Abstract.A case of fatal nonneurological equine herpesvirus 1 (EHV-1) infection in a yearling filly is described. Gross lesions included extensive pulmonary edema, prominent laryngeal lymphoid follicles, and congestion and edema of the dorsal third ventricle choroid plexus. Histologically, there was vasculitis, hemorrhage, and edema in the lungs and dorsal third ventricle choroid plexus as well as mild intestinal crypt necrosis with occasional intranuclear inclusion bodies. The perivascular and vascular inflammatory infiltrates were comprised mainly of T lymphocytes and macrophages. EHV-1 antigen was identified within the nucleus and cytoplasm of endothelial cells, dendritic-like cells of the pharyngeal lymphoid follicles, pharyngeal glandular epithelium, crypt enterocytes, and monocytes. Attempted virus isolation was negative. Weak seroconversion for EHV-1 was observed. Herpesvirus-like particles were identified within pharyngeal endothelial cells by transmission electron microscopy. Polymerase chain reaction amplified 369 and 188 base-pair fragments specific for EHV-1. The scarcity of pathognomonic viral inclusions and lesions in this case suggests that this disease may not be recognized, particularly in situations when ancillary laboratory procedures are limited.Key words: Equine herpesvirus; horses; immunohistochemistry; polymerase chain reaction; vasculitis.Equine herpesvirus (EHV-1) causes abortion, stillbirth, respiratory disease, and encephalomyelopathy secondary to vasculitis in horses. 4,5,10,18 The infection is almost uniformly fatal in newborn foals. The outcome of the neurological form is variable, with some cases leading to paraplegia, quadriplegia, recumbency, and death or euthanasia due to the critical condition of the patient. We describe a fatal, nonneurological EHV-1 infection in a yearling filly associated with multisystemic vasculitis, severe pulmonary edema and hemorrhage, and mild enterotyphlocolitis, with particular emphasis on the distribution of the EHV-1 antigen (EHV-1Ag) identified with the avidin-biotin complex (ABC) indirect immunoperoxidase histochemical technique on affected tissues.A yearling Thoroughbred filly presented with a history of fever (up to 105 F), depression, and lethargy of a few days duration. Several other horses on the property were also febrile. These animals had not been vaccinated for equine respiratory viral pathogens. The filly was treated for pyrexia with nonsteroidal anti-inflammatory agents. She was found dead in her stall the morning of presentation.On necropsy, the mucous membranes were severely congested and cyanotic. There were approximately 5 liters of clear yellow-orange watery fluid in the thoracic cavity (Fig. 1). Similar fluid infiltrated and expanded the interlobular septa and visceral pleura of the lungs, which were very heavy. The trachea contained abundant froth, which extended to bronchi and bronchioli in association with fibrin. The lymphoid follicles around the epiglottis were prominent. The meningeal blood vessels were moderately hyperemi...