Successful treatment of elephant endotheliotropic herpesvirus infection in an Asian elephant (Elephas maximus) calf by oral acyclovir medication: Case report

Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant (Elephas maximus) calves. A 2-year, 11-month-old female, captive Asian elephant presented with facial edema and a mild fever. Blood samples were collected and showed EEHV1A positivity with a high viral load by r...

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Published inJournal of Veterinary Medical Science Vol. 83; no. 1; pp. 125 - 129
Main Authors BROWN, Janine L, AMPASAVATE, Chadarat, KHAMMESRI, Siripat, MATHURA, Yaoprapa, BOONPRASERT, Khajohnpat, HONGWISET, Darunee, THITARAM, Chatchote
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Abstract Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant (Elephas maximus) calves. A 2-year, 11-month-old female, captive Asian elephant presented with facial edema and a mild fever. Blood samples were collected and showed EEHV1A positivity with a high viral load by real time PCR. Heterophil toxicity also was reported for the first time in this case. The calf was treated orally with acyclovir, 45 mg/kg tid for 28 days, which reduced the EEHV1A viral load to undetectable levels within 9 days and the calf survived. A successful outcome with oral acyclovir administration provides another and affordable option to treat EEHV hemorrhagic disease in Asian elephants, and one that is easier to administer in untrained calves.
AbstractList Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant (Elephas maximus) calves. A 2-year, 11-month-old female, captive Asian elephant presented with facial edema and a mild fever. Blood samples were collected and showed EEHV1A positivity with a high viral load by real time PCR. Heterophil toxicity also was reported for the first time in this case. The calf was treated orally with acyclovir, 45 mg/kg tid for 28 days, which reduced the EEHV1A viral load to undetectable levels within 9 days and the calf survived. A successful outcome with oral acyclovir administration provides another and affordable option to treat EEHV hemorrhagic disease in Asian elephants, and one that is easier to administer in untrained calves.
Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant ( Elephas maximus ) calves. A 2-year, 11-month-old female, captive Asian elephant presented with facial edema and a mild fever. Blood samples were collected and showed EEHV1A positivity with a high viral load by real time PCR. Heterophil toxicity also was reported for the first time in this case. The calf was treated orally with acyclovir, 45 mg/kg tid for 28 days, which reduced the EEHV1A viral load to undetectable levels within 9 days and the calf survived. A successful outcome with oral acyclovir administration provides another and affordable option to treat EEHV hemorrhagic disease in Asian elephants, and one that is easier to administer in untrained calves.
Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant (Elephas maximus) calves. A 2-year, 11-month-old female, captive Asian elephant presented with facial edema and a mild fever. Blood samples were collected and showed EEHV1A positivity with a high viral load by real time PCR. Heterophil toxicity also was reported for the first time in this case. The calf was treated orally with acyclovir, 45 mg/kg tid for 28 days, which reduced the EEHV1A viral load to undetectable levels within 9 days and the calf survived. A successful outcome with oral acyclovir administration provides another and affordable option to treat EEHV hemorrhagic disease in Asian elephants, and one that is easier to administer in untrained calves.Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant (Elephas maximus) calves. A 2-year, 11-month-old female, captive Asian elephant presented with facial edema and a mild fever. Blood samples were collected and showed EEHV1A positivity with a high viral load by real time PCR. Heterophil toxicity also was reported for the first time in this case. The calf was treated orally with acyclovir, 45 mg/kg tid for 28 days, which reduced the EEHV1A viral load to undetectable levels within 9 days and the calf survived. A successful outcome with oral acyclovir administration provides another and affordable option to treat EEHV hemorrhagic disease in Asian elephants, and one that is easier to administer in untrained calves.
Author THITARAM, Chatchote
BROWN, Janine L
KHAMMESRI, Siripat
AMPASAVATE, Chadarat
MATHURA, Yaoprapa
BOONPRASERT, Khajohnpat
HONGWISET, Darunee
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Keywords elephant endotheliotropic herpesvirus (EEHV)
acyclovir
oral medication
Asian elephant
heterophil toxicity
Language English
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– reference: 28. Stacy, N. I., Isaza, R. and Wiedner, E. 2017. First report of changes in leukocyte morphology in response to inflammatory conditions in Asian and African elephants (Elephas maximus and Loxodonta africana). PLoS One 12: e0185277.
– reference: 9. Goldberg, L. H., Kaufman, R., Kurtz, T. O., Conant, M. A., Eron, L. J., Batenhorst, R. L., Boone, G. S., Acyclovir Study Group 1993. Long-term suppression of recurrent genital herpes with acyclovir. A 5-year benchmark. Arch. Dermatol. 129: 582–587.
– reference: 33. Wissink-Argilaga, N., Dastjerdi, A. and Molenaar, F. M. 2019. Using in-house hematology to direct decision-making in the successful treatment and monitoring of a clinical and subsequently subclinical case of elephant endotheliotropic herpesvirus 1B. J. Zoo Wildl. Med. 50: 498–502.
– reference: 12. Howard, L. L. and Schaftenaar, W. 2019. Elephant endotheliotropic herpesvirus. pp. 672–679. In: Fowler’s Zoo and Wild Animal Medicine Current Therapy, Volume 9. W.B. Saunders., St. Louis, Missouri, USA.
– reference: 5. Colunga Biancatelli, R. M. L., Berrill, M. and Marik, P. E. 2020. The antiviral properties of vitamin C. Expert Rev. Anti Infect. Ther. 18: 99–101.
– reference: 25. Sawyer, M. H., Webb, D. E., Balow, J. E. and Straus, S. E. 1988. Acyclovir-induced renal failure. Clinical course and histology. Am. J. Med. 84: 1067–1071.
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Snippet Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant (Elephas maximus) calves. A 2-year, 11-month-old female, captive Asian...
Elephant endotheliotropic herpesvirus (EEHV) is a major cause of death in Asian elephant ( Elephas maximus ) calves. A 2-year, 11-month-old female, captive...
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SubjectTerms Acyclovir
Asian elephant
Case reports
Edema
elephant endotheliotropic herpesvirus (EEHV)
Elephants
Elephas maximus
Fever
Hemorrhage
Hemorrhagic disease
heterophil toxicity
oral medication
Toxicity
Wildlife Science
Title Successful treatment of elephant endotheliotropic herpesvirus infection in an Asian elephant (Elephas maximus) calf by oral acyclovir medication: Case report
URI https://www.jstage.jst.go.jp/article/jvms/83/1/83_20-0375/_article/-char/en
https://www.ncbi.nlm.nih.gov/pubmed/33239478
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https://pubmed.ncbi.nlm.nih.gov/PMC7870404
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