Equine multinodular pulmonary fibrosis in three horses in Australia.
Abstract: Equine multinodular pulmonary fibrosis (EMPF) is a recently described form of interstitial pneumonia associated with the presence of equine herpesvirus type 5 (EHV-5). Since 2007, several case reports from America, Europe and the United Kingdom have further characterised the clinical presentation and laboratory findings of this disease. Methods: Three Thoroughbred broodmares were diagnosed with EMPF. Diagnosis was based on lung histopathology and positive identification of EHV-5 using PCR DNA amplification. There was multiple organ involvement in all three cases, including identification of EHV-5 in hepatic tissue in one case. Two of the three horses died. Treatment with acyclovir was unsuccessful in one horse and one horse survived without antiviral or corticosteroid treatment. Conclusions: This case series is, to the authors' knowledge, the first report of EMPF in Australia and adds to the clinical description of the disease.
© 2013 The Authors. Australian Veterinary Journal © 2013 Australian Veterinary Association.
Publication Date: 2013-06-21 PubMed ID: 23782020DOI: 10.1111/avj.12072Google Scholar: Lookup
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Summary
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This study details the discovery of Equine multinodular pulmonary fibrosis in three horses in Australia. A lung condition linked to the equine herpesvirus type 5, the finding marks the first known cases in the country.
Introduction
- The research discusses Equine multinodular pulmonary fibrosis (EMPF), a type of interstitial pneumonia related to the presence of equine herpesvirus type 5 (EHV-5).
- This lung disease associated with horses has been previously identified in America, Europe, and the United Kingdom since 2007, where several cases have helped trace its clinical presentation and typical laboratory findings.
Methodology and Findings
- The study reports three cases of Thoroughbred broodmares in Australia, diagnosed with this disease.
- The diagnosis was established through lung histopathology – the microscopic examination of lung tissue structure – and through positive identification of EHV-5 using PCR DNA amplification, a laboratory technique used for copying a specific DNA sequence.
- All three cases recorded multiple organ involvement, suggesting the disease’s systemic nature. One particular case even found EHV-5 present in hepatic tissue, indicating liver involvement.
- Regrettably, two of the three horses did not survive the disease.
Treatments and Outcomes
- One of the horses was treated with acyclovir, an antiviral medication commonly used to combat herpesviruses. However, the treatment was not successful in this case.
- Another horse survived without receiving any antiviral or corticosteroid treatment, suggesting possible spontaneous recovery or the existence of undetected mechanisms assisting the horse’s recovery.
Conclusion
- To the researchers’ knowledge, this is the first report of EMPF in Australia, thus adding to the global clinical understanding of this disease.
- While it’s unfortunate that the disease appears to have reached another continent, this geographical expansion offers opportunities for further research on EMPF, potentially leading to more effective control measures and treatments.
Cite This Article
APA
Spelta CW, Axon JE, Begg A, Diallo IS, Carrick JB, Russell CM, Collins NM.
(2013).
Equine multinodular pulmonary fibrosis in three horses in Australia.
Aust Vet J, 91(7), 274-280.
https://doi.org/10.1111/avj.12072 Publication
Researcher Affiliations
- Townsville Vet Clinic, 32-34 Anne St, Aitkenvale, Queensland 4814, Australia. caroline@townsvillevetclinic.com.au
MeSH Terms
- Animals
- Australia
- Biopsy / veterinary
- DNA, Viral / chemistry
- DNA, Viral / genetics
- Fatal Outcome
- Female
- Gammaherpesvirinae / genetics
- Gammaherpesvirinae / isolation & purification
- Herpesviridae Infections / pathology
- Herpesviridae Infections / veterinary
- Herpesviridae Infections / virology
- Histocytochemistry / veterinary
- Horse Diseases / pathology
- Horse Diseases / virology
- Horses
- Polymerase Chain Reaction / veterinary
- Pulmonary Fibrosis / pathology
- Pulmonary Fibrosis / veterinary
- Pulmonary Fibrosis / virology
Citations
This article has been cited 3 times.- Shapter FM, Granados-Soler JL, Stewart AJ, Bertin FR, Allavena R. Equine Crofton Weed (Ageratina spp.) Pneumotoxicity: What Do We Know and What Do We Need to Know?. Animals (Basel) 2023 Jun 23;13(13).
- Easton-Jones CA, Madigan JE, Barnum S, Maxwell LK, Taylor SD, Arnesen T, Pusterla N. Effect of valacyclovir on EHV-5 viral kinetics in horses with equine multinodular pulmonary fibrosis.. J Vet Intern Med 2018 Sep;32(5):1763-1767.
- Marenzoni ML, Stefanetti V, Danzetta ML, Timoney PJ. Gammaherpesvirus infections in equids: a review.. Vet Med (Auckl) 2015;6:91-101.
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