Outbreak of botulism in horses associated with toxin A and D in São Paulo state, Brazil

Surto de botulismo em equinos associado com toxina tipo A e D no estado de São Paulo, Brasil

Botulism is a neuromuscular disorder caused by neurotoxins produced by Clostridium botulinum. Equine botulism has been frequently reported worldwide; however, descriptions of cases in South America remain uncommon. This report describes a botulism outbreak in horses due to the ingestion of big bale silage at a stud farm in Brazil. Eight horses consuming silage hay provided in large round bales in the pasture presented progressive muscular weakness, decreased tongue and tail tone, dysphagia, fasciculations, and difficulty raising their head. Five horses died on the farm, and three were referred to a veterinary hospital. Two of the hospitalized horses were discharged, while the third died, and post mortem samples were collected for the detection of C. botulinum toxins. Analysis of a cecum liquid sample confirmed the presence of both botulinum toxins, BoNT/A and BoNT/D, via the bioassay method. Given the nonspecific nature of initial clinical signs, laboratory confirmation becomes imperative, facilitating the implementation of preventive measures. Notably, confirmed diagnoses of botulism are relatively uncommon in horses in Brazil.

INDEX TERMS:
Recumbency; Clostridium botulinum; neurotoxins; bale silage