To the authors’ knowledge, this is the first peer-reviewed report describing the clinical aspects of foals with L. intracellularis associated EPE in Scandinavia. This study supports that L. intracellularis not only circulates and foals are in contact with the bacterium, but also causes clinical disease (EPE) in Denmark. Therefore, EPE should be considered a differential diagnosis in Danish weanlings. Lawsonia intracellularis is present in the majority (94%) of Danish pig farms [32]. A screening for L.