Fact sheets for horse owners

Equine infectious diseases

The 32 pathogens on a typical lab request form – what they are, how they spread, what to look out for and how to protect your horse.

Horse mascot
1
32pathogens
8sections
43pages · A4

Pathogen list and test methods taken from page 2 (“Testing for Equine Infectious Diseases”) of the request form “Request Form Infection” by Labor Dr. Böse GmbH, Harsum (DE), version 2025-11-09. Independent educational material – not issued by or affiliated with the laboratory. Facts checked against WOAH and FLI where they cover the topic; other sources are labelled. Status: October 2026.

These sheets do not replace veterinary advice. If your horse is ill, call your vet.

How to read the fact sheets

Badges

WOAH-listed
On the World Organisation for Animal Health list (Terrestrial Code ch. 1.3, 2024). Countries report outbreaks to WOAH; relevant for travel and trade.
DE: notifiable · owner reports
Germany, TierSeuchMeldV 2026 § 3: owners must report even a suspicion straight away to the local veterinary office (Veterinäramt).
DE: reportable · lab/vet reports
TierSeuchMeldV § 4: laboratories and vets report positive findings to the authorities. No action needed by the owner.

Sources & certainty

WOAH FLI StIKo Vet
Statement checked against WOAH or the German Friedrich-Loeffler-Institut (StIKo Vet is FLI’s vaccination commission).
RKI Lit.
WOAH/FLI do not cover this point; taken from the Robert Koch Institute (human health) or veterinary literature. Numbers point to the source list at the bottom of each page.
?1
Uncertain: sources disagree, data in horses are limited, or the point could not be confirmed. The reason is given in the footnotes.
Moderate
Risk for people: none · low · moderate · high.

Test methods on the form

PCR
Polymerase chain reaction – finds the pathogen’s genetic material. Shows a current infection or carrier state.
Culture (BE)
Bacteriological examination – the lab grows the bacteria from the sample; with a resistogram it tests which antibiotics still work.
ELISA
Enzyme-linked immunosorbent assay – detects antibodies (in serum) or pathogen proteins (antigen, e.g. in faeces).
VNT · HI · IFAT · MAT
Antibody tests (virus neutralisation, haemagglutination inhibition, immunofluorescence, microagglutination). Antibodies show contact or vaccination – often two samples 2–3 weeks apart are needed.
Coggins test
Agar gel immunodiffusion test for equine infectious anaemia antibodies – the classic official test.
Western blot (WB)
Antibody test that separates proteins; used for Sarcocystis neurona (EPM).
Flotation · sedimentation
Worm eggs are floated or settled out of the droppings and counted.
Migration (Baermann)
Lungworm larvae crawl out of the droppings into water and are counted.

Symbols from the form

*
performed by an accredited partner laboratory
°
method not accredited
cooled
sample must travel cooled overnight (24 h, form symbol ❄)
#1234
the order code on the form – handy when you talk to your vet
Dry swab · culture swab
dry swabs are for PCR; culture swabs (with transport gel) are for growing bacteria

Legal status sources: WOAH Terrestrial Animal Health Code, chapter 1.3 (edition 2024) · Tierseuchenmeldeverordnung (TierSeuchMeldV) of 10 March 2026, in force since 11 March 2026. Per-pathogen sources are listed on each sheet.

Equine infectious diseases · fact sheets for horse owners · October 2026Guide2

Contents

1 · Abortion4

  • EHV-15
  • EHV-46
  • EVA7
  • Leptospirosis8
  • Chlamydia9

2 · Respiratory Disorders10

  • Equine influenza11
  • Strangles12
  • S. zooepidemicus13
  • Rhodococcus equi14

3 · CNS Disorders15

  • Borna disease16
  • West Nile virus17

4 · Diarrhoea18

  • Campylobacter19
  • C. difficile20
  • C. perfringens21
  • Cryptosporidia22
  • Giardia23
  • Lawsonia24
  • Rotavirus25
  • Salmonella26

5 · Bacteriology and Mycology27

  • ORSA / MRSA28
  • Ringworm29

6 · Parasitology30

  • Intestinal worms31
  • Lungworm32

7 · Tick-borne Diseases33

  • Piroplasmosis34
  • Anaplasmosis35
  • Lyme disease36

8 · Additional Tests37

  • EHV-238
  • EHV-339
  • EHV-540
  • Adenovirus41
  • EIA42
  • EPM43
Equine infectious diseases · fact sheets for horse owners · October 2026Contents3

Section 1

Abortion

Infections that can make a pregnant mare lose her foal. Samples come from the afterbirth discharge (lochia), the uterus lining or the aborted foal.

1EHV-1
4EHV-4
EVA
Leptospirosis
Chlamydia

Fact sheets

  • EHV-1Equine herpesvirus 1 (EHV-1)5
  • EHV-4Equine herpesvirus 4 (EHV-4)6
  • EVAEquine viral arteritis (EVA)7
  • LeptospirosisLeptospirosis (Leptospira)8
  • ChlamydiaChlamydia (equine chlamydiosis)9

General tests in this section (not pathogen-specific)

Aerobic culture incl. resistogramsculture swab#5020

Sampling note on the form: PCR: dry swab, cooled 24 h · BE aerobic: culture swab · sample sites: lochia, endometrium, lung puncture aspirate (foetal), others

Equine infectious diseases · fact sheets for horse owners · October 2026Abortion4
Abortionalso on the form under Respiratory Disorders · CNS Disorders

EHV-1

Equine herpesvirus 1 · Varicellovirus equidalpha1 (Equid alphaherpesvirus 1)

VirusWOAH-listedDE: reportable · lab/vet reports
EHV-11

A very common horse herpesvirus. It causes airway infections, abortion storms in pregnant mares and a dangerous neurological form, and hides in the body for life.

TypeWOAHStIKo VetLit.127

DNA virus (alphaherpesvirus, genus Varicellovirus)

IncubationWOAHStIKo VetLit.124

Fever after 1–2 days, other signs 2–8 days; abortion weeks to months later

Risk for peopleWOAHLit.14

No known risk

No known risk. WOAH reports no evidence that EHV-1 poses any health risk to people, including laboratory staff working with the virus.

TransmissionWOAHStIKo VetLit.124

Mainly by close contact and breathing in droplets from coughing or snorting horses; also via contaminated clothing, tack and buckets. Aborted foetuses, afterbirth and birth fluids carry huge amounts of virus. Latent carriers can restart shedding.

Key symptoms in horsesWOAHStIKo VetLit.124

  • Fever, sometimes in two waves
  • Nasal discharge and cough
  • Dullness, poor appetite, swollen glands under the jaw
  • Abortion in late pregnancy, often without warning
  • Weak newborn foals that die within days
  • Wobbly hind legs, urine dribbling, unable to stand

Test method & sample (from the form)

MethodSampleForm code
PCRAbortion · Respiratory · CNSdry swab (cooled), EDTA blood; abortion: lochia, endometrium, foetal lung aspirate#1912
PCR panels with EHV-4 (+ EVA / + influenza)Abortion · Respiratorydry swab (cooled)#8620 / 8660 / 8720 / 8760
VNT (antibodies)CNSserum, preferably paired samples#1910

PreventionStIKo Vet23

  • Core vaccine in Germany: 3-dose course, 6-monthly boosters
  • Vaccine supply has been patchy, so ask your vet
  • Vaccinate the whole yard, not just single horses
  • Pregnant mares: 2–3 doses, the last near foaling
  • Quarantine newcomers 3 weeks; keep pregnant mares separate

Good to know

Vaccines reduce airway disease and abortion but do not prevent the neurological form. Infected horses carry the virus for life. During outbreaks, take temperatures twice daily.

Abortionalso on the form under Respiratory Disorders

EHV-4

Equine herpesvirus 4 · Varicellovirus equidalpha4 (Equid alphaherpesvirus 4)

Virus
EHV-44

The most common viral cause of airway infection in horses. Usually a mild fever and runny nose, rarely abortion. Like EHV-1, it stays in the body for life.

TypeWOAHStIKo VetLit.125

DNA virus (alphaherpesvirus, genus Varicellovirus)

IncubationWOAHLit.14

Usually 2–8 days; fever may start within 1–2 days

Risk for peopleWOAHLit.14

No known risk

No known risk. WOAH reports no evidence that EHV-4 poses any health risk to people, including laboratory staff working with the virus.

TransmissionWOAHStIKo VetLit.124

Breathing in droplets and close contact with infected horses, plus contaminated tack, buckets and clothing. Common at shows and where young horses mix. Carriers can reactivate and shed the virus under stress.

Key symptoms in horsesWOAHStIKo VetLit.124

  • Fever, usually milder than with EHV-1
  • Nasal discharge
  • Cough
  • Dullness and poor appetite
  • Swollen glands under the jaw
  • Rarely abortion or neurological signs

Test method & sample (from the form)

MethodSampleForm code
PCRdry swab (cooled), EDTA blood; abortion: lochia, endometrium, foetal lung aspirate#1942
PCR panels with EHV-1 (+ EVA / + influenza)dry swab (cooled)#8620 / 8660 / 8720 / 8760

PreventionStIKo VetLit.234

  • Core vaccine in Germany: 3-dose course, 6-monthly boosters
  • Combined EHV-1/EHV-4 vaccine is licensed in Germany
  • Vaccinate the whole yard, not just single horses
  • Quarantine newcomers for 3 weeks
  • Reduce stress; isolate horses with fever or discharge

Good to know

Most horses are infected young and reinfected repeatedly. EHV-4 stays dormant in a nerve cluster in the head and can reactivate under stress.

Abortionalso on the form under Respiratory Disorders · Additional Tests

EVA

Equine viral arteritis · Alphaarterivirus equid (equine arteritis virus, EAV)

VirusWOAH-listedDE: notifiable · owner reports
EVA

A contagious virus spread by breathing and by breeding. Often silent, it can cause fever, swelling and abortion, and some stallions shed it in semen for years.

TypeWOAHFLILit.135

Enveloped RNA virus (arterivirus, family Arteriviridae)

IncubationStIKo VetLit.24

Usually 3–10 days (range 2–14), shorter after airborne spread

Risk for peopleWOAHLit.14

No known risk

No. WOAH states the virus does not present a human health hazard, and there is no evidence that it infects people.

TransmissionWOAHStIKo VetFLILit.1234

By droplets from acutely infected horses and by mating or artificial insemination with infected semen. Carrier stallions are the main reservoir. Urine, aborted foetuses, afterbirth and contaminated equipment can also spread it.

Key symptoms in horsesWOAHStIKo VetFLI123

  • Often no signs at all
  • Fever, dullness and poor appetite
  • Swelling of legs, belly, scrotum or sheath
  • Red, runny eyes ('pink eye'), swollen eyelids
  • Nasal discharge and hive-like skin rash
  • Abortion; severe pneumonia in very young foals

Test method & sample (from the form)

MethodSampleForm code
PCRAbortion / Respiratory / Additionaldry swab (cooled), EDTA blood (cooled)#1502
PCR panel 2 (EHV-1, EHV-4, EVA)Abortiondry swab (cooled)#8660
VNT (antibodies)Additionalserum#1500

PreventionStIKo VetFLILit.234

  • Inactivated vaccine licensed in Germany, from 9 months
  • Vaccinate breeding colts before puberty to prevent carriers
  • Blood-test before first vaccination; record in passport
  • Test stallions and their semen before breeding
  • Isolate new arrivals for 3–4 weeks

Good to know

Mares, geldings and young colts do not become carriers. Vaccinated horses test antibody-positive, which can block exports; the vaccine is not advised in pregnant mares.

Abortionalso on the form under Additional Tests

Leptospirosis

Leptospira spp. (pathogenic species, e.g. Leptospira interrogans, Leptospira kirschneri)

BacteriumDE: reportable · lab/vet reports
Leptospirosis

A bacterial infection spread mainly in urine. In horses it is linked to abortion and recurrent eye inflammation (moon blindness). People can catch it too.

TypeWOAH1

Spiral-shaped bacterium (spirochaete) with many serovars

IncubationLit.23

2–20 days to fever; abortion 2–4 weeks later; eye disease months–years later

Risk for people?1WOAHRKILit.124

Moderate

Yes. People are infected through urine-contaminated water, soil or animal contact entering skin cuts or mucous membranes. Farm workers, vets and water-sport enthusiasts are most at risk; illness ranges from flu-like to severe.

TransmissionLit.WOAH123

Contact with urine of infected rodents, wildlife or horses, often via stagnant water, wet soil or flooded pasture, or with aborted tissue and birth fluids. Recovering horses can shed bacteria in urine for up to 3 months.

Key symptoms in horsesLit.WOAH123

  • Often no signs, or a few days' fever
  • Abortion in late pregnancy (mostly after 8 months)
  • Weak or jaundiced newborn foals
  • Recurrent painful eye inflammation (moon blindness)
  • Kidney disease: dullness, blood in urine (uncommon)

Test method & sample (from the form)

MethodSampleForm code
PCRAbortion / Additionaldry swab (cooled), EDTA blood, tissue, urine°, aqueous humour°#1622
MAT (antibodies)Additionalserum#1600

PreventionLit.StIKo Vet256

  • Keep rodents away from feed, water and bedding
  • Fence off stagnant water and flooded pasture
  • Wear gloves handling urine, placentas and aborted foals
  • Isolate aborting mares 3–4 weeks; test urine (PCR)
  • No horse vaccine licensed in Germany

Good to know

Leptospira can survive up to 10 months in water but is killed by drying and common disinfectants. Moon blindness tends to flare repeatedly and can end in blindness.

Abortion

Chlamydia

Equine chlamydiosis · Chlamydia psittaci (main species found in equine abortion; other Chlamydia species rarely)

Bacterium
Chlamydia

A bird-associated bacterium that can cause late abortion and fatal illness in newborn foals. Infected placentas can give people psittacosis, a serious pneumonia.

TypeWOAH1

Tiny bacterium that multiplies only inside host cells

Incubation?1Lit.WOAHRKI136

Unknown in horses; in people usually 5–14 days, sometimes longer

Risk for people?2Lit.WOAHFLI12456

Moderate

Yes. Five vet-school staff and students caught psittacosis from equine foetal membranes; further cases are suspected. Infection is by inhalation and causes fever, headache and pneumonia. Foaling staff and vets are most exposed.

Transmission?3Lit.WOAHRKI1345

Horses probably catch it from infected birds (in Australia, wild parrots), likely via droppings or dust. People are infected by inhaling material from infected placentas, aborted or sick newborn foals, or bird droppings.

Key symptoms in horsesLit.46

  • Abortion in late pregnancy (about 8–11 months)
  • Mare usually shows no illness beforehand
  • Very sick newborn foals that die quickly
  • Inflamed placenta and foetal membranes

Test method & sample (from the form)

MethodSampleForm code
PCRdry swab (cooled) – lochia, endometrium, foetal lung aspirate#5062

Prevention?4WOAHLit.167

  • Gloves and mask when handling placentas or aborted foals
  • Have every abortion investigated by a laboratory
  • Keep wild birds away from feed and water
  • No vaccine for horses licensed in Germany

Good to know

C. psittaci has also been found in equine abortions in Europe, including Germany. Dried bird material can stay infectious for about four weeks. Australian cases cluster in winter and spring.

  1. ?1 Incubation: No incubation period established for horses.
  2. ?2 Risk for people: Horse-linked human cases reported mainly from Australia; European evidence limited.
  3. ?3 Transmission: Bird-to-horse route suspected from genotyping, not proven; most data from Australia.
  4. ?4 Prevention: No horse-specific prevention studies; measures derived from bird reservoir and human exposure reports.
  1. 1 WOAH – Terrestrial Manual Chapter 3.3.1 Avian chlamydiosis (2018) · woah.org/…/3.03.01_AVIAN_CHLAMYD.pdf
  2. 2 FLI – WOAH and National Reference Laboratory for Chlamydiosis · fli.de/…/woah-and-nrl-for-chlamydiosis
  3. 3 RKI – RKI-Ratgeber Chlamydiosen (Teil 2): Chlamydia psittaci · rki.de/…/Ratgeber_Chlamydiosen_Teil2.html
  4. 4 Lit. – Epizootic of C. psittaci equine reproductive loss, suspected parrot spillover (Emerg Microbes Infect 2018) · pmc.ncbi.nlm.nih.gov/…/PMC5953950
  5. 5 Lit. – 25-year retrospective study of C. psittaci in equine reproductive loss in Australia (J Med Microbiol 2021) · pmc.ncbi.nlm.nih.gov/…/PMC8131020
  6. 6 Lit. – Equine psittacosis in southeastern Australia: retrospective analysis (Animals 2023) · pmc.ncbi.nlm.nih.gov/…/PMC10416985
  7. 7 Lit. – Paul-Ehrlich-Institut: licensed veterinary vaccines for horses (German licensing authority) · pei.de/…/pferde-node.html
Equine infectious diseases · fact sheets for horse owners · October 2026Abortion · 5/59

Section 2

Respiratory Disorders

Coughing, nasal discharge and fever – the classic yard outbreaks. Nasal or throat swabs and blood samples help to find the cause.

Equine influenza
Strangles
S. zooepidemicus
Rhodococcus equi

Fact sheets

  • Equine influenzaEquine influenza virus (equine flu)11
  • StranglesStrangles (Streptococcus equi subsp. equi)12
  • S. zooepidemicusStreptococcus zooepidemicus (S. zooepidemicus)13
  • Rhodococcus equiRhodococcus equi (foal pneumonia)14

Also tested in this section

  • EHV-1on the form here too – fact sheet in “Abortion”5
  • EHV-4on the form here too – fact sheet in “Abortion”6
  • EVAon the form here too – fact sheet in “Abortion”7
Equine infectious diseases · fact sheets for horse owners · October 2026Respiratory Disorders10
Respiratory Disorders

Equine influenza

Equine influenza virus (equine flu) · Alphainfluenzavirus influenzae (influenza A virus, subtype H3N8)

VirusWOAH-listedDE: reportable · lab/vet reports
Equine influenza

Highly contagious 'horse flu' that spreads fast through yards and events. Rarely fatal, but causes fever, harsh cough and weeks off work; vaccination is core in Germany.

TypeWOAHStIKo VetLit.125

RNA virus (influenza A, H3N8; family Orthomyxoviridae)

IncubationWOAHLit.14

1–3 days; can be under 24 hours

Risk for people?1WOAH1

Low

Very unlikely. Equine flu has not been shown to cause illness in people; antibodies were found mainly in people exposed through their work. It has spread to dogs.

TransmissionWOAHStIKo Vet12

Breathing in droplets from coughing horses (airborne up to about 40 m) and close contact. People, vehicles, tack and buckets can carry it. Vaccinated horses may shed virus without showing signs.

Key symptoms in horsesWOAHLit.14

  • High fever
  • Harsh, dry cough that can last weeks
  • Watery nasal discharge, later thick if bacteria join
  • Milder or missing signs in vaccinated horses
  • Rarely pneumonia in young foals and donkeys

Test method & sample (from the form)

MethodSampleForm code
HI (antibodies), A equi II European and American typeserum#2055, 2060
PCRdry swab (cooled)#2075
PCR panel 2 (EHV-1, EHV-4, influenza)dry swab#8760

PreventionStIKo VetLit.234

  • Core vaccine in Germany: 3-dose course, 6-monthly boosters
  • Low-risk horses at home: 12-monthly may suffice
  • Choose vaccines with current Florida clade 1/2 strains
  • Follow competition vaccination rules (e.g. FN)
  • Isolate sick horses until 21 days after recovery

Good to know

Rest at least 3 weeks after illness, about one week per day of fever, because damaged airways need around 3 weeks to heal.

Respiratory Disorders

Strangles

Streptococcus equi subsp. equi

Bacterium
Strangles

A highly contagious bacterial infection of the throat and head lymph nodes. It spreads quickly through yards, and some recovered horses silently carry it for years.

TypeStIKo Vet1

Gram-positive bacterium (Lancefield group C streptococcus), horse-adapted

IncubationLit.StIKo Vet123

Usually 3–14 days until fever (StIKo Vet: mostly 3–8 days)

Risk for people?1Lit.234

Low

Very rarely. Isolated human infections have been reported, mainly in people with weakened immunity, who should avoid contact with sick horses. Strangles is essentially a disease of horses, donkeys and mules.

TransmissionStIKo VetLit.123

Direct contact and droplets from nasal discharge or coughing, and indirectly via shared water troughs, buckets, tack, grooming kit, clothing and hands. Horses that are incubating, recovering or silent carriers can all spread it.

Key symptoms in horsesStIKo VetLit.13

  • High fever (around 40 °C), dullness, poor appetite
  • Nasal discharge, turning thick yellow-green
  • Swollen, painful lymph nodes under jaw and throat
  • Abscesses that burst and release thick pus
  • Difficulty swallowing or breathing; head held stretched
  • Cough

Test method & sample (from the form)

MethodSampleForm code
Culture (BE aerobic) + PCR + resistogramculture swab#5099
PCRculture swab#5093
ELISA (antibodies)serum#5089
Panel S. equi (equi + zooepidemicus): culture + PCR + resistogramculture swab#5094

PreventionLit.StIKo Vet1235

  • Quarantine newcomers 3 weeks; test before mixing
  • Isolate any horse with fever immediately
  • Separate staff, kit and water for sick horses
  • Test recovered horses (guttural pouch wash, PCR) before release
  • Vaccines licensed in Germany: for high-risk horses only

Good to know

About 1 in 10 infected horses become long-term carriers in the guttural pouches (air sacs behind the throat). Bacteria survive weeks in water but only days on dry surfaces.

Respiratory Disorders

S. zooepidemicus

Streptococcus zooepidemicus · Streptococcus equi subsp. zooepidemicus

Bacterium
S. zooepidemicus

A normal resident of horses' airways and genital tract that causes disease when defences drop. It is a leading cause of pneumonia, womb infection and abortion in horses.

TypeStIKo Vet1

Gram-positive bacterium (Lancefield group C streptococcus), opportunist

Incubation?1Lit.StIKo Vet12

Not defined: opportunistic infections appear when the horse's defences drop

Risk for peopleLit.StIKo Vet123

Low

Rarely, but infections can be severe (meningitis, blood poisoning, joint infection). Cases mostly involve people in close daily contact with horses, sometimes with weakened immunity. Wash hands; avoid nose-to-nose contact.

TransmissionLit.StIKo Vet123

Most infections come from the horse's own bacteria after stress, transport, viral infection or injury. Outbreaks between horses occur occasionally, and people in close contact can rarely be infected.

Key symptoms in horsesStIKo VetLit.12

  • Fever, cough, nasal discharge (pneumonia)
  • Fertility problems or uterine discharge in mares
  • Abortion, premature or weak foals (placentitis)
  • Infected wounds; navel or joint infections in foals
  • Strangles-like swollen lymph nodes (occasionally)

Test method & sample (from the form)

MethodSampleForm code
Panel S. equi (equi + zooepidemicus): culture + PCR + resistogramculture swab#5094

Prevention?2Lit.StIKo Vet124

  • Reduce transport and training stress where possible
  • Clean wounds and newborn foals' navels promptly
  • Wash hands after handling horses
  • No specific vaccine licensed in Germany

Good to know

Healthy horses commonly carry it, so laboratories must distinguish it from the strangles bacterium, a closely related subspecies that is far more contagious.

Respiratory Disorders

Rhodococcus equi

Foal pneumonia · Rhodococcus equi (conserved name; synonyms Prescottella equi, Rhodococcus hoagii)

Bacterium
Rhodococcus equi

A soil bacterium causing slow-developing pneumonia with lung abscesses in foals aged 1–6 months. It is common on some breeding farms and early signs are easily missed.

TypeLit.14

Gram-positive soil bacterium that survives inside immune cells

Incubation?1Lit.12

Infected in first weeks of life; signs usually at 1–6 months

Risk for peopleLit.13

Low

Rarely. It can cause severe lung or whole-body infection in people with weakened immunity (e.g. HIV, transplant patients), usually from soil or manure. Infection in healthy people is extremely rare.

TransmissionLit.12

Foals inhale dust containing virulent bacteria in their first weeks of life. The bacteria live in soil and herbivore manure; sick foals shed large numbers in droppings. It does not spread directly between foals.

Key symptoms in horsesLit.12

  • Fever, dullness, poor appetite (easily missed early)
  • Fast or laboured breathing, flared nostrils
  • Cough or nasal discharge (not always)
  • Diarrhoea and poor growth (gut abscesses)
  • Swollen joints or lameness
  • Eye inflammation (uveitis)

Test method & sample (from the form)

MethodSampleForm code
Culture (BE aerobic) + PCR + resistogramculture swab#5053

PreventionLit.125

  • No vaccine available
  • Hyperimmune plasma for newborn foals on affected farms
  • Check foals often for fever and fast breathing
  • Ultrasound screening on problem farms; treat selectively
  • Remove manure promptly; sick foals shed many bacteria

Good to know

Survives over a year in soil. Adult horses are rarely affected unless immunocompromised. Many infected foals recover without treatment; unnecessary antibiotics promote resistant strains.

Section 3

CNS Disorders

Infections of the brain and spinal cord: wobbliness, weakness, behaviour changes. Always an emergency for your vet.

Borna disease
West Nile virus

Fact sheets

  • Borna diseaseBorna disease (Borna disease virus 1, BoDV-1)16
  • West Nile virusWest Nile virus (WNV)17

Also tested in this section

  • EHV-1on the form here too – fact sheet in “Abortion”5
Equine infectious diseases · fact sheets for horse owners · October 2026CNS Disorders15
CNS Disorders

Borna disease

Orthobornavirus bornaense (Borna disease virus 1, BoDV-1)

VirusDE: reportable · lab/vet reports
Borna disease

A rare, usually fatal brain inflammation of horses in parts of Germany, Austria, Switzerland and Liechtenstein. The virus comes from a wild shrew; infected horses do not pass it on.

TypeLit.5

Enveloped negative-sense RNA virus (orthobornavirus) that attacks the brain

Incubation?1Lit.3

About 1–3 months

Risk for people?2RKIFLI12

Low

People can develop fatal brain inflammation, but very rarely (about 5–10 cases a year in Germany, mostly rural Bavaria). The source is shrews, not horses; infected horses do not shed virus.

Transmission?3FLILit.134

Horses probably pick up virus from urine, droppings or saliva of infected bicoloured white-toothed shrews, e.g. via contaminated hay, the nose or small wounds. Horses are dead-end hosts: no horse-to-horse spread.

Key symptoms in horsesLit.FLI134

  • Fever (up to 41 °C), poor appetite
  • Behaviour change, dullness or aggression
  • Empty chewing, difficulty swallowing
  • Stumbling, poor balance, head tilt
  • Compulsive walking, seizures, going down
  • Death or euthanasia within days to weeks

Test method & sample (from the form)

MethodSampleForm code
IFAT* (antibodies)serum#2200
PCR*cerebrospinal fluid (liquor), cooled#2204

PreventionLit.RKI234

  • Store hay, feed and bedding safe from shrews
  • Remove shrew food: pet food, compost, open rubbish
  • Gloves and FFP2 mask when removing dead shrews
  • No vaccine; treatment only relieves signs
  • Isolate suspects until diagnosed; other diseases look similar

Good to know

Shrews are protected and must not be killed. A definite diagnosis usually needs virus detection in brain tissue after death; blood antibody tests can give false positives.

  1. ?1 Incubation: Single source (LMU equine clinic); FLI and RKI give no horse figure.
  2. ?2 Risk for people: Shrew-to-human route unknown; horse-to-human transmission never shown.
  3. ?3 Transmission: Exact route from shrew to horse not yet established.
  1. 1 FLI – Bornaviren (Tierseuchengeschehen) · fli.de/…/bornaviren
  2. 2 RKI – Humane Infektion mit BoDV-1: Merkblatt von RKI, BNITM und FLI · rki.de/…/Merkblatt.pdf
  3. 3 Lit. – LMU Munich Equine Clinic: Informationen zur Borna-Virus-Erkrankung (2025) · pferd.vetmed.uni-muenchen.de/…/merkblattborna.pdf
  4. 4 Lit. – LGL Bayern: Borna'sche Krankheit beim Pferd – information for horse keepers · lgl.bayern.de/…/infoblatt_pferdehalter_borna.pdf
  5. 5 Lit. – ICTV Report: Genus Orthobornavirus · ictv.global/…/orthobornavirus
Equine infectious diseases · fact sheets for horse owners · October 2026CNS Disorders · 1/216
CNS Disorders

West Nile virus

WNV · Orthoflavivirus nilense (West Nile virus)

VirusWOAH-listedDE: notifiable · owner reports
West Nile virus

Mosquito-borne virus circulating in wild birds, present in Germany since 2018. Most infected horses stay healthy, but some develop severe, sometimes fatal brain and spinal cord disease.

TypeWOAHLit.17

Mosquito-borne RNA virus (flavivirus family)

IncubationWOAH1

About 3–15 days after the infected mosquito bite

Risk for peopleWOAHFLI123

Low

People are infected by mosquito bites, not by horses. Most have no symptoms; about 20% get flu-like illness and under 1% severe brain inflammation. Protect yourself from mosquitoes too.

TransmissionWOAHFLI123

Spread by bites of infected mosquitoes (mainly Culex), which pick up the virus from wild birds. Horses and people are dead-end hosts: they do not pass the virus on, so infected horses are no risk to others.

Key symptoms in horsesWOAHStIKo Vet125

  • Most infected horses show no signs
  • Stumbling, wobbly gait, weakness, especially of hind legs
  • Muscle twitching, dullness, loss of appetite
  • Partial paralysis; may lie down, unable to rise
  • Impaired vision, circling, difficulty swallowing, fits

Test method & sample (from the form)

MethodSampleForm code
ELISA IgM (recent infection)serum#2916
ELISA IgM and IgGserum#2931
PCREDTA blood, cerebrospinal fluid (cooled)#2950

PreventionWOAHFLIStIKo Vet23456

  • Vaccinate: three horse vaccines are licensed in Germany
  • StIKo Vet: vaccinate in affected areas and northern lowlands
  • Two primary doses 3–6 weeks apart, then yearly boosters
  • Complete primary vaccination before mosquito season starts in spring
  • Reduce mosquito exposure and mosquito breeding around the yard

Good to know

About 8% of infected unvaccinated horses develop nervous signs; 30–50% of these die and survivors often keep lasting damage. Cases peak late summer to autumn.

Section 4

Diarrhoea

Agents found in droppings of foals and adult horses. Send about 50 g of fresh faeces; some tests need cooled overnight transport.

Campylobacter
C. difficile
C. perfringens
Cryptosporidia
Giardia
Lawsonia
Rotavirus
Salmonella

Fact sheets

  • Campylobacter19
  • C. difficileClostridioides difficile (C. difficile)20
  • C. perfringensClostridium perfringens (C. perfringens)21
  • CryptosporidiaCryptosporidium (cryptosporidia)22
  • Giardia23
  • LawsoniaLawsonia intracellularis (equine proliferative enteropathy, EPE)24
  • RotavirusEquine rotavirus25
  • SalmonellaSalmonella (salmonellosis)26

Sampling note on the form: Sample material: faeces, preferably 50 g

Equine infectious diseases · fact sheets for horse owners · October 2026Diarrhoea18
Diarrhoea

Campylobacter

Campylobacter spp. (mainly C. jejuni and C. coli)

BacteriumDE: reportable · lab/vet reports
Campylobacter

Gut bacteria carried by many animals and the commonest bacterial cause of food poisoning in people. In horses, their role in causing diarrhoea is still unclear.

TypeWOAH1

Spiral-shaped, Gram-negative gut bacterium

Incubation?1RKI2

Not established in horses; in people usually 2–5 days

Risk for people?2WOAHRKI12

Low

Possible. People get diarrhoea, cramps and fever, rarely nerve or joint complications. Most human cases come from poultry meat; contact with animals is another route. Small children are often affected.

Transmission?3WOAHRKILit.123

Swallowed with faeces from carrier animals, directly or via contaminated feed, water or surroundings. Birds, poultry and other livestock are main carriers. Healthy horses may carry it unnoticed.

Key symptoms in horses?4WOAHLit.StIKo Vet1347

  • Often no signs; healthy horses can carry it
  • Diarrhoea, but its role in horses is unclear
  • Mostly found in horses that are already ill
  • Foals: can worsen diarrhoea after rotavirus infection

Test method & sample (from the form)

MethodSampleForm code
PCR*faeces (preferably 50 g)#5400

PreventionRKIWOAHLit.1256

  • Wash hands after handling horses, manure or tack
  • Protect feed and water from bird and animal droppings
  • Wear gloves when handling horses with diarrhoea
  • No vaccine for horses licensed in Germany

Good to know

Survives for a while in cool, damp places but cannot multiply outside an animal. Studies of healthy horses report very different carrier rates.

Diarrhoea

C. difficile

Clostridioides difficile (formerly Clostridium difficile)

Bacterium
C. difficile

A gut bacterium whose toxins cause sudden, often severe diarrhoea (colitis). Antibiotics, hospital stays and feed changes raise the risk; young foals can also fall ill.

TypeLit.RKI15

Spore-forming gut bacterium that lives without oxygen; toxins A and B

Incubation?1Lit.1

Unknown; possibly under 24 hours; after antibiotics usually within one week

Risk for people?2Lit.RKI345

Low

Possibly. People get C. difficile especially in hospitals and after antibiotics. Horses carry strain types also found in people, but direct spread from horses is not proven. Older and immunocompromised people are most at risk.

TransmissionLit.123

Hardy spores are swallowed from faeces or contaminated surroundings. Up to 10% of healthy adult horses and many young foals carry it. Illness follows disturbed gut flora, e.g. antibiotics, stress, transport or surgery.

Key symptoms in horsesLit.StIKo Vet126

  • Sudden diarrhoea, often dark, foul-smelling or bloody
  • Fever and dullness
  • Colic (belly pain)
  • Dehydration and reduced appetite
  • Foals: sudden bloody diarrhoea, can be fatal
  • Sudden death in severe cases

Test method & sample (from the form)

MethodSampleForm code
PCR for toxin genes A+B°faeces (preferably 50 g), cooled#5572

PreventionLit.StIKo Vet1267

  • Give antibiotics only when prescribed by your vet
  • Change feed gradually; reduce stress and transport
  • Isolate any horse with diarrhoea; clean thoroughly
  • Disinfect cleaned surfaces with diluted bleach (1:10)
  • No vaccine for horses licensed in Germany

Good to know

Spores survive heat, cold, drying and UV light for long periods. Never spread manure or bedding from sick horses on pasture. Foals can fall ill without antibiotics.

Diarrhoea

C. perfringens

Clostridium perfringens

Bacterium
C. perfringens

A normal soil and gut bacterium. Certain toxin-producing strains cause sudden, often bloody diarrhoea that can kill newborn foals within days; adults can develop colitis.

TypeLit.12

Spore-forming gut bacterium that lives without oxygen; types defined by toxins

Incubation?1Lit.13

Unknown; illness can start within 24 hours; foals usually under 10 days

Risk for people?2Lit.14

Low

People commonly get C. perfringens food poisoning from cooked food kept warm too long. No cases caught from horses are documented; basic hygiene around horses with diarrhoea is enough.

TransmissionLit.12

Spores are everywhere in soil and faeces. Foals may swallow them from the mare's udder or surroundings. Illness follows overgrowth and toxin production, often after gut upsets such as antibiotics or feed changes.

Key symptoms in horsesLit.StIKo Vet1236

  • Newborn foals: sudden, often bloody diarrhoea
  • Severe dullness, rapid collapse, death within 24–48 hours
  • Colic (belly pain) and fever
  • Adults: diarrhoea, dehydration, reduced appetite
  • Sudden death possible

Test method & sample (from the form)

MethodSampleForm code
PCR for toxin genes°faeces (preferably 50 g), cooled#5582

PreventionLit.StIKo Vet12356

  • Keep foaling stables clean and disinfected
  • Avoid sudden feed changes and unneeded antibiotics
  • Isolate horses with diarrhoea; dispose of manure safely
  • Call the vet at once for diarrhoea in foals
  • No vaccine for horses licensed in Germany

Good to know

Many toxin types occur in healthy horses, so a positive test needs interpretation. Type C is rare in healthy foals. Spores resist heat, cold and drying.

Diarrhoea

Cryptosporidia

Cryptosporidium spp. (in horses mainly C. parvum and the Cryptosporidium horse genotype)

Protozoon
Cryptosporidia

A tiny parasite that can cause diarrhoea in young foals, often without symptoms. It matters because the main type, C. parvum, also infects people.

TypeWOAH1

Single-celled gut parasite spread by hardy egg-like oocysts

Incubation?1Lit.3

Not established in foals; 2–7 days in calves

Risk for people?2RKIWOAHLit.1246

Moderate

Yes; horses are a recognised source. People swallow oocysts from faeces or water and get watery diarrhoea and cramps. Young children and immunocompromised people can become seriously ill.

TransmissionWOAHLit.135

Foals swallow oocysts from faeces of other foals, mares or calves, or from contaminated water, feed and surroundings. Very few oocysts are needed. Healthy adults can shed them unnoticed.

Key symptoms in horsesLit.WOAH1345

  • Often no signs in healthy foals
  • Mild to moderate diarrhoea lasting several days
  • Mainly foals in their first weeks of life
  • Severe disease mostly in foals with weak immunity
  • Rarely any illness in adult horses

Test method & sample (from the form)

MethodSampleForm code
ELISA (antigen)°faeces (preferably 50 g)#5280

PreventionWOAHLit.RKI1257

  • Remove dung and soiled bedding daily
  • Clean with hot soapy water over 60 °C, then dry
  • Keep foals away from calves and calf pastures
  • Wash hands after handling foals, especially children
  • No vaccine for horses licensed in Germany

Good to know

Oocysts survive many months in cool, damp places and resist most common disinfectants. In a European study only 0–4.5% of foals were shedding them.

Diarrhoea

Giardia

Giardia duodenalis (syn. G. intestinalis, G. lamblia)

Protozoon
Giardia

A common gut parasite of many animals and people. Horses, especially foals, often carry it without signs; illness in horses is rarely reported.

TypeLit.1

Single-celled, whip-tailed (flagellate) gut parasite forming hardy cysts

Incubation?1Lit.1

Not established for horses; in animals cysts appear 3–10 days after infection

Risk for people?2Lit.RKI134

Low

Possibly. Horses can carry types A and B, which also infect people, but proven spread from animals is rare. People get diarrhoea and cramps, mostly via contaminated water or food.

TransmissionLit.14

Cysts passed in faeces are swallowed, directly from infected animals or via contaminated water, feed or surroundings. Foals shed more cysts than older horses.

Key symptoms in horses?3Lit.12

  • Usually no signs at all
  • Soft, pale, foul-smelling or fatty droppings
  • Diarrhoea, possibly long-lasting
  • Weight loss from poor nutrient uptake

Test method & sample (from the form)

MethodSampleForm code
ELISA (antigen)°faeces (preferably 50 g)#5270

PreventionLit.RKI135

  • Remove droppings daily; let stables dry thoroughly
  • Clean with steam, boiling water or quaternary ammonium disinfectants
  • Provide clean drinking water
  • Wash hands after handling foals and manure
  • No vaccine for horses licensed in Germany

Good to know

Cysts survive weeks to months in cool, damp places but die when dried out. About 10–14% of European foals shed cysts, usually without diarrhoea.

Diarrhoea

Lawsonia

Equine proliferative enteropathy, EPE · Lawsonia intracellularis

Bacterium
Lawsonia

Causes equine proliferative enteropathy: a thickened small intestine leaks protein, so weanlings lose weight and develop swellings. Diarrhoea is not always present; mostly autumn–winter.

TypeLit.1

Bacterium that can only live inside gut lining cells

IncubationLit.1

About 14 days

Risk for peopleLit.14

No known risk

No known risk to people. The bacterium also infects pigs and some other animals, but no human infections are known.

Transmission?1Lit.12

Not fully known; probably by swallowing faeces of infected animals. Wildlife, rodents and pigs may be sources. The bacterium survives up to two weeks in faeces at mild temperatures.

Key symptoms in horses?2Lit.1234

  • Swelling under belly, on head, legs or sheath
  • Rapid weight loss, poor growth, rough coat
  • Reduced appetite and dullness
  • Fever and colic
  • Diarrhoea in some foals only
  • Very low blood protein (albumin) on testing

Test method & sample (from the form)

MethodSampleForm code
PCRfaeces (preferably 50 g)#5450

PreventionLit.15

  • Limit contact with rodents, wildlife and pigs
  • Isolate sick foals about 7 days; remove manure promptly
  • Have thin or swollen weanlings checked early
  • No licensed horse vaccine; pig vaccine sometimes used off-label

Good to know

Mostly weanlings aged 2–8 months. About 5% of exposed foals fall ill. Recovery of body condition and protein can take months; affected yearlings may sell for less.

Diarrhoea

Rotavirus

Equine rotavirus · Rotavirus alphagastroenteritidis (rotavirus A); rotavirus B also found in foals

Virus
Rotavirus

The most common viral cause of diarrhoea in foals. It spreads extremely fast on studs and causes watery diarrhoea and dangerous dehydration, mainly in foals under two months.

TypeStIKo VetLit.16

Non-enveloped double-stranded RNA virus (family Sedoreoviridae)

Incubation?1Lit.StIKo Vet12

Short: 12–24 hours (AAEP) to 2–6 days (StIKo Vet)

Risk for people?2Lit.25

No known risk

No infections of people caught from horses are documented. Equine-like rotavirus genes have turned up in human strains through gene mixing, so hygiene around sick foals is sensible.

TransmissionStIKo VetLit.12

Foals swallow virus from faeces of infected foals, via contaminated feed, hands, boots, tools and stables. Tiny amounts infect; sick foals shed huge numbers, and virus survives months in stables.

Key symptoms in horsesStIKo VetLit.123

  • Sudden watery, high-volume diarrhoea, yellowish then grey
  • Dullness, poor appetite; may stop suckling
  • Rapid dehydration, can be life-threatening
  • Usually no or only mild fever
  • Very young foals: bloated belly and colic
  • Prolonged diarrhoea from milk-sugar (lactose) intolerance

Test method & sample (from the form)

MethodSampleForm code
PCRfaeces (preferably 50 g)#5262

PreventionStIKo VetLit.124

  • Germany: mare vaccine at 8, 9, 10 months' pregnancy
  • Foal needs enough colostrum within 6–12 hours
  • Strict hygiene in foaling areas; avoid overcrowding
  • Isolate sick foals; use virus-effective disinfectant, not bleach
  • Never spread manure from affected studs on fields

Good to know

The inactivated vaccine (Equip Rotavirus) covers rotavirus A (G3) only and makes disease milder, not impossible; foals keep raised antibodies about 60 days. Rotavirus B is not covered.

Diarrhoea

Salmonella

Salmonellosis · Salmonella enterica subsp. enterica (many serovars, e.g. Typhimurium)

BacteriumDE: reportable · lab/vet reports
Salmonella

A gut bacterium causing fever, severe diarrhoea and colic, especially in stressed, sick or hospitalised horses and newborn foals. It spreads easily and can infect people.

TypeWOAHLit.12

Rod-shaped, Gram-negative gut bacterium; more than 2,500 types (serovars)

IncubationLit.2

Hours to days, depending on dose, strain and the horse's resistance

Risk for people?1Lit.WOAHFLIRKI1234

Moderate

Yes. Salmonella types that make horses ill can seriously sicken people through contact with faeces, hands or equipment. Children, elderly, pregnant and immunocompromised people are most at risk.

TransmissionLit.WOAH12

Swallowed from faeces of sick or healthy carrier horses, directly or via pasture, feed, water, hands, boots, tools and flies. Stress, transport, colic, surgery or antibiotics make shedding and illness more likely.

Key symptoms in horsesLit.WOAHStIKo Vet1256

  • Fever, sometimes without diarrhoea
  • Watery diarrhoea and colic (belly pain)
  • Laminitis may follow severe gut inflammation
  • Newborn foals: blood poisoning (sepsis)
  • Foals: bloody diarrhoea, pneumonia, joint and bone infections
  • Many horses shed it without any signs

Test method & sample (from the form)

MethodSampleForm code
Culture (BE aerobic) + PCRfaeces (preferably 50 g)#5305

PreventionLit.StIKo Vet257

  • Isolate horses with diarrhoea or unexplained fever
  • Keep newcomers separate; keep other animal species away
  • Clean, then disinfect stables; use separate tools
  • Wear gloves, wash hands; avoid pressure washing
  • No Salmonella vaccine for horses available

Good to know

Recovered horses may shed for 30–60+ days, a few intermittently for longer. The bacteria have survived 300 days in soil, 9 months in water, 30 months in dried faeces.

Section 5

Bacteriology and Mycology

Culture-based tests on swabs, tissue or blood. They identify which bacteria or fungi grow – and which antibiotics still work.

ORSA / MRSA
Ringworm

Fact sheets

  • ORSA / MRSAMRSA / ORSA (methicillin-resistant Staphylococcus aureus)28
  • RingwormRingworm (dermatophytes)29

General tests in this section (not pathogen-specific)

Clinical sample – Panel 1: aerobic culture incl. ORSA, resistogramsculture swab, native material#5043
Clinical sample – Panel 2: aerobic & anaerobic culture incl. ORSA, resistogramsculture swab, native material#5044
Anaerobic cultureculture swab, native material#5001
Mycological examination without dermatophytesculture swab#5002
Mycological examination incl. dermatophytesskin scraping#5046
Blood culture, aerobic, incl. resistogramsBC flask aerobic#5047
Blood culture, anaerobicBC flask anaerobic#5048
Equine infectious diseases · fact sheets for horse owners · October 2026Bacteriology and Mycology27
Bacteriology and Mycology

ORSA / MRSA

MRSA / ORSA (methicillin-resistant Staphylococcus aureus) · Staphylococcus aureus, methicillin- (oxacillin-) resistant strains (MRSA = ORSA)

Bacterium
ORSA / MRSA

Antibiotic-resistant staph bacteria that horses can carry unnoticed in the nose. They can cause hard-to-treat wound and surgical infections and pass between horses and people.

TypeLit.RKI34

Gram-positive Staphylococcus aureus strain resistant to many antibiotics

Incubation?1Lit.26

Not defined: carriers may stay healthy; infection follows wounds or surgery

Risk for peopleLit.RKI124

Moderate

Yes. About 1 in 5 German equine vet staff tested carried horse-type MRSA in the nose; infections are occasional. Risk is higher for people with wounds, diabetes or weak immunity.

TransmissionLit.RKI2345

Spread mainly by hands and direct contact, between horses and people in both directions, and via equipment. Hospital stays, surgery and earlier antibiotic treatment raise the risk. Most carrier horses stay healthy.

Key symptoms in horsesLit.1236

  • Usually none: healthy carrier in the nose
  • Wound or surgical site infections that won't heal
  • Infected catheter or injection sites
  • Joint infection with lameness
  • Pneumonia or womb infection (less common)

Test method & sample (from the form)

MethodSampleForm code
Aerobic culture incl. ORSA screening + resistograms (Panel 1)culture swab, native material#5043
Aerobic & anaerobic culture incl. ORSA + resistograms (Panel 2)culture swab, native material#5044

PreventionLit.RKI345

  • Wash hands after handling horses, even after gloves
  • Wear gloves for wound care; discard dressings safely
  • Isolate infected or carrier horses
  • Use antibiotics only as prescribed by your vet
  • Disinfect treatment areas and equipment

Good to know

Healthy horses carry MRSA rarely (0–6%), but rates are much higher in equine clinics. Most German horse MRSA belong to lineage CC398; spread into the wider community appears rare.

Bacteriology and Mycology

Ringworm

Trichophyton equinum (main), also Microsporum canis, Trichophyton mentagrophytes and other dermatophytes

Fungus
Ringworm

A common, contagious fungal skin infection causing round bald, scaly patches, often under tack. Rarely dangerous, but spores persist for months and people can catch it.

TypeStIKo Vet1

Thread-like skin fungi that feed on keratin; spread by spores

IncubationStIKo Vet1

4–30 days; untreated, usually heals within 1–6 months

Risk for peopleStIKo VetLit.134

Moderate

Yes. People catch it by touching infected horses or contaminated kit, typically as ring-shaped, scaly skin patches about 1–2 weeks later. Dermatophytes are important zoonotic agents; some species spread to people more readily.

TransmissionStIKo VetLit.13

Direct contact with infected horses, or indirectly via spores on grooming kit, tack, rugs, stable fittings, transport vehicles and parasites. Infected hairs are the main source; some horses carry spores without signs.

Key symptoms in horsesStIKo VetLit.123

  • Small raised tufts or hive-like lumps
  • Round, bald, scaly or crusty patches
  • Brittle hair that pulls out in tufts
  • Mainly saddle, girth, shoulder, neck and head
  • Itching variable, often absent
  • Secondary bacterial skin infection possible

Test method & sample (from the form)

MethodSampleForm code
Mycological examination incl. dermatophytes (fungal culture)skin scraping#5046

PreventionStIKo VetLit.125

  • Own grooming kit, saddle cloth and rugs per horse
  • Isolate affected horses; treat all in-contact horses
  • Wash and disinfect kit and stables weekly
  • Licensed vaccines: two doses 14 days apart
  • Vaccines speed healing but do not prevent infection

Good to know

Spores survive months to years in stables, pasture and shed hair. Recovery speeds healing of later infections but does not prevent them. Fungal culture results take at least three weeks.

Section 6

Parasitology

Worms detected in droppings. Faecal egg counts guide targeted deworming instead of routine treatment.

Intestinal worms
Lungworm

Fact sheets

  • Intestinal wormsIntestinal worms (strongyles, roundworms, tapeworms, liver fluke)31
  • LungwormLungworm (Dictyocaulus arnfieldi)32
Equine infectious diseases · fact sheets for horse owners · October 2026Parasitology30
Parasitology

Intestinal worms

Strongyles, roundworms, tapeworms, liver fluke · Cyathostominae (small strongyles), Strongylus spp. (large strongyles), Parascaris spp., Anoplocephala perfoliata, Fasciola hepatica

Worm (helminth)
Intestinal worms

Small redworms occur on practically every horse farm. Heavy worm burdens cause weight loss, diarrhoea or colic, and wormer resistance is widespread, so base worming on dung tests.

TypeLit.1

Parasitic worms: roundworms (nematodes), tapeworms and flukes

IncubationLit.1

Eggs appear 6 weeks to 7 months after infection, depending on worm type

Risk for people?1Lit.12

Low

Liver fluke occasionally infects people who eat raw contaminated water plants, not through horse contact. Equine strongyles, roundworms and tapeworms are not known to infect people.

TransmissionLit.1

Worm eggs pass in droppings. Strongyle larvae develop on grass and are swallowed while grazing; roundworm eggs survive years in the environment; tapeworms come via tiny pasture mites, liver fluke via snails on wet pasture.

Key symptoms in horsesLit.1

  • Often no signs with light burdens
  • Weight loss, dull coat, poor condition
  • Diarrhoea, sometimes sudden and severe (small redworms)
  • Colic, including gut blockage by roundworms or tapeworms
  • Cough and poor growth in foals (roundworms)
  • Anaemia with heavy worm or fluke burdens

Test method & sample (from the form)

MethodSampleForm code
Sedimentation and flotation (egg detection)faeces#5200

The form lists the method, not single species – this sheet groups the worms that method can detect.

PreventionLit.1

  • Dung egg counts first; worm only horses that need it
  • Pick up droppings from pasture at least twice weekly
  • Worm and quarantine new arrivals before turnout
  • Worm foals from 2 months, every 3 months
  • Repeat egg count after worming to check it worked

Good to know

Resistance is common: small redworms to benzimidazoles, roundworms to ivermectin-type wormers. One tapeworm treatment yearly in late autumn or winter usually suffices.

Parasitology

Lungworm

Dictyocaulus arnfieldi

Worm (helminth)
Lungworm

A roundworm living in the airways that donkeys carry, usually without signs. Horses grazing with donkeys can develop a stubborn cough that does not respond to antibiotics.

TypeLit.12

Parasitic roundworm (nematode) living in the airways

Incubation?1Lit.1

About 3 months until larvae appear; time to first cough unclear

Risk for people?2Lit.12

No known risk

Not known to infect people. This lungworm lives in donkeys, horses and mules.

TransmissionLit.12

Larvae pass in droppings, mainly from donkeys, and develop on pasture. Horses swallow them while grazing. Adult horses rarely shed larvae, so donkeys are the main source of pasture contamination.

Key symptoms in horsesLit.12

  • Persistent cough, the most common sign
  • Cough not improving with antibiotics
  • Thick nasal discharge from both nostrils
  • Faster or laboured breathing
  • Weight loss, poor condition
  • Donkeys usually show no signs

Test method & sample (from the form)

MethodSampleForm code
Migration technique (Baermann) – larvae detectionfaeces#5202

PreventionLit.12

  • Avoid grazing horses with donkeys, the main source
  • Include donkeys in the yard's worm control plan
  • Standard wormers such as ivermectin or moxidectin work

Good to know

In horses the worms rarely mature, so dung tests often miss them; an airway wash by the vet is more reliable.

  1. ?1 Incubation: Only the prepatent period (about 3 months) is documented.
  2. ?2 Risk for people: No fetched source addresses human infection; known hosts are equids only.
  1. 1 Lit. – ESCCAP Guideline 08: Equine gastrointestinal parasites, 2nd ed. 2019 · esccap.org/…/c14bnmhx_0796_ESCCAP_Guideline_…
  2. 2 Lit. – Merck Veterinary Manual: Lungworm Infection in Animals · merckvetmanual.com/…/lungworm-infection-in-animals
Equine infectious diseases · fact sheets for horse owners · October 2026Parasitology · 2/232

Section 7

Tick-borne Diseases

Pathogens carried by ticks. Check your horse after grazing in tall grass and woodland edges.

Piroplasmosis
Anaplasmosis
Lyme disease

Fact sheets

  • PiroplasmosisEquine piroplasmosis (Theileria equi, Babesia caballi)34
  • AnaplasmosisEquine granulocytic anaplasmosis (Anaplasma phagocytophilum)35
  • Lyme diseaseLyme borreliosis (Borrelia burgdorferi sensu lato)36
Equine infectious diseases · fact sheets for horse owners · October 2026Tick-borne Diseases33
Tick-borne Diseases

Piroplasmosis

Equine piroplasmosis · Theileria equi (formerly Babesia equi) and Babesia caballi

ProtozoonWOAH-listed
Piroplasmosis

Two tick-borne blood parasites that destroy red blood cells, causing fever and anaemia. Recovered horses often stay carriers, and a few horses have now caught it in Germany.

TypeWOAH12

Tick-borne single-celled parasites of red blood cells

IncubationWOAHLit.24

T. equi 12–19 days; B. caballi about 10–30 days

Risk for peopleWOAHLit.347

No known risk

Not shown to infect people. Human babesiosis in Europe is mainly caused by other species, such as the cattle parasite Babesia divergens, not horse parasites.

TransmissionWOAHLit.12456

Spread by ticks (Dermacentor, Rhipicephalus, Hyalomma; in Germany especially the spreading ornate dog tick, Dermacentor reticulatus). Also via blood on shared needles, instruments or transfusions, and T. equi from mare to foal.

Key symptoms in horsesWOAHLit.1256

  • High fever, often above 40 °C
  • Dullness, poor appetite, fast breathing and pulse
  • Anaemia and jaundice (pale or yellow gums)
  • Dark red urine
  • Swollen legs, colic or diarrhoea
  • Chronic form: weight loss, poor performance

Test method & sample (from the form)

MethodSampleForm code
PCR (direct detection)EDTA blood#1020, 1120
IFAT (antibodies)serum#1001, 1101

PreventionWOAHLit.1246

  • No vaccine is available
  • Daily tick checks; repellents help but protection is limited
  • New sterile needle per horse; never share instruments
  • Blood-test imported or travelling horses; screen blood donors

Good to know

T. equi is more severe and usually persists for life, often even after treatment; B. caballi usually clears within about 4 years. Healthy-looking carriers can infect ticks.

Tick-borne Diseases

Anaplasmosis

Equine granulocytic anaplasmosis · Anaplasma phagocytophilum (formerly Ehrlichia equi)

Bacterium
Anaplasmosis

A tick-borne bacterium that infects white blood cells and causes sudden high fever in horses. Found wherever the castor bean tick lives, including Germany; antibiotics work well.

TypeFLILit.12

Tick-borne bacterium living inside white blood cells

IncubationLit.234

Usually 1–2 weeks after the tick bite; up to 3 weeks reported

Risk for peopleFLILit.RKI1235

Low

Horses do not pass it to people. Humans can catch the same bacterium from tick bites (human granulocytic anaplasmosis), but cases in Germany are very rare.

TransmissionFLILit.1234

Spread by bites of Ixodes ticks (in Europe the castor bean tick); wild rodents and deer are reservoirs. Not contagious between horses, except rarely via blood (shared needles) or mare to unborn foal.

Key symptoms in horsesLit.234

  • High fever, sometimes the only sign in youngsters
  • Dullness, reduced appetite, reluctance to move
  • Swollen lower legs
  • Yellow gums or eyes (jaundice)
  • Pinpoint bleeds on gums or eye membranes
  • Wobbly gait in some horses

Test method & sample (from the form)

MethodSampleForm code
PCR (direct detection)EDTA blood, tick°#2302
IFAT (antibodies)serum#2300

PreventionLit.234

  • No vaccine is available
  • Check horses daily for ticks; remove them promptly
  • Use permethrin-based tick repellents in tick season
  • Avoid tick habitats where possible, e.g. woodland edges

Good to know

Peaks with tick activity in spring and autumn. Recovered horses are not known to stay carriers and are usually immune for at least two years.

Tick-borne Diseases

Lyme disease

Lyme borreliosis · Borrelia burgdorferi sensu lato (syn. Borreliella); in Europe mainly B. afzelii, B. garinii

Bacterium
Lyme disease

A tick-borne bacterium that infects many horses, yet proven illness in horses is rare. Documented problems include eye inflammation, nervous system disease and skin lumps.

TypeLit.25

Spiral-shaped, tick-borne bacterium (spirochaete)

Incubation?1Lit.23

Not established in horses; antibodies appear about 3–10 weeks after infection

Risk for people?2Lit.RKI24

Low

Horses do not infect people, but the same ticks transmit Lyme disease to humans. Check yourself for ticks after yard work; see a doctor for a spreading ring-shaped rash.

TransmissionLit.RKI1234

Spread by bites of Ixodes ticks (in Europe the castor bean tick); transmission needs hours to days of feeding. Horses are dead-end hosts: no spread between horses or from horses to people.

Key symptoms in horses?3Lit.123

  • Most infected horses never show signs
  • Stiffness, shifting or intermittent lameness (poorly proven)
  • Eye inflammation (uveitis), often in both eyes
  • Nervous signs: wobbliness, facial paralysis, swallowing problems
  • Rare skin lumps (cutaneous pseudolymphoma)
  • Behaviour change, sensitive skin, muscle wasting (unproven)

Test method & sample (from the form)

MethodSampleForm code
PCR (direct detection)tick°, synovial fluid°, EDTA blood, cerebrospinal fluid, skin biopsy°#3012

PreventionLit.123

  • No vaccine is licensed for horses
  • Check daily for ticks and remove them quickly
  • Use permethrin or other pyrethroid repellents in tick season
  • Mow pastures; limit grazing near woodland edges

Good to know

Locally up to 30% of ticks in Germany carry Borrelia. Antibodies are common in healthy horses, so a positive blood test alone does not prove disease.

  1. ?1 Incubation: No equine incubation period established; only time to antibody response is known.
  2. ?2 Risk for people: Not spread from horses; Lyme from the same ticks regularly affects people, so the level is a judgement.
  3. ?3 Key symptoms in horses: Only nervous, eye and skin forms well documented; lameness and stiffness poorly proven; data mostly North American.
  1. 1 Lit. – ACVIM consensus: B. burgdorferi infection and Lyme disease in North American horses (JVIM 2018) · academic.oup.com/…/8449608
  2. 2 Lit. – AAEP Infectious Disease Guidelines: Borrelia burgdorferi infection and Lyme disease · aaep.org/…/Borrelia-Burgdorferi-Infection-…
  3. 3 Lit. – VISAVET (Complutense University Madrid) INFEQUUS: Lyme disease · visavet.es/…/lyme-disease.php
  4. 4 RKI – Zeckenübertragene Erkrankungen – FAQ · rki.de/…/Zecken.html
  5. 5 Lit. – LPSN (DSMZ): Borrelia burgdorferi nomenclature · lpsn.dsmz.de/…/borrelia-burgdorferi
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Section 8

Additional Tests

Further viruses and parasites the lab tests for – from mild skin or eye infections to notifiable diseases.

2EHV-2
3EHV-3
5EHV-5
Adenovirus
EIA
EPM

Fact sheets

  • EHV-2Equine herpesvirus 2 (EHV-2)38
  • EHV-3Equine herpesvirus 3 (EHV-3, equine coital exanthema)39
  • EHV-5Equine herpesvirus 5 (EHV-5)40
  • AdenovirusEquine adenovirus 1 (EAdV-1)41
  • EIAEquine infectious anaemia (EIA, swamp fever)42
  • EPMEquine protozoal myeloencephalitis (EPM)43

Also tested in this section

  • EVAon the form here too – fact sheet in “Abortion”7
  • Leptospirosison the form here too – fact sheet in “Abortion”8
Equine infectious diseases · fact sheets for horse owners · October 2026Additional Tests37
Additional Tests

EHV-2

Equine herpesvirus 2 · Percavirus equidgamma2 (Equid gammaherpesvirus 2)

Virus
EHV-22

A herpesvirus that nearly all horses catch as foals and carry for life. Usually harmless; its role in eye inflammation and airway disease is still debated.

TypeLit.4

DNA virus (gammaherpesvirus, genus Percavirus)

Incubation?1

Not established for horses

Risk for people?2Lit.12

No known risk

No known risk. No human infections are described in the sources consulted.

TransmissionLit.2

Through nasal secretions and close contact. Most foals are infected by their mothers or other foals within the first months of life. Carriers shed the virus again from time to time.

Key symptoms in horses?3Lit.12

  • Often no signs at all
  • Sore, runny, inflamed eyes
  • Sore throat in foals
  • Nasal discharge and cough
  • Poor performance; possibly mild asthma in young horses

Test method & sample (from the form)

MethodSampleForm code
PCRdry swab#1922

Prevention?4Lit.StIKo Vet23

  • No vaccine available (none listed by StIKo Vet)
  • Infection is near-universal; avoiding it is unrealistic
  • Have eye or breathing problems checked early

Good to know

A positive EHV-2 test does not prove it caused the illness, as healthy horses often carry it. Foals usually test positive by five months of age.

  1. ?1 Incubation: No incubation period given in any fetched authoritative source.
  2. ?2 Risk for people: Sources do not address human infection explicitly; none reported.
  3. ?3 Key symptoms in horses: Also found in healthy horses; a causal role is suggested but unproven.
  4. ?4 Prevention: No specific prevention guidance found; vaccine absence inferred from the StIKo Vet list.
  1. 1 Lit. – Merck Veterinary Manual: Equine herpesvirus infection (EHV-2 section) · merckvetmanual.com/…/equine-herpesvirus-infection
  2. 2 Lit. – Kinetics of EHV-2 and EHV-5 infections in mares and foals, three Polish national studs (peer-reviewed) · pmc.ncbi.nlm.nih.gov/…/PMC9031536
  3. 3 StIKo Vet – Leitlinie zur Impfung von Pferden, 5th ed., 06.01.2025 (copy hosted by bpt) · tieraerzteverband.de/…/Impfleitlinie_Pferd_2025-01-06.pdf
  4. 4 Lit. – NCBI Taxonomy: Percavirus equidgamma2 · ncbi.nlm.nih.gov/…/wwwtax.cgi
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Additional Tests

EHV-3

Equine herpesvirus 3 (EHV-3, equine coital exanthema) · Varicellovirus equidalpha3 (Equid alphaherpesvirus 3)

Virus
EHV-33

A herpesvirus spread mainly by mating. It causes painful blisters and sores on the genitals of mares and stallions, disrupting the breeding season, but is rarely serious.

TypeLit.3

DNA virus (alphaherpesvirus, genus Varicellovirus)

IncubationLit.12

About 4–9 days after mating or contact

Risk for people?1Lit.12

No known risk

No known risk. No human infections are described in the sources consulted.

TransmissionLit.12

Mainly by mating. Also spread by shared gloves, examination instruments and artificial vaginas during breeding work and artificial insemination. Horses carrying the dormant virus can shed it again later.

Key symptoms in horsesLit.12

  • Small red bumps on vulva, penis or sheath
  • Blisters that burst into painful sores
  • Painful mating for stallions
  • Discharge if sores become infected with bacteria
  • White, unpigmented scars after healing
  • Usually no general illness

Test method & sample (from the form)

MethodSampleForm code
PCRdry swab#1932

PreventionLit.12

  • No vaccine available
  • No breeding until all sores have healed
  • Fresh disposable gloves and equipment for each mare
  • Examine mares and stallions before every covering
  • Isolate affected horses until healed

Good to know

Skin sores usually heal within 2–3 weeks. Fertility and pregnancies are not affected. The virus can lie dormant in the body and flare up again later.

Additional Tests

EHV-5

Equine herpesvirus 5 · Percavirus equidgamma5 (Equid gammaherpesvirus 5)

Virus
EHV-55

A herpesvirus most horses carry without problems. In some horses, mainly middle-aged ones, it is linked to a serious lung-scarring disease (EMPF) causing cough and weight loss.

TypeLit.15

DNA virus (gammaherpesvirus, genus Percavirus)

Incubation?1

Not established for horses

Risk for people?2Lit.12

No known risk

No known risk. No human infections are described in the sources consulted.

Transmission?3Lit.2

Probably through nasal secretions and close contact, as with EHV-2. Foals become infected early in life, before weaning. Infected horses carry the virus for life.

Key symptoms in horses?4Lit.1

  • Usually no signs in carrier horses
  • Weight loss
  • Cough
  • Fast or laboured breathing
  • Fever, which may come and go

Test method & sample (from the form)

MethodSampleForm code
PCRdry swab#1952

Prevention?5Lit.StIKo Vet14

  • No vaccine available (none listed by StIKo Vet)
  • See a vet early for cough with weight loss
  • Antiviral treatment exists; early diagnosis matters

Good to know

About half of horses with EMPF survive. A positive EHV-5 test alone means little, because many healthy horses carry the virus.

  1. ?1 Incubation: No incubation period given in any fetched authoritative source.
  2. ?2 Risk for people: Sources do not address human infection explicitly; none reported.
  3. ?3 Transmission: Route inferred from foal studies; not specifically proven for EHV-5.
  4. ?4 Key symptoms in horses: EHV-5 induces lung fibrosis experimentally, but its exact role in EMPF remains unclear.
  5. ?5 Prevention: No specific prevention guidance found; vaccine absence inferred from the StIKo Vet list.
  1. 1 Lit. – Merck Veterinary Manual: Equine herpesvirus infection (EHV-5 and EMPF) · merckvetmanual.com/…/equine-herpesvirus-infection
  2. 2 Lit. – Kinetics of EHV-2 and EHV-5 infections in mares and foals, three Polish national studs (peer-reviewed) · pmc.ncbi.nlm.nih.gov/…/PMC9031536
  3. 3 Lit. – Williams et al. 2013, PLoS One: EHV-5 induces pulmonary fibrosis in horses · ncbi.nlm.nih.gov/…/PMC3795644
  4. 4 StIKo Vet – Leitlinie zur Impfung von Pferden, 5th ed., 06.01.2025 (copy hosted by bpt) · tieraerzteverband.de/…/Impfleitlinie_Pferd_2025-01-06.pdf
  5. 5 Lit. – NCBI Taxonomy: Percavirus equidgamma5 · ncbi.nlm.nih.gov/…/wwwtax.cgi
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Additional Tests

Adenovirus

Equine adenovirus 1 (EAdV-1) · Mastadenovirus equi (equine adenovirus 1; formerly Equine mastadenovirus A)

Virus
Adenovirus

A widespread respiratory virus, often found in healthy horses and usually mild. It can be deadly for foals born with an inherited immune defect (SCID), seen in Arabians.

TypeLit.25

DNA virus (adenovirus, genus Mastadenovirus)

Incubation?1

Not established for horses

Risk for people?2Lit.12

No known risk

No known risk. No human infections are described in the sources consulted.

TransmissionLit.12

By droplets and close contact with nose and eye secretions; the virus is also shed in droppings. Healthy-looking horses can shed it, sometimes for weeks after infection.

Key symptoms in horses?3Lit.123

  • Often no signs at all
  • Nasal discharge and cough after exercise
  • Red, runny eyes (conjunctivitis)
  • Fever and swollen glands under the jaw
  • Soft droppings
  • Severe pneumonia in immunodeficient foals

Test method & sample (from the form)

MethodSampleForm code
PCRdry swab#1562

Prevention?4Lit.StIKo Vet14

  • No commercial vaccine; only experimental vaccines exist
  • Genetic testing of Arabian breeding stock for SCID
  • Isolate coughing horses and practise good hygiene

Good to know

Healthy horses usually recover within 7–10 days. SCID foals often die of adenovirus pneumonia once maternal antibodies wane, at about 2–5 months.

  1. ?1 Incubation: No incubation period for natural infection in any fetched source.
  2. ?2 Risk for people: Sources do not address human infection explicitly; none reported.
  3. ?3 Key symptoms in horses: Rarely linked to disease in healthy horses; serious mainly in immunodeficient foals.
  4. ?4 Prevention: Hygiene advice is general; vaccine absence inferred from StIKo Vet list and 2003 review.
  1. 1 Lit. – Studdert MJ: Equine adenoviruses, in Equine Respiratory Diseases (IVIS, 2003; University of Melbourne) · ivis.org/…/equine-adenoviruses
  2. 2 Lit. – First molecular survey of equine adenovirus 1 in horses in Poland (Int J Mol Sci, 2026) · pmc.ncbi.nlm.nih.gov/…/PMC13467118
  3. 3 Lit. – Merck Veterinary Manual: Overview of respiratory diseases of horses · merckvetmanual.com/…/overview-of-respiratory-disease…
  4. 4 StIKo Vet – Leitlinie zur Impfung von Pferden, 5th ed., 06.01.2025 (copy hosted by bpt) · tieraerzteverband.de/…/Impfleitlinie_Pferd_2025-01-06.pdf
  5. 5 Lit. – NCBI Taxonomy: Equine adenovirus 1 (species Mastadenovirus equi) · ncbi.nlm.nih.gov/…/wwwtax.cgi
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Additional Tests

EIA

Equine infectious anaemia (EIA, swamp fever) · Lentivirus equinfane (equine infectious anaemia virus, EIAV)

VirusWOAH-listedDE: notifiable · owner reports
EIA

A blood-borne virus disease with no cure or vaccine. Infected horses carry the virus for life, often without signs, so they are a lasting source of infection.

TypeWOAHLit.15

Retrovirus of the lentivirus group; infection lasts for life

IncubationWOAH1

Usually 1–3 weeks, but can be up to 3 months

Risk for peopleWOAHFLI123

No known risk

People cannot catch EIA: WOAH and FLI state the virus poses no risk to human health.

TransmissionWOAHFLI134

Spread through blood: mainly by horseflies and stable flies carrying blood between horses within about 200 m, and by shared needles, instruments or blood products. Also from mare to foal before birth.

Key symptoms in horsesWOAHFLI134

  • Often no visible signs (30–90% of cases)
  • Repeated bouts of fever
  • Anaemia, dullness and weakness
  • Rapid weight loss
  • Swelling under the belly and on lower legs
  • Pinpoint bleeds under the tongue or eyelid linings

Test method & sample (from the form)

MethodSampleForm code
Coggins test (AGID, antibodies)serum#1200
ELISA (antibodies)serum#1202

PreventionWOAHFLI1234

  • No vaccine or cure exists
  • Use a new sterile needle and syringe every time
  • Never use untested or unlicensed blood products
  • Quarantine and blood-test newly arrived or imported horses
  • Reduce horsefly and stable fly exposure

Good to know

Cases in Germany are sporadic and often linked to imported horses. Donkeys, mules and zebras can also be infected.

Additional Tests

EPM

Equine protozoal myeloencephalitis · Sarcocystis neurona (rarely Neospora hughesi)

Protozoon
EPM

A parasite of the brain and spinal cord found in the Americas, spread by opossums. Elsewhere, including Europe, it affects only horses that have lived there.

TypeLit.12

Single-celled parasite attacking the brain and spinal cord

Incubation?1Lit.2

Not established for natural infection in horses

Risk for people?2Lit.3

No known risk

Not known to infect people. Human Sarcocystis infections come from other species, e.g. in raw beef or pork, not from horses.

TransmissionLit.12

Horses swallow parasite sporocysts (egg-like stages) in feed or water soiled by opossum droppings. Horses are dead-end hosts: EPM does not spread between horses.

Key symptoms in horsesLit.12

  • Stumbling or weakness, often worse on one side
  • Wasting of muscles in patches
  • Head tilt and other head-nerve problems
  • Gradual onset; signs vary widely
  • Rarely seizures

Test method & sample (from the form)

MethodSampleForm code
Western blot* (antibodies)serum#2800

PreventionLit.12

  • No licensed vaccine; former US vaccine withdrawn
  • Store feed in closed containers; keep wildlife out
  • Keep feed and water free of wildlife droppings

Good to know

Many American horses have antibodies, but few fall ill. Stress and young age raise the risk. With treatment about 60% improve; under a quarter recover fully.