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Background – Atypical myopathy is an acute, severe rhabdomyolysis occurring in grazing horses. In the beginning of October 2009, a new outbreak occurred in several European countries. Geographic, demographic and clinical data of the reported cases in the month October 2009 are described. Key Findings – The survival rate in this outbreak was 25%. The most frequently observed clinical signs were congested mucous membranes, dyspnea, tachycardia, depression, weakness, stiffness, recumbency, trembling, sweating, and myoglobinuria. Nonsurvivors were significantly more likely to be recumbent than survivors. Prognostic factors, symptomatic treatment, and preventive measures are discussed. Significance – Differences were encountered during the described outbreak of atypical myopathy in October 2009 compared with previous outbreaks reported. Equine practitioners should be aware that previous epidemiological studies have shown that after a high prevalence in the autumn, new cases are likely to occur in the following spring.
Keywords
GRAZING HORSES, survival rate, myoglobinuria, horses, muscle enzymes

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Chicago
Van Galen, Gaby, Helene Amory, Evita Busschers, Dominique Cassart, Marco De Bruijn, Vincent Gerber, John Keen, et al. 2010. “European Outbreak of Atypical Myopathy in the Autumn 2009.” Journal of Veterinary Emergency and Critical Care 20 (5): 528–532.
APA
Van Galen, Gaby, Amory, H., Busschers, E., Cassart, D., De Bruijn, M., Gerber, V., Keen, J., et al. (2010). European outbreak of atypical myopathy in the autumn 2009. JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE, 20(5), 528–532.
Vancouver
1.
Van Galen G, Amory H, Busschers E, Cassart D, De Bruijn M, Gerber V, et al. European outbreak of atypical myopathy in the autumn 2009. JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE. 2010;20(5):528–32.
MLA
Van Galen, Gaby, Helene Amory, Evita Busschers, et al. “European Outbreak of Atypical Myopathy in the Autumn 2009.” JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE 20.5 (2010): 528–532. Print.
@article{1208761,
  abstract     = {Background -- Atypical myopathy is an acute, severe rhabdomyolysis occurring in grazing horses. In the beginning of October 2009, a new outbreak occurred in several European countries. Geographic, demographic and clinical data of the reported cases in the month October 2009 are described.
Key Findings -- The survival rate in this outbreak was 25\%. The most frequently observed clinical signs were congested mucous membranes, dyspnea, tachycardia, depression, weakness, stiffness, recumbency, trembling, sweating, and myoglobinuria. Nonsurvivors were significantly more likely to be recumbent than survivors. Prognostic factors, symptomatic treatment, and preventive measures are discussed.
Significance -- Differences were encountered during the described outbreak of atypical myopathy in October 2009 compared with previous outbreaks reported. Equine practitioners should be aware that previous epidemiological studies have shown that after a high prevalence in the autumn, new cases are likely to occur in the following spring.},
  author       = {Van Galen, Gaby and Amory, Helene and Busschers, Evita  and Cassart, Dominique and De Bruijn, Marco  and Gerber, Vincent and Keen, John and Lef{\`e}re, Laurence and Marcillaud Pitel, Christel  and Marr, Celia and M{\"u}ller , Jessica-MV and Pineau, Xavier  and Saegerman, Claude  and Sandersen, Charlotte  and Serteyn, Didier  and Torfs, Sara and Unger, Lucia and Verwilghen, Denis and Votion, Dominique-Marie },
  issn         = {1479-3261},
  journal      = {JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE},
  keyword      = {GRAZING HORSES,survival rate,myoglobinuria,horses,muscle enzymes},
  language     = {eng},
  number       = {5},
  pages        = {528--532},
  title        = {European outbreak of atypical myopathy in the autumn 2009},
  url          = {http://dx.doi.org/10.1111/j.1476-4431.2010.00574.x},
  volume       = {20},
  year         = {2010},
}

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