
The Symptoms of Potomac Horse Fever?
- Diarrhea (this is the first sign of PHF in more than 60% of horses)
- Colic (abdominal pain)
- Loss of appetite
- Nausea and vomiting
- Increase in body temperature
- Dehydration
- Depression
- Bloated stomach
- Rolling on ground
- Pawing at the ground
How do you know about the Potomac Horse Fever?
How do you know about the Potomac Horse Fever? The end of the disease onset period of 9-15 days is marked by depression, anorexia, and fever. A profuse or even projectile diarrhea follows quickly in about half of the cases, in other affected animals, the diarrhea is milder.
What are the signs and symptoms of PHF in horses?
Signs and symptoms. Signs and symptoms of PHF include acute-onset fever, depression (sometimes profound), inappetence, mild colic-like symptoms, decreased manure production, profuse watery non-fetid diarrhea endotoxemia, edema due to protein imbalances, abortion by pregnant mares, and acute laminitis (20 to 40 percent of cases).
What is the best treatment for Potomac Horse Fever?
Prompt treatment is important and should include the antibiotic oxytetracycline as well as non-steroidal anti-inflammatory drugs to counteract endotoxin and alleviate pain. Potomac horse fever-induced diarrhea might cause significant dehydration, requiring intravenous fluid and electrolyte therapy.
What are the signs and symptoms of hepatocellular Fever (PHF)?
The clinical manifestations of PHF can vary from case to case, however, depression, anorexia and fever are among the most common signs. The majority of clinical disease appears to be mild or subclinical. Diarrhea, which ranges from mild to severe, watery, pipe-stream feces occurs in 45%–60% of cases. Some cases may show colic.

How do you treat Potomac Horse Fever?
Treatment: Horses with PHF can be treated successfully with oxytetracycline (6.6 mg/kg, IV, bid), if given early in the clinical course of the disease. A response to treatment is usually seen within 12 hr.
What are the signs of Potomac Horse Fever?
Potomac Horse Fever is a bacterial disease caused by the bacteria Neorickettsia risticii, which causes variable degrees (from mild to very severe) of fever, lethargy, poor appetite, diarrhea, mild colic, and laminitis in horses. It can can also infrequently cause abortion in pregnant mares.
What states have Potomac Horse Fever?
PHF is also known as Shasta River Crud and Equine Monocytic Ehrlichiosis. It was first described in areas surrounding the Potomac River northwest of Washington, D.C., in the 1980s, but cases have been described in many other parts of the United States, such as Minnesota, California, and Pennsylvania.
Where is Potomac Horse Fever most common?
Advanced SearchPHF has been reported from most states in the United States, five provinces in Canada, South America (Brazil, Uruguay), Europe (France, The Netherlands), and India.Horses of all breeds and ages may be affected, but PHF is not common in younger horses (<1 year).More items...
Can a horse recover from Potomac Fever?
If the signs are recognized early enough, most horses are successfully treated. Treatment with intravenous oxytetracycline, fluids and anti-inflammatories is needed for 3-7 days, depending on response to therapy. If caught early, most horses will respond to treatment in 24-48 hours and have a dramatic recovery.
Is Potomac fever in horses contagious?
Potomac Horse Fever is not contagious. If more than one horse at the same location contracts the disease, it is because of the environmental conditions that draw the vectors.
How often do you vaccinate for Potomac Horse Fever?
Vaccinated Adult horses: Annual revaccination. Horses in endemic areas: Veterinarians should consider yearly revaccination of two doses with a 3 to 4-month interval between doses. The first dose should be administered in the spring, prior to anticipated challenge.
Is there a vaccine for Potomac Horse Fever?
A vaccine for Potomac Horse Fever is available. The vaccine does not prevent the disease but can reduce its severity. Horses should be vaccinated prior to the peak seasons of exposure. The clinical signs of Potomac Horse Fever are similar to those of many infectious diseases.
Can dogs get Potomac Horse Fever?
The bacterium has also been isolated in cats, dogs, goats, pigs and mice, although in these species, the disease is subclinical. Potomac fever has a seasonal character, ocurring mainly in summer and early autumn, together with the greater proliferation of potential vectors.
What is the agent that causes Potomac Horse Fever?
Neoricketsia risticii, a rickettsial organism with affinity for monocytes and intestinal epithelial cells (1), is the causative agent of Potomac horse fever.
Can a horse get Potomac fever twice?
If a horse recovers from PHF, however, they are typically resistant to re-infection for up to two years. In addition to vaccinating your horse against PHF, you can also do you best to limit his exposure to aquatic insects during high-risk times.
What causes a horse to just fall over?
Summary. Occasionally, a horse seems to collapse or fall away under saddle while being ridden. This can result from a variety of problems including lameness, neurologic problems, and poor conditioning. This problem is more common in young horses that are not accustomed to carrying the weight of a rider.
What is the agent that causes Potomac horse fever?
Neoricketsia risticii, a rickettsial organism with affinity for monocytes and intestinal epithelial cells (1), is the causative agent of Potomac horse fever.
Is there a vaccine for Potomac fever?
A vaccine for Potomac Horse Fever is available. The vaccine does not prevent the disease but can reduce its severity. Horses should be vaccinated prior to the peak seasons of exposure. The clinical signs of Potomac Horse Fever are similar to those of many infectious diseases.
When do you give the Potomac horse fever vaccine?
Potomac Horse Fever vaccination may be best administered in late spring or early summer as this disease most commonly occurs from June through September.
How soon do strangles symptoms appear?
The incubation period (time from exposure to first signs of disease) is 3 to 21 days. Disease signs are usually visible for three to seven days but may last for up to two weeks. Most animals recover from strangles with no long-term aftereffects.
What is the disease of the Potomac horse?
(Redirected from Potomac Horse Fever) Jump to navigation Jump to search. Potomac Horse Fever ( PHF) is a potentially-fatal febrile illness affecting horses caused by the intracellular bacterium Neorickettsia risticii. PHF is also known as Shasta River Crud and Equine Monocytic Ehrlichiosis.
How do you know if you have PHF in horses?
Signs and symptoms of PHF include acute-onset fever, depression (sometimes profound ), inappetence, mild colic -like symptoms, decreased manure production, profuse watery non-fetid diarrhea endotoxemia, edema due to protein imbalances, abortion by pregnant mares, and acute laminitis (20 to 40 percent of cases). Infected horses founder usually within three days of the initial symptoms, thought to be secondary to endotoxemia. Death may occur and is usually due to severe laminitis leading to founder.
What is the cause of PHF?
The causative agent of PHF is Neorickettsia risticii (formerly Ehrlichia risticii ), an intracellular rickettsial bacterium.
What is the cause of PHF in horses?
Several outbreaks of PHF have been found to coincide with mass emergences of burrowing mayflies of the genus Hexagenia; these insects hatch en masse and may be found littering the ground in nearby stables, where they are attracted by light. The entire natural history and life cycle of N. risticii has yet to be elucidated, but bats and birds may be wild reservoirs of infection. Unlike other causes of acute colitis in horses, such as Salmonella and Clostridium, PHF is not spread directly from horse to horse.
How long does it take for a horse to die from laminitis?
Infected horses founder usually within three days of the initial symptoms, thought to be secondary to endotoxemia. Death may occur and is usually due to severe laminitis leading to founder. Horses may not always display any other symptoms beyond a fever.
How to keep horses from getting infected?
Turning off outside lights around the barn will prevent insects from being attracted. Cleaning water buckets and feed areas frequently and keeping food covered will reduce the chance that the horse will accidentally ingest infected insects.
Does PHF have a booster?
While a vaccine is available for PHF, it does not cover all strains of the bacterium, and recent vaccine failures seem to be on the rise. Additionally, the vaccine usually produces a very weak immune response, which may only lessen the severity of the disease rather than prevent it. The vaccine is administered twice a year, in early spring and in early summer, with the first one inoculation given before the mayflies emerge and the second administered as a booster.
What causes horse fever in the Potomac?
Causes of Potomac Horse Fever. The bacteria responsible for the disease, Ehrlichia risticii or Neoricketcia risticii is a rickettsial organism responsible for acute enteric type colitis, which emerged as a pathogen of American Horses about 15 years ago, is related antigenically to E canis but not E equi. E risticii is a morphologically typical ...
How Do You Treat and Prevent Potomac Horse Fever?
As with other rickettsial diseases, the tetracyclines are devoured for therapy. No instance of resistance of E risticii to tetracyclines appears to have been recorded. Non-specific, supportive therapy, especially to correct the dehydration induced by diarrhea, is also mandatory in severe cases. The prospects for satisfactory vaccination of horses in affected areas are excellent. Killed bacteria are useful experimentally in protecting against challenge.
What is the disease of the Potomac?
Potomac Horse Fever: Causes, Clinical Signs, Diagnosis, and Treatment. Potomac Horse Fever ( PHF) is an equine disease that occurs only in the summer and autumn and is most common inland near rivers. The disease also called Equine Monocytic Ehrlichiosis or Shasta River Crud. The disease accounts for outbreaks of diarrheal illness in equine ...
How long does a horse stay infectious after PHF?
Recovered horses may remain infectious for up to 8 months after the resolution of the clinical signs.
Is Potomac horse fever transmitted?
Transmission and Pathogenesis of Potomac Horse Fever. Serological evidence indicates that infection with E risticii is widespread in the USA. Still, the disease itself only occurs sporadically and is often confined to an individual animal in a group. Younger animals appear to be less susceptible. The disease is transmissible by transferring ...
Is horse fever contagious?
If you can give proper treatment and care at the earliest time, you can save your horse. The disease is not contagious and has no zoonotic significance. You do not have any risk of getting the disease from your horse. The information I have provided in the article will help you to know better about your horse.
Is oxytetracycline good for horses?
The prognosis varies from good to grave , depending upon the severity of clinical signs and laboratory changes. In general, horses that remain alert with an appetite and those treated with oxytetracycline before the onset of diarrhea have a reasonably good prognosis. The occurrence of renal azotemia, laminitis, and abdominal distension with the cessation of diarrhea worsens the prognosis.
What is Potomac Horse Fever?
Potomac Horse Fever (also known as Equine Neorickettsiosis, Equine Monocytic Ehrlichiosis, Shasta River Crud, and Equine Ehrlichial Colitis) is an acute illness that causes a fever, inflammation and gastrointestinal issues.
Neorickettsia risticii
This illness is caused by an infection of the intestinal tract with the bacterium Neorickettsia risticii ( N. risticii ). [1] [2] N. risticii was previously named Ehrlichia risticii and is an obligate intracellular gram-negative bacteria.
Prevalence and Epidemiology
PHF affects horses of all ages, although foals have a lower risk of attracting the disease.
Symptoms of Potomac Fever
The initial clinical indications of PHF include mild depression and weight loss which usually occur in advance of a fever ranging from 38.9°C- 41.7°C (102°F- 107°F). These symptoms are typically followed by reduced intestinal sounds and mild colic. [6]
Causes of PHF
N. risticii infects a type of parasitic flatworm (Acanthatrium and Lecithodendrium species) that has a complex life cycle comprised of several different stages. [7]
Pathology
Once ingested, the encysted larval form of the flatworm containing N. risticii can survive the acidic environment of the equine stomach and reach the intestinal tract intact.
How is PHF Diagnosed?
The clinical symptoms of PHF are similar to those of other diseases which can make diagnosis more difficult. Specific testing is required to determine if a horse has Potomac Horse Fever.
What is the disease of a horse called?
Potomac Horse Fever (PHF) is a seasonal, sporadic, but acute and potentially fatal typhlocolitis of horses caused by infection with an obligate intracellular gram-negative bacteria, Neorickettsia risticii (formerly known as Ehrlichia risticii). A novel species of Neorickettsia, N. findlayensis, has recently been isolated from PHF cases and shown experimentally to be capable of causing disease.
What percentage of PHF cases have diarrhea?
The majority of clinical disease appears to be mild or subclinical. Diarrhea, which ranges from mild to severe, watery, pipe-stream feces occurs in 45%–60% of cases. Some cases may show colic. Laminitis develops in about 20%–25% of PHF cases. Abortions have been reported months after the infection. The reported mortality rate ranges ...
Where does PHF occur?
The majority of clinical cases of PHF occur in mid-to-late summer. In the USA and Canada, most clinical PHF cases occur between late June to early September.
Is PHF common in horses?
Horses of all breeds and ages may be affected , but PHF is not common in younger horses (<1 year). Clinical cases of PHF occur sporadically and outbreaks are uncommon. The clinical manifestations of PHF can vary from case to case, however, depression, anorexia and fever are among the most common signs. The majority of clinical disease appears ...
Can horses get monovalent shots?
The effectiveness of vaccination in preventing clinical disease is questionable but horses in endemic areas may be vaccinated with an inactivated monovalent vaccine. There have been anecdotal reports of reduced severity of clinical signs in vaccinated horses. Incomplete protection from vaccination has been attributed to extensive variability in the major surface antigens and lack of cross-protection between strains.
Is PHF contagious with recovered animals?
PHF is not contagious therefore contact with recovered or currently ill animals is not associated with the development of PHF. Limiting access to freshwater streams and ponds during the months of summer may help reduce exposure to the organism.
Create a free account with TheHorse.com to view this content
TheHorse.com is home to thousands of free articles about horse health care. In order to access some of our exclusive free content, you must be signed into TheHorse.com. Start your free account today!
About The Author
Julia H. Wilson, DVM, Dipl. ACVIM, is an Associate Professor of Veterinary Population Medicine and Division Head of Large Animal Medicine at the University of Minnesota.

Overview
Signs and symptoms
Signs and symptoms of PHF include acute-onset fever, depression (sometimes profound), inappetence, mild colic-like symptoms, decreased manure production, profuse watery non-fetid diarrhea endotoxemia, edema due to protein imbalances, abortion by pregnant mares, and acute laminitis (20 to 40 percent of cases). Infected horses founder usually within three days of the initial symptoms, thought to be secondary to endotoxemia. Death may occur and is usually due t…
Cause
The causative agent of PHF is Neorickettsia risticii (formerly Ehrlichia risticii), an intracellular rickettsial bacterium.
Transmission
The vector of Neorickettsia risticii is believed to be a trematode (fluke). The life cycle of the fluke takes it through freshwater snails and back into water, where it is ingested by the larval stages of several aquatic insects, including caddis flies and mayflies. It is thought that the main mode of infection is by accidental ingestion of infected adult insects, who may fly into barns and die in stalls or o…
Diagnosis
Diagnosis of PHF is accomplished by measuring antibody titers or PCR testing to look for the bacterium in the blood and feces. However, most veterinarians opt to initiate treatment right away, as the disease can progress quite quickly. Veterinarians may also run complete blood counts and chemistry and electrolyte panels to determine the course of care. Radiographs may be taken to track the progress of laminitic horses.
Treatment
N. risticii responds well to tetracycline antibiotics. Mild cases may be treated with oral doxycycline, while severe cases are usually treated with intravenous oxytetracycline.
Supportive care for severe cases is aimed at minimizing the effects of endotoxemia and preventing laminitis. This may include intravenous fluids and electrolytes to counteract the diarrhea; NSAIDs such as Banamine (flunixin meglumine); intravenous dimethyl sulfoxide; admini…
Prevention
While a vaccine is available for PHF, it does not cover all strains of the bacterium, and recent vaccine failures seem to be on the rise. Additionally, the vaccine usually produces a very weak immune response, which may only lessen the severity of the disease rather than prevent it. The vaccine is administered twice a year, in early spring and in early summer, with the first one inoculation given before the mayflies emerge and the second administered as a booster.