NAVLE Nervous

Equine Encephalomyelitis Study Guide

Equine encephalomyelitis refers to a group of mosquito-borne viral diseases caused by alphaviruses in the family Togaviridae.

Overview and Clinical Importance

Equine encephalomyelitis refers to a group of mosquito-borne viral diseases caused by alphaviruses in the family Togaviridae. The three major viruses are Eastern equine encephalomyelitis virus (EEEV), Western equine encephalomyelitis virus (WEEV), and Venezuelan equine encephalomyelitis virus (VEEV). These diseases represent significant causes of severe neurological disease in horses with high mortality rates, making them critical topics for the NAVLE examination.

These viruses cycle naturally between mosquito vectors and avian or rodent reservoir hosts. Horses and humans are considered incidental dead-end hosts because viremia is typically insufficient to infect feeding mosquitoes. EEE/WEE/VEE vaccines are AAEP core vaccines, emphasizing the importance of understanding these diseases for preventive medicine.

High-YieldEEE has the highest mortality rate (70-90%) of any arboviral encephalitis in horses. When you see a horse with acute neurological signs during mosquito season (summer/fall), EEE/WEE/VEE should be high on your differential list, especially in unvaccinated animals.
Characteristic EEE WEE VEE
Family/Genus Togaviridae/Alphavirus Togaviridae/Alphavirus Togaviridae/Alphavirus
Genome ss(+) RNA, ~11.7 kb ss(+) RNA, ~11.5 kb ss(+) RNA, ~11.4 kb
Equine Mortality 70-90% 20-50% 50-90%
Primary Vector Culiseta melanura Culex tarsalis Multiple Culex/Aedes spp.
Reservoir Hosts Passerine birds Passerine birds Rodents (enzootic); Horses (epizootic)
Geographic Range Eastern US/Canada, Caribbean Western US/Canada, South America Central/South America, Mexico
Last US Outbreak Annually in endemic areas Not detected since late 1990s 1971 (Texas)

Etiology and Virology

Viral Classification

All three encephalomyelitis viruses belong to the genus Alphavirus within the family Togaviridae. They are enveloped, single-stranded, positive-sense RNA viruses approximately 70 nm in diameter with icosahedral nucleocapsid symmetry.

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