author_facet Schale, Sarah
Howe, Daniel
Yeargan, Michelle
Morrow, Jennifer K.
Graves, Amy
Johnson, Amy L.
Schale, Sarah
Howe, Daniel
Yeargan, Michelle
Morrow, Jennifer K.
Graves, Amy
Johnson, Amy L.
author Schale, Sarah
Howe, Daniel
Yeargan, Michelle
Morrow, Jennifer K.
Graves, Amy
Johnson, Amy L.
spellingShingle Schale, Sarah
Howe, Daniel
Yeargan, Michelle
Morrow, Jennifer K.
Graves, Amy
Johnson, Amy L.
Journal of Veterinary Internal Medicine
Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
General Veterinary
author_sort schale, sarah
spelling Schale, Sarah Howe, Daniel Yeargan, Michelle Morrow, Jennifer K. Graves, Amy Johnson, Amy L. 0891-6640 1939-1676 Wiley General Veterinary http://dx.doi.org/10.1111/jvim.15127 <jats:sec><jats:title>Background</jats:title><jats:p>Infection by 2 or more protozoa is linked with increased severity of disease in marine mammals with protozoan encephalitis.</jats:p></jats:sec><jats:sec><jats:title>Hypothesis/Objectives</jats:title><jats:p>To assess whether horses with equine protozoal myeloencephalitis (EPM) caused by <jats:italic>Sarcocystis neurona</jats:italic> also have evidence of infection with <jats:italic>Neospora hughesi</jats:italic> or <jats:italic>Toxoplasma gondii</jats:italic>. We hypothesized that horses with EPM would be more likely than horses with cervical vertebral stenotic myelopathy (CVSM) to be positive for antibodies to multiple protozoan parasites.</jats:p></jats:sec><jats:sec><jats:title>Animals</jats:title><jats:p>One hundred one horses with neurologic disease: 49 with EPM and 52 with CVSM.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Case review. Archived serum and cerebrospinal fluid (CSF) from 101 horses were examined. Inclusion criteria included neurologic disease, antemortem or postmortem diagnosis of EPM or CVSM, and availability of serological results or archived samples for testing. Additional testing for antibodies was performed on serum for <jats:italic>T. gondii</jats:italic>, as well as serum and CSF for <jats:italic>N. hughesi</jats:italic>.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Horses with EPM were more likely than horses with CVSM to have positive immunologic results for <jats:italic>S. neurona</jats:italic> on serum (95.9% versus 76.9%, <jats:italic>P</jats:italic> = .0058), CSF (98.0% versus 44.2%, <jats:italic>P</jats:italic> &lt; .00001), and serum : CSF titer ratio (91.8% versus 0%, <jats:italic>P</jats:italic> &lt; .00001). Positive results for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> were uncommon, with total seroprevalence rates of 12.9% and 14.9%, respectively. The proportions of EPM cases testing positive for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> (16% and 12%) were not different from the proportions of CVSM cases testing positive (10% and 17%, <jats:italic>P</jats:italic> = .31 and .47, respectively).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Results do not indicate an important role for protozoal coinfection in EPM in the eastern United States.</jats:p></jats:sec> Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States Journal of Veterinary Internal Medicine
doi_str_mv 10.1111/jvim.15127
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series Journal of Veterinary Internal Medicine
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title Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_unstemmed Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_full Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_fullStr Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_full_unstemmed Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_short Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_sort protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern united states
topic General Veterinary
url http://dx.doi.org/10.1111/jvim.15127
publishDate 2018
physical 1210-1214
description <jats:sec><jats:title>Background</jats:title><jats:p>Infection by 2 or more protozoa is linked with increased severity of disease in marine mammals with protozoan encephalitis.</jats:p></jats:sec><jats:sec><jats:title>Hypothesis/Objectives</jats:title><jats:p>To assess whether horses with equine protozoal myeloencephalitis (EPM) caused by <jats:italic>Sarcocystis neurona</jats:italic> also have evidence of infection with <jats:italic>Neospora hughesi</jats:italic> or <jats:italic>Toxoplasma gondii</jats:italic>. We hypothesized that horses with EPM would be more likely than horses with cervical vertebral stenotic myelopathy (CVSM) to be positive for antibodies to multiple protozoan parasites.</jats:p></jats:sec><jats:sec><jats:title>Animals</jats:title><jats:p>One hundred one horses with neurologic disease: 49 with EPM and 52 with CVSM.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Case review. Archived serum and cerebrospinal fluid (CSF) from 101 horses were examined. Inclusion criteria included neurologic disease, antemortem or postmortem diagnosis of EPM or CVSM, and availability of serological results or archived samples for testing. Additional testing for antibodies was performed on serum for <jats:italic>T. gondii</jats:italic>, as well as serum and CSF for <jats:italic>N. hughesi</jats:italic>.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Horses with EPM were more likely than horses with CVSM to have positive immunologic results for <jats:italic>S. neurona</jats:italic> on serum (95.9% versus 76.9%, <jats:italic>P</jats:italic> = .0058), CSF (98.0% versus 44.2%, <jats:italic>P</jats:italic> &lt; .00001), and serum : CSF titer ratio (91.8% versus 0%, <jats:italic>P</jats:italic> &lt; .00001). Positive results for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> were uncommon, with total seroprevalence rates of 12.9% and 14.9%, respectively. The proportions of EPM cases testing positive for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> (16% and 12%) were not different from the proportions of CVSM cases testing positive (10% and 17%, <jats:italic>P</jats:italic> = .31 and .47, respectively).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Results do not indicate an important role for protozoal coinfection in EPM in the eastern United States.</jats:p></jats:sec>
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author Schale, Sarah, Howe, Daniel, Yeargan, Michelle, Morrow, Jennifer K., Graves, Amy, Johnson, Amy L.
author_facet Schale, Sarah, Howe, Daniel, Yeargan, Michelle, Morrow, Jennifer K., Graves, Amy, Johnson, Amy L., Schale, Sarah, Howe, Daniel, Yeargan, Michelle, Morrow, Jennifer K., Graves, Amy, Johnson, Amy L.
author_sort schale, sarah
container_issue 3
container_start_page 1210
container_title Journal of Veterinary Internal Medicine
container_volume 32
description <jats:sec><jats:title>Background</jats:title><jats:p>Infection by 2 or more protozoa is linked with increased severity of disease in marine mammals with protozoan encephalitis.</jats:p></jats:sec><jats:sec><jats:title>Hypothesis/Objectives</jats:title><jats:p>To assess whether horses with equine protozoal myeloencephalitis (EPM) caused by <jats:italic>Sarcocystis neurona</jats:italic> also have evidence of infection with <jats:italic>Neospora hughesi</jats:italic> or <jats:italic>Toxoplasma gondii</jats:italic>. We hypothesized that horses with EPM would be more likely than horses with cervical vertebral stenotic myelopathy (CVSM) to be positive for antibodies to multiple protozoan parasites.</jats:p></jats:sec><jats:sec><jats:title>Animals</jats:title><jats:p>One hundred one horses with neurologic disease: 49 with EPM and 52 with CVSM.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Case review. Archived serum and cerebrospinal fluid (CSF) from 101 horses were examined. Inclusion criteria included neurologic disease, antemortem or postmortem diagnosis of EPM or CVSM, and availability of serological results or archived samples for testing. Additional testing for antibodies was performed on serum for <jats:italic>T. gondii</jats:italic>, as well as serum and CSF for <jats:italic>N. hughesi</jats:italic>.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Horses with EPM were more likely than horses with CVSM to have positive immunologic results for <jats:italic>S. neurona</jats:italic> on serum (95.9% versus 76.9%, <jats:italic>P</jats:italic> = .0058), CSF (98.0% versus 44.2%, <jats:italic>P</jats:italic> &lt; .00001), and serum : CSF titer ratio (91.8% versus 0%, <jats:italic>P</jats:italic> &lt; .00001). Positive results for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> were uncommon, with total seroprevalence rates of 12.9% and 14.9%, respectively. The proportions of EPM cases testing positive for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> (16% and 12%) were not different from the proportions of CVSM cases testing positive (10% and 17%, <jats:italic>P</jats:italic> = .31 and .47, respectively).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Results do not indicate an important role for protozoal coinfection in EPM in the eastern United States.</jats:p></jats:sec>
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institution DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161
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spelling Schale, Sarah Howe, Daniel Yeargan, Michelle Morrow, Jennifer K. Graves, Amy Johnson, Amy L. 0891-6640 1939-1676 Wiley General Veterinary http://dx.doi.org/10.1111/jvim.15127 <jats:sec><jats:title>Background</jats:title><jats:p>Infection by 2 or more protozoa is linked with increased severity of disease in marine mammals with protozoan encephalitis.</jats:p></jats:sec><jats:sec><jats:title>Hypothesis/Objectives</jats:title><jats:p>To assess whether horses with equine protozoal myeloencephalitis (EPM) caused by <jats:italic>Sarcocystis neurona</jats:italic> also have evidence of infection with <jats:italic>Neospora hughesi</jats:italic> or <jats:italic>Toxoplasma gondii</jats:italic>. We hypothesized that horses with EPM would be more likely than horses with cervical vertebral stenotic myelopathy (CVSM) to be positive for antibodies to multiple protozoan parasites.</jats:p></jats:sec><jats:sec><jats:title>Animals</jats:title><jats:p>One hundred one horses with neurologic disease: 49 with EPM and 52 with CVSM.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Case review. Archived serum and cerebrospinal fluid (CSF) from 101 horses were examined. Inclusion criteria included neurologic disease, antemortem or postmortem diagnosis of EPM or CVSM, and availability of serological results or archived samples for testing. Additional testing for antibodies was performed on serum for <jats:italic>T. gondii</jats:italic>, as well as serum and CSF for <jats:italic>N. hughesi</jats:italic>.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Horses with EPM were more likely than horses with CVSM to have positive immunologic results for <jats:italic>S. neurona</jats:italic> on serum (95.9% versus 76.9%, <jats:italic>P</jats:italic> = .0058), CSF (98.0% versus 44.2%, <jats:italic>P</jats:italic> &lt; .00001), and serum : CSF titer ratio (91.8% versus 0%, <jats:italic>P</jats:italic> &lt; .00001). Positive results for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> were uncommon, with total seroprevalence rates of 12.9% and 14.9%, respectively. The proportions of EPM cases testing positive for <jats:italic>Neospora</jats:italic> and <jats:italic>Toxoplasma</jats:italic> (16% and 12%) were not different from the proportions of CVSM cases testing positive (10% and 17%, <jats:italic>P</jats:italic> = .31 and .47, respectively).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>Results do not indicate an important role for protozoal coinfection in EPM in the eastern United States.</jats:p></jats:sec> Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States Journal of Veterinary Internal Medicine
spellingShingle Schale, Sarah, Howe, Daniel, Yeargan, Michelle, Morrow, Jennifer K., Graves, Amy, Johnson, Amy L., Journal of Veterinary Internal Medicine, Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States, General Veterinary
title Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_full Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_fullStr Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_full_unstemmed Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_short Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
title_sort protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern united states
title_unstemmed Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States
topic General Veterinary
url http://dx.doi.org/10.1111/jvim.15127