POTOMAC HORSE FEVER – Everything you need to know
Potomac horse fever:
What is it?
- A bacterial infection caused by Neorickettsia risticii carried by flat worms (Flukes) 
- Symptoms seen in your horse: - fever 
- laminitis/founder 
- Dehydration/ pipe-stream diarrhea 
- Mild-severe colic 
- Abortion in pregnant mares 
- Toxemia 
 
How does my horse get it?
- Flat worms typically found in snails which are then released into water source 
- Water insects pick up infected immature flat worm and transmit it to the horse via ingestion of insect (e.g. grazing/ drinking) 
What time of year do I need to be aware of this disease?
- During warmer months ( late spring, summer, early fall) - Atypical weather such as flooding and high humidity can heighten likeliness of exposure 
 
Where is it commonly found?
- Freshwater creeks 
- Rivers 
- Irrigated pastures 
- Standing water 
- Swamps 
- Wetlands 
How do I protect my horse?
- Your horses don’t necessarily have to reside in an area where natural waterbodies are found - Dead or live insects that carry the bacterium may be found in water buckets, hay or pasture 
 
- At ECO we recommend you vaccinate your horse at the beginning of the warmer months and repeat boosters every 3 months after due to unknown protection levels and efficacy levels) 
- Restrict grazing time near bodies of water 
- Use preventive measuresPreventative Medicine to decrease fly and insect population 
- Cover horse feed 
- Clean and refill water buckets daily 
- Turn light off at night to reduce insect attraction 
Sources: AAEP article By Eleanor Lenher, DVM “Potomac Horse Fever (PHF)” 2016
Text–Large animal Clinical procedures 2nd ed by Kristin Holtgrew-Bohling, LVT 2012
