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EQUINE CLINICAL PATHOLOGY - Rossdale & Partners

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T h e B e a u f o r t c o t t a g e l a b o r a t o r i e s<br />

a fresh sterile scalpel blade. The hairs<br />

and the scraped skin layers, down to<br />

haemorrhage, should be collected into a<br />

sterile universal container and submitted<br />

for laboratory examination without delay.<br />

The hairs and scraped skin layers should<br />

be incubated for 15 minutes in warm<br />

40% potassium hydroxide (KOH) and then<br />

examined for clear ringworm spores in<br />

broken hair shafts and free whole or<br />

fragmented ectoparasitic mites, including<br />

Sarcoptes, Psoroptes, Chorioptes and<br />

Demodex spp. (differentiated on the basis<br />

of their anatomical appearance).<br />

If negative for dermatophyte spores after<br />

KOH incubation, skin scrapings are<br />

incubated overnight in blue/black ink<br />

and then examined for blue/black stained<br />

spores in clear broken hairs.<br />

Skin scraping samples should be incubated<br />

for bacterial and fungal growth. The latter<br />

(taking up to 3 weeks) will differentiate the<br />

different ringworm-causing dermatophytes,<br />

including Trichophyton and Microsporum<br />

spp.<br />

Microscopic and fungal culture results for<br />

dermatophytes do not always correlate.<br />

Positive microscopic findings but negative<br />

culture results may suggest that the spores<br />

were not viable at the time of scraping.<br />

Negative microscopic findings but positive<br />

culture results may suggest that too few<br />

spores were present in the sample to be<br />

detected in spite of careful examination.<br />

If Dermatophilus congolensis (‘rain scald’<br />

or ‘mud fever’) infection is suspected on<br />

clinical grounds, moist lesions should be<br />

collected and submitted for impression<br />

smear stained with methylene blue to look<br />

for characteristic chains (‘piles of pennies’)<br />

of flattened spores, sometimes in branched<br />

conformation.<br />

clostridial toxin tests<br />

ELISAs to detect the toxins produced<br />

by pathogenic forms of Clostridium<br />

perfringens and Clostridium difficile are<br />

indicated in horses and foals with acute<br />

diarrhoea, particularly where the problem<br />

may be associated with antimicrobial<br />

administration. Faecal samples should be<br />

taken before the drug metronidazole is<br />

given and should be chilled if delivery to<br />

the laboratory is likely to take more than<br />

an hour or two.<br />

Virology<br />

Fluid diarrhoea samples may be examined<br />

by latex particle agglutination for the<br />

presence of Rotavirus antigen.<br />

Specialist virology laboratory facilities and<br />

expertise are required for testing for the<br />

following equine viruses:-<br />

Equine Influenza: paired serum samples<br />

(acute and convalescent phases, collected<br />

14 days apart) are examined for signs<br />

of seroconversion (a four-fold or greater<br />

rise in titres between the acute and<br />

convalescent samples). Nasal discharge or<br />

40

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