1. Quantification of Equid herpesvirus 5 DNA in clinical and necropsy specimens collected from a horse with equine multinodular pulmonary fibrosis
- Author
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Elvio Lepri, Mauro Coletti, Marta Cercone, Etienne Thiry, Fabrizio Passamonti, Stefano Capomaccio, Giacomo Coppola, Katia Cappelli, Maria Luisa Marenzoni, and Michela Felicetti
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Equid herpesvirus 5 ,equine multinodular pulmonary fibrosis ,realtime PCR ,horse ,Pulmonary Fibrosis ,Lung biopsy ,Biology ,Real-Time Polymerase Chain Reaction ,Antiviral Agents ,Adrenal Cortex Hormones ,Biopsy ,Pulmonary fibrosis ,medicine ,Animals ,Varicellovirus ,Horses ,Lung ,General Veterinary ,medicine.diagnostic_test ,Horse ,Herpesviridae Infections ,medicine.disease ,Real-time polymerase chain reaction ,medicine.anatomical_structure ,Bronchoalveolar lavage ,Horse Diseases ,Viral load - Abstract
A 15-year-old Belgian gelding was referred for fever, depression, and respiratory distress. Lung biopsy revealed interstitial fibrosis consistent with chronic interstitial pneumonia. Equid herpesvirus 5 (EHV-5) DNA was detected by polymerase chain reaction (PCR) in bronchoalveolar lavage and biopsy specimens. A presumptive diagnosis of equine multinodular pulmonary fibrosis (EMPF) was made, and the horse was administered a systemic treatment with corticosteroids and antiviral drugs. Despite initial clinical improvement, 4 weeks later, the condition of the horse rapidly deteriorated, and the animal was euthanized. Postmortem examination confirmed the presumptive diagnosis of EMPF. The EHV-5 DNA load in different tissues was estimated using a quantitative real-time PCR. Lung had a remarkable viral load, higher than in other organs, especially within the pulmonary fibrotic nodules, and a linkage between high viral burden and the most severely affected tissues was observed. The results suggest that the quantitative real-time PCR is a useful tool to quantify the EHV-5 load in different organs and to understand the relationship between EHV-5 and EMPF. The bronchoalveolar lavage was determined to be a good clinical sample to estimate the EHV-5 load in lung.
- Published
- 2011