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The Veterinary clinics of North America. Equine practice2017; 33(1); 87-97; doi: 10.1016/j.cveq.2016.12.001

Therapeutics for Equine Protozoal Myeloencephalitis.

Abstract: Equine protozoal myeloencephalitis is an infectious disease of the central nervous system caused by Sarcocystis neurona or Neospora hughesi. Affected horses routinely present with progressive and asymmetrical neurologic deficits. The diagnosis relies on the presence of neurologic signs, ruling out other neurologic disorders, and the detection of intrathecally derived antibodies to either S neurona and/or N hughesi. Recommended treatment is use of an FDA-approved anticoccidial drug formulation. Medical and supportive treatment is provided based on the severity of neurologic deficits and complications. This article focuses on recent data related to diagnosis, pharmacologic treatment, and prevention.
Publication Date: 2017-02-01 PubMed ID: 28161037DOI: 10.1016/j.cveq.2016.12.001Google Scholar: Lookup
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Summary

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The research article discusses the treatment for Equine Protozoal Myeloencephalitis (EPM), a central nervous system infection in horses caused by either Sarcocystis neurona or Neospora hughesi.

Research objectives

  • The primary objective of this research is to investigate treatment strategies for Equine Protozoal Myeloencephalitis (EPM), an infectious disease that affects horses’ central nervous system. It also aims at shedding light on the diagnosis and prevention methods of the disease.

Methodology and approach

  • The research uses careful analysis and interpretation of recent data related to diagnosis, treatment, and prevention of EPM. It offers insights into the use of FDA-approved anticoccidial drugs and the supportive medical procedures based on the severity of neurological deficits and other complications.

Understanding Equine Protozoal Myeloencephalitis (EPM)

  • EPM is a disease that affects the central nervous system of horses and is caused by either the Sarcocystis neurona or Neospora hughesi – both of which are protozoan parasites.
  • The disease presents with progressive and asymmetrical neurological deficits in affected horses. These signs can include incoordination, muscle atrophy, lameness, difficulty standing or walking, and other issues related to brain and spinal cord function.

Diagnosis of EPM

  • The article notes that the diagnosis of EPM relies on assessing neurological symptoms, ruling out other neurological disorders, and the detection of antibodies linked to S. neurona or N. hughesi in the horse’s cerebrospinal fluid.

Treatment of EPM

  • For the treatment of this disease, the researchers recommend the use of an FDA-approved anticoccidial drug. These types of drugs are typically used to treat diseases caused by a type of microscopic parasite called coccidia.
  • Along with the use of pharmacological agents (specifically, anticoccidial drugs), the researchers also recommend providing medical and supportive treatment based on the severity of the horse’s neurological deficits and related complications.

EPM Prevention

  • The article also focuses on providing insights into possible preventative measures based on recent data. However, the specifics of these preventative measures aren’t detailed in the abstract and may be covered in the full research paper.

Cite This Article

APA
Pusterla N, Tobin T. (2017). Therapeutics for Equine Protozoal Myeloencephalitis. Vet Clin North Am Equine Pract, 33(1), 87-97. https://doi.org/10.1016/j.cveq.2016.12.001

Publication

ISSN: 1558-4224
NlmUniqueID: 8511904
Country: United States
Language: English
Volume: 33
Issue: 1
Pages: 87-97
PII: S0749-0739(16)30084-0

Researcher Affiliations

Pusterla, Nicola
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, One Shields Avenue, Davis, CA 95616, USA. Electronic address: npusterla@ucdavis.edu.
Tobin, Thomas
  • Department of Toxicology and Cancer Research, The Maxwell H. Gluck Equine Research Center, College of Agriculture, University of Kentucky, 1400 Nicholasville Road, Lexington, KY 40506, USA.

MeSH Terms

  • Animals
  • Antiprotozoal Agents / therapeutic use
  • Encephalomyelitis / drug therapy
  • Encephalomyelitis / parasitology
  • Encephalomyelitis / veterinary
  • Horse Diseases / drug therapy
  • Horse Diseases / parasitology
  • Horses
  • Neospora / isolation & purification
  • Sarcocystis / isolation & purification
  • Sarcocystosis / drug therapy
  • Sarcocystosis / parasitology
  • Sarcocystosis / veterinary

Citations

This article has been cited 1 times.
  1. Bedenice D, Johnson AL. Neurologic conditions in the sport horse. Anim Front 2022 Jun;12(3):37-44.
    doi: 10.1093/af/vfac036pubmed: 35711509google scholar: lookup