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ASSOCIATION BETWEEN FUNGAL DETECTION IN THE AIRWAYS AND MODERATE TO SEVERE ASTHMA IN HORSES: A CLINICAL STUDY
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  • Pauline Barbazanges,
  • Anne Couroucé,
  • Gabin Le Digarcher,
  • Jacqueline Cardwell,
  • Eliott Schmitt,
  • Marie-Pierre Toquet,
  • Louise Lemonnier,
  • Eric Richard
Pauline Barbazanges
Oniris

Corresponding Author:pauline.barbazanges@oniris-nantes.fr

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Anne Couroucé
Oniris
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Gabin Le Digarcher
Oniris
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Jacqueline Cardwell
The Royal Veterinary College Department of Pathobiology and Population Sciences
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Eliott Schmitt
Universite de Caen Normandie IUT de Caen
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Marie-Pierre Toquet
Universite de Caen Normandie IUT de Caen
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Louise Lemonnier
Oniris
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Eric Richard
Universite de Caen Normandie IUT de Caen
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Abstract

Background: Fungi are ubiquitous in horses’ environment. Their contribution to the pathophysiology of severe asthma (SA) is acknowledged, while controversies remain for mild-moderate asthma (MA). Objectives: We hypothesized that fungi were a risk factor for asthma. Our objective was to compare different combinations of analytical methods (cytology, culture) and sampling sites (tracheal wash (TW), bronchoalveolar lavage fluid (BALF)) in relation to clinical status (control, MA, SA). Study design: Prospective cross-sectional study. Methods: The study population included asymptomatic racing horses in the field and horses referred to the hospital for respiratory investigations. Fungi were detected by cytology and identified by mycology on TW and pooled BALF. Chi-square tests were used for prevalence comparison between groups and association with clinical investigations. Results: A total of 155 horses (85 MA, 35 SA and 35 controls) were included in the study. The overall proportions of fungal detection in TW ranged from 45.7% to 89.4% among groups. The prevalence of fungal detection in BALF was significantly lower by cytology for SA (5.7%) than MA horses (23.6%) and significantly higher by culture for MA horses (31.8%) than controls (8.6%). Fungal detection by culture in BALF was significantly associated with high tracheal mucus score, high neutrophil proportions in BALF and diagnosis of MA. Main limitations: Mycology was only performed in pooled BALF, and environment was not sampled. Conclusion and clinical importance: Fungi were significantly more prevalent in the airways of MA horses than SA and/or controls. Fungal detection on TW, either by cytology or culture, was uninformative in a clinical context. Fungal detection by culture (but not cytology) in BALF represents a risk factor for MA.
22 Mar 2024Submitted to Equine Veterinary Journal
22 Mar 2024Submission Checks Completed
22 Mar 2024Assigned to Editor
22 Mar 2024Review(s) Completed, Editorial Evaluation Pending
09 May 2024Editorial Decision: Revise Minor
19 Jun 20241st Revision Received
25 Jun 2024Submission Checks Completed
25 Jun 2024Assigned to Editor
25 Jun 2024Review(s) Completed, Editorial Evaluation Pending
04 Aug 2024Editorial Decision: Revise Minor
14 Sep 20242nd Revision Received
17 Sep 2024Submission Checks Completed
17 Sep 2024Assigned to Editor
17 Sep 2024Review(s) Completed, Editorial Evaluation Pending
18 Sep 2024Reviewer(s) Assigned
13 Nov 2024Editorial Decision: Revise Minor
28 Nov 20243rd Revision Received
02 Dec 2024Submission Checks Completed
02 Dec 2024Assigned to Editor
02 Dec 2024Review(s) Completed, Editorial Evaluation Pending
18 Dec 2024Editorial Decision: Accept