Tuesday, March 9, 2021
Monday, February 22, 2021
Equine Protozoal Myeloencephalitis (EPM)
Equine Protozoal Myeloencephalitis, or EPM, is a serious disease that can be difficult to dignose because its signs and symptoms can mimic other health problems in horses and the signs can range in severity. More than 50 percent of all horses in the country may have been exposed to the causative organism so it is important to be aware of the signs and symptoms of this disease.
The causative organism is a protozoa called Sarcocystis neurona, and is spread by opossums. Opossums are the definitive host which is an organism that supports the adult or reproductive form of a parasite. Opossums aquires the causative organism from cats, raccoons, skunks, and armadillos. The infective stage of the protozoa, the sporocysts) is passed in the opossum's feces and horses can come into contact with it while grazing or eating contaminated feed or drinking contaminated water. Once the sporocysts are ingested by the horse, the sporocysts will migrate from the intestinal tract into the bloodstream and will then cross the blood/brain barrier. Once this barrier is crossed, the horse's central nervous system begins to be attacked. Disease onset may be slow or sudden and if left undiagnosed and untreated, EPM can cause devastating and lasting neurological damage.
The clinical signs and symptoms of EPM will vary and can be different in different horses. Clinical signs are usually asymmetrical, meaning not the same on both sides of the horse. Signs may include:
Ataxia (incoordination)
Spasticity (stiff movements)
Abnormal gait or lameness
Incoordination and weakness which worsens when going up or down slopes or when head is elevated
Muscle atrophy mostly along the topline or in large muscle groups like the hindquarters but can sometimes involved the muscles of the face or front limbs
Paralysis of muscles of the eyes, face, or mouth evident by drooping eyes, ears, or lips
Difficulty swallowing
Seizures or collapse
Abnormal sweating
Loss of sensation along the face, neck, or body
Head tilt with poor balance - horse may assume a splay-footed stance or lean against something for support
There are several factors that can influence the progression of the disease but these four things seem to play an important role:
The extent of the infection (number of organisms ingested)
How long the horse harbors the parasite prior to treatment
The point(s) in the brain or spinal cord where the organism localizes and damage occurs
Stressful events following infection or stressful events while infected
Almost every part of the country has reported cases of EPM, however there is a lower incidence of the disease in the western United States because of the smaller opossum population. About one percent of horses exposed to EPM will show clinical signs of the disease and due to the transport of horses and feedstuffs across the country, almost all horses are at risk to being exposed.
Diagnosing EPM can be difficult because there is no specific assay for this disease and it's clinical signs mimic other neurological diseases. A veterinarian will fist conduct a thorough physical exam to asses the horse's general health and identify any suspicious signs. One clue that can help lead to the correct diagnosis is that EMP tends to affect one side or part of the horse more than another.
Early diagnosis and treatment are key to increase the horse's chance at a full recovery. Sixty to 70 percent of EPM cases that are treated aggressively show significant or complete reversal of symptoms with many horses being able to return to normal activity. Although there are drug combinations available to treat EPM, there are propriety anti-protozoal drugs specifically labeled to treat the disease. Anti-inflammatory drugs may be prescribed to alleviate symptoms. Vitamin E, an antioxidant, supplementation aids in healing the nervous system tissue. Treatment duration generally lasts one month when using the proprietary products, but can be longer (up to six months) depending on which medication is used. Treatments for this disease can be expensive and may affect stallion fertility and may pose health risks for unborn foals. Despite the high success rates, not all horses respond positively to treatment, with approximately 10 to 20 percent of horses experiencing relapse. During treatment taking blood samples may be needed to monitor potential side effects sushc as anemia, low platelet count, and low white blood cell count. Horses undergoing treatment should be closely monitored for sings of improvement or decline and any changes should be reported to your veterinarian immediately.
The best way to prevent this disease is good horse keeping practices that discourage opossums and other rodents from getting into and contaminating hay, grain, bedding, and water sources. Here are a few suggestions for how to do that.
Keep feed rooms and containers closed and sealed
Use feeders that minimize spillage and are difficult for wild animals to access
Clean up any dropped grain immediately to discourage scavengers
Feed heat-treated cereal grains and pelleted feeds sind these processes seem to kill the infective sporosysts
Keep water tanks clean and filled with fresh, clean water
Maximize your horse's health and fitness through proper nutrition, regular exercise, and routine vaccinations and vet visits
If you have more questions on the topic, please contact your local livestock Extension agent and your veterinarian.
Friday, February 12, 2021
Signs and Stages of Labor in the Mare
Is your mare in foal this spring? Are you ready for the big day and the new arrival? I recently had a friend adopt a mare and has been surprised to find out she is expecting, and asked for help. One tool for her, and anyone in this situation is to understand the stages of labor. Mares may display some or all of the signs below.
Signs that the time is near:
- Filling of the udder (2-4 weeks)
- Distention of the teats (4-6 days)
- Waxing of the teats (1-4 days)
- Obvious dripping of milk
- Sagging muscles around tailhead
- Sagging of vulva (up to twice normal length)
STAGE 1: Contractions started (1-4 hours)
- May act colicky and paw the ground
- Sweat around neck and flank
- Frequently passing small amounts of urine or manure
- Pacing or circling stall or paddock
- Up and down; nervous
- Dilation of birth canal; water bag may become visible
- Rush of fluid when bag breaks. Do not break the water bag
Breaking of the water bag is the transition from Stage 1-2
STAGE 2: Delivery of the Foal (15-20 minutes)
· If this stage goes past 30 minutes or you see a red, velvety sack, call your vet immediately!
- Usually, the mare will lie down for delivery. If not, be close to catch the foal. The mare may get up and lie down again to reposition.
- Normal delivery is front feet first with the nose tucked level with the knees, Soles of the hooves should be pointed down. One foot may be slightly in front of the other. If soles are up, call the vet immediately!
- The foal will be encased in a thin, transparent to whitish membrane (amniotic sac). If it does not rupture during delivery, tear it open and pull back from the foal’s face.
- The mare and foal may rest with the foal half out, but if stage 3 goes longer than 30 minutes, call the vet.
STAGE 3: Expulsion of the
placenta (1-3 hours)
· If the placenta has not passed in 3 hours, call your vet!
- A retained placenta is toxic to the mare in less than six hours.
- The mare will usually stand up after delivery and the umbilical cord should break naturally
· Do not cut the umbilical cord! If needed, the cord can be broken manually by a twist/pull method or tied with twine, but best to follow your veterinarian’s guidance
After foaling, the foal and mare should be monitored closely for at least 24 hours. The foal should be breathing normally, bright and alert, and should stand within 30-60 minutes after delivery. Nursing should happen within 2 hours, If not, call your vet. The first 8-12 hours are critical to absorb enough antibodies through the colostrum. The foal should also pass the meconium within 12 hours. It is recommended for the mare and foal to be seen by the vet within 24-36 hours after birth to examine them and the placenta/afterbirth.
Information in this article was compiled from The Equine Reproduction Lab at Colorodo State University, along with a Vocational Services, Inc. (VSI) foal kit and an article from the University of Illinois CVM.
Monday, February 8, 2021
iPhone, iPad, iSperm?
Monday, February 1, 2021
Preventing Thrush
Winters in North Carolina are notoriously cool and wet, making it incredibly challenging to keep feeding areas, pastures, and sometimes even stalls from turning into mud pits. Muddy conditions can lead to thrush - a disease caused by anaerobic bacteria and fungal infection in the hoof frog. Bacteria enters the hoof through cracks in the hoof wall - which has been weakened by excess moisture. For example, think about how soft your nails are after washing dishes or showering - and eats away at the soft hoof tissue. Thrush is usually quickly and easily identified by its foul smell and black, tar-like discharge.
Like in most cases, the phrase "An ounce of prevention is worth a pound of cure" applies here. For thrush, the best method of control is clean, dry hooves. Cleaning out hooves daily and keeping paddocks and stalls clean can prevent most cases of thrush. However, if you notice that your pastures and feeding areas are prone to standing moisture and mud, grading pastures or installing geotextile filter fabric to allow rain to drain can be very helpful not only for your horse's hoof health but also for your sanity and boots! For more information on controlling mud, check out some of our previous articles:
Monday, January 25, 2021
Forage Amounts for Horses
It has always been a rule of thumb that a mature horse should eat 1-2% of its body weight a day in forages. That means a 1,000-pound horse should eat 10-20 lbs. of good quality hay a day. This number is based off of the dry matter of the feed they are eating. Hay is normally about 90% dry matter because it has been dried and cured. So, if you take that dry matter amount and apply it to standing lush pasture that is normally about 20-30% dry matter that means the dry matter is a lot lower, so in turn the horse has to consume a lot more forage. Eating anywhere from 40-60 lbs. of forage in a day. But we also need to keep in mind that horses shouldn’t be allowed to eat very rich lush pasture 24/7 because it can lead to digestive issues and over eating. Horses are more prone to digestive issues because of the way their digestive system is set up. When a horse eats, the material passes through most of its digestive tract before reaching the main breakdown area of forages which is the cecum. The cecum houses protozoa and bacteria that break down forages so that the horse can absorb nutrients, but because the cecum is near the end of the digestive tract past the small intestine this makes horses not the most efficient eaters. In the body the small intestine is where the majority of nutrient absorption occurs and since that is before where the major break down process of most of the food they are eating, makes them less efficient than other livestock. Just remember that it takes a lot of forages to keep your horses gut operating normally and correctly so make sure they are receiving enough forages. Weigh some flakes of your hay bales to see if they are receiving adequate amounts. They may not be the most efficient eaters but they are more fun to ride than a cow, trust me.
Monday, January 11, 2021
Avoiding Colic Issues in Winter


