potomac horse fever potomac horse fever phf is a potentially fatal febrile illness affecting horses caused by the intracellular bacterium neorickettsia risticii potomac horse fever equine neorickettsiosis is caused by neorickettsia risticii formerly ehrlichia risticii originally described in 1979 as a sporadic disease affecting horses residing in the eastern united states near the potomac river the disease has since been identified in various other geographic locations in the united states and canada potomac horse fever neorickettsia risticii nicuvet potomac horse fever epidemiology • subclinical infection 16 healthy horses no history of illness • transient low antibody titers repeated exposure to subinfective doses – potomac horse fever
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