Lameness in HORSES DISEASE ETIOLOGY Thrush 1. Fusobacterium necrophorum 2. Unhygienic conditions, lack exercise, poor foot care Laminitis 1. 2. 3. 4. Endometritis Salmonellosis Colitis X Carbohydrate overload 5. Excessive trauma 6. Excessive weight bearing on single leg 7. Corticosteriod – can induce laminitis HOST TRANSMISSION & PATHOGENESIS PATHOGENESIS: Circulating endotoxins Initiate the peripheral vascular response Deprives the laminar corium of blood supply Sensitive laminae at the junction of P3 and the hoof + platelet aggregation, microthrombosis, perivascular edema, arteriovenous shunting Contagious equine metritis Taylorella equigenitalis - Gram negative TRANS: 1. Mating 2. Fomites CLINICAL SIGNS 1. Soft, spongy and disintegrated frog horn 2. Characteristic fetid odor 3. Inflammation of the coronet and discharge of pus from fissures CLINICAL SIGNS: ACUTE: all feet, common in front feet 1. Shifts weight onto the hind limb 2. Short strides 3. Recumbency is common 4. Pain-prominent over the sole CHRONIC: individual limbs (overweight horse) 1. Recurrent bouts of variable lameness 2. Classic hoof wall “rings” LESIONS: CHRONIC: Dropped or flattened sole with long toe CLINICAL SIGNS: MARES: DIAGNOSIS 1. Clinical findings 2. Examination of the sole TREATMENT AND CONTROL 1. Loose and necrotic material must be pared away 2. Antiseptic products 3. Bandaging 1. Clinical signs 2. History 3. Radiologyconfirmation on angulation of P3 1. Isolation of organism TREATMENT: 1. Stallioncleaning of Lameness in HORSES - Epizootic lymphagitis Microaerophilic Coccobacillus Also called as Contagious Equine Metritis organism Histoplasma farciminosum - Dimorphic fungus Nature: mycelia Tissues: yeast Soil: saprophytic 3. Source for outbreaks: undetected infected mares and stallion Host: 1. Horses 2. Donkeys 3. Mules TRANS: 1. Wound infection 2. Bloodsucking insects PATHOGENESIS: Entry into the wound Subcutaneous tissue (granuloma & ulcers) Spreads thru lymphatic vessels Lymph nodes 1. Copious mucopurulent vaginal discharge 2. Chronically: no signs 3. No conception during infection 4. May infect foal after birth LESIONS: 1. Edema 2. Hyperemia of the endometrium, endocervix, vaginal mucosa 3. Invasion of neutrophils during the acute stage CLINICAL SIGNS: 1. Free movable cutaneous nodules 2. Lymph nodes enlarge and hard -swabs from endometrium (Amies with charcoal) DIAGNOSIS: 1. Microscopic exudates and biopsy specimens 2. Yeast form distends the cytoplasm of macrophages 3. Serum agglutination titers FORMS: 1. Cutaneous-most common 2. Ophthalmic form – less frequent 3. Respiratory form – late development of the cutaneous form, UPR DIFFERENTIAL: 1. Glanders 2. Strangles 3. Ulcerative lymphagitis 4. Sporotrichosis 5. Histoplasmosis penis with chlorhexidine surgical scrub then applying nitrofurazone ointment 2. Mares rid themselves form the infection 3. Treatment and elimination from breeding programs 4. Strict import regulations TREATMENT: 1. No complete satisfactory treatment 2. Surgical excision of lesions combined with antifungal drugs (amphotericin B) 3. Parenteral iodides Lameness in HORSES 4. Asymptomatic form-carriers Glanders Burkholderia malleiclose genetic and antigenic relatedness to Burkholderia pseudomallei HOST: Primary – 1. Equids- horses, donkey, mules Secondary1. Human 2. Carnivores TRANS: 1. Ingestion -communal watering troughs 2. Direct contact from skin abrasions and cutaneous form PATHOGENESIS Ingestions Invasions of the intestinal wall Bacteremia or septicemia LESIONS: GROSS LESIONS: 1. Pyogranulomatous, purulent discharge of thickened superficial lymphatic vessels 2. Enlargement of regional lymph nodes HISTOLOGY: 1. Large macrophages -ovoid, double contoured yeast-like cells are found when gram-stained CLINICAL SIGNS: DIAGNOSIS: ACUTE: 1. Mallein test – 1. High fever injected 2. Cough intradermally into 3. Nasal discharge the lower eyelid 4. Nodules in skin of with a tuberculin lower limbs or syringe abdomen 2. CFT-most accurate CHRONIC: 3. Culture – Strauss 3 major manifestations reaction in guinea 1. Pulmonary-chronic pigs (severe orchitis pneumonia, couch, and inflammation) epistaxis 2. Skin-subcutaneous DIFFERENTIAL: nodules which 1. Epizootic lymphaginitis TREATMENT: 1. Little information 2. Sodium sulfadiazineexperimental CONTROL: 1. Complete quarantine 2. Remove mallein test positive 3. Disinfection program Lameness in HORSES Localized in lungs but skin and nasal mucosa are common West Nile Fever Flavivirus - Less pathogenic than Togaviridae West Nile Virus 7 lineages: 1. Lineage 1 ( sl 1a, 1b, 1c 2. Lineage 2 – people and horses 3. Equine Alphavirus encephalomyelitis Family: Togaviridae Eastern equine encephalitis virus – most pathogenic Host: 1. Horse- dead-end host TRANS: 1. Ticks 2. Wild birds 3. Mosquitoes i.e. Culex spp. HOST: 1. Horse 2. Human- dead-end host Normal cycle- bird TRANS: 1. Mosquitoes Culiseta melanura (ornithophilic)-EEV Culex tarsalis- WEEV ulcerate and discharge pus 3. Nasal-nodules LESIONS: Acute: 1. Petechial hemorrhage through the body CHRONIC: 1. Lesions in lungs -miliary nodules -Ulcers in mucosa of EPR 2. Nodules in skin and subcutis Clinical signs: 1. General loss of apetite 2. Depression 3. Fever 4. Ataxia (stumbling staggering wobbly gait, incoordination) CLINICAL SIGNS: Pathological diagnosis 1. No specific gross lesion Initial clinical signs include: 1. Fever 2. Ulcerative lymphagitis 3. Sporotrichosis 4. Meliodosis 5. Other cause of pneumonia 4. Restriction of movement of horses DIAGNOSIS: TREATMENT: CONTROL: 1. Vaccine – effective 2. DIAGNOSIS: Serology: 1. Detection of IgM antibody – ELISA 2. Plaque Reduction Neutralization (PRN) TREATMENT: NO SPECIFIC TREATMENT 1. Supportive care Lameness in HORSES 1. North American variant (most pathogenic) 2. South American variant Western equine encephalitis virus 2. Bridge vector birds mammal EEV Coquilletidia perturbans Aedes Canadensis Aedes albopictus Ochlerotatus spp. Culex spp. WEEV Aedes melaniman Aedes dorsalis Aedes campestris PATHOGENESIS: Mosquito injects the agent into the subcutaneous and cutaneous tissues Virus repli in non-neural tissues Virus binds to specific tissue receptors endocytosis Secondary viremia occurs Viral migration into the CNS (cerebral capillary endothelial cells) Cell-to-cell spread: dendrites and axons 2. Anorexia 3. Depression Severe cases: 1. Encephalitis 2. Altered mentation 3. Hypersensitivity to stimuli 4. Involuntary muscle movements 5. Impaired vision 6. Aimless wandering LESIONS: Microscopic: 1. Congestion of the brain and meninges 2. Multiple petechiae on the viscerabirds 3. Severe inflammation of the gray matter 4. Neuronal degeneration 5. Infiltration by inflammatory cells, gliosis 6. Perivascular cuffing and hemorrhages test – differentiation EEV, WEEV 3. Combination of both 4. Complement fixation 5. Virus Isolation - Brain tissue - Liver - Spleen DIFFERENTIALL DIAGNOSIS: 1. Rabies 2. Borna disease 3. Japanese encephalitis 4. Hepatic encephalopathy 5. Botulism- doesn’t cause cerebral signs 6. Yellow-star thistle poisoning- exception of fever -anti-infla: flunixin meglumine CONTROL: 1. Housing in screened barns 2. Clean water tanks and buckets 3. Vaccinationformalininactivated Previously nonvaccinated adult orses require 2 injections: 1. Temp climatesannual with 4wk of the start of arbovirus season 2. 2-3 times yearly in very active season 3. Mares- 3-4 wks yearly in active seasons 4. Foals-with adequate colostrum- Lameness in HORSES Japanese encephalitis Japanese encephalitis flavivirus -orient and south-east asia -all continents Host: 1. Horses- incidental host 2. Pigs – amplifiers 3. Birds (fam. Ardeidae) – natural maintenance reservoir 4. Humans- dead-end host TRANS: 1. Mechanical: Stomoxys calcitrans Chrysops sp. Tabanus sp. Culex 2. Intrauterine infections – abortion in 2 mos. 3. Use of contaminated surgical instruments or needles PATHOGENESIS: Primary entry Infection of macrophages Destruction of macrophages and release of virus Production of antibodies to antigenic THREE SYNDROMIC MANIFESTATIONS: 1. Transitory Type Syndrome 2. Lethargic Type Syndrome 3. Hyper excitable Type Syndrome CLINICAL FINDINGS: Incubation 2-4 weeks 1. Anorexia 2. Depression 3. Profound weakness 4. Loss of condition 5. Hyperesthesia 6. Blindness 7. Recovery at 3d – 3 wks CLINICAL: 1. Virus isolation - Brain - Spinal cord vacc at 5-6 mos of age 5. Foals to nonvac mares- vacc at 3, 4, 6 mos of age TREATMENT: NO SPECIFIC TREATMENT CONTROL: 1. Compulsory identification and testing with eradication of infected horses DIFFERENTIAL DIAGNOSIS: 1. Other equine viral encephalitides - Western equine encephalitis - Eastern equine encephalitis - Venezuelan equine encephalitis CONTROL and - Murray Valley PREVENTION: encephalitis 1. In-door 2. African horse screens sickness 2. Vector 3. Equine Herpes control myelencephalopathy 3. Immunization 4. Hepatic of swines 5. Encephalopathy 6. Rabies Lameness in HORSES Formation of antigenantibody complexes, fever, glomerulitis, anemia, thrombocytopenia, complement depletion Hemolysis or phagocytosis Temporary iron-deficient erythropoiesis App. Of new antigenic variant of the virus and commence of new cycle of viral replication in macrophages Venezuelan equine encephalitis Alphavirus FAMILY: Togaviridae Subtypes-highly virulent for equine I-A I-B I-C Host: TRANS: CLINICAL SIGNS: - Epizootic/epidemic 1. MosquitoHorse – more susceptible 1. Humans- dead end epizootic/epidemic 1. Fever host 2. Culex – 2. Anorexia 2. Horses & donkey – enzootic/endemic 3. Depression amplifiers 4. Flaccid lips - Endemic/Enzootic PATHOGENESIS: 5. Incoordination 1. Rodents – natural 1. Inapparent 6. Blindness reservoir infection- mildest 7. Head pressing form of a diease – 8. Circling transient fever 9. Early nervous 2. Viremia- persist signs: throughout the hypersensitivity to course of dis touch and sound - Source for vector transient 3. Virus- saliva and excitement and discharge restless DIAGNOSIS: 1. Virus isolation - Fixation test - Hemaglutination inhibition - Virus neutralization - PCR - ELISA 2. Serology 3. Demo of viral nucleic acid DIFFERENTIAL DIAGNOSIS: 1. Rabies 2. Botulism 3. Tetanus TREATMENT: 1. Supportive theraphy CONTROL: 1. Vaccination 2. Quarantine of infected horses 3. Vector control measures - Biological control - Chemical control Larvicide Lameness in HORSES INCUBATION: 1-5DAYS Equine infectious anemia Lentivirus –RNA FAMILY: Retroviriae -related to human feline immunodeficiency - Major group specific antigen p26 antigen -uses a reverse transcriptase enzyme to generate DNA which infect into the host Host: -Horse family TRANS: 1. Clinically infected horse 2. Insect 3. Management PATHOGENESIS: Biting flies Virus in spleen Replication in mature macrophages and circulating monocytes 10. Stage of paralysis: inability to hold head Humans – acute, mild, systemic disease 1. Fever 2. Chills 3. Headache 4. Coughing 5. Vomiting 6. Diarrhea PREGNANT woman: 1. Fatal encephalitis 2. Placental damage 3. Abortion/stillbirth and congenital disease CLINICAL SIGNS: ACUTE: 1. Anorexia 2. Depression 3. Profound weakness 4. Fever CHRONIC: 1. Jaundice 2. Ventral edema 3. Petechial hemorrhages 4. Pallor of mucosa 5. Abortion LESIONS: 4. Yellow-star poisoning 5. Japanese encephalitis 6. Borna disease 7. West nile Encephalomyelitis DIAGNOSIS: 1. Detection of major antigen 2. Coggins Test 3. Competitive ELISA DIFFERENTIAL DIAGNOSIS: ACUTE STAGE: 1. Pupura hemorrhagica 2. Babesiosis 3. Equine Granulocytic ehrichiosis 4. Equine viral arteritis 5. Autoimmune hemolytic anemia 6. Idiopathic thrombocytopenia Adulticide 4. Minimize irrigation and lawn watering TREATMENT: NO TREATMENT 1. Supportive theraphy – blood transfusion and hematinic drugs CONTROL: 1. Identification and slaughter 2. Testing of new stock 3. Control insect access Lameness in HORSES Destruction of macrophage and release of virus Formation of VAC which induced fever, glomerulitis anemia and thrombocytopenia Viremia 1. Subcutaneous edema 2. Jaundice 3. Petechial or ecchymotic hemo 4. Enlargement of spleen, liver, local lymph nodes 5. Bone marros is reddened 6. Pallor of mucosa CHRONIC: 1. Metastatic Streptococcus equi infection 2. Inflammatory disease 3. Neoplasia 4. Chronic hepatitis 4. Strict hygiene during vaccinating and collecting blood Relapsed of clinical disease Equine influenza Influenza virus type A Family: Orthomyxoviridae 1. H7N7 2. H3N8 Death or survive and be asymptomatic carriers TRANS: 1. Interspecies transmission - Direct contact - Personnel & fomites PATHOGENESIS: The virus is inhaled Attaches to respi epi cells with its hema spikes Fuses with the cell release into the cytoplasm and replicates Virions are releases from the cell surface and infect other cells or release to the envi CLINICAL SIGNS: 1. High fever 2. Serous nasal discharge 3. Coughin - dry, harsh, nonproductive - moist and productive 4. Depression 5. Anorexia 6. Weakness DIAGNOSIS: 1. Strangles (Streptococcus equi infection) 2. Equine viral arteritis (EVA) 3. Equine viral rhinopneumonitis 4. Equine viral rhinopneumonitis Equine rhinitis virus DIFFERENTIAL DIAGNOSIS: 1. Clinical signs 2. Virus isolation 3. Influenza A antigen detection 4. Paired serum samples TREATMENT: 1. No specific treatment 2. Supportive care CONTROL: 1. Quarantine 2. Vaccination - Intranasal modified cold - Inactivated, adjuvanted 3. Recombine canarypox vectored vaccine Lameness in HORSES Equine rhinopneumonitis Equine Herpesvirus 4 (EHV-4) FAMILY: Alphaherpesvirus -EHV-1 & EHV-4 show antigenic cross reactivity Death of epi cells, infla, edema, loss of protective mucociliary clearance TRANS: 1. Inhalation -Direct -indirect PATHOGENESIS: Inhalation Binds & repli to the nasal and nasopharyngeal epithelium Spread to the LRT and lymph nodes Viremia Cell death & dev’t of intranuclear inclusion bodies in the respi tract and its association lymphoid tissues Recovery latently infected CLINICAL SIGNS: DIAGNOSIS: 1. Bilateral nasal 1. Nasopharyngeal discharge swab (nose and 2. Early stages: nasal throat) discharge is 2. Blood buffy coat watery, freesample trickling, clear 3. Virus detection 3. Progress to: thicker - PCR and mucilaginous, - Isolation whitish in color 4. Serological containing infla - Virus neutralization leukocytes and - Complement desquamated respi fixation test epi cells ELISA 4. Encrustation in the nostrils DIFFERENTIAL DIAGNOSIS: 5. Couging 1. Strangles 6. Pyrexia 2. Equine viral arteritis 7. Enlarge of 3. Equine influenza submandibular and 4. Equine rhinitis virus retropharyngeal LN 5. Equine adenovirus 8. Lethargy 9. Conjunctivitis with mild ocular discharge LESIONS: 1. Hyperemis 2. Vesiculation 3. Ulceration of respi epi Lameness in HORSES Equine vial arteritis Arterivirus -small, envepoled single stranded positive snese RNA virus HORSE – North and South America, Europe, Africa, Asia and Australia TRANS: 1. Horizontal 2. Venereal PATHOGENESIS: Inhalation of virus Bind to respi epi Replication in alveolar macrophages Spread to bronchial lymph nodes Viremia Infection epithelium, mesothelium, smooth muscle arteries and uterine wall Vascular injury abortion 4. Multiple, tiny, plum-colored foci in lungs CLINICAL SIGNS: Adult 1. Edema 2. Congestion 3. Hemorrhage - Necrosis and hemorrhage in several organs Foal 1. Pulmonary edema 2. Accum of protein rich fluid 3. Pregnant- abortion in 3-10 mos LESIONS: 1. Vasculitis 2. Vascular and perivascular edema 3. Lyphocytic infiltration and endothelial cell hypertrophy 4. Fibroid necrosis DIAGNOSIS: 1. Hematological examination of adult and foal – leukopenia 2. Serological conformation - Virus neutralization assay - ELISA 3. Viral Isolation 4. Necropsy DIFFERENTIAL: 1. Strangles 2. Equine viral rhinopneumonitis 3. Equine viral rhinopneumonitis 4. Leptospirosis TREATMENT: NO SPECIFIC TREATMENT 1. Symptomatic treatment CONTROL: 1. Vaccination – 6-8 mos (colts 2. Isolation 3. Segregate pregnanat mares 4. Blood test all stallions 5. Check semen 6. Vacc mares againt EVA atleast 3 weeks prior to breeding 7. Vacc intact males between 6-12 mos. Lameness in HORSES Vesicular stomatitis Vesiculovirus - Bullet-shaped 2 distinct serotypes: 1. New Jersey 2. Indiana African Horse Sickness Orbivirus - African Horse Sickness virus Virus endemic in: 1. South America 2. Central America 3. Parts of Mexico Endemic: 1. Regions of Africa (sub-Saharan) TRANS: 1. Direct contact 2. Blood-feeding insects - Simulidae - Lutzomyia : endemic areas TRANS: 1. Culiciodes spp.principal vectors of allnine serotype CLINICAL SIGNS: 1. Fever 2. Ptyalism 3. Loss of apetite 4. Lameness LESIONS: 1. Vesicles in the oral cavity 2. Ulcers and erosion in the oral mucosa 3. Sloughing of the epithelium of the tongue 4. Lesions on the mucocutaneous junctions of the lips 5. Coronitis with erosion in the coronary bands 6. Crusting lesions of the muzzle, ventral abdomen, CLINICAL SIGNS: Acute: 1. Death ~ 1wk 2. Dyspnea 3. Spasmodic coughing 4. Dialted nostrils 5. Head extended 6. Congested conjunctiva DIAGNOSIS: 1. Presence of typical signs 2. Antibody detection 3. Viral isolationvesicular fluid, epithelial tags 4. ELISA 5. Virus neutralization 6. Complement fixation test DIFFERENTIAL: 1. FMD 2. Swine vesicular exanthema DIAGNOSIS: 1. Clinical signs and lesions 2. RT-PCR 3. ELISA TREATEMENT: NO SPECIFIC TREATMENT 1. Cleansing of wounds 2. Management 3. Affected animals should be isolated ZOONOTIC RISK: - Zoonotic, selflimiting influenza luke disease TREATMENT: NO SPECIFIC TREATMENT CONTROL: 1. Animal movement restriction 2. Husbandry modification Lameness in HORSES 7. Supraorbital fossa edematous 8. Recovery- rare Horse pox Equine herpesvirus-3 - single antigenic-type - small and large plaque variants TRANS: 1. Venereal – primaty - Probably acute disease phase of hed only in acute ably transmitt LESIONS: 1. Pulmonary edema 2. Distended lungs 3. Pleural effusions 4. Petechiae in pericardium 5. Abdominal viscera is distended 6. Pulmonary form – dogs 7. CLINICAL SIGNS: 1. Multiple, circular , red nodules on the vulvar or vaginal mucosa, clitoral sinus, perineal skin 3. vaccination DIAGNOSIS: TREATMENT: 1. Clinical signs 1. Sexual rest, 2. Viral Identification allow ulcers 3. Serum neutralization to heal 4. Complement 2. Antibiotic fixation tests. ointments 3. During acutephase: breeding only thru arti insemination 4. Examine all horses