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== Introduction<br> ==
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== Introduction<br> ==
    
''Dictyocaulous arnfieldi'' is the lungworm of horses. The main sourse of infection is donkeys as these remain infected for years and contminate horses pasture.&nbsp;Infection can cycle in horses.  
 
''Dictyocaulous arnfieldi'' is the lungworm of horses. The main sourse of infection is donkeys as these remain infected for years and contminate horses pasture.&nbsp;Infection can cycle in horses.  
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The prevalence of lungworm in horses is around 10-20% whereas in donkeys it is 75%. There are very few adults worms or eggs in the faeces in horses, whereas in donkeys there are many of both present. In horses the period of patency is around 8months or less, whereas in donkeys it is around 5 years, hence such a problem occurs with donkeys on shared pasture. Also, clinical signs are rarely seen in donkeys, unlike horses where signs can be much more severe.<br>
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The prevalence of lungworm in horses is around 10-20% whereas in donkeys it is 75%. There are very few adults worms or eggs in the faeces in horses, whereas in donkeys there are many of both present. In horses the period of patency is around 8months or less, whereas in donkeys it is around 5 years, hence such a problem occurs with donkeys on shared pasture. Also, clinical signs are rarely seen in donkeys, unlike horses where signs can be much more severe. <br>  
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== <br>Clinical Signs<br> ==
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== <br>Clinical Signs<br> ==
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Clinical signs vary from non to chronic and include a chronic cough at rest or during exercise in a single animal or in a group of horses. This is most prevalent in autumn or early winter.  
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Clinical signs vary from non to chronic and include a chronic cough at rest or during exercise in a single animal or in a group of horses. This is most prevalent in autumn or early winter.''<br>''
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''<br>''[[Respiratory Parasitic Infections - Pathology#Dictyocaulus_arnfieldi|]]
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<br>  
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== Diagnosis  ==
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Clinical signs can time of year can be indicative of the disease. History is very important and information such as has co-grazing with donkeys occured is very important. <br>
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==== Diagnosis  ====
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Faecal examination can be used but this only detects patent infections, which account for only a small proportion of lungworm infections in horses. The sample must be processed immediately using the McMaster method to search for embryonated eggs. OR the sample can be processed at a leter date and the Baerman technique can be used to detect larvae with tail spine.<br>
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*Clinical signs.
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Tracheobronchial washings can be useful and will show large eosinophils. <br>
*Grazing history (donkey contact or shared grazing).
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*Faecal examination (only detects patent infections = small proportion of lungworm infections in horses):
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**process sample immediately = McMaster method, embryonated eggs
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**process sample later = Baerman technique, larvae with tail spine.
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*Tracheobronchial washings (large eosinophils).
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*Response to anthelmintic treatment (e.g. resolution of clinical signs = retrospective diagnosis).
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==== Control  ====
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Response to anthelmintic treatment by resolution of clinical signs will provide a retrospective diagnosis. <br>
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*Do not keep horses on pastures grazed by donkeys (potential carriers).  
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*Treat donkeys with appropriate anthelmintic in spring if grazed with horses.
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== Treatment and Control<br> ==
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Do not keep horses on pastures grazed by donkeys as these are potential carriers. Treat donkeys with appropriate anthelmintic in spring if grazed with horses. If horses are found to have the disease then treatment with an appropriate anthelmintic is required. If the condition is very severe then supportive treatment with brochodilators may be required. <br>
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*Found in smaller [[Bronchitis#Infectious_causes_of_bronchitis_or_bronchiolitis|bronchi]]
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== References<br> ==
*Cause of chronic cough
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*Donkeys are a reservoir mostly without any clinical signs
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*Gross pathology:
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**Raised areas of over-inflated pulmonary tissue surrounding small bronchus, containing worms and mucopurulent exudate
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**Hyperplastic bronchial epithelium
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**Coiled worms in small bronchi
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**Peribronchial cuffing
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**In caudal lung lobes
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*Histologically
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**Central coiled parasites and associated chronic catharral bronchitis
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**Goblet cell hyperplasia
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**Lymphoid cell infiltration
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*In [[Equine Alimentary System - Anatomy & Physiology|horses]], the worms usually fail to achieve sexual maturity
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[[Category:Respiratory_Diseases_-_Horse]] [[Category:Respiratory_Parasitic_Infections]] [[Category:Bronchi_and_Bronchioles_-_Pathology]] [[Category:To_Do_-_Clinical]]
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Bertone, J. (2006) Equine Geriatric Medicine and Surgery, Elsevier<br>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>Cowart, R.P. and Casteel, S.W. (2001) An Outline of Swine diseases: a handbook Wiley-Blackwell<br>Merck &amp; Co (2008) The Merck Veterinary Manual (Eighth Edition) Merial<br>Reed, S.M, Bayly, W.M. and Sellon, D.C (2010) Equine Internal Medicine (Third Edition), Saunders. <br><br>
    
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[[Category:Respiratory_Diseases_-_Horse]] [[Category:Respiratory_Parasitic_Infections]] [[Category:Bronchi_and_Bronchioles_-_Pathology]] [[Category:To_Do_-_Review]]
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