Topic:Contagious Equine Metritis
Contagious Equine Metritis (CEM) is a venereal disease in horses caused by the bacterium Taylorella equigenitalis. It primarily affects the reproductive tract of mares, leading to inflammation and potentially impacting fertility. Stallions can carry the bacterium asymptomatically, acting as vectors for transmission during breeding. Diagnosis of CEM involves bacterial culture, polymerase chain reaction (PCR) testing, and serological assays. Control measures include quarantine, testing, and treatment of infected animals. This page compiles peer-reviewed research studies and scholarly articles that investigate the epidemiology, pathogenesis, diagnostic methods, and management strategies for Contagious Equine Metritis in equine populations.
Epidemiologic study of Taylorella equigenitalis strains by field inversion gel electrophoresis of genomic restriction endonuclease fragments. Contagious equine metritis (CEM), a sexually transmitted bacterial disease, was first described in thoroughbred horses. It also occurs in nonthoroughbred horses, in which it produces isolated, apparently unrelated outbreaks. Thirty-two strains of Taylorella equigenitalis, the causative agent of CEM, from all over the world were characterized by field inversion gel electrophoresis of fragments of genomic DNA obtained by digestion with low-cleavage-frequency restriction enzymes. This resulted in a division into five clearly distinct groups. Strains from thoroughbred horses from all continents be...
Feed additives and contaminants as a cause of equine disease. The equine practitioner often encounters serious diagnostic and therapeutic challenges regarding the specific origin of a disease. Such challenges may occur when horses become unaccountably ill after consuming what was thought to be acceptable feed but which in fact was contaminated or contained additives intended for other species. Examples of such additives and contaminants are monensin, lasalocid, salinomycin, blister beetles, and such antimicrobics as lincomycin and clindamycin.
Identification of anatomic features of the equine clitoris as potential growth sites for Taylorella equigenitalis. A median clitoral sinus, as a space canalized from epithelial cells, was distinguishable developmentally in equine fetuses from 33-mm crown-rump length (CRL) to 500-mm CRL (including a mule of 21-mm CRL). In saggital sections of the clitoris of a 480-mm CRL fetus, indentations under the transverse frenular fold were identified as lateral sinuses of the clitoris. Unlike the median sinus, they were shallow; it therefore could not be anatomically substantiated that the lateral sinuses were of sufficient depth to support the growth of the partial anaerobe Taylorella equigenitalis, the organism of ...
[Contagious equine metritis in The Netherlands]. Contagious Equine Metritis (CEM) was detected in the Netherlands for the first time in 1987. A total number of five mares (Dutch saddle-horse) were infected in three separate outbreaks. The origin of the infection could not be determined in any of the cases. As the isolates of the causal organism, Taylorella equigenitalis, showed auto-agglutination, diagnosis was difficult. Therefore, an indirect immune fluorescence test as used to diagnose the second isolate. Five strains were isolated, which all were resistant to streptomycin. The prevalence of CEM since 1981 is summarised. The importance of...
Passive hemagglutination test for detection of antibodies against Taylorella (Haemophilus) equigenitalis in sera of mares. The passive hemagglutination (PHA) test was improved to enable the detection of antibodies to Taylorella (Haemophilus) equigenitalis in the sera of mares. Horse red blood cells (RBC) fixed with glutaraldehyde were compared with similarly treated RBC of a cow, pig and sheep for the PHA test. The horse RBC were superior to those of the other animals tested in detecting mares affected with contagious equine metritis (CEM). A PHA test using these cells as indicator and an antigen prepared from T. equigenitalis by sonication following treatment with hyaluronidase was the most satisfactory in terms ...
A rapid microtitration serum agglutination test for the detection of contagious equine metritis antibodies. A microtitration serum agglutination test, based on that used for brucellosis, has been developed to detect antibodies in the sera of horses exposed to the contagious equine metritis (CEM) organism. Two known positive sera were tested 100 times in 15 separate tests. The results were reproducible to within a twofold range. The test is capable of being carried out within 100 min.
A short, reliable, highly reproducible complement fixation test for the serological diagnosis of contagious equine metritis. A complement fixation test, using round-bottomed microtitration plates and an 8 channel microdiluter, based on that used for brucellosis by Herr, Huchzermeyer, Te Brugge, Williamson, Roos & Schiele, 1985, has been developed for use on the sera of horses to detect antibodies to the contagious equine metritis organism. The results with 2 known positive sera tested 116 times in 27 separate tests were reproducible for the most part within a twofold range. They seldom exceeded these limits and never exceeded a fourfold range. The test itself is capable of being carried out within 90 min. The test w...
[Nomenclature of the clitoris and preputium of the mare in relation to the surgical removal of the clitoral sinus according to CEM regulations]. The cavity, that belongs to the glans clitoridis and that has to be removed in accord with the regulations and rules for the import of horses of CEM carrier states, has not been taken up in the NAV (1983). Conform to the statements of the clinical physicians and to the declarations of the American literature the nomenclature "Sinus clitoridis" is proposed for the international use.
Specific antibody in the equine genital tract following local immunisation and challenge infection with contagious equine metritis organism (Taylorella equigenitalis). Antibody in serum, uterine and vaginal secretions was measured following local immunisation and experimental infection with the organism of contagious equine metritis (Taylorella equigenitalis). Intrauterine immunisation with killed T equigenitalis stimulated a systemic IgG titre and a uterine IgA and IgM response. Subsequent challenge with the organism, however, resulted in a characteristic metritis in both control and vaccinated mares. Antibody in serum and secretions was increased following challenge infection, dwarfing the response to immunisation. The local response was restricted to the ...
Nonimmune binding of equine immunoglobulin by the causative organism of contagious equine metritis, Taylorella equigenitalis. This study identifies nonimmune binding of equine immunoglobulin by the causative organism of contagious equine metritis. Immunoglobulin binding to the bacterium was strongest for immunoglobulin G (IgG) and less for IgM; IgA was not bound. Binding of equine IgG was inhibited by human IgG, but not by IgG of domestic animals. Immunoglobulin binding by the bacterium appeared to be directed towards an epitope in the hinge region of the immunoglobulin molecule.
Contagious equine metritis: experimental infection in the donkey. Contagious equine metritis (CEM) was reproduced in 3 of 4 donkey mares with an Irish streptomycin-resistant strain of Haemophilus equigenitalis isolated from an experimental case of the disease in a pony mare. Although some variability in clinical response occurred, there was no evidence that semen enhanced the clinical severity of the infection. Variable amounts of vaginal discharge and associated inflammatory changes of the vagina and/or cervix, similar to those seen in the horse, were observed. All the affected donkeys made spontaneous clinical recoveries and so far as could be detected, su...
Morphology of three strains of contagious equine metritis organism. Examination of recently isolated cultures of three strains of Contagious Equine Metritis Organism grown on specially formulated, serum-free, clear typing medium revealed the presence of numerous colonial opacity variants. These colonies were prepared by a number of fixation and staining techniques and examined by scanning and transmission electron microscopy. Opaque and transparent phenotypes produced copious amounts of extracellular material compared with intermediate-opacity phenotypes which produced little or none. Also unique to intermediate colonies were numerous thin intercellular strand...
Infectious disease incidence among horses in France, Ireland and the United Kingdom during 1984. An outbreak of equine viral arteritis in the American state of Kentucky led to a temporary ban being imposed by France, Ireland and the UK on the importation of horses from the USA during 1984. Sporadic cases of influenza caused by the type 2 strain of the virus were confirmed in France throughout the year and cases of strangles in thoroughbred mares and foals were reported from all three countries. No cases of contagious equine metritis were confirmed among the thoroughbred breeding population, although a number of outbreaks of the abortion form of rhinopneumonitis occurred. A small number of...
The value of spectrofluorometry for the diagnosis of contagious equine metritis. No abstract available
Experimental infection of mares with Haemophilus equigenitalis. Inoculation of Haemophilus equigenitalis into the uterus of 7 mares caused a disease clinically indistinguishable from contagious equine metritis. The duration of clinical signs varied from 4 to 11 days. The causative organism persisted for a relatively short time (2 to 10 weeks) in 5 mares, but in 2 others it established a carrier status and persisted until they were killed 6 and 10 months after infection. H. equigenitalis was recovered from the vestibule of the vagina and from a combined swab of the clitoral fossa and sinuses throughout the course of the infection. In some mares there were e...
Contagious equine metritis–use of gas liquid chromatography in identifying the causal agent. Cellular fatty acid compositions of contagious equine metritis isolates and three reference Haemophilus equigenitalis cultures were determined by gas chromatography. The chromatographic data were standardised and normalised fatty acid methyl ester (FAME) profiles were produced. The profiles were compared visually and similarity indices were determined using a computer peak matching method. There was little difference between the profiles of the three reference strains, each strain being characterised by three major fatty acids; C 18:1, C 16:0 and 30H-C 14:0. Variations in cultural conditions h...
Responses of equine neutrophils to contagious equine metritis organism and its lipopolysaccharides. Morphology and function of equine neutrophils were evaluated after combination with contagious equine metritis organism (CEMO) or 1 of 2 CEMO lipopolysaccharides (LPS). The 2 LPS (LPS-a; LPS-p) isolated from the CEMO contained 14- and 16-carbon fatty acids, ketodeoxyoctanate, hexose, and heptose, but were morphologically distinct. Neutrophils exposed to LPS had fewer granules, whereas those exposed to CEMO had more granules than did the controls (phosphate-buffered saline solution). Neutrophil iodination was significantly increased with 10 and 25 micrograms of LPS-a, but not significantly alte...
Serological and bacteriological survey of three horse studs for contagious equine metritis. A bacteriological and serological survey for evidence of contagious equine metritis (CEM) was made during the 1980 breeding season on 3 horse studs in South Australia with a history of previous infection. Swabs from the clitoral sinus and the cervix were cultured for Haemophilus equigenitalis and serum was screened for antibody using the complement fixation test (CFT) and the enzyme-linked immunosorbent assay (ELISA). The specificity of both tests was greater than 0.99 but the ELISA was more sensitive in detecting antibody in infected mares. On the evidence presented it was concluded that H. e...
Phagocytosis and intracellular killing of the contagious equine metritis organism by equine neutrophils in genital secretions. Equine neutrophils were combined with contagious equine metritis organism (CEMO) or Escherichia coli in vitro in the presence of seminal plasma, uterine flushings, or Hank's balanced salt solution (HBSS). Phagocytosis and intracellular killing were estimated by bacterial culture and light and electron microscopy. With lysed neutrophils, the numbers of colony-forming units of CEMO and E coli increased in seminal plasma and uterine flushings. Numbers of CEMO decreased in HBSS. The numbers of CEMO increased more in the presence of seminal plasma than the other media. When neutrophils were in the ...
Contagious equine metritis: distribution of organisms in experimental infection of mares. After contagious equine metritis bacteria were inoculated into the uterus of mares, genital tract tissues were examined for presence of the organism by bacteriologic cultural technique and an indirect immunofluorescent staining technique. Up to 14 days after mares were inoculated, the organism was frequently in the lumen of the uterus and in the cervix and, less frequently, in the vagina, vestibule, clitoral fossa, clitoral sinus, and uterine tubes. After 21 to 116 days, the organism was occasionally found on the ovarian surface, in the uterine tubes, uterus, cervix, and vagina and more freque...
Lesions of contagious equine metritis in mares. Twenty-three mares were infected with contagious equine metritis organism by intrauterine inoculation, and necropsied after intervals of two to 116 days. Severe diffuse subacute salpingitis was seen in one mare, and mild multifocal subacute salpingitis was common. Severe diffuse endometritis and cervicitis initially were acute and became more severe, subacute and predominantly plasmacytic by 14 days, then declined but persisted as mild diffuse or multifocal inflammation for the rest of the experimental period. Vaginitis arose in parallel but resolved after 70 days. There were no lesions in the...