Analyze Diet
Journal of veterinary internal medicine2018; 33(1); 258-265; doi: 10.1111/jvim.15362

Viral testing of 10 cases of Theiler’s disease and 37 in-contact horses in the absence of equine biologic product administration: A prospective study (2014-2018).

Abstract: A novel equine parvovirus (EqPV-H) was recently discovered in the equine liver with Theiler's disease. Objective: To determine the prevalence of EqPV-H infection in naturally occurring Theiler's disease cases and in-contact horses in the absence of historical equine biologic product administration. Methods: Ten cases of Theiler's disease from 6 separate properties were included in the study, based on the criteria of acute onset of clinical signs of liver failure with laboratory or histopathologic findings characteristic of Theiler's disease and no history of receiving an equine biologic product within the preceding 4 months. In addition, 37 in-contact horses from 4 of the 6 properties were screened for EqPV-H infection and hepatitis. Methods: In prospective case series, cases were diagnosed with Theiler's disease by the attending veterinarian and were tested for EqPV-H by PCR of liver or serum. In-contact horses were assessed via serum chemistry and PCR at the attending veterinarian's discretion. Hepatitis was defined as serum gamma-glutamyltransferase activity above reference interval. The association of EqPV-H with hepatitis was determined by Fisher's exact test. Results: Nine of 10 (90%) Theiler's disease cases and 54% of tested in-contact horses were EqPV-H positive. Hepatitis was significantly associated with EqPV-H infection (P = .036). Conclusions: Although further study is required to identify EqPV-H as the causative agent of Theiler's disease, EqPV-H appears strongly associated with cases of fatal Theiler's disease and subclinical hepatitis in horses in contact with those cases. The prevalence of EqPV-H infection on affected properties can be high.
Publication Date: 2018-12-06 PubMed ID: 30520132PubMed Central: PMC6335540DOI: 10.1111/jvim.15362Google 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

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 article investigates the prevalence of a recently discovered virus, equine parvovirus or EqPV-H, in horses specifically showing symptoms of Theiler’s disease and who have not had any previous exposure to equine biological products. The study included ten Theiler’s disease cases and 37 in-contact horses from six different properties. The results indicate that EqPV-H is highly associated with fatal manifestations of Theiler’s disease and subclinical hepatitis in horses.

Objective and Methodology of the Study

  • This research aims to explore the prevalence of equine parvovirus (EqPV-H) – a newly discovered virus found in horse livers with Theiler’s disease, in natural occurrences of the disease in horses that haven’t been administered any equine biologic products.
  • The study examined ten cases of Theiler’s disease from six different properties. These cases were selected based on specific criteria such as the sudden onset of liver failure symptoms, lab findings characteristic of Theiler’s disease, and the absence of a history of receiving equine biological products within the previous four months.
  • In addition to these cases, 37 in-contact horses from four of the six properties were also checked for both EqPV-H infection and hepatitis symptoms.
  • The method used in this prospective study series involved diagnoses of Theiler’s disease by the attending veterinarian. Samples of the liver or serum from these cases were tested for the presence of EqPV-H using PCR (polymerase chain reaction), a technique used to amplify small segments of DNA.
  • Similarly, in-contact horses were evaluated via serum chemistry and PCR depending on the attending veterinarian’s discretion.
  • Hepatitis was defined based on the activity of serum gamma-glutamyltransferase that was above the reference interval. Any association between EqPV-H and hepatitis was determined using Fisher’s exact test, a statistical technique used to determine if there are nonrandom associations between two categorical variables.

Findings of the Study

  • A majority (90%) of Theiler’s disease cases and slightly over half (54%) of the tested in-contact horses were found to be positive for EqPV-H.
  • The presence of hepatitis was significantly associated with an EqPV-H infection, as indicated by the results from Fisher’s exact test (P=0.036).
  • The study concludes that although further investigations are needed to confirm EqPV-H as the causative agent of Theiler’s disease, the virus appears to be strongly linked to cases of fatal Theiler’s disease and subclinical hepatitis in horses.
  • Furthermore, the prevalence of EqPV-H infections in affected properties can be high, posing a potential health risk to the horse population.

Cite This Article

APA
Tomlinson JE, Tennant BC, Struzyna A, Mrad D, Browne N, Whelchel D, Johnson PJ, Jamieson C, Löhr CV, Bildfell R, McKenzie EC, Laverack M, Renshaw RW, Dubovi E, Kapoor A, Meirs RS, Belgrave R, Engiles J, Van de Walle GR, Divers TJ. (2018). Viral testing of 10 cases of Theiler’s disease and 37 in-contact horses in the absence of equine biologic product administration: A prospective study (2014-2018). J Vet Intern Med, 33(1), 258-265. https://doi.org/10.1111/jvim.15362

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 33
Issue: 1
Pages: 258-265

Researcher Affiliations

Tomlinson, Joy E
  • Department of Microbiology and Immunology, Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, New York.
Tennant, Bud C
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
Struzyna, Alyssa
  • Walnridge Equine Clinic, Cream Ridge, New Jersey.
Mrad, Dawn
  • Mid-Rivers Equine Centre, Wentzville, Missouri.
Browne, Nimet
  • Department of Clinical Sciences, North Carolina State College of Veterinary Medicine, Raleigh, North Carolina.
Whelchel, Dorothy
  • Georgia Equine Veterinary Services and Hospital, Canton, Georgia.
Johnson, Philip J
  • Department of Veterinary Medicine and Surgery, University of Missouri, Columbia, Missouri.
Jamieson, Camilla
  • Department of Clinical Sciences, College of Veterinary Medicine, Oklahoma State University, Stillwater, Oklahoma.
Löhr, Christiane V
  • Department of Biomedical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon.
Bildfell, Robert
  • Department of Biomedical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon.
McKenzie, Erica C
  • Department of Clinical Sciences, Carlson College of Veterinary Medicine, Oregon State University, Corvallis, Oregon.
Laverack, Melissa
  • New York State Animal Health Diagnostic Center, Cornell University, Ithaca, New York.
Renshaw, Randall W
  • Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
Dubovi, Edward
  • Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.
Kapoor, Amit
  • Center for Vaccines and Immunity, Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Meirs, Richard S
  • Walnridge Equine Clinic, Cream Ridge, New Jersey.
Belgrave, Rodney
  • Mid-Atlantic Equine Medical Center, Ringoes, New Jersey.
Engiles, Julie
  • Department of Pathobiology, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.
Van de Walle, Gerlinde R
  • Department of Microbiology and Immunology, Baker Institute for Animal Health, College of Veterinary Medicine, Cornell University, Ithaca, New York.
Divers, Thomas J
  • Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York.

MeSH Terms

  • Animals
  • Biological Products / adverse effects
  • Female
  • Hepatitis, Viral, Animal / pathology
  • Hepatitis, Viral, Animal / virology
  • Horse Diseases / pathology
  • Horse Diseases / virology
  • Horses
  • Liver / pathology
  • Liver / virology
  • Male
  • Parvoviridae Infections / veterinary
  • Parvovirus
  • Prospective Studies
  • Real-Time Polymerase Chain Reaction / veterinary

Grant Funding

  • 2016 Advancement in Equine Research Award / Boehringer Ingelheim
  • Harry M. Zweig Memorial Fund for Equine Research
  • 2016-67015-24765 / National Institute of Food and Agriculture
  • Niarchos Family

References

This article includes 32 references
  1. Theiler A. Acute liver‐atrophy and parenchymatous hepatitis in horses. Union of South Africa. Dept. of Agriculture. 5th and 6th Repts. of the Director of Veterinary Research; 1918.
  2. Meyer K. Equine encephalomyelitis. North Am Vet 1933;14:30‐48.
  3. Madsen D. Equine encephalomyelitis. Utah Acad Sci, Arts, Lett 1934;11:95‐99.
  4. Guglick MA, MacAllister CG, Ely RW, Edwards WC. Hepatic disease associated with administration of tetanus antitoxin in eight horses. J Am Vet Med Assoc 1995. Jun 1;206(11):1737‐1740.
    pubmed: 7782247
  5. Chandriani S, Skewes‐Cox P, Zhong W. Identification of a previously undescribed divergent virus from the Flaviviridae family in an outbreak of equine serum hepatitis. Proc Natl Acad Sci USA 2013;110(15):E1407‐E1415.
    pmc: PMC3625295pubmed: 23509292
  6. Aleman M, Nieto JE, Carr EA, Carlson GP. Serum hepatitis associated with commercial plasma transfusion in horses. J Vet Intern Med 2005;19:120‐122.
    pubmed: 15715060
  7. Panciera RJ. Serum hepatitis in the horse. J Am Vet Med Assoc 1969;155(2):408‐410.
    pubmed: 5816124
  8. Marsh H. Losses of undetermined cause following an outbreak of equine encephalomyelitis. J Am Vet Med Assoc 1937;91:88‐93.
  9. Marsh H. Supplementary note to article on equine encephalomyelitis. J Am Vet Med Assoc 1937;81:330‐331.
  10. Hjerpe C. Serum hepatitis in the horse. J Am Vet Med Assoc 1964;144:734‐740.
    pubmed: 14156990
  11. Rose J, Immenschuh R, Rose E. Serum hepatitis in the horse. In: Proceeding Annual Conference of the American Association of Equine Practice; 1974:175‐185.
  12. Thomsett LR. Acute hepatic failure in the horse. Equine Vet J 1971;3(15):15‐19.
    pubmed: 5161355
  13. Step D, Blue J, Dill S. Penicillin‐induced hemolytic anemia and acute hepatic failure following treatment of tetanus in a horse. Cornell Vet 1991;81(1):13‐18.
    pubmed: 1993388
  14. Messer NT, Johnson PJ. Serum hepatitis in two brood mares. J Am Vet Med Assoc 1994;204(11):1790‐1792.
    pubmed: 8063602
  15. Messer NT, Johnson PJ. Idiopathic acute hepatic disease in horses: 12 cases (1982‐1992). J Am Vet Med Assoc 1994. Jun 15;204(12):1934‐1937.
    pubmed: 8077140
  16. Davis JL. Infectious, toxic, and parasitic liver disease acute hepatitis in horses. In: Smith BP, ed. Large Animal Internal Medicine. 5th ed. London: Mosby Elsevier; 2014:848‐849.
  17. Tennant BC. Acute hepatitis in horses: problems differentiating toxic and infectious causes in adults. In: Proceedings of the Annual Convention of the American Association of Equine Practitioners; 1978:465‐471.
  18. Divers TJ, Tennant BC, Kumar A. A new parvovirus associated with serum hepatitis in horses following inoculation of a common equine biological. Emerg Infect Dis 2018;24(2):303‐310.
    pmc: PMC5782890pubmed: 29350162
  19. Smith DB, Becher P, Bukh J. Proposed update to the taxonomy of the genera Hepacivirus and Pegivirus within the Flaviviridae family. J Gen Virol 2016;97(11):2894‐2907.
    pmc: PMC5770844pubmed: 27692039
  20. Tomlinson J, Kapoor A, Kumar A. Viral testing of 18 consecutive cases of equine serum hepatitis – a prospective study (2014‐2018). J Vet Intern Med 2018; In press.
    pmc: PMC6335536pubmed: 30520162
  21. Caloni F, Cortinovis C. Toxicological effects of aflatoxins in horses. Vet J 2011;188(3):270‐273.
    pubmed: 20619706
  22. Voss KA, Smith GW, Haschek WM. Fumonisins: toxicokinetics, mechanism of action and toxicity. Anim Feed Sci Technol 2007;137(3–4):299‐325.
  23. Smith BP. Large Animal Internal Medicine. 5th ed. St. Louis, MO: Mosby Elsevier; 2014:854‐857.
  24. Ramsay JD, Evanoff R, Wilkinson TE, Divers TJ, Knowles DP, Mealey RH. Experimental transmission of equine hepacivirus in horses as a model for hepatitis C virus. Hepatology 2015;61(5):1533‐1546.
    pubmed: 25580897
  25. Pfaender S, Cavalleri JMV, Walter S. Clinical course of infection and viral tissue tropism of hepatitis C virus‐like nonprimate hepaciviruses in horses. Hepatology 2015;61(2):447‐459.
    pubmed: 25212983
  26. Pfaender S, Walter S, Grabski E. Immune protection against reinfection with nonprimate hepacivirus. Proc Natl Acad Sci USA 2017;114(12):E2430‐E2439.
    pmc: PMC5373355pubmed: 28275093
  27. Scheel TKH, Kapoor A, Nishiuchi E. Characterization of nonprimate hepacivirus and construction of a functional molecular clone. Proc Natl Acad Sci USA 2015;112(7):2192‐2197.
    pmc: PMC4343093pubmed: 25646476
  28. Kapoor A, Simmonds P, Cullen JM. Identification of a pegivirus (GB virus‐like virus) that infects horses. J Virol 2013;87(12):7185‐7190.
    pmc: PMC3676142pubmed: 23596285
  29. Foil LD, Hogsette JA. Biology and control of tabanids, stable flies, and horn flies. Rev Sci Tech 1994;13(4):1125‐1158.
    pubmed: 7711307
  30. Mullens BA. Medical and Veterinary Entomology. In: Mullen FR, Durden LA, eds. 2nd ed. Amsterdam: Elsevier Ltd; 2009:258.
  31. Sponseller B. Equine infectious anemia. In: Smith BP, ed. Large Animal Internal Medicine [E‐book]. 5th ed. London: Mosby; 2014:1060‐1061.
  32. Burbelo PD, Dubovi EJ, Simmonds P. Serology‐enabled discovery of genetically diverse hepaciviruses in a new host. J Virol 2012;86(11):6171‐6178.
    pmc: PMC3372197pubmed: 22491452

Citations

This article has been cited 32 times.
  1. 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, Tomlinson JE. Chronic hepatitis in horses with persistent equine hepacivirus infection. Equine Vet J 2026 Mar;58(2):444-457.
    doi: 10.1111/evj.70124pubmed: 41448947google scholar: lookup
  2. Ricci I, Rosone F, Pacchiarotti G, Manna G, Cersini A, Carvelli A, La Rocca D, Cammalleri E, Giordani R, Tofani S, Conti R, Rombolà P, Nardini R, Minniti CA, Caforio R, Linardi B, Scicluna MT. Pegiviruses and Coronavirus: Biomolecular Prevalence and Phylogenetic Analysis of Strains Detected in Italian Horse Populations. Viruses 2025 Aug 2;17(8).
    doi: 10.3390/v17081076pubmed: 40872790google scholar: lookup
  3. Scupham AJ. Equine Parvovirus-Hepatitis Population Dynamics in a Single Horse over 16 Years. Viruses 2025 Jul 4;17(7).
    doi: 10.3390/v17070947pubmed: 40733563google scholar: lookup
  4. Scupham AJ, Tong C. Detection of equine parvovirus-hepatitis and efficacy of governmental regulation for equine biologics purity. J Vet Diagn Invest 2025 Jan;37(1):79-85.
    doi: 10.1177/10406387241292343pubmed: 39506428google scholar: lookup
  5. Fortier C, El-Hage C, Normand C, Hue ES, Sutton G, Marcillaud-Pitel C, Jeffers K, Bamford N, Oden E, Paillot R, Hartley C, Gilkerson J, Pronost S. Detection of Equine Parvovirus-Hepatitis Virus and Equine Hepacivirus in Archived Sera from Horses in France and Australia. Viruses 2024 May 28;16(6).
    doi: 10.3390/v16060862pubmed: 38932156google scholar: lookup
  6. Jager MC, Choi E, Tomlinson JE, Van de Walle G. Naturally acquired equine parvovirus-hepatitis is associated with a wide range of hepatic lesions in horses. Vet Pathol 2024 May;61(3):442-452.
    doi: 10.1177/03009858231214024pubmed: 38018088google scholar: lookup
  7. Papapetrou MA, Arroyo LG, Meister TL, Baird JD, Steinmann E, Lillie BN. Prevalence of equine parvovirus-hepatitis in healthy broodmares in Ontario, Canada. Can J Vet Res 2023 Jul;87(3):169-175.
    pubmed: 37397641
  8. Jager MC, Tomlinson JE, Henry CE, Fahey MJ, Van de Walle GR. Prevalence and pathology of equine parvovirus-hepatitis in racehorses from New York racetracks. Virol J 2022 Nov 1;19(1):175.
    doi: 10.1186/s12985-022-01901-3pubmed: 36320007google scholar: lookup
  9. Tomlinson JE, Van de Walle GR. Nasal transmission of equine parvovirus hepatitis. J Vet Intern Med 2022 Nov;36(6):2238-2244.
    doi: 10.1111/jvim.16569pubmed: 36250682google scholar: lookup
  10. Jamieson CA, Baillie SL, Johnson JP. Blood Transfusion in Equids-A Practical Approach and Review. Animals (Basel) 2022 Aug 23;12(17).
    doi: 10.3390/ani12172162pubmed: 36077883google scholar: lookup
  11. Stapleton JT. Human Pegivirus Type 1: A Common Human Virus That Is Beneficial in Immune-Mediated Disease?. Front Immunol 2022;13:887760.
    doi: 10.3389/fimmu.2022.887760pubmed: 35707535google scholar: lookup
  12. Satué K, Miguel-Pastor L, Chicharro D, Gardón JC. Hepatic Enzyme Profile in Horses. Animals (Basel) 2022 Mar 29;12(7).
    doi: 10.3390/ani12070861pubmed: 35405850google scholar: lookup
  13. Lee SK, Park D, Lee I. Molecular Prevalence of Equine Parvovirus-Hepatitis in the Sera of Clinically Healthy Horses in South Korea. Vet Sci 2021 Nov 19;8(11).
    doi: 10.3390/vetsci8110282pubmed: 34822655google scholar: lookup
  14. Yoon J, Park T, Kim A, Song H, Park BJ, Ahn HS, Go HJ, Kim DH, Lee JB, Park SY, Song CS, Lee SW, Choi IS. First Detection and Genetic Characterization of New Equine Parvovirus Species Circulating among Horses in Korea. Vet Sci 2021 Nov 7;8(11).
    doi: 10.3390/vetsci8110268pubmed: 34822641google scholar: lookup
  15. Yoon J, Park T, Kim A, Park J, Park BJ, Ahn HS, Go HJ, Kim DH, Jung S, Seo Y, Lee JB, Park SY, Song CS, Lee SW, Choi IS. First Clinical Case of Equine Parvovirus-Hepatitis-Related Theiler's Disease in Asia. Viruses 2021 Sep 24;13(10).
    doi: 10.3390/v13101917pubmed: 34696347google scholar: lookup
  16. Jager MC, Tomlinson JE, Lopez-Astacio RA, Parrish CR, Van de Walle GR. Small but mighty: old and new parvoviruses of veterinary significance. Virol J 2021 Oct 24;18(1):210.
    doi: 10.1186/s12985-021-01677-ypubmed: 34689822google scholar: lookup
  17. Pusterla N, James K, Barnum S, Delwart E. Investigation of Three Newly Identified Equine Parvoviruses in Blood and Nasal Fluid Samples of Clinically Healthy Horses and Horses with Acute Onset of Respiratory Disease. Animals (Basel) 2021 Oct 19;11(10).
    doi: 10.3390/ani11103006pubmed: 34680025google scholar: lookup
  18. Zehetner V, Cavalleri JV, Klang A, Hofer M, Preining I, Steinborn R, Ramsauer AS. Equine Parvovirus-Hepatitis Screening in Horses and Donkeys with Histopathologic Liver Abnormalities. Viruses 2021 Aug 12;13(8).
    doi: 10.3390/v13081599pubmed: 34452465google scholar: lookup
  19. Reinecke B, Klöhn M, Brüggemann Y, Kinast V, Todt D, Stang A, Badenhorst M, Koeppel K, Guthrie A, Groner U, Puff C, de le Roi M, Baumgärtner W, Cavalleri JV, Steinmann E. Clinical Course of Infection and Cross-Species Detection of Equine Parvovirus-Hepatitis. Viruses 2021 Jul 26;13(8).
    doi: 10.3390/v13081454pubmed: 34452320google scholar: lookup
  20. Ramsauer AS, Badenhorst M, Cavalleri JV. Equine parvovirus hepatitis. Equine Vet J 2021 Sep;53(5):886-894.
    doi: 10.1111/evj.13477pubmed: 34101906google scholar: lookup
  21. Hui A, Altan E, Slovis N, Fletcher C, Deng X, Delwart E. Circovirus in Blood of a Febrile Horse with Hepatitis. Viruses 2021 May 20;13(5).
    doi: 10.3390/v13050944pubmed: 34065502google scholar: lookup
  22. Badenhorst M, de Heus P, Auer A, Tegtmeyer B, Stang A, Dimmel K, Tichy A, Kubacki J, Bachofen C, Steinmann E, Cavalleri JMV. Active equine parvovirus-hepatitis infection is most frequently detected in Austrian horses of advanced age. Equine Vet J 2022 Mar;54(2):379-389.
    doi: 10.1111/evj.13444pubmed: 33704819google scholar: lookup
  23. Heffron AS, Lauck M, Somsen ED, Townsend EC, Bailey AL, Sosa M, Eickhoff J, Capuano Iii S, Newman CM, Kuhn JH, Mejia A, Simmons HA, O'Connor DH. Discovery of a Novel Simian Pegivirus in Common Marmosets (Callithrix jacchus) with Lymphocytic Enterocolitis. Microorganisms 2020 Sep 30;8(10).
    doi: 10.3390/microorganisms8101509pubmed: 33007921google scholar: lookup
  24. Tomlinson JE, Wolfisberg R, Fahnøe U, Sharma H, Renshaw RW, Nielsen L, Nishiuchi E, Holm C, Dubovi E, Rosenberg BR, Tennant BC, Bukh J, Kapoor A, Divers TJ, Rice CM, Van de Walle GR, Scheel TKH. Equine pegiviruses cause persistent infection of bone marrow and are not associated with hepatitis. PLoS Pathog 2020 Jul;16(7):e1008677.
    doi: 10.1371/journal.ppat.1008677pubmed: 32649726google scholar: lookup
  25. Baylis SA, Miskey C, Blümel J, Kaiser M, Kapusinszky B, Delwart E. Identification of a novel bovine copiparvovirus in pooled fetal bovine serum. Virus Genes 2020 Aug;56(4):522-526.
    doi: 10.1007/s11262-020-01757-1pubmed: 32306155google scholar: lookup
  26. Lu G, Wu L, Ou J, Li S. Equine Parvovirus-Hepatitis in China: Characterization of Its Genetic Diversity and Evidence for Natural Recombination Events Between the Chinese and American Strains. Front Vet Sci 2020;7:121.
    doi: 10.3389/fvets.2020.00121pubmed: 32211433google scholar: lookup
  27. Tomlinson JE, Jager M, Struzyna A, Laverack M, Fortier LA, Dubovi E, Foil LD, Burbelo PD, Divers TJ, Van de Walle GR. Tropism, pathology, and transmission of equine parvovirus-hepatitis. Emerg Microbes Infect 2020;9(1):651-663.
    doi: 10.1080/22221751.2020.1741326pubmed: 32192415google scholar: lookup
  28. Vengust M, Jager MC, Zalig V, Cociancich V, Laverack M, Renshaw RW, Dubovi E, Tomlinson JE, Van de Walle GR, Divers TJ. First report of equine parvovirus-hepatitis-associated Theiler's disease in Europe. Equine Vet J 2020 Nov;52(6):841-847.
    doi: 10.1111/evj.13254pubmed: 32145096google scholar: lookup
  29. Meister TL, Tegtmeyer B, Brüggemann Y, Sieme H, Feige K, Todt D, Stang A, Cavalleri JV, Steinmann E. Characterization of Equine Parvovirus in Thoroughbred Breeding Horses from Germany. Viruses 2019 Oct 18;11(10).
    doi: 10.3390/v11100965pubmed: 31635426google scholar: lookup
  30. Goldberg TL, Sibley SD, Pinkerton ME, Dunn CD, Long LJ, White LC, Strom SM. Multidecade Mortality and a Homolog of Hepatitis C Virus in Bald Eagles (Haliaeetus leucocephalus), the National Bird of the USA. Sci Rep 2019 Oct 18;9(1):14953.
    doi: 10.1038/s41598-019-50580-8pubmed: 31628350google scholar: lookup
  31. Altan E, Li Y, Sabino-Santos G Jr, Sawaswong V, Barnum S, Pusterla N, Deng X, Delwart E. Viruses in Horses with Neurologic and Respiratory Diseases. Viruses 2019 Oct 14;11(10).
    doi: 10.3390/v11100942pubmed: 31614994google scholar: lookup
  32. Meister TL, Tegtmeyer B, Postel A, Cavalleri JV, Todt D, Stang A, Steinmann E. Equine Parvovirus-Hepatitis Frequently Detectable in Commercial Equine Serum Pools. Viruses 2019 May 21;11(5).
    doi: 10.3390/v11050461pubmed: 31117220google scholar: lookup