Dr. Carney Jackson Date: Tuesday, November 11, 2014 Time: 8:00 a.m.-8:50 a.m. Presentation Title: Equine Enteric and Hepatic Pathology Session Title: Concurrent Session IV: Equine Pathology Extended abstract Review of liver conditions in equine with selected gross images. Theiler’s disease- Indentification of a previously undescribed divergent virus from the Flavivirudae family in an aoutbreak of equine serum hepatitis. Chandriani S, Skewes-Cox P, Zhong W, Ganem DE, Divers TJ, Van Blaricum AJ, Tennant BC, Kistler AL. Proc Natl Acad Sci U S A. 2013 Apr 9;110(15) Proc Natl Acad Sci U S A. 2013 Apr 9;110(15 Hepatoencephalopaty and hypocalcemia in a miniature horse mare. Scarratt WK, Furr MO, Robertson JL. J Am Vet Med Assoc. 1991 Dec 15;199(12):1754-6. Equine hepatic bacterial disease- C. piliforme Bacillus Sarcocyst- Hepatic sarcocystosis in a horse Hepatic lipidosis of donkeys and ponies- Hepatic-lipidosis in a post parturient mare. Hepatic lobe torsion in a horse Hypoglycemia and hepatic ischemic necrosis after small intestinal incarceration through the epiploic foramen in a horse. Hepatic encephalopathy Hepatic ischemia Toxic hepatopathy- Suspected hepatotoxicity in neonatal foals Toxic hepatopathy in neonatal foals Aflatoxicosis in the weanling pony GI anatomy review with selected gross images. Equine digestive problem review with selected gross images. Quid- Tooth malformation causing the dropping of food or saliva Esophageal obstruction/choke Colic: 1)Obstruction, mal-position of parts, rectal tear 1) Poor quality feed or haystuffs 2) Poor dentition 3) Impaction- Sand, meconium 4) Decrease in amount of water being taken in due to low quantity or low palatability 5) Worm infestations 6) Strangulation- Lipomas, Meckel’s diverticulum, Umbilical/diaphragmatic hernia 7) Enteroliths 2) Impaction http://veterinarynews.dvm360.com/dvm/article/articleDetail.jsp?id=94473 3) Spasmodic colic 4) Gastritis/ulceration 5) Fermentation or gas colic 6) NSAID- Stomach ulcers, colitis, kidneys Diarrheal disease Dysautonomia Adhesion Bowel twist/torsion, perforation Endo-toxemia- bad gut flora overwhelming the good Gastric distention 1) Cribbing 2) Microorganisms 3) Food stuff swelling after digestion 4) Highly digestible feeds (corn) causes gas build up in GI tract 5) Rapid ingestion of large amount of water 6) Gastrointestinal irritation from blister beetles Eosinophilic enterocolitis Pancreatitis Neoplasia/Infiltrative bowel disease Lymphoma, granulomatous enteritis, lymphocytic-plasmacytic enterocolitis Multisystemic eosinophilic epitheliotropic disease, eosinophilic enterocolitis Melanoma (eg. salivary glands), intestinal adenocarcinoma ParasitismEpiploic foramen intestine strangulation Edema renal failure Stomach rupture Foals with Lactase Deficiency (Lactose Intolerance) http://www.merckmanuals.com Foal heat diarrhea Neonatal foal differential DXs- Meconium retention, Enterocolitis Uroperitoneum Ileus Herniation (inguinal, diaphragmatic, or external) Gastric ulceration Small intestine volvulus Intussusception Necrotizing enterocolitis Peritonitis Intestinal atresia Ileocolonic aganglionosis/Lethal white syndrome Large colon torsion (Slovis Infectious GI disorders in Foals) Trauma Equine intestine bacterial diseasesClostridial- Clostridium botulinum Enteritis- Escherichia coli, Salmonella typhimurium, Salmonella anatum, Lawsonia intracellularis, Melioidosis- Pseudomonas pseudomallei Ulceration of intestine- Sphaerophorus necrophorus Listeria monocytogenes MycobacteriumMesenteric lymph nodes- Rhodococcus abscessation Neorickettsia risticii (Potomac horse fever) Equine intestinal viral diseaseRotavirus Coronavirus References: 2001 / Vol. 47 / AAEP PROCEEDINGS MILNE LECTURE: GASTROINTESTINAL DISEASE A New Look at Equine Gastrointestinal Anatomy, Function, and Selected Intestinal Displacements Equine proliferative enteropathy caused by Lawsonia intracellularis http://www.vetmed.ucdavis.edu/eidrl/local-assets/pdfs/Article_31.pdf Intestinal bacterial diseases of horses http://www.mds-usa.com/micro_bacteriology_horses.html Equine proliferative enteropathy caused by Lawsonia intracellularis http://www.vetmed.ucdavis.edu/eidrl/local-assets/pdfs/Article_31.pdf Intestinal bacterial diseases of horses http://www.mds-usa.com/micro_bacteriology_horses.html INFECTIOUS GASTROINTESTINAL DISORDERS Nathan M. Slovis DVM, Diplomate ACVIM, CHT Hagyard Equine Medical Institute, Lexington, KY Identification of a previously undescribed divergent virus from the Flaviviridae family in an outbreak of equine serum hepatitis Chandriani S, Skewes-Cox P, Zhong W, Ganem DE, Divers TJ, Van Blaricum AJ, Tennant BC, Kistler AL Proc. Natl Acad. Sci. USA http://dx.doi.org/10.1073/pnas.1219217110 (2013). http://www.pnas.org/content/110/15/E1407 http://www.pnas.org/content/early/2013/03/15/1219217110 http://dx.doi.org/10.1073/pnas.1219217110 http://www.ncbi.nlm.nih.gov/pubmed/23509292 Distinctive virus behind mystery horse disease, Ed Yong, 18 March 2013 http://www.nature.com/news/distinctive-virus-behind-mystery-horse-disease-1.12624 Theiler's disease virus identified http://www.equinescienceupdate.com/articles/tdvi.html Theiler’s disease (acute serum hepatitis) causative agent identified, 21 Mar 2013 http://www.beva.org.uk/news-and-events/news/view/386 British Equine Veterinary Association Etiology and Prevention of Equine Serum Hepatitis (Theiler's Disease) Dr. Thomas Divers http://www.vet.cornell.edu/Zweig/Projects/Divers13.cfm Amit Kapoor, Peter Simmonds, , John M Cullen, , Troels Scheel, Jan. L. Medina, Federico Giannitti, Eiko Nishiuchi, Kenny V. Brock, Peter D. Burbelo, Charles M. Rice and W. Ian Lipkin, Identification of a pegivirus (GBV-like virus) that infects horses, J. Virol. 17 Apr 13 Hepatoblastoma, Siobhan B. McAuliffe, Color atlas of diseases and disorders of the Horse, 2nd ed., Chapter 2 Conditions of the Liver, Spleen and Pancreas, p99.