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Journal of the American Veterinary Medical Association2004; 225(2); 267-274; doi: 10.2460/javma.2004.225.267

Outcome of equids with clinical signs of West Nile virus infection and factors associated with death.

Abstract: To determine outcome of equids in the western United States with clinical signs of West Nile virus (WNV) infection and identify factors associated with risk of death in infected equids. Methods: Cross-sectional study. Methods: 484 equids in Nebraska and Colorado. Methods: Owners of 484 equids with laboratory-confirmed West Nile virus infection in Nebraska and Colorado were contacted by telephone, and a questionnaire was used to obtain information on signalment, management, clinical signs, date of disease onset, duration of disease, WNV vaccination status, and health status at the time of the interview. Results: 137 of 482 (28.4%) animals died or were euthanatized. Ataxia, lethargy, muscle fasciculations, and weakness were the most common clinical signs of disease. Animals > or = 3 years old were more likely to die than were animals < or = 2 years old. Unvaccinated equids were twice as likely to die as were animals that had been vaccinated at least once prior to the onset of disease. Animals that were recumbent and unable to rise were 78 times as likely to die as were animals that never lost the ability to rise. Females were 2.9 times as likely to die as males. Two hundred seventy-one of 339 (79.9%) animals that survived recovered fully; mean duration of disease for these animals was 22.3 days. Conclusions: Among equids with WNV infection, age, vaccination status, an inability to rise, and sex were associated with the risk of death.
Publication Date: 2004-08-25 PubMed ID: 15323385DOI: 10.2460/javma.2004.225.267Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't
  • Research Support
  • U.S. Gov't
  • Non-P.H.S.

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 research focuses on studying how West Nile virus (WNV) infection impacts the survival of equids (horses, donkeys, etc.) in the western United States and identifying the factors that increase the risk of death due to the disease. It revealed that factors such as the infected animal’s age, vaccination status, ability to rise, and sex influence the likelihood of fatality.

Research Methodology

  • The research was designed as a cross-sectional study involving 484 equids from Nebraska and Colorado.
  • These animals were identified as having laboratory-confirmed West Nile virus infection.
  • The researchers contacted the owners of these animals via telephone and used a questionnaire to gather information related to the animals’ health status, management, clinical signs, date of disease onset, duration of disease, and WNV vaccination status.

Major Findings

  • Out of the total equids in the study, 28.4% (137 of 482) either died or had to be euthanized due to the severity of their condition.
  • The most common clinical signs of the disease observed were ataxia, lethargy, muscle fasciculations, and weakness.
  • Older equids (age three years or above) had a higher likelihood of death in comparison to younger ones (two years old or less).
  • The equids that had not been vaccinated were twice as likely to die compared to the vaccinated ones.
  • Animals that were recumbent and unable to rise were 78 times more likely to die than those who retained the ability to rise.
  • Female equids were found to be 2.9 times more likely to die due to WNV infection compared to males.
  • For the survivors, around 80% (271 out of 339) fully recovered from the disease, with an average recovery time of 22.3 days.

Conclusion

  • The research concluded that factors such as age, vaccination status, inability to rise, and sex played a critical role in influencing the risk of death among equids with West Nile virus infection.

Cite This Article

APA
Salazar P, Traub-Dargatz JL, Morley PS, Wilmot DD, Steffen DJ, Cunningham WE, Salman MD. (2004). Outcome of equids with clinical signs of West Nile virus infection and factors associated with death. J Am Vet Med Assoc, 225(2), 267-274. https://doi.org/10.2460/javma.2004.225.267

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 225
Issue: 2
Pages: 267-274

Researcher Affiliations

Salazar, Patricia
  • Animal Population Health Institute, Colorado State University, Fort Collins, CO 80523, USA.
Traub-Dargatz, Josie L
    Morley, Paul S
      Wilmot, Delwin D
        Steffen, David J
          Cunningham, Wayne E
            Salman, M D

              MeSH Terms

              • Age Factors
              • Animal Husbandry / methods
              • Animals
              • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
              • Antiviral Agents / therapeutic use
              • Colorado / epidemiology
              • Cross-Sectional Studies
              • Female
              • Horse Diseases / drug therapy
              • Horse Diseases / mortality
              • Horses
              • Logistic Models
              • Male
              • Nebraska / epidemiology
              • Risk Factors
              • Sex Factors
              • Survival Analysis
              • Treatment Outcome
              • Vaccination / statistics & numerical data
              • Vaccination / veterinary
              • West Nile Fever / drug therapy
              • West Nile Fever / mortality
              • West Nile Fever / veterinary
              • West Nile virus / pathogenicity

              Citations

              This article has been cited 26 times.
              1. DeNotta S, McFarlane D. Immunosenescence and inflammaging in the aged horse. Immun Ageing 2023 Jan 6;20(1):2.
                doi: 10.1186/s12979-022-00325-5pubmed: 36609345google scholar: lookup
              2. Fehér OE, Fehérvári P, Tolnai CH, Forgách P, Malik P, Jerzsele Á, Wagenhoffer Z, Szenci O, Korbacska-Kutasi O. Epidemiology and Clinical Manifestation of West Nile Virus Infections of Equines in Hungary, 2007-2020. Viruses 2022 Nov 18;14(11).
                doi: 10.3390/v14112551pubmed: 36423160google scholar: lookup
              3. Cavalleri JV, Korbacska-Kutasi O, Leblond A, Paillot R, Pusterla N, Steinmann E, Tomlinson J. European College of Equine Internal Medicine consensus statement on equine flaviviridae infections in Europe. J Vet Intern Med 2022 Nov;36(6):1858-1871.
                doi: 10.1111/jvim.16581pubmed: 36367340google scholar: lookup
              4. Ganzenberg S, Sieg M, Ziegler U, Pfeffer M, Vahlenkamp TW, Hörügel U, Groschup MH, Lohmann KL. Seroprevalence and Risk Factors for Equine West Nile Virus Infections in Eastern Germany, 2020. Viruses 2022 May 30;14(6).
                doi: 10.3390/v14061191pubmed: 35746662google scholar: lookup
              5. Bergmann F, Trachsel DS, Stoeckle SD, Bernis Sierra J, Lübke S, Groschup MH, Gehlen H, Ziegler U. Seroepidemiological Survey of West Nile Virus Infections in Horses from Berlin/Brandenburg and North Rhine-Westphalia, Germany. Viruses 2022 Jan 25;14(2).
                doi: 10.3390/v14020243pubmed: 35215837google scholar: lookup
              6. Selim A, Megahed A, Kandeel S, Alouffi A, Almutairi MM. West Nile virus seroprevalence and associated risk factors among horses in Egypt. Sci Rep 2021 Oct 22;11(1):20932.
                doi: 10.1038/s41598-021-00449-6pubmed: 34686730google scholar: lookup
              7. de Heus P, Kolodziejek J, Hubálek Z, Dimmel K, Racher V, Nowotny N, Cavalleri JV. West Nile Virus and Tick-Borne Encephalitis Virus Are Endemic in Equids in Eastern Austria. Viruses 2021 Sep 19;13(9).
                doi: 10.3390/v13091873pubmed: 34578454google scholar: lookup
              8. Knox A, Beddoe T. Isothermal Nucleic Acid Amplification Technologies for the Detection of Equine Viral Pathogens. Animals (Basel) 2021 Jul 20;11(7).
                doi: 10.3390/ani11072150pubmed: 34359278google scholar: lookup
              9. Levasseur A, Arsenault J, Paré J. Surveillance of West Nile virus in horses in Canada: A retrospective study of cases reported to the Canadian Food Inspection Agency from 2003 to 2019. Can Vet J 2021 May;62(5):469-476.
                pubmed: 33967285
              10. Câmara RJF, Bueno BL, Resende CF, Balasuriya UBR, Sakamoto SM, Reis JKPD. Viral Diseases that Affect Donkeys and Mules. Animals (Basel) 2020 Nov 25;10(12).
                doi: 10.3390/ani10122203pubmed: 33255568google scholar: lookup
              11. Kumar B, Manuja A, Gulati BR, Virmani N, Tripathi BN. Zoonotic Viral Diseases of Equines and Their Impact on Human and Animal Health. Open Virol J 2018;12:80-98.
                doi: 10.2174/1874357901812010080pubmed: 30288197google scholar: lookup
              12. Martín-Acebes MA, Saiz JC. West Nile virus: A re-emerging pathogen revisited. World J Virol 2012 Apr 12;1(2):51-70.
                doi: 10.5501/wjv.v1.i2.51pubmed: 24175211google scholar: lookup
              13. Angenvoort J, Brault AC, Bowen RA, Groschup MH. West Nile viral infection of equids. Vet Microbiol 2013 Nov 29;167(1-2):168-80.
                doi: 10.1016/j.vetmic.2013.08.013pubmed: 24035480google scholar: lookup
              14. Iyer AV, Kousoulas KG. A review of vaccine approaches for West Nile virus. Int J Environ Res Public Health 2013 Sep 10;10(9):4200-23.
                doi: 10.3390/ijerph10094200pubmed: 24025396google scholar: lookup
              15. Hubálek Z, Ludvíková E, Jahn P, Treml F, Rudolf I, Svobodová P, Šikutová S, Betášová L, Bíreš J, Mojžíš M, Tinák M, Boldižár M, Citsoňová G, Staššíková Z. West Nile Virus equine serosurvey in the Czech and Slovak republics. Vector Borne Zoonotic Dis 2013 Oct;13(10):733-8.
                doi: 10.1089/vbz.2012.1159pubmed: 23919605google scholar: lookup
              16. Ledgerwood JE, Pierson TC, Hubka SA, Desai N, Rucker S, Gordon IJ, Enama ME, Nelson S, Nason M, Gu W, Bundrant N, Koup RA, Bailer RT, Mascola JR, Nabel GJ, Graham BS. A West Nile virus DNA vaccine utilizing a modified promoter induces neutralizing antibody in younger and older healthy adults in a phase I clinical trial. J Infect Dis 2011 May 15;203(10):1396-404.
                doi: 10.1093/infdis/jir054pubmed: 21398392google scholar: lookup
              17. DeCarlo CH, Clark AB, McGowan KJ, Ziegler PE, Glaser AL, Szonyi B, Mohammed HO. Factors associated with the risk of West Nile virus among crows in New York State. Zoonoses Public Health 2011 Jun;58(4):270-5.
              18. Ehrenkranz NJ, Sampson DA. Origin of the old testament plagues: explications and implications. Yale J Biol Med 2008 Mar;81(1):31-42.
                pubmed: 18604309
              19. Ndiva Mongoh M, Hearne R, Dyer NW, Khaitsa ML. The economic impact of West Nile virus infection in horses in the North Dakota equine industry in 2002. Trop Anim Health Prod 2008 Jan;40(1):69-76.
                doi: 10.1007/s11250-007-9055-8pubmed: 18551781google scholar: lookup
              20. Martin JE, Pierson TC, Hubka S, Rucker S, Gordon IJ, Enama ME, Andrews CA, Xu Q, Davis BS, Nason M, Fay M, Koup RA, Roederer M, Bailer RT, Gomez PL, Mascola JR, Chang GJ, Nabel GJ, Graham BS. A West Nile virus DNA vaccine induces neutralizing antibody in healthy adults during a phase 1 clinical trial. J Infect Dis 2007 Dec 15;196(12):1732-40.
                doi: 10.1086/523650pubmed: 18190252google scholar: lookup
              21. Epp T, Waldner C, West K, Townsend H. Factors associated with West Nile virus disease fatalities in horses. Can Vet J 2007 Nov;48(11):1137-45.
                pubmed: 18050794
              22. Seino KK, Long MT, Gibbs EP, Bowen RA, Beachboard SE, Humphrey PP, Dixon MA, Bourgeois MA. Comparative efficacies of three commercially available vaccines against West Nile Virus (WNV) in a short-duration challenge trial involving an equine WNV encephalitis model. Clin Vaccine Immunol 2007 Nov;14(11):1465-71.
                doi: 10.1128/CVI.00249-07pubmed: 17687109google scholar: lookup
              23. Bruno L, Nappo MA, Frontoso R, Perrotta MG, Di Lecce R, Guarnieri C, Ferrari L, Corradi A. West Nile Virus (WNV): One-Health and Eco-Health Global Risks. Vet Sci 2025 Mar 19;12(3).
                doi: 10.3390/vetsci12030288pubmed: 40266979google scholar: lookup
              24. Naveed A, Eertink LG, Wang D, Li F. Lessons Learned from West Nile Virus Infection:Vaccinations in Equines and Their Implications for One Health Approaches. Viruses 2024 May 14;16(5).
                doi: 10.3390/v16050781pubmed: 38793662google scholar: lookup
              25. Ben-Mostafa KK, Savini G, Di Gennaro A, Teodori L, Leone A, Monaco F, Alaoqib MMA, Rayes AA, Dayhum A, Eldaghayes I. Evidence of West Nile Virus Circulation in Horses and Dogs in Libya. Pathogens 2023 Dec 31;13(1).
                doi: 10.3390/pathogens13010041pubmed: 38251348google scholar: lookup
              26. Schwarz ER, Long MT. Comparison of West Nile Virus Disease in Humans and Horses: Exploiting Similarities for Enhancing Syndromic Surveillance. Viruses 2023 May 24;15(6).
                doi: 10.3390/v15061230pubmed: 37376530google scholar: lookup