Equine Lyme Disease A bacterial infection caused by a spirochete class (corkscrew shaped) bacterium Borrellia Burgdorferi. First identified in Old Lyme, CT in 1977. Life Cycle of the Deer Tick Ticks have 3 life stages: Larvae, Nymph, Adult and must feed on blood in order to survive during each stage Ticks live for 2 years Ticks must be attached for 12-24 hours to transmit the bacteria Adult ticks in the spring and fall are the stage that feed on horses Prevention Daily grooming and regularly examining the animal for ticks o pay special attention to the head, throatlatch, belly, legs, inside of hind legs, in the mane on the crest area, base of tail Use permethrin tick and fly repellant Keep pastures mowed Remove brush and wood piles from pasture areas (decrease rodent nesting areas) There are no licensed Equine Lyme Disease Vaccines at this time Lyme Disease is not transmissible from horse to horse o However, if a horse is infected, this is an indicator that there are lyme carrying ticks in the area so other horses are at risk Symptoms Behavior changes, irritability (can worsen with steroids) Refusal to work Poor energy levels General stiffness overall Low grade fever may be present Lameness that seems to shift to different limbs Shifting weight in hind limbs Swollen joints and/or muscle tenderness Hyperesthesia (extreme sensitivity to touch), o this can show as irritation with grooming and tacking Laminitis (inflammation of tissues inside of the hoof wall) Unexplained weight loss Lyme disease causes multi-systemic affects, which result in joint, musculoskeletal or neurological issues Anaplasmosis is another tick borne disease affecting horses, it can present with a high fever (103 +) and stocking up in all 4 limbs, Diagnosis Diagnosis can be difficult o Less than 10% of horses have easily diagnosable symptoms Elisa Titer counts indicate exposure Western Blot test gives a better picture of current condition Initial diagnosis should include both tests for a better understanding of exposure Stress can activate a dormant case of lyme disease o Stressors include: travel, showing and vaccines Test results can take 7-10 days Often treatment is started prior to receiving test results o If a horse is symptomatic, fast treatment is essential Treatment The most common treatment is currently Doxycycline/Minocycline antibiotics o length of treatment varies by veterinarian recommendation o Green Valley Vet's current protocol is 42 days of treatment and a Western Blot retest performed 12 weeks after treatment ends If symptoms are caused by Lyme disease, there should be visible improvement within 3-5 days of starting treatment o full treatment must be continued to achieve full results. Methods of Doxy treatment include: o 100mg tablets given whole in feed or crushed and mixed with flavoring o or compounded doxy with flavoring and a calibrated scoop for proper dosing Typical recommended dosing at Green Valley Vet for an 800-1,000 lb. horse is 4 grams, twice daily for 42 days "Cycline" antibiotics also have strong, non-specific anti-inflammatory properties, which may also help horses for overall inflammation As the Borrellia burgdorferi is killed by the antibiotics the bacteria will release toxins which can cause increased symptoms during the first 3 days of treatment o This may result in laminitis (presents as: horse doesn’t want to move, looks like they are walking on eggshells, heat in hooves, digital pulses, “founder stance”) o Call your vet immediately if this is present. The chance for this can be reduced by giving an oral dose of phenylbutazone or Banamine paste, once daily for the first 3 days of antibiotic treatment The antibiotic treatment and anti-inflammatory medication can be tough on a horse’s digestive tract o The use of probiotics is beneficial o Green Valley Vet recommends G.I. Conditioner (only available through a veterinarian) given at each feeding of medication or Probios (available through veterinarian, Feed Stores or mail order) Due to the difficulty in achieving a true cure, veterinarians may recommend additional immune supportive therapy. This may include a multi-vitamin, vitamin C, echinacea, Gluta DMG, flaxseed and the homeopathic remedy Ledum Vitamin supplementation is also recommended if not fed already as a boost to the horse’s immune system o two of the products Green Valley Vet recommends are Platinum Performance or Vetri-Plus (which can be ordered through our practice) Other antibiotics may be recommended for very severe cases o this may include: IV treatment with Tetracycline or IM treatment with Naxcel Each case is handled on an individual basis, taking into consideration the animal’s condition and the owner’s financial concerns We hope that this information will give you an over-view of one of the biggest health issues to face both animals and people alike in the New England area. Brought to you compliments of: Green Valley Vet Services 122 Atwoodville Rd, Mansfield Center, CT 06250 860-420-5002 888-282-8632 fax www.greenvalleyvetservices.com Dennis J. Thibeault, DVM drt@greenvalleyvetservices.com Karen L. Swanberg GVVS Assistant office@greenvalleyvetservices.com www.cherryledgefarm.com