Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> Genotype

Here we report on an EHV-1 outbreak investigation caused by a novel genotype H<sub>752</sub> (histidine in amino acid position 752 of the <i>ORF 30</i> gene). The outbreak involved 31 performance horses. Horses were monitored over a period of 35 days for clinical signs, thera...

Full description

Bibliographic Details
Main Authors: Nicola Pusterla, Samantha Barnum, Julia Miller, Sarah Varnell, Barbara Dallap-Schaer, Helen Aceto, Aliza Simeone
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Pathogens
Subjects:
Online Access:https://www.mdpi.com/2076-0817/10/6/747
_version_ 1827689890722086912
author Nicola Pusterla
Samantha Barnum
Julia Miller
Sarah Varnell
Barbara Dallap-Schaer
Helen Aceto
Aliza Simeone
author_facet Nicola Pusterla
Samantha Barnum
Julia Miller
Sarah Varnell
Barbara Dallap-Schaer
Helen Aceto
Aliza Simeone
author_sort Nicola Pusterla
collection DOAJ
description Here we report on an EHV-1 outbreak investigation caused by a novel genotype H<sub>752</sub> (histidine in amino acid position 752 of the <i>ORF 30</i> gene). The outbreak involved 31 performance horses. Horses were monitored over a period of 35 days for clinical signs, therapeutic outcome and qPCR results of EHV-1 in blood and nasal secretions. The morbidity of the EHV-1 outbreak was 84% with 26 clinically infected horses displaying fever and less frequently anorexia and distal limb edema. Four horses showed mild transient neurological deficits. Clinically diseased horses experienced high viral load of EHV-1 in blood and/or nasal secretions via qPCR, while subclinically infected horses had detectable EHV-1 mainly in nasal secretions. The majority of infected horses showed a rise in antibody titers to EHV-1 during the outbreak. All 31 horses were treated with valacyclovir, while clinically infected horses further received flunixin meglumine and sodium heparin. This investigation highlights various relevant aspects of an EHV-1 outbreak caused by a new H<sub>752</sub> genotype: (i) importance of early detection of EHV-1 infection; (ii) diagnostic challenge to assess H<sub>752</sub> genotype; (iii) apparent benefit of valacyclovir use in the early stage of the outbreak; and (iv) weekly testing of blood and nasal secretions by qPCR in order to monitor individual infection status and lift quarantine.
first_indexed 2024-03-10T10:27:51Z
format Article
id doaj.art-f0b68748af204afe953ad925ab518779
institution Directory Open Access Journal
issn 2076-0817
language English
last_indexed 2024-03-10T10:27:51Z
publishDate 2021-06-01
publisher MDPI AG
record_format Article
series Pathogens
spelling doaj.art-f0b68748af204afe953ad925ab5187792023-11-21T23:55:57ZengMDPI AGPathogens2076-08172021-06-0110674710.3390/pathogens10060747Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> GenotypeNicola Pusterla0Samantha Barnum1Julia Miller2Sarah Varnell3Barbara Dallap-Schaer4Helen Aceto5Aliza Simeone6Department of Veterinary Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USADepartment of Veterinary Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA 95616, USAAlliance Equine Health Care, Glenmoore, PA 19343, USAAlliance Equine Health Care, Glenmoore, PA 19343, USADepartment of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, PA 19348, USADepartment of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, PA 19348, USAPennsylvania Department of Agriculture, Bureau of Animal Health, Collegeville, PA 17110, USAHere we report on an EHV-1 outbreak investigation caused by a novel genotype H<sub>752</sub> (histidine in amino acid position 752 of the <i>ORF 30</i> gene). The outbreak involved 31 performance horses. Horses were monitored over a period of 35 days for clinical signs, therapeutic outcome and qPCR results of EHV-1 in blood and nasal secretions. The morbidity of the EHV-1 outbreak was 84% with 26 clinically infected horses displaying fever and less frequently anorexia and distal limb edema. Four horses showed mild transient neurological deficits. Clinically diseased horses experienced high viral load of EHV-1 in blood and/or nasal secretions via qPCR, while subclinically infected horses had detectable EHV-1 mainly in nasal secretions. The majority of infected horses showed a rise in antibody titers to EHV-1 during the outbreak. All 31 horses were treated with valacyclovir, while clinically infected horses further received flunixin meglumine and sodium heparin. This investigation highlights various relevant aspects of an EHV-1 outbreak caused by a new H<sub>752</sub> genotype: (i) importance of early detection of EHV-1 infection; (ii) diagnostic challenge to assess H<sub>752</sub> genotype; (iii) apparent benefit of valacyclovir use in the early stage of the outbreak; and (iv) weekly testing of blood and nasal secretions by qPCR in order to monitor individual infection status and lift quarantine.https://www.mdpi.com/2076-0817/10/6/747EHV-1new genotypeH752outbreakhorses
spellingShingle Nicola Pusterla
Samantha Barnum
Julia Miller
Sarah Varnell
Barbara Dallap-Schaer
Helen Aceto
Aliza Simeone
Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> Genotype
Pathogens
EHV-1
new genotype
H752
outbreak
horses
title Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> Genotype
title_full Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> Genotype
title_fullStr Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> Genotype
title_full_unstemmed Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> Genotype
title_short Investigation of an EHV-1 Outbreak in the United States Caused by a New H<sub>752</sub> Genotype
title_sort investigation of an ehv 1 outbreak in the united states caused by a new h sub 752 sub genotype
topic EHV-1
new genotype
H752
outbreak
horses
url https://www.mdpi.com/2076-0817/10/6/747
work_keys_str_mv AT nicolapusterla investigationofanehv1outbreakintheunitedstatescausedbyanewhsub752subgenotype
AT samanthabarnum investigationofanehv1outbreakintheunitedstatescausedbyanewhsub752subgenotype
AT juliamiller investigationofanehv1outbreakintheunitedstatescausedbyanewhsub752subgenotype
AT sarahvarnell investigationofanehv1outbreakintheunitedstatescausedbyanewhsub752subgenotype
AT barbaradallapschaer investigationofanehv1outbreakintheunitedstatescausedbyanewhsub752subgenotype
AT helenaceto investigationofanehv1outbreakintheunitedstatescausedbyanewhsub752subgenotype
AT alizasimeone investigationofanehv1outbreakintheunitedstatescausedbyanewhsub752subgenotype