Mud fever

Mud fever, also known as scratches or pastern dermatitis, is a group of diseases of horses causing irritation and dermatitis in the lower limbs of horses. Often caused by a mixture of bacteria, typically Dermatophilus congolensis, and Staphylococcus spp, mud fever can also be caused by fungal organisms (dermatophytes). Photosensitization, chorioptic mange mites, contact dermatitis and other conditions also contribute to some cases. This condition is also known as dew poisoning, grease heel, or greasy heel.

Mud fever affects most horses and ponies during winter and early spring, resulting in painful sores and scabs, which in severe cases can make a horse lame. Mud fever most commonly affects the pastern and heel area but can also affect the upper leg, the belly, and in some cases the neck area (also known as Rain Scald). Non-pigmented skin tends to be more severely affected.

Mud fever is caused by an infection of the skin by bacteria, including Dermatophilus congolensis, and often Staphylococcus spp. Dermatophytes (fungal organisms such as Malassezia or Trichophyton) can also contribute, as can chorioptic mange mites. Photosensitivity or irritant contact may contribute in certain cases. Rarely, vasculitis can cause continued inflammation.

Under normal circumstances the skin acts as a protective barrier, preventing microorganisms from entering the horse's system and doing any damage. However, the integrity of the epidermis can become compromised through the abrasion of soil grit, sand or stable bedding on cold, wet skin. The continual wetting of the skin causes a breakdown of the protective barrier of the epidermis, allowing the bacterium to enter and cause infection.

Shared boots, wraps, grooming supplies, and horse-handler's hands can all serve as fomites, carrying the causative organism(s) from one individual to another. For this reason, mud fever should be considered a contagious disease, and general hygiene steps should be taken to limit cross-contamination.

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