Equine Herpesvirus (Rhinopneumonitis) in Horses

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Last updated on
4 min read

Key takeaways


Equine herpesvirus 1 (EHV-1) and equine herpesvirus 4 (EHV-4), also referred to as rhinopneumonitis (or “Rhino”),  are the most common and widespread forms of herpesvirus to affect horses. 

  • Herpesviruses are a major cause of respiratory diseases and, in mares, can cause abortion up to 12 weeks after infection
  • Symptoms of EHV usually include fever, nasal discharge, cough, and loss of appetite
  • In the neurological form, paralysis and loss of bladder function can develop
  • Diagnosis is confirmed by isolating the virus through specialized testing, blood samples, and nasopharyngeal swabs
  • There is no specific treatment for equine herpesvirus
  • Affected horses must be isolated and rest, nursing care, and medications such as antipyretics help alleviate symptoms
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A closer look: Equine Herpesvirus (Rhinopneumonitis) in Horses


EHV is highly infectious. It is transmitted between in-contact horses and can even spread between horses as they are handled by humans. Due to the highly contagious nature of EHV, affected horses must be isolated immediately. Strict observation of good biosecurity practices helps prevent EHV as well as other infectious diseases.

In most cases, EHV-1 and EHV-4 remain dormant in infected horses. These horses carry the virus in an inactive state and can infect other horses they come in contact with.

Horses with poor prognoses and/or the neurological form of EHV are often euthanized. It might take months for a horse to recover from the neurological form and in most cases there are long-term neurologic deficits.

Risk factors


EHV is highly contagious and can affect any horse. In foals, outbreaks of respiratory disease occur annually due to a strain of EHV-1, and in mares, EHV-4 can lead to abortion 2 to 12 weeks after infection. Being an extremely contagious infection, it is common to have seasonal outbreaks in big stables where many horses live.

In severe cases, it might develop into quadriplegia and death.

Possible causes


The cause of EHV is a highly contagious viral infection.

Main symptoms


The respiratory form (rhinopneumonitis) is the most common.

Testing and diagnosis


It is impossible to diagnose equine herpesvirus based on clinical signs alone, as they are indistinguishable from other respiratory diseases. A correct diagnosis is only reached with a PCR test or by isolating the virus in samples taken with a nasal swab or a blood sample.

PCR testing also helps to differentiate between the neuropathological strain and other forms of the infection.

Steps to Recovery


It is impossible to diagnose equine herpesvirus based on clinical signs alone, as they are indistinguishable from other respiratory diseases. A correct diagnosis is only reached with a PCR test or by isolating the virus in samples taken with a nasal swab or a blood sample.

PCR testing also helps to differentiate between the neuropathological strain and other forms of the infection.

Prevention


Quarantine of symptomatic horses is critical to prevent larger outbreaks in a herd. Strategies include:

  • Avoiding nose-to-nose contact with unfamiliar horses
  • No sharing of buckets between horses
  • Quarantining all new arrivals for a minimum of 2 weeks

It is impossible to completely prevent EHV infections. Vaccines decrease the severity of symptoms and help minimize the risk of contracting the virus. Vaccinations must be administered according to veterinary recommendations to maximize efficacy, but even appropriately administered vaccines do not protect against the neurologic form of EHV.

Isolation of affected horses is necessary for about 21 days. Aborted fetuses must be removed immediately as they are highly contagious.

It is recommended to avoid stressing the herd as sometimes a latent infection might re-emerge in stressful conditions. It is imperative to wash carefully after handling infected horses as the virus can spread to horses through people’s hands and clothing.

Is Equine Herpesvirus (Rhinopneumonitis) in Horses common?


EHV-1 and EHV-4 are the most common forms of equine herpesvirus.

Typical Treatment


  • Isolation
  • Nursing care
  • Medication
  • Vaccination
  • Stall rest

References


Bonnie R. Rush , DVM, MS, DACVIM - Writing for Merck Veterinary Manual
Kara M. Lascola , DVM, MS, DACVIM - Writing for Merck Veterinary Manual
- Writing for Merck Animal Health
Stacey Oke, DVM, MSc; - Writing for The Horse
LAURIE BONNER - Writing for EQUUS Magazine

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