2014
DOI: 10.1111/evj.12351
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Quantitative molecular viral loads in 7 horses with naturally occurring equine herpesvirus‐1 infection

Abstract: Nonsurvivors had viral loads 1000-fold higher in nasal secretions and 10-fold higher in blood than survivors. There was no relationship between severity of clinical signs at presentation and survival. Thus, encephalopathy and high viral load were negatively associated with survival in this population. Further research should be performed to determine whether high viral loads are associated with encephalopathy and poor prognosis. The Summary is available in Chinese - see Supporting information.

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Cited by 16 publications
(15 citation statements)
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References 16 publications
(31 reference statements)
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“…The only EHV-5 PCR-negative BALF originated from an EMPF case that had been collected well after treatment with corticosteroids and acyclovir. The prior treatment could have negatively affected the EHV-5 PCR results, similar to what has recently been reported following a similar treatment regimen in horses with EHV-1 myeloencephalopathy [17]. Further, the earlier PCR assays used to detect EHV-5 in BALF did not include an internal housekeeping gene in order to assess amount and quality of nucleic acids.…”
Section: Discussionsupporting
confidence: 56%
“…The only EHV-5 PCR-negative BALF originated from an EMPF case that had been collected well after treatment with corticosteroids and acyclovir. The prior treatment could have negatively affected the EHV-5 PCR results, similar to what has recently been reported following a similar treatment regimen in horses with EHV-1 myeloencephalopathy [17]. Further, the earlier PCR assays used to detect EHV-5 in BALF did not include an internal housekeeping gene in order to assess amount and quality of nucleic acids.…”
Section: Discussionsupporting
confidence: 56%
“…Previous work on valacyclovir has shown that replication stops immediately after initiation of treatment for alpha herpesviruses [16]. The present data are in agreement with a previous study showing the rapid decline in viral loads in blood and nasal secretions from horses with EHM treated with valacyclovir [17]. However, the susceptibility to EHV-1 infection was retained following discontinuation of valacyclovir, as exemplified by five horses that developed abnormal clinical signs during the second or third week of the outbreak.…”
Section: Discussionsupporting
confidence: 92%
“…According to the Center for Emerging Issues report of 2007, EHM satisfies the requirement for an emerging viral disease premised on (1) the more virulent nature of the circulating EHV-1 strains than previously reported and (2) increased incidence of the disease with a heightened case fatality rate (APHIS and USDA, 2008). Increased outbreaks of EHM were reported not only in North America and Europe, but also in Africa, Oceania, and Asia (Henninger et al, 2007; Gryspeerdt et al, 2011; Tsujimura et al, 2011; Burgess et al, 2012; Pronost et al, 2012; Traub-Dargatz et al, 2013; Walter et al, 2013; Estell et al, 2015; van Galen et al, 2015; McFadden et al, 2016; Negussie et al, 2017). The recent increased incidence of EHM during EHV-1 outbreaks supports the observation that the currently circulating neuropathogenic EHV-1 strain has evolved into a more pathogenic strain producing a higher rate of morbidity and mortality than previously (APHIS and USDA, 2007).…”
Section: Pathogenesis and Disease Manifestationsmentioning
confidence: 99%