, a nested polymerase chain reaction in the peripheral blood of an affected horse identified Ehrlichia risticii DNA.
  • Furthermore, a healthy horse developed the disease and antibodies to E. risticii upon inoculation with peripheral blood from a sick horse, providing further validation of the finding.

Disease Incidence and Associations

  • The research showed a peak incidence of the disease in March, the summer season, and found significant correlation with marshy ecosystems around Merín Lake.
  • This region was noted for having large numbers of Pomacea spp. snails, suggesting a possible vector or environmental factor in the disease’s prevalence.
  • The study also found that nonnative horses were nearly 8 times as likely to contract the disease as native horses, suggesting possible genetic or environmental adaptations in the latter.

Conclusion

  • The research hence concluded that the disease traditionally identified as churrido equino in Uruguay and southern Brazil is actually equine monocytic ehrlichiosis (Potomac horse fever).
  • It emphasizes the importance of accurate disease identification and understanding of local epidemiological factors in disease management and control.

Cite This Article

APA
Dutra F, Schuch LF, Delucchi E, Curcio BR, Coimbra H, Raffi MB, Dellagostin O, Riet-Correa F. (2001). Equine monocytic Ehrlichiosis (Potomac horse fever) in horses in Uruguay and southern Brazil. J Vet Diagn Invest, 13(5), 433-437. https://doi.org/10.1177/104063870101300514

Publication

ISSN: 1040-6387
NlmUniqueID: 9011490
Country: United States
Language: English
Volume: 13
Issue: 5
Pages: 433-437

Researcher Affiliations

Dutra, F
  • DILAVE Miguel C Rubino, Laboratorio Regional Este, Treinta y Tres, Uruguay.
Schuch, L F
    Delucchi, E
      Curcio, B R
        Coimbra, H
          Raffi, M B
            Dellagostin, O
              Riet-Correa, F

                MeSH Terms

                • Animals
                • Brazil / epidemiology
                • DNA, Bacterial / analysis
                • Diarrhea / etiology
                • Diarrhea / veterinary
                • Disease Outbreaks / veterinary
                • Ecosystem
                • Ehrlichia / genetics
                • Ehrlichia / pathogenicity
                • Ehrlichiosis / genetics
                • Ehrlichiosis / pathology
                • Ehrlichiosis / veterinary
                • Enterocolitis / etiology
                • Enterocolitis / veterinary
                • Female
                • Horse Diseases / genetics
                • Horse Diseases / pathology
                • Horses
                • Male
                • Polymerase Chain Reaction
                • Seasons
                • Snails
                • Uruguay / epidemiology

                Citations

                This article has been cited 8 times.
                1. 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
                2. Chapuis RJJ, Smith JS, French HM, Toka FN, Peterson EW, Little EL. Nonlinear Mixed-Effect Pharmacokinetic Modeling and Distribution of Doxycycline in Healthy Female Donkeys after Multiple Intragastric Dosing-Preliminary Investigation.. Animals (Basel) 2021 Jul 9;11(7).
                  doi: 10.3390/ani11072047pubmed: 34359175google scholar: lookup
                3. Paulino PG, Almosny N, Oliveira R, Viscardi V, Müller A, Guimarães A, Baldani C, da Silva C, Peckle M, Massard C, Santos H. Detection of Neorickettsia risticii, the agent of Potomac horse fever, in horses from Rio de Janeiro, Brazil.. Sci Rep 2020 Apr 29;10(1):7208.
                  doi: 10.1038/s41598-020-64328-2pubmed: 32350359google scholar: lookup
                4. McNulty SN, Tort JF, Rinaldi G, Fischer K, Rosa BA, Smircich P, Fontenla S, Choi YJ, Tyagi R, Hallsworth-Pepin K, Mann VH, Kammili L, Latham PS, Dell'Oca N, Dominguez F, Carmona C, Fischer PU, Brindley PJ, Mitreva M. Genomes of Fasciola hepatica from the Americas Reveal Colonization with Neorickettsia Endobacteria Related to the Agents of Potomac Horse and Human Sennetsu Fevers.. PLoS Genet 2017 Jan;13(1):e1006537.
                  doi: 10.1371/journal.pgen.1006537pubmed: 28060841google scholar: lookup
                5. Uzal FA, Diab SS. Gastritis, Enteritis, and Colitis in Horses.. Vet Clin North Am Equine Pract 2015 Aug;31(2):337-58.
                  doi: 10.1016/j.cveq.2015.04.006pubmed: 26048413google scholar: lookup
                6. Baird JD, Arroyo LG. Historical aspects of Potomac horse fever in Ontario (1924-2010).. Can Vet J 2013 Jun;54(6):565-72.
                  pubmed: 24155447
                7. Vieira RF, Vieira TS, Nascimento Ddo A, Martins TF, Krawczak FS, Labruna MB, Chandrashekar R, Marcondes M, Biondo AW, Vidotto O. Serological survey of Ehrlichia species in dogs, horses and humans: zoonotic scenery in a rural settlement from southern Brazil.. Rev Inst Med Trop Sao Paulo 2013 Sep-Oct;55(5):335-40.
                8. Lin M, Zhang C, Gibson K, Rikihisa Y. Analysis of complete genome sequence of Neorickettsia risticii: causative agent of Potomac horse fever.. Nucleic Acids Res 2009 Oct;37(18):6076-91.
                  doi: 10.1093/nar/gkp642pubmed: 19661282google scholar: lookup