Successful surgical management of eosinophilic granuloma on the urethral process of a gelding associated with Habronema spp. infection

Habronemiasis, otherwise known as summer sores, is a parasitic disease of horses, donkeys and other equids, commonly encountered in subtropical and tropical regions. It occurs as a result of nematode infestation of the skin and typically manifests as ulcerative granulating lesions or masses. Habronema muscae, Habronema microstoma and Draschia megastoma are the usual invaders, usually transmitted by house flies, face flies and stable flies. In this case report, an eosinophilic granuloma on the urethral process of a 15-year-old gelding is presented, followed by successful surgical excision without further medical treatment. To the authors’ knowledge, equine eosinophilic granuloma on the urethral process associated with habronemiasis has not previously been documented in southern Europe and should be considered as a potential differential diagnosis for penile masses.     

Equine Sarcoid Associated with Cutaneous Habronemosis

Equine sarcoids are benign fibroblastic skin tumors affecting equids worldwide. Infection with bovine papillomavirus types 1 and 2 has been implicated as a major fact in the disease development; however, the cellular mechanisms underlying fibroblast transformation are still largely unknown. In the present study, a diagnosis of sarcoid was histologically assessed along with eosinophilic dermatitis. The sarcoid lesion expressed the viral oncoproteins E5 and E2, suggesting a causative role of the virus and its replication. Ribosomal DNA of the nematode Habronema muscae was also revealed in the lesion. This is the first report to describe and discuss an association of cutaneous habronemosis with equine sarcoid.     

Molecular diagnosis of equid summer sores

Equine cutaneous habronemosis, also known as "summer sores", is a parasitic infection caused by larvae of Habronema microstoma and Habronema muscae (Nematoda, Spirurida) released by dung-inhabiting fly vectors on abraded skin, skin wounds or muco-cutaneous transition sites. Larvae induce a local inflammatory reaction characterised by itching, granulomatous, ulcerated and, often non-healing, lesions. The diagnosis of summer sores may be unreliable mainly because of the limits of clinical and microscopic examination. The applicability of a semi-nested PCR assay developed for the diagnosis of gastric habronemosis has been herein demonstrated for the detection of the cutaneous infection. The potential applicability of this diagnostic tool may have for clinical and epidemiological studies of cutaneous habronemosis in equids is discussed.     

Molecular cross-sectional survey of gastric habronemosis in horses

Gastric habronemosis of horses caused by Habronema microstoma and Habronema muscae (Nematoda, Spirurida) is characterized by catarrhal gastritis, diarrhoea, progressive weight loss and ulcers. Despite its importance in the equine industry and in clinical practice, knowledge of the epidemiology of this infection is still incomplete as diagnosis in live animals is challenging. A two-step semi-nested PCR assay using ribosomal DNA (rDNA) markers has recently been used for the molecular diagnosis in vivo of gastric habronemosis based on the detection of H. microstoma and/or H. muscae DNA in equine faeces. To evaluate the field efficacy of this assay, a molecular epidemiological survey was carried out on equid gastric habronemosis in central Italy. One hundred and fifty-three individual faecal samples were collected from live native horses and subjected to both coprological examination and the two-step semi-nested PCR. When flotation procedures were performed no horse tested positive for Habronema spp. larvated eggs while 96 animals (61.2%) were positive for other endoparasites (i.e. strongyles, oxyurids, ascarids). Two-step semi-nested PCR detected 86 samples (53.6%) that were positive for H. microstoma and/or H. muscae DNA. H. microstoma prevalences showed statistically significant differences; the highest prevalence was observed in horses infected by other gastrointestinal parasites and concomitantly by H. muscae. No statistical differences were found between the prevalence of Habronema spp. infection and sex, age, breeding management, and antiparasitic treatments. This field survey provided further information on habronemosis and its epidemiology.     

Habronemiasis: Biology,Signs, and Diagnosis,and Treatment and Prevention of the Nematodes and Vector Flies

Habronemiasis is a parasitic disease of horses and other equids which is caused by the invasion of Draschia megastoma, Habronema majus, and H. muscae nematodes and is transmitted by house flies, face flies, and stable flies. The adult nematodes live in the horse's stomach, laying eggs, which pass out in the horse's feces. The carrier flies lay eggs in the horse's manure, which becomes infested with larvae while the flies feed in the manure. The nematode larvae molt while in the fly larvae and develop into infective L3 larvae by the time the adult flies emerge from their pupal stage. The infective larvae are then transmitted to the horse when flies feed on secretions or discharges from hosts' eyes, nostrils, mouths, wounds, and other openings. The L3 larvae are ingested by the horse and are then able to complete their lifecycle. The most common aberrant forms (conjunctival and cutaneous habronemiasis) are associated with the nematode larvae being deposited in these areas, not completing its life cycle, with resultant signs probably associated with local hypersensitivity. This article details the biology of nematode parasites, diagnosis and treatment of this condition, and methods of prevention and control of the transmitting flies.     

Epidemiological observations on stomach worms of donkeys in Morocco

Over two consecutive years, weekly examinations for the presence of nematodes were conducted on 185 stomachs from donkeys originating mainly from the Rabat, Casablanca and Settat regions of Morocco. All the animals, except one, were infected by at least one of four helminth species.Trichostrongylus axei was found in 93.5%,Habronema muscae in 89.7%,H. majus in 85.4% andDraschia megastoma in 1.1% of donkeys. Most animals were infected by two (23.8%) or three (71.9%) species. High burdens ofT. axei were observed in the winter of both years and in the mid-summer of the second year. Peak burdens ofHabronema were found at various times throughout both years. There were more adultH. majus thanH. muscae. The periods of peak levels of infection by these parasites were related to environmental conditions suitable for the development and survival of infective larvae ofT. axei and for the build-up of muscid fly vectors ofHabronema andDraschia spp.     

Prevalence of cutaneous pathological conditions and factors associated with the presence of skin wounds in working equids in tropical regions of Veracruz,Mexico

A wide spectrum of welfare issues is encountered on working equids. The objectives of this study were: (i) to determine the prevalence of cutaneous lesions in working equids in tropical regions of the North-Central of Veracruz State, Mexico, (ii) to identify the most prevalent cutaneous pathological conditions in this population of working equids, and (iii) to identify risk factors associated to the presence of work-related skin wounds. A number of 467 working equids presented for treatment at Donkey Sanctuary Mobile Clinic Program - National Autonomous University of Mexico from seven different villages in the North-Central region of Veracruz State were evaluated. Animals with signs of cutaneous pathology underwent a physical examination and samples were obtained of exudates, hair, and tissue for cytology examination, fungal cultures, and dermo-histopathology examination. The overall prevalence of cutaneous pathological conditions in working equids was 20.6 %. The prevalence per species was 22.6 % for horses, 18.2 % for donkeys, and 14.3 % for mules. The most common cause of skin lesions was trauma (abrasions, lacerations, and abscesses) followed in frequency by parasitic dermatitis and sarcoids. No strong associations among species were observed (P?>?0.20). Multivariate analysis showed that there was greater association between BCS and age with the presence of skin wounds (P?<?0.05). Equids who's BCS was rated as “moderate” as well as adult animals showed significantly more skin wounds compared with the young and the elderly (P?<?0.05). These findings can help to develop a better management practices to improve the welfare of equids in tropical regions of Veracruz, Mexico.     

Cutaneous habronemiasis in a 9‐year‐old Arab gelding in the United Kingdom

Cutaneous habronemiasis causes ulcerative granulating lesions in the skin of equids. Dramatic exuberant tissue may be seen, which becomes traumatised by the horse. To the authors' knowledge, cutaneous habronemiasis has not previously been documented on the distal limb of horses in the UK. Cutaneous habronemiasis should be considered as a potential differential diagnosis for ulcerative granulating skin lesions on the distal limb of the horse.     

Prevalence of some internal parasites found (1971–1989) in horses born on a farm in central kentucky

Prevalence of several species of naturally acquired internal parasites are reported from a total of 97 horses (mostly mixed lighthorse type) from a farm in central Kentucky. The horses were born and raised in 2 adjacent fields (No. 4 - n=44 and No. 10 − n=53) over a 19-year-period (1971–1989). They were 100 to 537 days old (av. 281) when examined; an exception was a 819-day-old not calculated in the average age. Some of the horses were not examined for all of the parasites. These horses (never previously treated) were all used in critical or controlled tests for evaluation of antiparasitic activity of drugs. Dams and other horses in the fields rarely were given an antiparasitic compound.Prevalence and aggregate mean numbers of parasites in infected animals (in parentheses) for the 97 horses are: bots — Gasterophilus intestinalis 2nd instar, 65%(45), 3rd instar, 96%(210), Gasterophilus nasalis 2nd instar, 18%(10), 3rd instar, 63%(10); stomach worms — Habronema muscae, 73%(78), Draschia megastoma, 42%(53); ascarids — Parascaris equorum mature, 75%(45), immature 36%(29), tapeworms — Anoplocephala perfoliata, 33%(7); large strongyles — Strongylus vulgaris, 95%(80) (data on horses ≥180 days old), Strongylus edentatus, 94%(34) (data on horses ≥330 days old); pinworms — Oxyuris equi, 43%(87); eyeworms — Thelazia lacrymalis, 61%(6); S. vulgaris in cranial mesenteric artery, 92%(53); and S. edentatus in ventral abdominal wall, 98% (56). Differentiation was made for the data by season and by age of the horses when they were examined. Information from this research reflects the transmission patterns and prevalence of these parasites under natural conditions.     

Molecular diagnosis of certain nematode infections can save life and beauty, and preserve breeds of socially relevant and sporting animals

The recognition that the health and welfare of some humans are improved through contact and relationships with animals is now established. Two commonly recognized assistance animals are dogs and horses. Both provide therapeutic benefits to humans with some physical and mental illnesses and both assist people with disabilities. Moreover, the public and scientific attention to the health and conservation of many animal breeds is also increasing worldwide. In the past few years, two potentially life-threatening nematode infections that can induce tumours or tumour-like masses in canids and equids, spirocercosis and draschiosis/habronemosis, respectively, are emerging in several areas of the world. This article reviews and comments how recent insights into the molecular early diagnosis of these diseases can save and preserve life, beauty and breeds of socially relevant and sporting animals.     

An acute outbreak of equine dysautonomia (equine grass sickness) in a group of eight Przewalski's horses (Equus ferus [caballus] przewalskii)

Equine grass sickness (EGS) is a neurodegenerative disease affecting grazing equids of which a single case of the chronic clinical presentation has previously been reported in a Przewalski's horse (Equus ferus [caballus] przewalskii). A group of 8 Przewalski's horses were moved to a new enclosure, recently vacated by a group of 4 Eastern kiang (Equus kiang holdereri) that showed no evidence of disease. After 23 days the first Przewalski's horse showed clinical signs of acute EGS including flank sweating, belly kicking, rapid loss of body condition, cessation of faecal passage, nasogastric reflux and mouthing water. It was subjected to euthanasia within 48 h due to lack of therapeutic response. Within 24 h of this first case developing clinical signs, a further 5 Przewalski's horses showed similar clinical signs of acute EGS and were subjected to euthanasia. Post mortem examinations confirmed acute EGS, with all animals demonstrating typical chromatolysis, cytoplasmic hypereosinophilia, cellular swelling, vacuolation, pyknosis and loss of nuclei in approximately 90% of neurones in the cranial cervical and cranial mesenteric ganglia and myenteric and submucosal plexi of the ileum. Two Przewalski's horses within the group showed no clinical signs of disease. No single pathogen was identified as the causal agent, but the epidemiological pattern of the outbreak was typical for that previously reported for acute EGS in domestic equids. All affected animals and the 2 surviving Przewalski's horses had low antibody titres to Clostridium botulinum type C. This is the first report of acute EGS in a herd of Przewalski's horses.     

Gastrointestinal nematode burden in working equids from humid tropical areas of central Veracruz, Mexico, and its relationship with body condition and haematological values

The east coast of Veracruz, Mexico, has an important equine population used for working in rural production systems. The objectives of this study were (1) to calculate the prevalence of tropical working equids (donkeys, mules and horses) infected with gastrointestinal nematodes (GINs) and the GINs involved, and (2) to measure the body condition score (BCS) and haematological values for each working equid and its relationship with faecal worm egg count (EPG). One hundred and forty working equids were randomly selected from five different villages along the central coast of the state of Veracruz and faecal and blood samples were obtained from each animal. Gastrointestinal parasite burdens were determined using the McMaster technique. Packed cell volume, total plasma proteins, red blood cell count and white blood cell count were measured from each blood sample. Prevalence of infected equids was higher than 90 %. Mules had the highest median faecal worm egg counts (875 EPG), followed by horses and donkeys with 400 EPG. There was no correlation between EPG and BCS or haematological values (p?>?0.05). Results suggest that despite the high prevalence and parasite burdens, equids involved in this trial are not being seriously affected. This study provides information which might help in designing future strategies to control nematode infections in working equids in the Mexican tropics; more emphasis should be placed on other inputs (nutrition perhaps), with individual anthelminthic treatment to those animals with the highest EPG or when signs present themselves.     

Parasites in lungs of dead equids in Kentucky: emphasis on Dictyocaulus arnfieldi

Prevalence of natural infections of parasites from the lungs of 488 dead Thoroughbreds in Kentucky was investigated. The horses varied from 1 to 32 years of age; 419 horses were from 215 farms and 69 horses were from 68 individual sources for which a specific farm was not identified. Examinations of the lungs were made from Mar 1, 1983 through Feb 29, 1984. Dictyocaulus arnfieldi was recovered from 56 (11%) of the horses. Other parasites found were larvae of Parascaris equorum in 37 (8%) and of Habronema/Draschia in 67 (14%) of the horses. The possible effect of ivermectin treatment on the prevalence of D arnfieldi in the lungs is discussed. Presence of D arnfieldi in 20 other selected dead equids was also investigated.     

Demographic and Environmental Risk Factors for Exposure to Lawsonia intracellularis in Horses in Israel

Equine proliferative enteropathy (EPE) is an enteric disease of foals that is caused by Lawsonia intracellularis. Clinical cases have been reported worldwide; however, data regarding the epidemiology of L. intracellularis in horses are scarce. Thus far, L. intracellularis has not been reported in the Middle East. The objectives of this study were to determine whether the causative agent of EPE exists in horses in Israel and in the Palestinian Authority and to define environmental and demographic risk factors for exposure. Fecal and serum samples were collected from horses from various regions of the country. The presence of L. intracellularis in horses in Israel was determined by real-time polymerase chain reaction (PCR), and seroprevalence was determined by enzyme-linked immunosorbent assay. One fecal sample of 136 tested (0.7%), was PCR positive. Sixty-seven sera samples (30.5%) of 220 horses in sentinel farms had anti-L. intracellularis antibodies. Low seroprevalence was found in foals both from Israel and from the Palestinian Authority (4.2% and 13.3%, respectively). In logistic regression models, geographical locations, management type, and age were found to be significant risk factors associated with seroprevlaence to L. intracellularis. No significant correlation was found between environmental variables and L. intracellularis seroprevalence after controlling for management type. These results support the existence of L. intracellularis in horses in both Israel and the Palestinian Authority. The reasons for the relatively low prevalence are currently not known and may be the result of different management, low exposure to free-living animals, and differences in environmental variables affecting the bacterial burden.     

Parasites of the stomach in donkeys of the highveld of Zimbabwe

Summary

Fourteen donkeys from a communal area of the Zimbabwean highveld were examined for stomach parasites during July and November of 1986 and January and April of 1987. All 14 animals were infected. Habronema muscae occurred in 12, Draschia megastoma in 11, H. majus in 9, Trichostrongylus axei in 9, Gasterophilus intestinalis in 14 and G. nasalis in 1 donkey. The lowest level of infection was in January for the helminthes and in April for Gasterophilus larvae. The peak burdens of parasites were in July for Habronema spp. and in November for D. megastoma and Gasterophilus larvae. Infections with spirurid worms and Gasterophilus develop mainly from the middle of the rainy season to the beginning of the dry season (Januari to May/June). G. intestinalis seems to have an annual cycle.     

Diagnosis and Surgical Management of Pythiosis in Draft Horses: Report of 33 Cases in Egypt

A total of 33 draft horses suffering from cutaneous pythiosis were referred to Mansoura Veterinary Teaching Hospital, Egypt, between October 2008 and January 2011. The animals presented ulcerative, granulomatous lesions located at the ventral aspect of the thorax (n = 10), abdomen (n = 14), forelimbs (n = 5), hind limbs (n = 2), and presternal region (n = 1) and at withers (n=1). The animals suffered from ulcerations composed of whitish yellow tissue having numerous draining tracts that discharge serosanguineous or bloody exudates. Initial diagnosis was based on location, gross lesion, and presence of kunkers. Histopathological evaluation revealed an eosinophilic granulomatous reaction associated with intralesional hyphae characteristic of Pythium insidiosum visualized by Gomori methenamine silver stain. The outcome of surgical excision revealed complete cure in 24 cases. Euthanasia was indicated in 9 cases.     

Serum Amyloid A (SAA) Concentration after Vaccination in Horses and Mules

Serum amyloid A (SAA) is a sensitive acute-phase response (APR) marker in equids. Prominent APRs with elevations of SAA concentrations ([SAA]) have been reported after vaccination. The authors hypothesized that vaccination with an inactivated EHV-1/-4 vaccine would cause increase in [SAA] and antibody responses and that higher [SAA] would be positively correlated with the antibody titer in both equids. Twelve Haflinger horses and 12 mules were included in this longitudinal prospective study. All horses and mules were vaccinated with a commercially available EHV-1/-4 vaccine. Blood was sampled before and after vaccination to measure [SAA] and virus-neutralizing response (VN-T). In horses and mules, significantly higher [SAA] were measured on days 1, 3, and 5 after EHV-1/-4 vaccination; [SAA] on day 1 after vaccination were only measured in animals that developed fever, where mean [SAA] were significantly higher in horses than in mules (horses: 1,365.75 ± 87.64 mg/L, mules: 615.5 ± 153.444 mg/L) (P > .05). Four horses and 2 mules developed fever after vaccination, lasting for ≤24 hours. Increased antibody responses (VN-T) on days 7 and 14 after vaccination were observed in all animals, whereas mules showed higher overall antibody responses. Nevertheless, [SAA] did not correlate with the intensity of the antibody responses (VN-T) stimulated by the vaccine (P < .05). EHV-1/-4 vaccination caused a prominent APR, higher in horses than in mules, but [SAA] did not correlate with antibody responses. Measuring [SAA] after vaccination could help identify severe APRs that may require longer resting intervals before training or competition.     

Comparison of the bacterial and fungal flora in the pharynx of normal horses and horses affected with pharyngitis

A total of 43 horses were used for the study of the pharyngeal bacterial flora. The median value of the number of bacteria in the group of 19 normal horses was 3.8 × 10⁴ cfu/g of secretions. This value was 6.4 × 10⁴cfu/g in horses with grade I pharyngitis, 1.3 × 10⁵ cfu/g in horses with grade II pharyngitis and 3.5 × 10⁶ cfu/g in horses affected with grades III and IV pharyngitis. Corynebacterium spp, coagulase-negative staphylococci, Nocardia spp, Moraxella spp and Enterobacter spp were the most frequently encountered bacteria in the normal animals as well as in horses affected with pharyngitis of grades I or II. Moraxella spp were isolated in 87.5% of the horses with pharyngitis of grades III and IV, followed by Streptococcus zooepidemicus, Pseudomonas aeruginosa, coagulase-negative staphylococci and Enterobacter spp. No fastidious bacteria, nor strict anaerobes were isolated from any of the 43 horses. None of the microorganisms were found in 100% of the animals and the majority of the isolates were opportunistic bacteria. These results demonstrate that the isolation of Moraxella spp and S. zooepidemicus in large numbers is frequent in horses with lymphoid follicular hyperplasia grades III and IV. Fungi were isolated in small numbers from two or three horses in each group.     

Serum vitamin D,calcium, and phosphorus concentrations in ponies,horses and foals from the United States and Thailand

Vitamin D is essential in calcium and phosphorus regulation, bone physiology, cell proliferation and epithelial integrity. Literature on vitamin D in growing horses is sparse, and the effect of age on vitamin D has not been evaluated in equids in the United States or in tropical countries. The goal of this study was to determine if there was an effect of age on serum 25(OH)D₃ concentrations in equids in the US (Ohio/Kentucky) and Thailand (Chiang Rai and Kanchanaburi) during the same time of the year. Blood samples were collected from healthy ponies (n = 21) and Thoroughbred foals (n = 13), yearlings (n = 10), and horses (n = 20) in Thailand and from Thoroughbred foals (n = 10) and horses (n = 17) in the US. Serum concentrations of 25(OH)D₃, calcium and phosphorus were measured.In both countries, serum 25(OH)D₃ concentrations were lower in foals than in yearlings and adult horses. Serum 25(OH)D₃ concentrations were higher in horses than in ponies in Thailand, but were not different between horses from either country. Calcium concentrations were not different between groups or location. In both countries, phosphorus concentrations were higher in foals than in older groups; however, were not different between ponies and horses. This study shows that independent of geography there are age-related differences in 25(OH)D₃ concentrations in horses and further confirms that 25(OH)D₃ concentrations are lower in horses compared to other species. The information will serve as the basis for future clinical studies and to help understand better the pathophysiology of equine disorders associated with calcium and phosphorus dysregulation.     

Safety and immunogenicity of BPV-1 L1 virus-like particles in a dose-escalation vaccination trial in horses

Reasons for performing study: Infection with bovine papillomaviruses types 1 and 2 (BPV‐1, BPV‐2) can lead to the development of therapy‐resistant skin tumours termed sarcoids and possibly other skin diseases in equids. Although sarcoids seriously compromise the welfare of affected animals and cause considerable economic losses, no prophylactic vaccine is available to prevent this common disease. In several animal species and man, immunisation with papillomavirus‐like particles (VLP) has been shown to protect efficiently from papillomaviral infection. Hypothesis: BPV‐1 L1 VLPs may constitute a safe and highly immunogenic vaccine candidate for protection of horses against BPV‐1/‐2‐induced disease. Methods: Three groups of 4 horses each received 50, 100 or 150 µg of BPV‐1 L1 VLPs, respectively, on Days 0, 28 and 168. Three control horses received adjuvant only. Horses were monitored on a daily basis for one week after each immunisation and then in 2 week intervals. Sera were collected immediately before, 2 weeks after each vaccination and one and 2 years after the final boost and analysed by pseudovirion neutralisation assay. Results: None of the horses showed adverse reactions upon vaccination apart from mild and transient swelling in 2 individuals. Irrespective of the VLP dose, all VLP‐immunised horses had developed a BPV‐1‐neutralising antibody titre of ≥1600 plaque forming units (pfu)/ml 2 weeks after the third vaccination. Eight of 10 trial horses still available for follow‐up had neutralising antibody titres ≥1600 pfu/ml one year and ≥800 pfu/ml 2 years after the last immunisation. Conclusion: Intramuscular BPV‐1 L1 VLP vaccination in horses is safe and results in a long‐lasting antibody response against BPV‐1. Neutralisation titres were induced at levels that correlate with protection in experimental animals and man. Potential relevance: BPV‐1 L1 VLPs constitute a promising vaccine candidate for prevention of BPV‐1/‐2‐induced disease in equids.