Analyze Diet
Viruses2024; 16(12); doi: 10.3390/v16121963

Investigation of an Outbreak of Equine Herpesvirus-1 Myeloencephalopathy in a Population of Aged Working Equids.

Abstract: The objective of this study was to describe an outbreak of equine herpesvirus-1 myeloencephalopathy (EHM) in a population of aged equids. The outbreak was linked to the introduction of five healthy non-resident horses 15 days prior to the first case of acute recumbency. This fulminant EHM outbreak was predisposed by the grouping of the 33 unvaccinated animals in two large pens with shared water and feed troughs. Fourteen horses (42.4%) developed neurological deficits within the first week of the outbreak. Four additional equids developed fever and respiratory signs (EHV-1 infection), while fifteen horses remained healthy. EHM was supported by the detection of EHV-1 N752 in blood (n = 11) and/or nasal secretions (9). Three out of four equids with EHV-1 infection and two out of fifteen healthy horses tested qPCR-positive for EHV-1. All animals were managed in the field. EHM and EHV-1 equids were treated with a combination of antiherpetic, anti-inflammatory, and antithrombotic drugs. Six out of fourteen EHM horses (42.9%) were euthanized because of recumbence and the inability to stand with assistance or vestibular signs. Anti-EHV-1 total IgG and IgG 4/7 levels in acute serum samples showed no significant difference amongst the three disease groups (p > 0.05); however, antibody levels rose significantly between acute and convalescent serum samples for EHM (p = 0.0001) and EHV-1 equids (p = 0.02). This outbreak highlights a very high EHM attack and fatality rate in a population of aged equids and rapid spread of EHV-1, as the population shared common pens and feeding practices. The outbreak also showed that EHM cases can be managed in the field when referral to a hospital is not an option.
Publication Date: 2024-12-21 PubMed ID: 39772269PubMed Central: PMC11728824DOI: 10.3390/v16121963Google 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.
  • Case Reports
  • 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 investigates an outbreak of the equine herpesvirus-1 myeloencephalopathy (EHM) disease in a group of aged horses and its link to the introduction of new horses and common living conditions. The research discusses the treatment used and the response in terms of antibodies, noting that the disease can be managed on-site when hospital referral is not possible.

Context and Objective of the Study

  • The study was aimed at investigating an outbreak of EHM, a neurologic disease caused by equine herpesvirus-1 (EHV-1), in a group of aged horses.
  • The outbreak happened after the introduction of five new horses, and it quickly spread amongst the horses that were grouped in two pens, consuming water and food from shared troughs.

Outbreak and Symptomatic Observation

  • The outbreak was severe and swift; 42.4% of the horses showed neurological deficits within the first week.
  • Along with EHM, four additional horses showed symptoms of fever and respiratory signs indicative of EHV-1 infection, while fifteen horses did not exhibit any symptoms.
  • EHM was confirmed with the detection of EHV-1 N in the blood and nasal secretions of the affected horses.

Management and Treatment

  • All horses were managed onsite, with EHM and EHV-1 positive horses given a combination of antiherpetic, anti-inflammatory, and antithrombotic drugs.
  • Of the horses that developed EHM, around 42.9% had to be euthanized due to severe symptoms, such as recumbency (inability to get up) and extreme vestibular signs (indicative of a problem with balance).

Impact on Immunity: Antibody Levels

  • The acute serum samples showed no significant difference in the Anti-EHV-1 total IgG and IgG 4/7 levels among the three disease groups. This means that the initial immune response did not vary significantly between the different groups of horses.
  • However, when compared to the convalescent serum samples, a significant increase in antibody levels was observed for EHM and EHV-1 affected horses. This shows the body’s increased immune response to the EHV-1 infection over time.

Final Observations

  • The study emphasizes the rapidity of EHM outbreak and the high fatality rate in an aged population of horses, especially under shared penning and feeding conditions.
  • The research also suggests that with appropriate treatment, EHM cases can be effectively managed on the field without the need for hospital referral.

Cite This Article

APA
Pusterla N, Lawton K, Barnum S, Ross K, Purcell K. (2024). Investigation of an Outbreak of Equine Herpesvirus-1 Myeloencephalopathy in a Population of Aged Working Equids. Viruses, 16(12). https://doi.org/10.3390/v16121963

Publication

ISSN: 1999-4915
NlmUniqueID: 101509722
Country: Switzerland
Language: English
Volume: 16
Issue: 12

Researcher Affiliations

Pusterla, Nicola
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
Lawton, Kaila
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
Barnum, Samantha
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
Ross, Kelly
  • Camp Richardson Corral, South Lake Tahoe, CA 96150, USA.
Purcell, Kris
  • Carson Valley Large Animal Clinic, Gardnerville, NV 89460, USA.

MeSH Terms

  • Animals
  • Antibodies, Viral / blood
  • Disease Outbreaks / veterinary
  • Herpesviridae Infections / veterinary
  • Herpesviridae Infections / epidemiology
  • Herpesviridae Infections / virology
  • Herpesvirus 1, Equid / isolation & purification
  • Herpesvirus 1, Equid / genetics
  • Horse Diseases / virology
  • Horse Diseases / epidemiology
  • Horses / virology

Conflict of Interest Statement

The authors declare no conflicts of interest.

References

This article includes 23 references
  1. Oladunni FS, Horohov DW, Chambers TM. EHV-1: A constant threat to the horse industry.. Front. Microbiol. 2019;10:2668.
    doi: 10.3389/fmicb.2019.02668pmc: PMC6901505pubmed: 31849857google scholar: lookup
  2. Traub-Dargatz JL, Pelzel-McCluskey AM, Creekmore LH, Geiser-Novotny S, Kasari TR, Wiedenheft AM, Bush EJ, Bjork KE. Case-control study of a multistate equine herpesvirus myeloencephalopathy outbreak.. J. Vet. Intern. Med. 2013;27:339–346.
    doi: 10.1111/jvim.12051pubmed: 23398291google scholar: lookup
  3. Wilcox A, Barnum S, Wademan C, Corbin R, Escobar E, Hodzic E, Schumacher S, Pusterla N. Frequency of detection of respiratory pathogens in clinically healthy show horses following a multi-county outbreak of equine herpesvirus-1 myeloencephalopathy in California.. Pathogens 2022;11:1161.
    doi: 10.3390/pathogens11101161pmc: PMC9612363pubmed: 36297218google scholar: lookup
  4. Couroucé A, Normand C, Tessier C, Pomares R, Thévenot J, Marcillaud-Pitel C, Legrand L, Pitel PH, Pronost S, Lupo C. Equine herpesvirus-1 outbreak during a show-jumping competition: A clinical and epidemiological study.. J. Equine Vet. Sci. 2023;128:104869.
    doi: 10.1016/j.jevs.2023.104869pubmed: 37339699google scholar: lookup
  5. Pusterla N, Hussey GS, Goehring LS. Equine herpesvirus-1 myeloencephalopathy.. Vet. Clin. N. Am. Equine Pract. 2022;38:339–362.
    doi: 10.1016/j.cveq.2022.05.006pubmed: 35811201google scholar: lookup
  6. Pronost S, Legrand L, Pitel PH, Wegge B, Lissens J, Freymuth F, Richard E, Fortier G. Outbreak of equine herpesvirus myeloencephalopathy in France: A clinical and molecular investigation.. Transbound. Emerg. Dis. 2012;59:256–263.
  7. Lunn DP, Burgess BA, Dorman DC, Goehring LS, Gross P, Osterrieder K, Pusterla N, Soboll Hussey G. Updated ACVIM consensus statement on equine herpesvirus-1.. J. Vet. Intern. Med. 2024;38:1290–1299.
    doi: 10.1111/jvim.17047pmc: PMC11099706pubmed: 38497217google scholar: lookup
  8. Goehring LS, van Winden SC, van Maanen C, Sloet van Oldruitenborgh-Oosterbaan MM. Equine herpesvirus type 1-associated myeloencephalopathy in The Netherlands: A four-year retrospective study (1999–2003). J. Vet. Intern. Med. 2006;20:601–607.
    pubmed: 16734096
  9. Klouth E, Zablotski Y, Goehring LS. Apparent breed predilection for equid herpesvirus-1-associated myeloencephalopathy (EHM) in a multiple-breed herd.. Pathogens 2021;10:537.
    doi: 10.3390/pathogens10050537pmc: PMC8145278pubmed: 33947126google scholar: lookup
  10. Klouth E, Zablotski Y, Petersen JL, de Bruijn M, Gröndahl G, Müller S, Goehring LS. Epidemiological aspects of equid herpesvirus-associated myeloencephalopathy (EHM) outbreaks.. Viruses 2022;14:2576.
    doi: 10.3390/v14112576pmc: PMC9695031pubmed: 36423188google scholar: lookup
  11. Pusterla N, Wilson WD, Mapes S, Finno C, Isbell D, Arthur RM, Ferraro GL. Characterization of viral loads, strain and state of equine herpesvirus-1 using real-time PCR in horses following natural exposure at a racetrack in California.. Vet. J. 2009;179:230–239.
    doi: 10.1016/j.tvjl.2007.09.018pubmed: 18024200google scholar: lookup
  12. Pusterla N, Barnum S, Miller J, Varnell S, Dallap-Schaer B, Aceto H, Simeone A. Investigation of an EHV-1 outbreak in the United States caused by a new H752 genotype.. Pathogens 2021;10:747.
    doi: 10.3390/pathogens10060747pmc: PMC8231618pubmed: 34199153google scholar: lookup
  13. Goodman L, Wagner B, Flaminio M, Sussman K, Metzger S, Holland R, Osterrieder K. Comparison of the efficacy of inactivated combination and modified-live virus vaccines against challenge infection with neuropathogenic equine herpesvirus type 1 (EHV-1). Vaccine 2006;24:3636–3645.
    doi: 10.1016/j.vaccine.2006.01.062pubmed: 16513225google scholar: lookup
  14. Burgess BA, Tokateloff N, Manning S, Lohmann K, Lunn DP, Hussey SB, Morley PS. Nasal shedding of equine herpesvirus-1 from horses in an outbreak of equine herpes myeloencephalopathy in Western Canada.. J. Vet. Intern. Med. 2012;26:384–392.
  15. Pusterla N, Mapes S, Wademan C, White A, Estell K, Swain E. Investigation of the role of mules as silent shedders of EHV-1 during an outbreak of EHV-1 myeloencephalopathy in California.. Vet. Rec. 2012;170:465.
    doi: 10.1136/vr.100598pubmed: 22472540google scholar: lookup
  16. Allen GP. Risk factors for development of neurologic disease after experimental exposure to equine herpesvirus-1 in horses.. Am. J. Vet. Res. 2008;69:1595–1600.
    doi: 10.2460/ajvr.69.12.1595pubmed: 19046006google scholar: lookup
  17. Giessler KS, Goehring LS, Jacob SI, Davis A, Esser MM, Lee Y, Zarski LM, Weber PSD, Hussey GS. Impact of the host immune response on the development of equine herpesvirus myeloencephalopathy in horses.. J. Gen. Virol. 2024;105:001987.
    doi: 10.1099/jgv.0.001987pmc: PMC11170125pubmed: 38767608google scholar: lookup
  18. Osterrieder K, Dorman DC, Burgess BA, Goehring LS, Gross P, Neinast C, Pusterla N, Hussey GS, Lunn DP. Vaccination for the prevention of equine herpesvirus-1 disease in domesticated horses: A systematic review and meta-analysis.. J. Vet. Intern. Med. 2024;38:1858–1871.
    doi: 10.1111/jvim.16895pmc: PMC11099739pubmed: 37930113google scholar: lookup
  19. Pusterla N, Mapes S, Wilson WD. Use of viral loads in blood and nasopharyngeal secretions for the diagnosis of EHV-1 infection in field cases.. Vet. Rec. 2008;162:728–729.
    doi: 10.1136/vr.162.22.728pubmed: 18515763google scholar: lookup
  20. Estell KE, Dawson DR, Magdesian KG, Swain E, Laing ST, Siso S, Mapes S, Pusterla N. Quantitative molecular viral loads in 7 horses with naturally occurring equine herpesvirus-1 infection.. Equine Vet. J. 2015;47:689–693.
    doi: 10.1111/evj.12351pubmed: 25212737google scholar: lookup
  21. Pujadas E, Chaudhry F, McBride R, Richter F, Zhao S, Wajnberg A, Nadkarni G, Glicksberg BS, Houldsworth J, Cordon-Cardo C. SARS-CoV-2 viral load predicts COVID-19 mortality.. Lancet Respir. Med. 2020;8:e70.
  22. Goehring L, Dorman DC, Osterrieder K, Burgess BA, Dougherty K, Gross P, Neinast C, Pusterla N, Soboll-Hussey G, Lunn DP. Pharmacologic interventions for the treatment of equine herpesvirus-1 in domesticated horses: A systematic review.. J. Vet. Intern. Med. 2024;38:1892–1905.
    doi: 10.1111/jvim.17016pmc: PMC11099759pubmed: 38380685google scholar: lookup
  23. Eady NA, Holmes C, Schnabel C, Babasyan S, Wagner B. Equine herpesvirus type 1 (EHV-1) replication at the upper respiratory entry site is inhibited by neutralizing EHV-1-specific IgG1 and IgG4/7 mucosal antibodies.. J. Virol. 2024;98:e0025024.
    doi: 10.1128/jvi.00250-24pmc: PMC11237562pubmed: 38742875google scholar: lookup