Manship Arlie J, Blikslager Anthony T, Elfenbein Johanna R
Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, North Carolina.
J Vet Intern Med. 2019 Mar;33(2):912-917. doi: 10.1111/jvim.15386. Epub 2019 Jan 10.
Equine coronavirus (ECoV) is an emerging pathogen associated with fever and enteric disease in adult horses. Clinical features of ECoV infection have been described, but no study has compared these features to those of Salmonella infections.
Compare the clinical features of ECoV infection with enteric salmonellosis and establish a disease signature to increase clinical suspicion of ECoV infection in adult horses.
Forty-three horses >1 year of age with results of CBC, serum biochemistry, and fecal diagnostic testing for ECoV and Salmonella spp.
Medical records of horses presented to the North Carolina State University Equine and Farm Animal Veterinary Center (2003-016) were retrospectively reviewed. Horses were divided into 3 groups based on fecal diagnostic test results: ECoV-positive, Salmonella-positive, or unknown diagnosis (UNK). Time of year presented, clinical signs, CBC, and serum biochemistry test results were recorded. Data were analyzed by 1-way analysis of variance, Kruskal-Wallis test, or Fisher's exact test with significance set at P < .05.
Most common presenting complaints were fever and colic and were similar across groups. Horses with ECoV had significantly decreased neutrophil counts when compared to those with no diagnosis but were not different from horses with Salmonella. Horses with Salmonella had significantly lower mean leukocyte counts compared to those with UNK. No significant differences were found among groups for any other examined variable.
Equine coronavirus and Salmonella infections share clinical features, suggesting both diseases should be differential diagnoses for horses with fever and enteric clinical signs.
马冠状病毒(ECoV)是一种新出现的病原体,与成年马的发热和肠道疾病有关。已有关于ECoV感染临床特征的描述,但尚无研究将这些特征与沙门氏菌感染的特征进行比较。
比较ECoV感染与肠道沙门氏菌病的临床特征,并建立一种疾病特征以提高对成年马ECoV感染的临床怀疑。
43匹年龄大于1岁的马,有血常规、血清生化检查结果以及针对ECoV和沙门氏菌属的粪便诊断检测结果。
对送至北卡罗来纳州立大学马与农场动物兽医中心(2003 - 2016年)的马的病历进行回顾性审查。根据粪便诊断检测结果将马分为3组:ECoV阳性组、沙门氏菌阳性组或诊断不明组(UNK)。记录就诊时间、临床症状、血常规和血清生化检测结果。数据采用单因素方差分析、Kruskal - Wallis检验或Fisher精确检验进行分析,显著性设定为P < 0.05。
最常见的就诊主诉是发热和腹痛,各组相似。与诊断不明的马相比,ECoV感染的马中性粒细胞计数显著降低,但与沙门氏菌感染的马无差异。与诊断不明的马相比,沙门氏菌感染的马平均白细胞计数显著更低。在其他任何检测变量方面,各组之间均未发现显著差异。
马冠状病毒感染和沙门氏菌感染具有共同的临床特征,提示这两种疾病都应作为有发热和肠道临床症状的马的鉴别诊断。