PMID- 35339171 OWN - NLM STAT- MEDLINE DCOM- 20220331 LR - 20220401 IS - 1042-7260 (Print) IS - 1042-7260 (Linking) VI - 53 IP - 1 DP - 2022 Mar TI - NOVEL DIAGNOSTIC AND THERAPEUTIC APPROACHES TO ELEPHANT ENDOTHELIOTROPIC HERPESVIRUS 1A HEMORRHAGIC DISEASE IN A CAPTIVE JUVENILE ASIAN ELEPHANT (ELEPHAS MAXIMUS). PG - 232-240 LID - 10.1638/2021-0096 [doi] AB - Novel diagnostic and therapeutic methods were utilized in the successful management of severe elephant endotheliotropic herpesvirus hemorrhagic disease (EEHV-HD) in a 1.9-yr-old captive Asian elephant (Elephas maximus). High levels of EEHV1A viremia were detected for 12 d. In addition to established EEHV treatments, therapies included famciclovir-fortified elephant whole blood and plasma, mesenchymal stem cells harvested from elephant umbilical tissue, and aminocaproic acid. Testing conducted to examine the effects of EEHV infection on hemostasis suggested marked intravascular coagulation with decreased plasminogen activity and increased D-dimer concentrations. Thromboelastography was used to assess the efficacy of aminocaproic acid and demonstrated hypofibrinolysis on samples taken after drug administration, as compared with samples from healthy adult Asian elephants. A serological assay for a novel EEHV1A-specific antibody marker (E52) was developed due to lack of seroconversion to a previously established EEHV1A-specific antibody marker (ORFQ) and showed a sustained increase after EEHV-HD illness. FAU - Iyer, Maya L AU - Iyer ML AD - Karen C. Drayer Wildlife Health Center, School of Veterinary Medicine, University of California, Davis, CA 95616, USA, miyer@ucdavis.edu. FAU - Molter, Christine M AU - Molter CM AD - Veterinary Services, Houston Zoo, Inc, Houston, TX 77030, USA, cmolter@houstonzoo.org. FAU - Flanagan, Joseph P AU - Flanagan JP AD - Veterinary Services, Houston Zoo, Inc, Houston, TX 77030, USA. FAU - Bauer, Kendra L AU - Bauer KL AD - Veterinary Services, Houston Zoo, Inc, Houston, TX 77030, USA. FAU - Bernardy, Rob AU - Bernardy R AD - Veterinary Services, Houston Zoo, Inc, Houston, TX 77030, USA. FAU - Hoffman, Daryl AU - Hoffman D AD - Veterinary Services, Houston Zoo, Inc, Houston, TX 77030, USA. FAU - Parkinson, Lily AU - Parkinson L AD - Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA. FAU - Brainard, Benjamin M AU - Brainard BM AD - Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA. FAU - Evans, Tierra Smiley AU - Evans TS AD - Karen C. Drayer Wildlife Health Center, School of Veterinary Medicine, University of California, Davis, CA 95616, USA. FAU - Pursell, Taylor AU - Pursell T AD - Department of Molecular Virology and Microbiology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. FAU - Ling, Paul D AU - Ling PD AD - Department of Molecular Virology and Microbiology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. LA - eng PT - Journal Article PL - United States TA - J Zoo Wildl Med JT - Journal of zoo and wildlife medicine : official publication of the American Association of Zoo Veterinarians JID - 8915208 RN - QIC03ANI02 (Famciclovir) SB - IM MH - Animals MH - *Elephants MH - Famciclovir MH - *Herpesviridae MH - *Herpesviridae Infections/diagnosis/drug therapy/veterinary MH - Viremia/veterinary EDAT- 2022/03/28 06:00 MHDA- 2022/04/01 06:00 CRDT- 2022/03/27 17:59 PHST- 2021/12/19 00:00 [accepted] PHST- 2022/03/27 17:59 [entrez] PHST- 2022/03/28 06:00 [pubmed] PHST- 2022/04/01 06:00 [medline] AID - 10.1638/2021-0096 [doi] PST - ppublish SO - J Zoo Wildl Med. 2022 Mar;53(1):232-240. doi: 10.1638/2021-0096.