dvm - January 2013 - (Page D1)
Uncovering the gray areas of
lthough equine protozoal myeloencephalitis (EPM) has been actively researched during the past decade, deﬁnitive scientiﬁc knowledge of this disease remains as elusive as the opossums that transmit it. In almost all aspects of this disease—from pathogenesis and diagnosis to treatment and prevention—gray areas remain. Tat said, some risk factors and prevention strategies have been unveiled.
bency. Evidence of early, low-level EPM, however, can be so insigniﬁcant or subtle that it’s often overlooked. Practitioners often depend on clients noticing small physical changes in their horses [musculature, posture, gait and impulsion] or minor unexplained changes in personality or behavior (Photo 1, p 2). Additionally, signs of EPM can mimic those of several other neurologic diseases or health conditions.
Equine issues have you stumped? Let us know on Twitter @dvm360 #equine.
Certain areas have seen cluster outbreaks of this disease and helped shed light on risk factors and preventive measures. By Kenneth L. Marcella, DVM
Good news, right? Unfortunately, much of the information that’s been discovered about EPM has served only to generate more questions, and many practitioners feel less knowledgeable about this disease now than they did ﬁve years ago. Clinical signs of severe or advanced EPM are relatively straightforward and easy to see, including asymmetrical muscle loss, varying degrees of weakness and ataxia and even recum-
SPORTS MEDICINE 4 Bucking the strain of bucked shins dvm360.com/equine Your source for all things equine— news, medicine and practice managment
equine360 | January 2013 |
Table of Contents for the Digital Edition of dvm - January 2013
dvm - January 2013
Where did I go wrong?
Pets and Vets
CATalyst survey examines how veterinarians really feel about animal shelters and pet rescue organizations.
What’s new? What’s now?
Employee steals more than $400,000 from clinic
Longtime veterinarian killed in plane crash in California
Canadian SPCA concerned by number of “home neutering” reports
Arrest made in Minnesota veterinary hospital arson
Washington DVM accused of abusing patients, medications
When faced with disaster, practices need a plan
University of Minnesota celebrates 750,000th urolith
Death to debt
Letter of the law
dvm - January 2013