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== Introduction<br>  ==
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====Antigenicity====
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Equine Herpes virus 1 has a number of isolates whch vary in virulence depending on tropism. EHV4 is serotypically identical to EHV1, but can be distinguished via monoclonal antibodies, PCR and RE (restriction enzyme) profiling. <br>
*Isolates vary in virulence based on tropism
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*Note:
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** [[Viral skin infections - Pathology#Herpesviruses|Genital pustules]] are caused by '''EHV3'''
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**'''EHV4''' is serotypically identical to EHV1, but can be distinguished via monoclonal antibodies, PCR and RE (restriction enzyme) profiling
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====Pathogenesis====
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Infection is by aerosol transmission and this can occur even if there is a maternal antibody present in the body. and initial replication occurs in the upper respiratory tract. By 24hrs, coughing is induced once virus has reached bronchi and pulmonary lymph tissue. Cell-associated viremia, with virus predominantly in the T cells then occurs. Abortion can follow; the virus transfers from leukocytes to placental endothelium, causing thrombosis and ischemia. 95% of abortions are in the last trimester, when chorionic placentomes have created an end-artery system vulnerable to ischemia. Any foals that are born will be weak and virus-positive.
*Entry via '''aerosol'''
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*Initial replication in the upper respiratory tract
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*By 24hrs, '''coughing''' is induced once virus has reached bronchi and pulmonary lymph tissue
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*Cell-associated '''viremia''', with virus predominantly in the T cells
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*'''Abortion''' can follow:
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**Virus transfers from leukocytes to placental endothelium, causing '''thrombosis and ischemia'''
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**95% of abortions are in the '''last trimester''', when chorionic placentomes have created an end-artery system vulnerable to ischemia
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*Foals born will be weak and virus-positive
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*'''Paresis''' is a rare clinical symptom caused by lesions in the CNS and resulting thrombosis
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*'''Latency''' always follows infection, and the virus can be reactivated under stress
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====Epidemiology====
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Paresis is a rare clinical symptom caused by lesions in the CNS and resulting thrombosis
*Aerosol infection occurs despite maternal antibody
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*Over 60% of horses are latently infected and show antibody as yearlings
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*Greatest threat or reinfection is to mares in late-term pregnancy
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*Infected horses (coughing) can shed virus for up to 10 days
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====Diagnosis====
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Latency always follows infection, and the virus can be reactivated under stress at any point in later life. Over 60% of horses are latently infected and show antibody as yearlings. The greatest threat of reinfection is to mares in late-term pregnancy and because of this,mares in this phase of gestation should be isolated, especially from any newly brought in horses (that may be stressed).
*In the case of abortion:
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**Whole fetus should be sent for testing
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**Immunostaining of fetal tissues
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*Nested PCR for envelope glycoproteins in '''nasal swab''': more sensitive than virus isolation
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*Paired serum samples to show increase in CFT titre
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====Control====
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Infected horses (coughing) can shed virus for up to 10 days.<br>
*Isolation of pregnant mares in last trimester
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*No movement for at least 1 month after last abortion
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<br>
*'''Vaccination''' every 6 months
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**Inactivated vaccine may reduce respiratory disease but cannot protect against abortion
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== Clinical Signs<br> ==
[[Category:Herpesviridae]][[Category:Horse Viruses]]
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[[Category:To_Do_-_Clinical/Viruses]]
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Respiratory disease such as serous nasal discharge, coughing, sneezing, lacrimation and upper respiratory noise. <br>
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Abortion can occur in the third trimester and this is cahracteristic of this disease. Please note; [[Viral skin infections - Pathology#Herpesviruses|Genital pustules]] are caused by '''EHV3.<br>
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'''<br>'''<span style="display: none;" id="1300645149255S">&nbsp;</span>Diagnosis  ==
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In the case of abortion, the whole fetus should be sent for testing. At a specialist laboratory, immunostaining of fetal tissues will take place to diagnose the virus. Nested PCR for envelope glycoproteins in '''nasal swab''' can be used and this is more sensitive than virus isolation. Paired serum samples should also be taken on day one and then around two weeks later to show increase in CFT titre. <br>
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<br>
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== Treatment and Control  ==
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Control measures should include the isolation of pregnant mares in last trimester and no movement for at least 1 month after last abortion. <br>
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Vaccines are avaliable and the horse should be vaccinated every 6 months. Inactivated vaccine may reduce respiratory disease but cannot protect against abortion.<br>
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<br>
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== References<br> ==
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Brown, C.M, Bertone, J.J. (2002) The 5-Minute Veterinary Consult- Equine', Lippincott, Williams &amp; Wilkins<br>Blood, D.C. and Studdert, V. P. (1999) Saunders Comprehensive Veterinary Dictionary (2nd Edition) Elsevier Science <br>Bridger, J and Russell, P (2007) Vrology Study Guide, Royal Veterinary College<br>Knottenbelt, D.C. A Handbook of Equine Medicine for Final Year Students University of Liverpool<br>Knottenbelt, D.C, Pascoe, R.R. (2003) Colour atlas of Diseases and Disorders of the Horse Elsevier Health Sciences<br>Mair, T., Love, S., Schumacher, J. and Watson, E. (1998) Equine Medicine, Surgery and Reproduction WB Saunders Company Ltd<br>Pasquini, C, Pasquini, S, Woods, P (2005) Guide to Equine Clinics Volume 1: Equine Medicine (Third edition), SUDZ Publishing. Rose, R. J. and Hodgson, D. R. (2000) Manual of Equine Practice (Second Edition) Sauders. <br>
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[[Category:Herpesviridae]] [[Category:Horse_Viruses]] [[Category:To_Do_-_Review]]
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