Equine protozoal myeloencephalitis.
Abstract: Equine protozoal myeloencephalitis (EPM) can be caused by either of 2 related protozoan parasites, Sarcocystis neurona and Neospora hughesi, although S. neurona is the most frequent etiologic pathogen. Horses are commonly infected, but clinical disease occurs infrequently; the factors influencing disease occurrence are not well understood. Risk factors for the development of EPM include the presence of opossums and prior stressful health-related events. Attempts to reproduce EPM experimentally have reliably induced antibody responses in challenged horses but have not consistently produced acute neurologic disease. Diagnosis and options for treatment of EPM have improved over the past decade.
Copyright © 2014 Elsevier Inc. All rights reserved.
Publication Date: 2014-11-06 PubMed ID: 25441115DOI: 10.1016/j.cveq.2014.08.012Google 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
- Clinical Pathology
- Clinical Study
- Diagnosis
- Disease Diagnosis
- Disease Etiology
- Disease Treatment
- Epidemiology
- Equine Diseases
- Equine Health
- Equine Protozoal Myeloencephalitis
- Horses
- Infection
- Infectious Disease
- Neospora
- Neurological Diseases
- Pathogens
- Protozoa
- Risk Factors
- Sarcocystis
- Veterinary Medicine
- Veterinary Research
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.
The research article focuses on Equine protozoal myeloencephalitis (EPM), a disease in horses caused mainly by Sarcocystis neurona protozoan. The study explores the risk factors, diagnostic methods, and treatment options of EPM.
Understanding EPM and Its Causes
- Equine protozoal myeloencephalitis (EPM) is a parasite-induced condition that primarily affects horses. Although the two prevalent culprits are certain protozoan parasites, Sarcocystis neurona and Neospora hughesi, the former is identified as the most common cause of EPM.
- Even though the infection is common in the equine population, the actual disease manifestation is the opposite, leading researchers to assume that specific circumstances or factors leading to the disease are not fully understood.
Risk Factors for EPM
- The investigation identifies the presence of opossums as a risk factor. This correlation is likely due to the fact that opossums are known to be a part of the life cycle of Sarcocystis neurona, spreading the harmful spores in nature which can infect horses.
- Another factor noticed to increase the risk of developing EPM is prior health issues that have stressed the horse’s immune system. This deems logical as weakened immunity provides a favorable environment for the growth and development of pathogenic organisms.
Attempts to Recreate EPM Experimentally
- The article describes attempts to recreate the conditions leading to EPM in a controlled setting. However, these experiments have often resulted in the activation of the horses’ immune response (indicated by antibody production) without the development of acute neurologic disease. This suggests that the presence of the parasites alone may not be sufficient to cause the disease in all horses, highlighting the complex nature of EPM.
Improved Diagnosis and Treatment of EPM
- Diagnostic procedures for EPM have significantly improved over the past decade, according to the research. This will likely lead to accurate and timely identification of infections, allowing for prompt and appropriate treatment.
- The paper also mentions advancements in treatment methods that have proven beneficial in managing and potentially curing EPM, thus leading to a positive prognosis for this equine disease.
Cite This Article
APA
Howe DK, MacKay RJ, Reed SM.
(2014).
Equine protozoal myeloencephalitis.
Vet Clin North Am Equine Pract, 30(3), 659-675.
https://doi.org/10.1016/j.cveq.2014.08.012 Publication
Researcher Affiliations
- Department of Veterinary Science, M.H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546-0099, USA. Electronic address: daniel.howe@uky.edu.
- Department of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 Southwest 16th Avenue, Room VH-136, PO Box 100136, Gainesville, FL 32610-0125, USA.
- Department of Veterinary Science, M.H. Gluck Equine Research Center, University of Kentucky, Lexington, KY 40546-0099, USA; Rood and Riddle Equine Hospital, PO Box 12070, Lexington, KY 40580, USA.
MeSH Terms
- Animals
- Coccidiosis / drug therapy
- Coccidiosis / veterinary
- Encephalomyelitis / drug therapy
- Encephalomyelitis / parasitology
- Encephalomyelitis / veterinary
- Horse Diseases / drug therapy
- Horse Diseases / parasitology
- Horses
- Neospora / isolation & purification
- Risk Factors
- Sarcocystis / isolation & purification
- Sarcocystosis / drug therapy
- Sarcocystosis / veterinary
Citations
This article has been cited 5 times.- Szklarz M, Lipinska A, Slowikowska M, Niedzwiedz A, Marycz K, Janeczek M. Comparison of the clinical and radiographic appearance of the cervical vertebrae with histological and anatomical findings in an eight-month old warmblood stallion suffering from cervical vertebral stenotic myelopathy (CVSM).. BMC Vet Res 2019 Aug 15;15(1):296.
- Schale S, Howe D, Yeargan M, Morrow JK, Graves A, Johnson AL. Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States.. J Vet Intern Med 2018 May;32(3):1210-1214.
- Gutiérrez-Expósito D, García-Bocanegra I, Howe DK, Arenas-Montes A, Yeargan MR, Ness SL, Ortega-Mora LM, Álvarez-García G. A serosurvey of selected cystogenic coccidia in Spanish equids: first detection of anti-Besnoitia spp. specific antibodies in Europe.. BMC Vet Res 2017 May 10;13(1):128.
- Murungi EK, Kariithi HM. Genome-Wide Identification and Evolutionary Analysis of Sarcocystis neurona Protein Kinases.. Pathogens 2017 Mar 21;6(1).
- Van Voorhis WC, Doggett JS, Parsons M, Hulverson MA, Choi R, Arnold SLM, Riggs MW, Hemphill A, Howe DK, Mealey RH, Lau AOT, Merritt EA, Maly DJ, Fan E, Ojo KK. Extended-spectrum antiprotozoal bumped kinase inhibitors: A review.. Exp Parasitol 2017 Sep;180:71-83.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists