Difference between revisions of "Equine Viral Encephalitis"

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Also known as: '''''Equine viral encephalomyelitis — Equine viral encephalitides — Equine viral encephalomyelitides'''''
 
  
==Introduction==
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====Description====
Viral diseases affecting the central nervous system (CNS) of equidae causing encephalitis or meningoencephalitis. Most commonly involves [[Equine Togaviral Encephalitis]].
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Viraemia during the acute phase of EEE and WEE.  Incubation period of 1-3weeks after experimental infection with EEE or WEE. Incubtion often shorter with EEE. CNS replication within a week
  
==Aetiology==
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====Epidemiology====
Infection with any of the following viruses can cause CNS disease in horses:
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Transfer via '''vector''': mostly through '''[[Culicidae|mosquito salivary transfer]]'''
 +
Disease amplification occurs during the viraemic phase which lasts until nervous signs develop.
  
Family Bornaviridae, Genus ''Bornavirus''
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====Signalment====
*Borna Disease Virus
 
Family Bunyaviridae, Genus ''Bunyamweravirus''
 
*Cache Valley Virus
 
Family Bunyaviridae, Genus ''Orthobunyavirus''
 
*California Encephalitis viruses <ref>Bertone, J.J (2010) Viral Encephalitis in Reed, S.M, Bayly, W.M. and Sellon, D.C (2010) '''Equine Internal Medicine''' (Third Edition), ''Saunders'', Chapter 12.</ref>
 
**Snowshoe Hare Virus
 
**Jamestown Canyon Virus
 
*Main Drain Virus
 
Family [[:Category:Flaviviridae|Flaviviridae]], Genus [[:Category:Flaviviruses|''Flavivirus'']]
 
*[[Japanese Encephalitis Virus]]
 
*Kunjin Virus
 
*[[Louping Ill|Louping Ill Virus]]
 
*Murray Valley Virus
 
*Powassan virus
 
*St. Louis Encephalitis Virus
 
*[[West Nile Virus|West Nile Virus (WNV) **]]
 
Family [[:Category:Paramyxoviridae|Paramyxoviridae]], Genus ''Henipavirus''
 
*[[Nipah Virus]]
 
Family [[:Category:Rhabdoviridae|Rhabdoviridae]], Genus ''Lyssavirus''
 
*[[Rabies]] Virus
 
Family [[:Category:Reoviridae|Reoviridae]], Genus ''Orbivirus''
 
*Equine Encephalosis Virus
 
[[:Category:Togaviridae|Family Togaviridae]], Genus [[Equine Encephalitis Virus|''Alphavirus'']]
 
*Aura Virus
 
*Eastern Equine Encephalitis Virus (EEV) **
 
*Western EEV **
 
*Venezuelan EEV **
 
*Highlands J Virus
 
*Getah Virus
 
*Semliki Forest Virus
 
*Ross River Virus
 
*Una Virus
 
  
Other viruses implicated in equine encephalitis:
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====Diagnosis====
*Maguari Virus<ref>Calisher, C.H, Monath, T.P, Sabattini, M.S, Mitchell, C.J, Lazuick, J.S, Tesh, R.B, Cropp, C.B (1987) A newly recognised vesiculovirus, Calchaqui virus, and subtypes of Melao and Maguari viruses from Argentina, with serologic evidence for infections of humans and horses, ''Am J Trop Med Hyg'', 36:114-119.  In: Bertone, J.J (2010) Viral Encephalitis in Reed, S.M, Bayly, W.M. and Sellon, D.C (2010) '''Equine Internal Medicine''' (Third Edition), ''Saunders'', Chapter 12.</ref>
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Clinical signs.  Virus isolation can be performed from blood or spinal fluid
  
==Legislation==
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====Clinical Signs====
Diseases caused by some of the viruses listed above (**) are subject to The Infectious Diseases of Horses Order 1987.  "''The Order, which revoked and replaced earlier legislation, makes these diseases compulsorily notifiable: it gives an inspector powers to declare an infected place where disease is suspected; to carry out a veterinary inquiry, prohibits the movement of horses carcases and other things onto or off the premises and requires cleansing and disinfection''".  Council Directive 90/426 describes all cases of equine encephalomyelitis (regardless of cause) as compulsorily notifiable to the EU.<ref>http://www.defra.gov.uk/foodfarm/farmanimal/diseases/atoz/viralenceph/index.htm</ref>
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Worse in unvaccinated animals.  Acute signs of EEE and WEE are nonspecific, last up to 5 days and include:
 +
*mild to severe pyrexia
 +
*anorexia
 +
*stiffness
 +
Early signs transient and often missed:
 +
*pyrexia
 +
*mild depression
 +
Disease progression occurs more frequently with EEE than WEE:
 +
*fever may rise and fall sporadically
 +
Cerebral signs often occur a few days post-infection (but can occur at any time.  In the acute phase the following may be noted:
 +
*propulsive walking
 +
*depression
 +
*somnolence
 +
*hyperaesthesia
 +
*agression
 +
*excitability
 +
*frenzy in response to sensory stimulation
 +
*conscious proprioceptive deficits
 +
With progression, worsening cerebral cortical and cranial nerve dysfunction may result in:
 +
*head pressing
 +
*propulsive walking
 +
*blindness
 +
*circling
 +
*head tilt
 +
*facial and appendicular muscle fasciculations
 +
*paralysis of pharynx, larynx and tongue
 +
*recumbency for 1-7 days followed by death
 +
VEE may have similar or different clinical presentations to WEE and EEE, which may relate to a persistently hightitre viraemia with VEE and differences in strain pathogenicity:
 +
*pyrexia peaks early and remains high throuhgout the disease course
 +
*mild fever and leukopenia associated experimentally with endemic strains
 +
*severe pyrexia and leukopenia associated with epidemic strains
 +
*diarrhoea, severe depression recumbency and death may precede neurological signs
 +
*neurological signs around 4 days post-infection
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*other associated signs: abortion, oral ulceration, pulmonary haemorrhage, epistaxis
  
{{Learning
 
|full text = [http://www.cabi.org/cabdirect/FullTextPDF/2005/20053177514.pdf ''' Update on viral encephalitis, encephalomyelitis and myeloencephalopathy.''' Traub-Dargatz, J.; Eastern States Veterinary Association, Gainesville, USA, Proceedings of the North American Veterinary Conference. Large animal. Volume 19, Orlando, Florida, USA, 8-12 January, 2005, 2005, pp 274-278, 10 ref.]
 
}}
 
  
==References==
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*Paralysis of the lips
<references/>
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*Drooping eyelids
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*Incoordination
  
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====Laboratory Tests====
  
{{review}}
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====Biopsy====
  
{{OpenPages}}
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====Pathology====
  
[[Category:Expert_Review]]
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====Treatment====
[[Category:Neurological Diseases - Horse]]
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 +
====Prognosis====
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Often '''fatal''', comatose animals rarely survive.  Survivors exhibit functional improvement over weeks to months.
 +
 
 +
====Control====
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Annual '''vaccination'''.  Vector control.  Human vaccination recommended for vets in endemic areas
 +
 
 +
====References====
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 +
 
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'''[[Venezuelan Equine Encephalomyelitis (VEE) - Donkey|VEE in Donkeys]]'''
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[[Category:Togaviridae]]
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[[Category:Horse]]
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[[Category:To_Do_-_Viruses]]
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[[Category:To_Do_-_Nina]]

Revision as of 14:50, 6 July 2010



Description

Viraemia during the acute phase of EEE and WEE. Incubation period of 1-3weeks after experimental infection with EEE or WEE. Incubtion often shorter with EEE. CNS replication within a week

Epidemiology

Transfer via vector: mostly through mosquito salivary transfer Disease amplification occurs during the viraemic phase which lasts until nervous signs develop.

Signalment

Diagnosis

Clinical signs. Virus isolation can be performed from blood or spinal fluid

Clinical Signs

Worse in unvaccinated animals. Acute signs of EEE and WEE are nonspecific, last up to 5 days and include:

  • mild to severe pyrexia
  • anorexia
  • stiffness

Early signs transient and often missed:

  • pyrexia
  • mild depression

Disease progression occurs more frequently with EEE than WEE:

  • fever may rise and fall sporadically

Cerebral signs often occur a few days post-infection (but can occur at any time. In the acute phase the following may be noted:

  • propulsive walking
  • depression
  • somnolence
  • hyperaesthesia
  • agression
  • excitability
  • frenzy in response to sensory stimulation
  • conscious proprioceptive deficits

With progression, worsening cerebral cortical and cranial nerve dysfunction may result in:

  • head pressing
  • propulsive walking
  • blindness
  • circling
  • head tilt
  • facial and appendicular muscle fasciculations
  • paralysis of pharynx, larynx and tongue
  • recumbency for 1-7 days followed by death

VEE may have similar or different clinical presentations to WEE and EEE, which may relate to a persistently hightitre viraemia with VEE and differences in strain pathogenicity:

  • pyrexia peaks early and remains high throuhgout the disease course
  • mild fever and leukopenia associated experimentally with endemic strains
  • severe pyrexia and leukopenia associated with epidemic strains
  • diarrhoea, severe depression recumbency and death may precede neurological signs
  • neurological signs around 4 days post-infection
  • other associated signs: abortion, oral ulceration, pulmonary haemorrhage, epistaxis


  • Paralysis of the lips
  • Drooping eyelids
  • Incoordination

Laboratory Tests

Biopsy

Pathology

Treatment

Prognosis

Often fatal, comatose animals rarely survive. Survivors exhibit functional improvement over weeks to months.

Control

Annual vaccination. Vector control. Human vaccination recommended for vets in endemic areas

References

VEE in Donkeys