Page 852 - The Veterinary Care of the Horse
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        Figure 18.16 Wound infected with Habronema



        Diagnosis


        The diagnosis is made on the appearance of the sores and confirmed by biopsy.



        Treatment


        The adult worms and larvae are killed by ivermectin and moxidectin. Following treatment,
        the  lesions  may  become  more  inflamed  due  to  hypersensitivity  of  the  horse  to  the  dead
        larvae. This can sometimes be controlled with topical or systemic steroids, but these must be

        used  with  care  due  to  the  risk  of  infection  or  laminitis.  The  lesions  are  often  removed
        surgically. Wherever possible, the whole lesion is removed when a sample of tissue is taken

        for biopsy.



        Prevention
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