loading page

ASSOCIATION BETWEEN FUNGAL DETECTION IN THE AIRWAYS AND MODERATE TO SEVERE ASTHMA IN HORSES: A CLINICAL STUDY
  • +5
  • Pauline Barbazanges,
  • Anne Couroucé,
  • Gabin Le Digarcher,
  • Jacqueline Cardwell,
  • Eliott Schmitt,
  • Marie-Pierre Toquet,
  • Louise Lemonnier,
  • Eric Richard
Pauline Barbazanges
Oniris

Corresponding Author:[email protected]

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

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.