June 2015 Issue - page 4

Page 4
June 2015
PENNSYLVANIA EQUESTRIAN
Penn Vet’s New Bolton
Center now offers a Compre-
hensive Equine Lyme Disease
Evaluation package designed
to find the answer to an often
complex diagnostic puzzle.
Board-certified specialists in
internal medicine, neurology,
ophthalmology, and sports med-
icine work as a team to find the
answer to the vexing question:
Is it Lyme?
The tick-borne infection is
endemic in the Mid-Atlantic re-
gion, where up to 90% of horses
show evidence of exposure. The
vast majority of exposed horses
do not develop clinical signs of
disease.
However, some infected
horses will develop central ner-
vous system, orthopedic, or oph-
thalmic infections. Clinical signs
include lameness, arthritis, joint
swelling, muscle soreness, gait
abnormalities, neck stiffness,
weight loss, behavioral chang-
es, uveitis, seizures, difficulty
eating, heart rhythm abnormal-
ities, difficulty breathing, and
collapse.
Differentiating the horses
that have been exposed to
Borrel-
ia burgdorferi,
a bacterium that
causes Lyme disease, but whose
clinical signs can be attributed
to a non-infectious disease, is a
challenge. A simple blood test can
show evidence of exposure, but
often it cannot give a definitive
diagnosis.
“Our Lyme disease eval-
uation package is designed for
horses that need the highest level
of diagnostic certainty,” said
Dr. Rose Nolen-Walston, Assis-
tant Professor of Large Animal
Internal Medicine at New Bolton
Center.
The package, which costs
$1200, includes neurologic, lame-
ness, ophthalmic, upper airway,
and other examinations by New
Bolton Center’s board-certified
specialists. For additional details,
visit vet.upenn.edu.
New Bolton
Offers Equine
Lyme Disease
Evaluation
Package
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