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The effect of arthroscopic lavage volume on bacterial culture of egress fluid in horses with experimentally induced septic arthritis and synovitis.
Veterinary surgery : VS    December 26, 2025   doi: 10.1111/vsu.70075
Friedlund AM, Bracamonte JL, Koziy RV, Epp T, Thomas KL.To evaluate if high-volume lavage results in a negative bacterial culture of egress fluid, regardless of pathogen in an experimental model of equine septic arthritis. Methods: Experimental study. Methods: A total of 11 horses in three groups (lipopolysaccharide [LPS] Group 1, n = 4; Escherichia coli [E. coli] Group 2, n = 4; Staphylococcus aureus [S. aureus] Group 3, n = 3). Methods: A middle carpal joint of each horse was injected with LPS (synovitis Group 1), E. coli (septic arthritis Group 2) or S. aureus (septic arthritis Group 3). Arthroscopic lavage of the middle carpal joint...
Molecular Prevalence and Genotypic Diversity of Theileria equi in Xinjiang, China, Based on Three Genes.
Veterinary sciences    December 25, 2025   Volume 13, Issue 1 27 doi: 10.3390/vetsci13010027
Qin S, Kulabieke T, Mizhamuhan D, Zhang M, Jin M, Abula G, Pi M, Wang H, Zhang Y, Guo Q.Equine theileriosis, caused by the protozoan parasite , represents a significant economic threat to the equine industry. In Xinjiang, China, an endemic area for this disease, systematic research on the genetic diversity of has been notably lacking. The aim of this study was to obtain molecular epidemiological data pertaining to the parasite in selected regions of Xinjiang, China, and analyze the genetic characteristics (including rRNA, , and genes) and genotype distribution patterns of isolates from these regions, providing a scientific basis for developing targeted prevention and control s...
Chronic hepatitis in horses with persistent equine hepacivirus infection.
Equine veterinary journal    December 25, 2025   Volume 58, Issue 2 444-457 doi: 10.1111/evj.70124
Jager MC, Luethy D, Shallop S, Cathcart J, Divers TJ, Tan JY, Beasley EM, Johnson P, Leduc L, Smith C, Jamieson CA, Magdesian KG, Van de Walle GR....Equine hepacivirus (EqHV) is closely related to hepatitis C virus (HCV), which causes persistent infection and chronic hepatitis in people. Information on persistent EqHV infection and hepatitis is limited. Objective: To report 19 cases of chronic hepatitis and persistent EqHV infection. Methods: Mixed retrospective and prospective case series. Methods: Inclusion criteria were: (1) chronic hepatitis, defined as persistently increased serum liver biomarkers, increased serum liver biomarkers accompanied by histopathological evidence of chronicity, for example, fibrosis, or both; (2) positive ser...
Comparison of the Level of Mineral Components in the Hoof Wall of Pure-Breed Arabian Horses and Polish Sport Horses.
Biological trace element research    December 24, 2025   doi: 10.1007/s12011-025-04952-z
Stanek M, Różański SŁ, Sztuka H, Komosa M.Research on the characteristics of the mineral profile of hooves can help prevent overgrowth or micro-cracks. Knowledge about the interaction of these elements shows how imbalances can lead to hoof pathology or suboptimal hoof quality. Sulphur plays a key role in keratin synthesis, contributing to hoof elasticity and strength. Iron is involved in oxygen transport to the hoof matrix cells, supporting proper metabolism and tissue regeneration. Zinc promotes keratinocyte differentiation and accelerates healing of micro-injuries within the horn structure. Copper is essential for the formation of d...
Comparison of body temperatures and pulse rate between athletic and non-athletic horses during the hot-humid condition.
International journal of biometeorology    December 24, 2025   Volume 70, Issue 1 1 doi: 10.1007/s00484-025-03106-z
Ake AS, Akinniyi OO.Clinical assessment of parameters that give indications of the health status and fitness of horses are very important in equine practice. The study aimed to compare the resting body temperatures at different anatomical sites and resting pulse rates of athletic and non-athletic horses. Eighteen horses were used for the study, comprising ten athletic and eight non-athletic horses. Measurements of environmental parameters, rectal temperature (RT), body surface temperature (BST) and pulse rate were recorded between 9 and 11 am twice with one week interval at the Ibadan Polo Club, Eleyele, Ibadan, ...
Characterization of Staphylococci colonizing healthy equine skin: antibiotic resistance, virulence factors, and biofilm formation.
Veterinary research communications    December 23, 2025   Volume 50, Issue 2 83 doi: 10.1007/s11259-025-11037-8
Strompfová V, Štempelová L, Bujňáková D, Karahutová L, Gondoľová D, Nagyová M, Siegfried L.In order to develop non-antibiotic therapies to treat dermatological diseases it is urgent to spread knowledge on composition and properties of skin bacteria in healthy animals. Since horses are popular companions of humans, it is necessary to know what risk skin bacteria pose to humans. Therefore the aim of this work was to analyse species composition of staphylococci isolated from skin swabs of 50 healthy horses using MALDI-TOF (Matrix-Assisted Laser Desorption/Ionization Time-of-Flight) spectrometry and to characterize their virulence properties. Swabs were collected from five body areas (n...
Identification of a novel equine rhinitis B virus detected in horse from Japan.
The Journal of veterinary medical science    December 23, 2025   Volume 88, Issue 3 535-543 doi: 10.1292/jvms.25-0379
Ketphan W, Sato M, Tsujimura K, Mizutani T, Takemae H.Equine rhinitis B virus (ERBV), a member of the Picornaviridae family, is associated with mild to moderate respiratory illness in horses, yet its genomic diversity remains incompletely characterized. In this study, we performed metagenomic analysis on a rectal swab sample from a diarrheic foal confirmed to be positive for rotavirus A. Unexpectedly, we identified a highly divergent ERBV strain with a 9,448-nucleotide genome encoding a 2,721-amino-acid polyprotein. Sequence analysis revealed only 62.5-63.1% identity in the polyprotein and 47.1-49.8% in the VP1 region compared to known ERBV serot...
Descriptive network analysis of Ontario, Canada equine competitions: implications for disease control.
BMC veterinary research    December 23, 2025   Volume 22, Issue 1 43 doi: 10.1186/s12917-025-05248-z
Rossi TM, O'Sullivan TL, Greer AL.Competitions are an important source of entertainment and revenue in the horse industry but may contribute to disease introduction and spread. The objectives of this study were to, (i) describe the annual (2016 to 2018) contact networks of Equestrian Canada competitions in Ontario, Canada, and (ii) determine if the networks exhibit characteristics of 'small world' networks. Data on Equestrian Canada registered competitions in the province of Ontario, Canada between 2016 and 2018 were used to create three types of yearly contact networks: competition networks, horse networks, and venue networks...
Successful Treatment of Acute Respiratory Distress Syndrome in an 8-Day-Old Standardbred Foal With Intratracheal Oxygen Therapy via Temporary Tracheostomy.
Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001)    December 23, 2025   Volume 36, Issue 1 138-144 doi: 10.1111/vec.70066
Palmisano MG, Tukdarian CR, Hopster K, Nolen-Walston RD.This report describes an 8-day-old foal diagnosed with acute respiratory distress syndrome (ARDS) successfully managed using a novel approach of intratracheal oxygen delivery. Methods: An 8-day-old Standardbred filly presented for an acute onset of respiratory distress. Given the acute onset, known risk factors, bilateral diffuse infiltrate on thoracic radiographs, and low PaO:FiO ratio of 170.5, the foal was diagnosed with acute respiratory distress syndrome. Initial treatment consisted of antimicrobial therapy (minocycline and metronidazole), nonsteroidal anti-inflammatories (flunixin meglum...
Efficacy of Ozone Bagging Therapy in Equine Chronic Distal Limb Wounds: Clinical Evaluation of Eight Cases.
Veterinary sciences    December 23, 2025   Volume 13, Issue 1 16 doi: 10.3390/vetsci13010016
Repciuc CC, Oros NV, Mureșan ȘMC, Sevastre B, Joaquim JGF, Oana LI.Limb wounds in horses represent a significant therapeutic challenge due to poor vascularization, reduced skin elasticity, and high risk of complications such as exuberant granulation tissue. Conventional treatments sometimes fail to provide satisfactory healing outcomes, leading to prolonged recovery and increased costs. This study aimed to evaluate the efficacy of topical ozone therapy using the bagging method in promoting the epithelialization and contraction of chronic distal limb wounds in horses refractory to conventional management. Eight horses, aged 3-21 years, with chronic wounds aver...
Potassium carbonate as an alternative solution for detecting Anoplocephalid eggs in horse faecal samples.
BMC veterinary research    December 22, 2025   Volume 22, Issue 1 30 doi: 10.1186/s12917-025-05226-5
Girisgin O, Gülegen E, Girisgin AO, Cirak VY.Anoplocephalid species are responsible for causing tapeworm infection in horses. The disease may cause serious health issues, including discomfort, colic, and even intestinal perforation and death. A study was carried out to compare the detection rates of tapeworm eggs in naturally infected horses using two different examination solutions. For this purpose, faecal samples of 241 horses were examined with a combined sedimentation + centrifugation + flotation technique using saturated sugar solution (specific gravity (SG) = 1.30) as the basis and potassium carbonate (KCO) solution (S...
Equine trypanosomiasis, a systematic review: Disease management.
Equine veterinary journal    December 22, 2025   Volume 58, Issue 2 320-332 doi: 10.1002/evj.70136
Raftery AG, Gummery L, Garcia K, Mohite D, Capewell P, Sutton D.Equine trypanosomiasis is a neglected protozoal disease. Objective: To answer the study question: In equines what are the effects of disease management of trypanosomiasis on disease severity (individual level) and disease prevalence (population level) compared to no intervention? Methods: Systematic review. Methods: Studies were identified that described management of naturally occurring equine trypanosomiasis in any country following 'Preferred Reporting Items for Systematic Reviews and Meta-analyses' using eight international databases (1980-2022). Risk of bias was assessed using ROBINS-I. D...
Mitochondrial genome assembly of the Peruvian Paso horse through PacBio long-read sequencing.
Scientific reports    December 21, 2025   Volume 16, Issue 1 85 doi: 10.1038/s41598-025-29107-x
Saldaña CL, Justo S, Murga L, Vásquez HV, Maicelo JL, Arbizu CI, Bardales W.The complete mitochondrial genome of the Peruvian Paso Horse was assembled using PacBio HiFi long reads, resulting in a high-quality circular genome of 16,617 bp comprising 13 protein-coding genes, 22 tRNAs, 2 rRNAs, and a control region. Nucleotide composition and gene structure were consistent with other equine mitogenomes. Codon usage analysis revealed a bias toward CUA (Leu), AUA and AUC (Ile), suggesting translational optimization. Thirty-five heteroplasmic variants were identified, predominantly located in RNA genes (12 S rRNA and tRNA-Phe), with allele frequencies between 0.10 and 0.6...
Changes in Fitness Parameters in Ridden Trained Showjumping Horses After Healing of Gastric Ulcers: Preliminary Results.
Veterinary sciences    December 21, 2025   Volume 13, Issue 1 9 doi: 10.3390/vetsci13010009
Busechian S, Di Salvo A, Orvieto S, Rueca F, Villella C, Sollevanti G, Pieramati C, Nisi I, Della Rocca G.Equine Gastric Ulcer Syndrome (EGUS) is a worldwide disease described in different categories of animals. A causal relationship between exercise and EGUS has been suggested, attributed to stress as well as physiological changes in the position of abdominal organs, especially during trot and gallop. EGUS can influence athletic fitness, as has been described in various papers on racehorses. The aim of this work was to determine if gastric ulcer healing is associated with changes in selected fitness parameters (i.e., speed, heart rate during exercise and recovery, stride length and frequency) in ...
Longitudinal welfare assessment in French jump racehorses during season preparation.
Equine veterinary journal    December 21, 2025   doi: 10.1002/evj.70142
Bonhomme MM, Boisdenghien L, Couroucé A, Votion DM.Public scrutiny of racehorse welfare is increasing. The preparatory training phase preceding the racing season is potentially a critical period for physical and mental development. Structured welfare assessment protocols have recently been developed, but their use in field conditions remains limited. Objective: (1) To evaluate the field applicability of a racehorse-specific welfare assessment protocol in a professional French jump racing yard; and (2) to explore whether it can detect relevant physical and behavioural changes in young horses during season preparation. Methods: Longitudinal obse...
First Detection and Phylogenetic Analysis of Equine Hepacivirus (EqHV) in Iran.
Veterinary medicine and science    December 20, 2025   Volume 12, Issue 1 e70737 doi: 10.1002/vms3.70737
Pourmahdi Borujeni M, Ghobadian Diali H, Mashhadi AG, Aliabad MJ.The recent identification of novel viruses associated with hepatitis in horses has prompted equine veterinarians to investigate the viral factors contributing to equine hepatitis. Hepacivirus equi (EqHV), a member of the Flaviviridae family within the Hepacivirus genus, has been detected in horses affected by hepatitis. Globally, EqHV is highly conserved, existing as a single genotype with three distinct subtypes (Subtypes 1-3). Numerous studies have detected the virus by PCR and identified EqHV-specific antibodies through serological tests in different regions worldwide. However, to the best ...
Effects of Feeding Strategies on Gut Microbial Communities in Donkeys: A Comprehensive Narrative Review.
Veterinary sciences    December 20, 2025   Volume 13, Issue 1 7 doi: 10.3390/vetsci13010007
Wei L, Wei J, Liu X, Chen W, Wang C, Khan MZ, Zhang Z.Donkeys () remain nutritionally understudied despite their critical roles in agriculture across developing regions, with current feeding practices inappropriately extrapolating horse standards without accounting for species-specific digestive physiology. No comprehensive synthesis has integrated how dietary modifications systematically alter gut microbial communities to drive measurable health outcomes in donkeys, preventing development of evidence-based feeding strategies. This review critically synthesizes current evidence on donkey nutritional requirements and gut microbiota dynamics to est...
PCR-RFLP method applied for identification of Warmblood Fragile Foal Syndrome carriers in Polish warmblood horses.
Polish journal of veterinary sciences    December 19, 2025   Volume 28, Issue 4 663-666 doi: 10.24425/pjvs.2025.157280
Kamiński S, Bejda J, Lewczuk D.The method for identifying the causative mutation for Warmblood Fragile Foal Syndrome (WFFS) involved PCR amplification of a 259-base pair fragment of the PLOD1 gene and its digestion with the restriction enzyme Aci I was developed, allowing for the clear detection of WFFS carriers. Eight WFFS carriers were detected among 308 warmblood horses kept in different farms across Poland, giving an overall frequency of 2.59%, which indicates a rather low frequency of the causative mutation for WFFS in Poland. Further research should be conducted on a larger number of horses, particularly those breeds ...
Calcitonin gene-related peptide concentration in cerebrospinal fluid and serum in horses affected by trigeminal-mediated headshaking.
Equine veterinary journal    December 19, 2025   doi: 10.1002/evj.70139
Weber LA, Oltmanns H, Chiavaccini L, Pickles KJ, Roberts V, Kloock T, Niebuhr T, Feige K.Trigeminal-mediated headshaking (TMHS) in horses shares clinical features with human trigeminal neuralgia (HTN). Increased levels of the neuropeptide calcitonin gene-related peptide (CGRP) have been found in the blood and cerebrospinal fluid (CSF) of HTN patients. Inhibition of CGRP in humans has shown promise for pain relief. Data on CGRP in horses affected by TMHS are currently lacking but if quantifiable and validated, could assist in developing new diagnostic and more rational therapeutic approaches. Objective: This study aimed to quantify and correlate CGRP concentrations in the serum and...
Genome-Wide Characterization of the HOX Gene Family: Evolution and Expression Patterns in Donkey.
International journal of molecular sciences    December 19, 2025   Volume 27, Issue 1 38 doi: 10.3390/ijms27010038
Liu X, Liu A, Khan MZ, Zhu Q, Zheng Y, Chen W, Cai B, Yan Z, Peng Y, Wang C.The gene family plays an indispensable role in regulating embryonic development, cell differentiation, and morphogenesis. This study employed bioinformatics approaches for systematic analysis, ultimately identifying 33 gene family members from the donkey genome. Physicochemical property analysis revealed that the number of amino acids encoded ranged from 94 to 444, with 31 members classified as alkaline proteins. Their secondary structure was predominantly composed of random coils and alpha helices, and all members were localized to the nucleus. Conserved motif analysis further demonstrated ...
Advances in Equine Genomics: Decoding the Genetic Architecture of Morphology, Performance, Behavior, and Adaptation.
Molecular biotechnology    December 19, 2025   doi: 10.1007/s12033-025-01544-z
Sharma M, Singh A, Kumar V, Olla N, Arora R, Sharma R, Mohan NH, Ahlawat S.The genus Equus, encompassing horses, donkeys, and extinct relatives, has evolved over approximately 55 million years from small, multi-toed ancestors to the modern horse. Selective breeding has produced over 600 distinct horse breeds optimized for diverse traits such as size, conformation, performance, and adaptability. In the past two decades, rapid advances in equine genomics have significantly deepened our understanding of the molecular basis of these traits. The integration of high-throughput sequencing, genome-wide association studies (GWAS), and single-nucleotide polymorphism (SNP) geno...
A Simple Microaspiration Technique for Isolating Somatic Cells from Cryopreserved Equine Semen as Nuclear Donors for Cloning.
Journal of visualized experiments : JoVE    December 19, 2025   Issue 226 doi: 10.3791/69404
Ramos Serrano B, Ávalos Rodríguez A, Edward Kjelland M, Ernesto Hernández Pichardo J.Semen is a complex fluid that, in addition to spermatozoa, contains other cell populations, including immune cells, immature male germ cells, epithelial cells, and fibroblasts. These cells share the diploid condition, making them suitable candidates as nuclear donors for somatic cell nuclear transfer (SCNT) cloning. The generation of viable embryos and offspring has been demonstrated using these cells. Effective methods for isolating them from semen include centrifugation and osmotic gradient techniques; however, prolonged in vitro culture periods are necessary to establish primary cultures fr...
Extracorporeal shock wave therapy for equine musculoskeletal disorders: from biological mechanisms to clinical applications.
Frontiers in veterinary science    December 19, 2025   Volume 12 1719123 doi: 10.3389/fvets.2025.1719123
Qiu Z, Wang J, Zhang Y, Liu X, Wei C, Ma T.Musculoskeletal injuries represent a primary cause of suboptimal performance and early retirement in equine athletes. To address this challenge, the veterinary community has long endeavored to develop safer and more effective therapeutic strategies. Extracorporeal shock wave therapy (ESWT), as a treatment for equine musculoskeletal injuries, has garnered substantial attention among equine veterinarians. Focused on the theme ESWT Therapy for Equine Musculoskeletal Disorders: From biological mechanisms to clinical applications, this article systematically reviews existing literature on the biolo...
Videofluoroscopy shows clinically relevant changes in swallow metrics and esophageal transit in normal horses with xylazine, anticholinergic use, and varied feed consistency.
American journal of veterinary research    December 17, 2025   Volume 87, Issue 3 ajvr.25.09.0316 doi: 10.2460/ajvr.25.09.0316
Dobbs EC, Acutt EV, Scharf AM, Manzi TJ, Stefanovski D, Bills KW.To investigate the effects of varied feed consistency and administration of xylazine or N-butylscopolammonium bromide on 3 phases of swallowing and characterize esophageal motility following barium administration via nasoesophageal tube. Unassigned: 8 healthy horses were enrolled for 2.5 consecutive weeks. Horses underwent experimental videofluoroscopic swallow studies before and after sedated and anticholinergic interventions. Esophageal motility was assessed with barium administered via nasoesophageal tube and with barium-admixed feedstuffs of 3 consistencies with increasing viscosity. Phase...
Sodium-glucose transporters SGLT1 and SGLT2 in equine renal, hepatic and pancreatic tissue.
BMC veterinary research    December 17, 2025   Volume 22, Issue 1 36 doi: 10.1186/s12917-025-05173-1
Anger-Håål C, Fjordbakk CT, Ekstrand C, Skedsmo FS, Rørtveit R.Insulin dysregulation is a hallmark of equine metabolic syndrome (EMS), and in recent years, pharmacological treatment with sodium-dependent glucose transporter 2 inhibitors (SGLT2i) have shown promise in reducing the risk of hyperinsulinemia-associated laminitis in horses diagnosed with EMS. In humans and laboratory animals, this transporter protein is responsible for the majority of renal tubular glucose reabsorption, however, the presence of this and the related sodium-dependent glucose transporter 1 (SGLT1) have not yet been studied in equine kidneys. Additionally, studies in humans and la...
Horses diagnosed with pituitary pars intermedia dysfunction do not have shorter life expectancies but experience more medical events during their lifetime.
Journal of the American Veterinary Medical Association    December 17, 2025   Volume 264, Issue 3 319-325 doi: 10.2460/javma.25.08.0533
Stapley E, Gillespie-Harmon C, Waxman S, Farr A, Bertin FR.The frequency of comorbidities in horses with pituitary pars intermedia dysfunction (PPID) in first-opinion practice is unknown. It is hypothesized that horses with PPID would have more frequent medical events and be euthanized at a younger age. Unassigned: This was a case-control retrospective study. Medical records ranging from 1996 to 2024 including 132 horses diagnosed with PPID and 274 controls matched by age and breed were reviewed. Variables associated with PPID were evaluated with a Fisher exact or Mann-Whitney U test followed by conditional logistic regression. Results were reported a...
Evaluation of Concentration Changes in Plasma Amino Acids and Their Metabolites in Eventing Horses During Cross-Country Competitions as Potential Performance Predictors.
Animals : an open access journal from MDPI    December 17, 2025   Volume 15, Issue 24 3640 doi: 10.3390/ani15243640
Reemtsma FP, Giers J, Horstmann S, Stoeckle SD, Gehlen H.Amino acid (AA) metabolism and the adaptation of muscles to increased physical performance are interdependent. This field study examined changes in plasma amino acid (PAA) concentrations and two metabolites (ammonia and urea) before and after cross-country (CC) competitions throughout an entire eventing season and their associations with performance outcomes in eventing horses. Twenty horses from nine different Warmblood breeds were evaluated between two and seven times across 14 international eventing competitions over a 23-week period. A total of 55 rides were sampled. Blood samples were col...
Effects of hypoxia and hyperoxia on exercise-induced metabolomic and transcriptomic profiles in equine skeletal muscle.
The Journal of experimental biology    December 17, 2025   Volume 228, Issue 24 jeb250956 doi: 10.1242/jeb.250956
Takahashi K, Mukai K, Takahashi Y, Ebisuda Y, Sugiyama F, Hatta H, Kitaoka Y.To explore the molecular mechanisms underlying oxygen-dependent regulation of skeletal muscle adaptations, eight Thoroughbred horses performed 2 min of exercise at a velocity corresponding to 95% maximal O2 uptake under a normoxic condition, while using inspired O2 levels of 0.21 (normoxia), 0.26 (hyperoxia) or 0.16 (hypoxia). At the end of the exercise, arterial O2 saturation was significantly higher with hyperoxia and lower with hypoxia than with normoxia. However, no significant difference in plasma lactate or muscle glycogen concentrations was observed across the O2 conditions. A metabol...
Effect of Supplemental Bamboo Leaf Extract on Milk Production, Composition, Biochemical Indices, and Fecal Microbiota Diversity in Grazing Yili Mares.
Life (Basel, Switzerland)    December 17, 2025   Volume 15, Issue 12 1928 doi: 10.3390/life15121928
Wang C, Wang J, Ma B, Liu T, Yuan X, Meng J, Zeng Y.: This study investigated the effects of dietary bamboo leaf extract (BLE) on milk parameters and intestinal microbiota in lactating mares. : Twenty-four mares of similar age (10 ± 2 years), weight (360.62 ± 15.23 kg) and body condition were selected for this study and randomly divided into four groups of six mares each: an untreated control group (CG) and three experimental groups (EG1, EG2, EG3) were fed a basal diet supplemented with 0, 10, 20, or 30 g/day of BLE, respectively, for 60 days. Then, horse milk composition, antioxidant activity, and immunoglobulin levels along with the rela...
First documented case of equine brucellosis in Libya: a case report.
Journal of equine science    December 16, 2025   Volume 36, Issue 4 129-132 doi: 10.1294/jes.36.129
Hiblu MA, Ahmed MO.This case report documents the first identified Brucella infection in a 6-year-old male Thoroughbred horse in Libya. The horse exhibited muscle and joint pain, inflammation over the shoulders with a pulpy texture (fistulous withers), stress, fatigue, and potential systemic infection. Its diagnosis was confirmed through serological testing, with agglutination titers of 1/80 for B. melitensis and 1/160 for B. abortus, and a blood culture revealing Gram-negative coccobacilli. After 3 weeks of combination therapy with rifampicin and doxycycline, the inflammation resolved, systemic signs disappeare...