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Peer-reviewed veterinary case report

Clinical, pathologic, immunohistochemical, and virologic findings of eastern equine encephalomyelitis in two horses.

Journal:
Veterinary pathology
Year:
2001
Authors:
Del Piero, F et al.
Affiliation:
School of Veterinary Medicine · United States
Species:
horse

Plain-English summary

Two adult horses were found to have eastern equine encephalitis, a serious viral infection. They showed signs of not eating, belly pain, changes in their mental state, being overly excited, and then becoming very depressed. Tests revealed severe damage in various organs, including the heart, stomach, intestines, bladder, and spleen, as well as significant brain damage. The virus was found in many types of cells in both the brain and other organs. This study helps improve our understanding of this serious disease that can affect multiple systems in the body.

Abstract

Natural eastern equine encephalitis alphavirus (EEEV) infection was diagnosed in two adult horses with anorexia and colic, changes in sensorium, hyperexcitability, and terminal severe depression. Myocardium, tunica muscularis of stomach, intestine, urinary bladder, and spleen capsule had coagulative necrosis and perivascular lymphocytic infiltrate. Central nervous system (CNS) lesions were diffuse polioencephalomyelitis with leptomeningitis characterized by perivascular T lymphocyte cuffing, marked gliosis, neuronophagia, and multifocal microabscesses. Lesions were more prominent within cerebral cortex, thalamus, hypothalamus, and mesencephalon. EEEV was identified in the cytoplasm of cardiac myocytes and smooth muscle cells of spleen, stomach, intestine, urinary bladder, blood vessels, and dendritic cells. In the CNS, EEEV-positive cells included neurons, astrocytes, oligodendrocytes, microglia, and neutrophils. EEEV was isolated from the CNS of both horses. The detailed description of the encephalic and spinal EEEV localization and the findings of EEEV in extraneural tissues contribute to the understanding of this important multisystemic zoonotic disease.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/11467481/