Page 824 - The Veterinary Care of the Horse
P. 824

long shaggy coat (known as feathers) around the lower limbs may be prone to mud fever.

             Thus the heavy horse with long white feathers is a high risk candidate for the disease.
  VetBooks.ir  •  Environmental  conditions.  Anything  that  irritates,  softens  or  breaks  the  skin  so  that

             infection can enter, makes mud fever more likely to develop. Typically in the UK, it is a
             result of the cold, wet muddy conditions experienced by the outdoor horse in winter. It

             can also be a problem in horses whose skin is irritated by the sand in some riding arena
             surfaces or stubble in harvested fields. These environmental factors damage the skin so it
             is more vulnerable to infection.

        •    Physical and chemical irritants, which damage the skin. These include contact allergies,

             e.g. thistles and stinging nettles, insect bites and injury (rubs) from dirty overreach or
             brushing boots.

        •    Photosensitization.  Horses  that  have  liver  disease  or  have  ingested  certain  poisonous
             plants, e.g. St John’s Wort, may experience inflammation and blistering of the skin on

             exposure to ultraviolet light, especially on sunny days.
        •    Autoimmune conditions, e.g. pemphigus foliaceus.



        INFECTIOUS CAUSES

        •    Certain  bacteria  are  able  to  invade  the  skin  when  it  is  compromised  by  the  factors
             discussed  above.  These  include  Dermatophilus  congolensis,  Staphylococcus  spp.  and

             Pseudomonas spp. which are opportunists, i.e. they take advantage of the sore skin and
             would not produce infection if the skin was healthy.

        •    Ringworm  and  chorioptic  mange  or  harvest  mites  can  damage  the  skin  and  allow

             secondary infection to occur. In these cases it is important that the underlying cause is
             identified as neither the mites nor the fungus will be sensitive to antibiotics. This is one

             of the reasons why antimicrobials do not always cure the condition, so are not necessarily
             the best first line of treatment.



        Diagnosis


        The diagnosis is made on:
        •    The clinical signs

        •    Hair plucks, brushings from feathered limbs, skin scrapes and swabs

        •    Identification  of  the  microorganisms  under  the  microscope  and  culture  of  the
             microorganisms in the laboratory

        •    For persistent lesions not responding to treatment a skin biopsy may be performed.
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