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== Gastrointestinal Nematodes ==
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{{frontpage
==== Introduction ====
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|pagetitle = Horse Nematodes
[[Image:Parascaris equorum.jpg|thumb|right|150px|''Parascaris equorum'' - Joaquim Castellà Veterinary Parasitology Universitat Autònoma de Barcelona]]
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|pagebody =  
[[Image:Parascaris equorum2.jpg|thumb|right|150px|''Parascaris equorum'' - Joaquim Castellà Veterinary Parasitology Universitat Autònoma de Barcelona]]
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|contenttitle = Content
[[Image:Parascaris equorum3.jpg|thumb|right|150px|''Parascaris equorum'' - Joaquim Castellà Veterinary Parasitology Universitat Autònoma de Barcelona]]
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|contentbody =
[[Image:Parascaris equorum4.jpg|thumb|right|150px|''Parascaris equorum'' - Joaquim Castellà Veterinary Parasitology Universitat Autònoma de Barcelona]]
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<big><b>
[[Image:Strongylus.jpg|thumb|right|150px|''Strongylus'' - Joaquim Castellà Veterinary Parasitology Universitat Autònoma de Barcelona]]
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<br>
Many nematode species occur in the equine gastrointestinal tract, although not all are of equal importance:
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[[Horse Nematode Overview|Overview]]
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{| style="width:75%; height:200px" border="1"
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[[Strongyles]]
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:[[Large Strongyles]]
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::''[[Trichostrongylus axei]]
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::''[[Triodontophorus]]
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:[[Cyathostomins]]
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!'''Stomach'''
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!'''Small Intestine'''
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!'''Large Intestine'''
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|-
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|
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*''Habronema (Draschia)''
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*''Trichostrongylus axei''
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''[[Dictyocaulus arnfieldi]]
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*''Parascaris''
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*''Strongyloides''
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''[[Habronema and Draschia spp.]]
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*''Strongylus'' species
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*Cyathostomins
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''[[Onchocerca spp.]]
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*''Triodontophorus'' species
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''[[Oxyuris equi]]
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*''Oxyuris equi''
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''[[Parafilaria spp.]]
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|}
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== [[Strongyles]] (Red worms) ==
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''[[Parascaris equorum]]
The strongyles that occur in the horse can be divided on the basis of size into two groups
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*[[Large Strongyles|'''Large''' strongyles]]
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**''[[Strongylus]]'' species (3 species; used to be widespread prior to the introduction of worm control programmes; now uncommon)
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**''[[Triodontophorus]]'' species (common)
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*'''Small''' strongyles
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**Also known as [[Cyathostomins]] (preferred term), cyathostomes, trichonemes or small redworms
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**Cyathostomins (widespread, including 4 genera and over 40 species of worms)
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''[[Setaria spp.]]
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''[[Strongyloides]]
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''[[Thelazia lacrymalis]]
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=== Small strongyles (Cyathostomins) ===
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==== Morphology ====
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'''Gross''':
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*Small worms, <1.5cm long
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*Small, shallow buccal capsule
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'''Microscopic''':
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*Buccal capsule shape
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*Double row of leaf crowns
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*Teeth may be present
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==== Life-cycle ====
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*Infection by ingestion of L3
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*Larvae invade mucosa of large intestine
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*Larvae may develop to L4 without interruption
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*Cyathostomin larvae can arrest at EL3 stage
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*L4 emerge into gut lumen and mature to adult worms
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*Prepatent period 8-12 weeks (depending on species)
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==== Pathogenicity ====
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[[Horse Nematode Flashcards|Flashcards]]
'''General''':
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<br>
*Adult and larval worms are plug feeders, restricting the damage to more superficial mucosa
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<br>
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</b></big>
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|logo=Horse-logo.png}}
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'''Cyathostominosis''':
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*Initial infection (L3) → local inflammatory response
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*Developing L4s can be seen as brown flecks in the mucosa
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*They can be present in very large numbers (→ the so-called "pepper-pot lesion")
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*Larval emergence throughout '''summer/autumn''' and plug-feeding of adults → major contributor to the "wormy" horse:
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**Unthriftiness
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**Poor coat
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**Anaemia
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**Diarrhoea)
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*May be tens or hundreds of thousands of adults and millions of mucosal larvae present
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*Emergence of massive numbers of previously arrested larvae in '''late winter/early spring''' → massive inflammatory infiltration → serious disease characterised by severe diarrhoea and/or weight loss (larval or Type 2 cyathostominosis)
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=== General epidemiology of large and small strongyles ===
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'''Strongylosis occurs in'''
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*Young horses
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*Adult animals (especially if overcrowding, poor hygiene)
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*Animals on permanent pasture
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'''Sources of infection'''
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*Overwintered L3 on pasture
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*Many adult horses pass significant numbers of strongyle eggs throughout their lives
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*"Spring rise" in faecal egg output occurs in both breeding and non-breeding horses
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'''Pattern of infection on pasture'''
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*Pattern of L3 on pasture is similar to gastrointestinal worms in cattle
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*Main difference is that the mare makes a major contribution to pasture contamination (c.f. cow)
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'''Hypobiosis of cyathostomin larvae'''
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*Occurs throughout the year, but particularly in '''late summer/autumn'''
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*EL3 may remain arrested for years
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*Resumption of normal development can occur
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**seasonally in '''late winter/early spring'''
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**following removal of adult worm population via anthelmintic treatment
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==== Larval cyathostominosis ====
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*Sudden onset diarrhoea and/or weight-loss
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*Diagnosis difficult, prognosis guarded
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*Generally in '''late winter/spring'''
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*Usually <5 years old
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*Sporadic, but increasing in incidence
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*Hyperglobulinaemia, especially IgG(T)
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*Hypoalbuminaemia
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*Leukocytosis
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*Sometimes peripheral oedema
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*Faecal egg-count low (disease caused by emerging larvae)
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*Larvae may be found in faeces or on faecal glove
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==== Pathogenesis ====
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[[Category:Horse Parasites]]
Resumed development of massive numbers of larvae → subsequent emergence of bright red L4 → massive eosinophilic infiltration of mucosa → catarrhal and haemorrhagic colitis
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==== Control of cyathostomin infections in horses ====
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'''Anthelmintics'''
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*Only 3 chemical groups currently available
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**Avermectin/milbemycins
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**Benzimidazoles
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**Pyrantel
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*Resistance is an emerging problem (especially to benzimidazoles)
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'''Target life-cycle stages'''
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*These are not all equally susceptible to each anthelmintic
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*Pyrantel is affective against
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**Adult worms in the lumen
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*Ivermectin or a one off administration of Fenbendazole is affective against
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**Adult worms and L4 in the lumen
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*Moxidectin or a 5 day course of Fenbendazole is affective against
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**Adult worms and L4 in the lumen
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**Developing and hypobiotic L3 in the mucosa
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'''Egg reappearance period'''
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*This is the time from treatment until eggs reappear in the faeces. It is determined by
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**degree of activity against mucosal larval stages
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**persistency of anthelmintic treatment
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'''Prevention of pasture contamination'''
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*The objective is to create safe grazing by preventing depostion of strongyle eggs onto pasture
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*Treat all grazing horses at intervals determined by
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**Egg reappearance time of chosen anthelmintic
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**Risk level
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*Treat all new arrivals and stable for 48-72 hours so that eggs are not passed onto pasture
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*Adopt strategy that will minimise risk of resistance developing (you may need to include tapeworm and stomach bots in your scheme)
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*No new eggs passed → no new L3 developing, however it is important to use epidemiological knowledge to predict how long existing L3 will survive as the pasture will not be safe for use before then
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*Remove faeces from paddocks at least weekly:
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**This markedly reduces dependence on anthelmintics
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**Increases available grazing
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**But is labour intensive and less effective in rainy weather
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*Examine faecal samples twice yearly to monitor effectiveness of your chosen strategy
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'''Pasture management'''
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*Reserve clean grazing for nursing mares and foals
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*Rest pastures used the previous year until overwintered L3 have gone
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*Mixed or alternate grazing with cattle or sheep
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**These are refractory to most horse worms, except ''T.axei''
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'''Chemoprophylaxis of larval cyathostominosis'''
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*Needed if a horse is known to have grazed heavily contaminated pasture and may therefore be harbouring massive numbers of hypobiotic larvae
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*Fenbendazole treatment given daily for 5 consecutive days in autumn or winter will reduce the risk of clinical disease developing.
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[[Category:Nematodes]][[Category:Horse]]
 
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