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.
Contagious equine metritis in Australia. Contagious equine metritis (CEM) was first diagnosed in Australia in August 1977 and it has since been found on 6 farms in 3 states, having been isolated from about 24 mares and 2 stallions. Details are given of the epidemiology and control procedures used to combat CEM on one farm. Difficulty was experience in successfully treating one infected stallion; this was thought to be associated with inadequate cleaning and treating of the diverticulum of the urethral fossa. Introduction of the disease has had far-reaching consequences and may well result in the adoption of routine bacteriological te...
The epidemiology of contagious equine metritis (CEM) in England 1977–1978). Following an outbreak of CEM in England during 1977 a Code of Practice was introduced to control the disease in 1978. The Code recommended a bacteriological screening programme for Thoroughbred mares and stallions and improved standards of hygiene on the stud farm. As a result of the implementation of the Code a number of asymptomatic carrier mares was detected. Stallions which had transmitted CEM in 2977 and were treated did not transmit the disease during 1978. Two small outbreaks of CEM were reported during the 1978 breeding season.
An outbreak of contagious equine metritis in 1977 and its effect the following season. An outbreak of contagious equine metritis occurred in Newmarket in 1977. This survey records the effect on fertility of 20 of the stallions which were infected. Swabbing of mares since then has detected 37 carrier mares harbouring the organism, most frequently in the clitoral area. This swabbing programme reduced the incidence of new cases in 1978 to 3 mares and 1 stallion.
Responses of pony mares to the agent of contagious equine metritis 1977. Reproduction of contagious equine metritis 1977 in Pony mares was achieved with cultures of an unclassified Gram-negative coccobacillus. Infected mares developed a vaginal discharge and associated inflammatory changes of the cervix and vagina. There was evidence of variation in pathogenicity between different strains of the organism. Although all infected mares made spontaneous clinical recoveries, the Gram-negative coccobacillus persisted in the genital tracts of a considerable proportion for a variable period after challenge. Recovery of the organism was not associated solely with the occurr...
Endometrial biopsy findings in mares with contagious equine metritis. Endometrial biopsy samples before and after treatment were obtained from 10 mares naturally infected and one Pony mare experimentally infected with Contagious Equine Metritis in 1977. The histopathological features were a short-lived polymorphonuclear cell infiltration of the luminal epithelium and stroma followed by a very early and marked mononuclear cell infiltration of the stroma, including many plasma cells. The luminal epithelium responded with cellular proliferation which may have reflected a regenerative response. Following the initial acute response, intercellular basal vacuoles conta...
Epidemiological observations on contagious equine metritis in Kentucky, 1978. Contagious equine metritis, introduced by importation of 2 comtaminated stallions from France, affected 54 Thoroughbred brood mares during the 1978 breeding season in Kentucky. The infection was diagnosed bacteriologically and by the use of a complement fixation test. Although lateral spread to stallions, and probably to a few mares, occurred through human agency in the breeding sheds of 2 stud farms, control measures instituted early in the epidemic confined the disease to brood mares bred by stallion on only these farms.
Survival of Haemophilus equigenitalis in different antibiotic-containing semen extenders. The ability of Haemophilus equigenitalis, the causal agent of contagious equine metritis 1977, to survive in various antibiotic-containing semen extenders was studied at different environmental temperatures. Gentamicin sulphate was found to be markedly superior to ampicillin or a combination of sodium benzyl penicillin and polymyxin B sulphate, Semen treated with the former antibiotic was either sterile at cultural examination or else yielded appreciably fewer colonies of H. equigenitalis than the untreated semen control. Ampicillin had no observable effect on the survival of this organism. Ge...
Contagious equine metritis: the present situation reviewed and a revised code of practice for its control. This report contains details of the code of practice for the control of contagious equine metritis (CEM) during the 1979 breeding season. It was prepared under the guidance of a scientific committee established by the Horserace Betting Levy Board under the chairmanship of Sir David Evans, FRS. The code is similar to the one introduced for the 1978 breeding season but takes into account the experience gained during the past 12 months. Following discussions with colleagues in Ireland it has been agreed that a similar code of practice will be introduced in the United Kingdom and Ireland so as to ...
A complement fixation test for antibody to the contagious equine metritis organism. A complement fixation test (CFT) based on that used for brucellosis (Brinley Morgan and others 1971) has been developed for use on the sera of horses exposed to the contagious equine metritis (CEM) organism. None of 50 single samples from horses thought to be unexposed to the CEM organism was positive to the test, although five showed inconclusive reactions. Samples were examined from 41 mares either proved to be infected or from an infected stud. Of these 21 were positive, 11 were inconclusive and nine were negative. The relationship of the CFT to reactions in the other tests used in this con...
Contagious equine metritis: clinical description of experimentally induced infection. Contagious equine metritis was reproduced experimentally in 6 pony mares. The disease was characterized by rapidly developing cervicitis and by varying amounts of exudate. The exudate, apparent as early as 48 hours after inoculation, drained from the cervix as a tenacious, mucopurulent discharge for several days, then rapidly disappeared. In all mares, the clinical disease cleared within several weeks of inoculation, without treatment.
The course of serum antibody development in two ponies experimentally infected with contagious metritis. Serum agglutination tests, anti-globulin tests, and complement fixation tests were carried out on sera taken over a period of 98 days from two fillies experimentally infected with the contagious equine metritis organism. The pattern, and significance in diagnosis, of these results is discussed. All 3 tests showed positive titres in the acute phase of experimental disease; reactions in the complement fixation test persisted longest.
Infection patterns in pony mares challenged with the agent of contagious equine metritis 1977. Contagious equine metritis 1977 was reproduced in pony mares using cultures of the Gram-negative coccobacillus aetiologically associated with the disease. Variability in clinical response was observed in the first of 2 experiments, with the presence of semen, either alone or in an extender, appearing to potentiate the pathogenicity of the challenge strain of the organism. The experimental disease was characterised by a variable degree of vaginal discharge and concomitant inflammatory changes involving the vervix and vagina. Although all of the affected mares recovered spontaneously, a high per...
The experimental infection of ponies with contagious equine metritis. Four pony mares were readily infected with the organism of contagious equine metritis by intracervical inoculation and one by coitus with an infected stallion. Infected mares developed an acute endometritis with local destruction of the endometrial epithelium. In 2 experimentally infected mares, infection appeared to have been spontaneously eliminated from the genital tract within 3 to 4 weeks. A third mare however remained persistently infected in the clitoral fossa over a long period and was a symptomless carrier. Four pony stallions were readily infected in the urethral fossa and the organi...