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Topic:Disease Transmission

Disease transmission in horses refers to the spread of infectious agents such as bacteria, viruses, fungi, and parasites among equine populations. These pathogens can be transmitted through various routes, including direct contact, vector-borne transmission, or environmental exposure. Factors influencing disease transmission include horse density, management practices, and biosecurity measures. Understanding the mechanisms and conditions that facilitate the spread of diseases is essential for developing effective prevention and control strategies. This page compiles peer-reviewed research studies and scholarly articles that investigate the modes of transmission, risk factors, and management practices related to infectious diseases in horses.
Occurrence of tick-borne pathogens in questing ticks, ticks from riding horses, and red deer blood in Western Pomerania, Poland.
Veterinary microbiology    February 5, 2026   Volume 315 110932 doi: 10.1016/j.vetmic.2026.110932
Rymaszewska A, Kubiak K, Dmitryjuk M, Rząd I, Kirczuk L.Ixodes ricinus is a widespread vector of numerous microorganisms pathogenic to humans and animals in Europe. The risk of exposure to tick-borne pathogens (TBPs) has increased in recent years due to climate change, the conversion of natural green areas to recreational areas, and growing human and animal populations, including pets. Using molecular methods, the prevalence, diversity, and co-occurrence of selected tick-borne microorganisms were assessed in questing I. ricinus collected from recreational areas (n = 409), in ticks feeding on horses (n = 135), and in blood samples from red d...
Diagnosis of Equine Genital Leptospirosis (EGL) in mares with poor reproductive performance.
Veterinary microbiology    February 3, 2026   Volume 315 110924 doi: 10.1016/j.vetmic.2026.110924
Motta D, Aymée L, Roussouliéres I, Di Azevedo MIN, Jacob JCF, Lilenbaum W.Leptospirosis is a zoonotic disease caused by spirochetes of the genus Leptospira. Equine genital leptospirosis (EGL) has been described as a chronic and silent syndrome, presenting reproductive alterations such as abortion, stillbirth, placentitis, embryonic loss, repeat breeding syndrome, and subfertility. This study aimed to investigate the genital Leptospira infection in naturally infected mares with poor reproductive performance, as well as to genetically characterize the agents. A total of 41 mares with a history of poor reproductive performance were selected. Sera were collected for ser...
Genomic characterization of Salmonella enterica serotype Saintpaul isolates from horses.
Veterinary microbiology    February 3, 2026   Volume 314 110923 doi: 10.1016/j.vetmic.2026.110923
Uprety T, Shaffer CL, Loynachan A, Janes J, Cassone L, Kennedy L, Bryant U, Ruby R, Swan M, Sponseller BT, Adam E, Lubbers B, Erol E.Salmonellosis is a highly contagious, zoonotic disease affecting both animal and human health. Early characterization of emerging Salmonella serotypes and associated antimicrobial resistance patterns are essential for outbreak controls in animals and humans. Between 2018 and 2025, 245 Salmonella enterica subsp. enterica were isolated from both ante-mortem and post-mortem equine cases. The predominant Salmonella serotypes were Typhimurium (83), Newport (28), 1,4,[5],12:i:- (26), Saintpaul (25), Hartford (15), and Mbandaka (12). S. Saintpaul, previously rare in horses, was detected in 21 cases i...
Molecular characterization and phylogeography of equine influenza virus H3N8 detected in donkeys in Nigeria 2022-2023.
BMC veterinary research    February 3, 2026   doi: 10.1186/s12917-025-05279-6
Mkpuma N, Meseko C, Shittu I, Chukwu C, Afiukwa FN, Iroha IR, Muhammad M, Ogbu O.Equine influenza virus (EIV) H3N8 is a highly contagious respiratory pathogen that poses significant health and economic risks to equids globally. In southeastern Nigeria where equids are sold and slaughtered, limited data exist on EIV epidemiology and circulating lineages. Methods: To address this gap, an active surveillance was conducted between January 2022 and October 2023. A total of 400 nasal swabs were collected from horses and donkeys at slaughterhouses and animal markets. The swabs were screened for equine influenza virus (EIV) using quantitative Reverse-Transcription Polymerase Chain...
Feasibility and acceptability of meticillin-resistant Staphylococcus aureus biosecurity measures in equine facilities: A cross-sectional study.
The Veterinary record    January 31, 2026   doi: 10.1002/vetr.70338
Planes P, Arsenault J, Allano M, Sauvé F.Biosecurity measures are recommended in stables housing meticillin-resistant Staphylococcus aureus (MRSA)-positive horses, but their feasibility and acceptability, as well as their implementation barriers, remain unclear. Methods: A cross-sectional study was conducted among clients of a veterinary teaching hospital using an online questionnaire. Information on horse activities, stable characteristics and perceptions (feasibility and acceptability scores) of recommended biosecurity measures for MRSA-positive horses was collected. Results: Fifty-seven horse and/or stable owners completed the que...
Clostridioides difficile infection in animals: a literature review.
Anaerobe    January 28, 2026   Volume 97 103028 doi: 10.1016/j.anaerobe.2026.103028
Uzal FA, Navarro MA, Asin J, Henderson E.Clostridioides difficile affects humans, and several other animal species, such as horses, pigs, gerbils, guinea pigs, hamsters, and rabbits. This microorganism has also been isolated from the gastrointestinal tract of healthy individuals of a wide variety of animal species in which its association with disease is not known. Traditionally, in most domestic animal species, C. difficile-infection disease (CDI) was antibiotic-associated, although in the past few years more cases in which no antibiotic association was known have been described. In addition, no antibiotic association has been descr...
Identifying Host-Characteristics and Management Risk Factors in a California Equine Herpesvirus Myeloencephalopathy (EHM) Outbreak.
Veterinary sciences    January 27, 2026   Volume 13, Issue 2 121 doi: 10.3390/vetsci13020121
Gordon S, Pusterla N, Finno CJ, Young A, Martínez-López B.Equine alphaherpesvirus-1 (EHV-1) is a highly contagious virus that can cause the neurological form, equine herpesvirus myeloencephalopathy (EHM). Understanding transmission-related risk factors is crucial for improving prevention strategies and guiding effective control measures. In this study, we collected data from 63 horses that had previously participated in the February 2022 winter horse show season at the Desert International Horse Park (DIHP) (26 cases and 37 controls) to identify host and management factors associated with EHV-1 infection and/or EHM development during the February 202...
The trajectories of relative concentrations of antirhodococcal immunoglobulin A differ from those of immunoglobulin G subisotypes in bronchoalveolar lavage fluid but not serum of foals.
American journal of veterinary research    January 27, 2026   1-8 doi: 10.2460/ajvr.25.11.0402
Aucoin AA, Zhidkov V, Legere RM, Borba KER, Landrock KK, Parker LE, Bray JM, Bordin AI, Cohen ND.To characterize age-related trajectories of the relative concentrations of anti-virulence-associated protein A (VapA) immunoglobulin (Ig)-G1, IgG3/5, IgG4/7, and IgA in serum and bronchoalveolar lavage fluid (BALF) as indicators of systemic and intrapulmonary immune responses in foals naturally exposed to Rhodococcus equi. Unassigned: Blood and BALF samples were collected at ages 4, 14, 28, and 56 days from healthy Quarter Horse foals (n = 19) naturally exposed to R equi. Samples were tested via ELISA for relative concentration of IgG1, IgG3/5, IgG4/7, and IgA recognizing the VapA of R equi. D...
Biosecurity perspectives of equestrian competition organizers in Ontario, Canada.
Frontiers in veterinary science    January 23, 2026   Volume 12 1713303 doi: 10.3389/fvets.2025.1713303
Turcotte GK, O'Sullivan TL, Spence KL, Winder CB, Greer AL.Biosecurity plays an important role in the prevention and control of infectious disease outbreaks in the equine population. With competition organizers responsible for implementing and upholding biosecurity requirements at competitions, it is important to understand the biosecurity landscape at these locations where Ontario horses commonly travel and interact in large group settings. Unassigned: The objective of this study was to describe the perspectives, challenges and experiences of competition organizers of both sanctioned and unsanctioned events in Ontario, Canada regarding implementing e...
Comparison of a Single-Shot Antibiotic Protocol Compared to a Conventional 5-Day Antibiotic Protocol in Equine Diagnostic Laparotomy Regarding Pre- and Postoperative Colonization with Multi-Drug-Resistant Indicator Pathogens.
Antibiotics (Basel, Switzerland)    January 21, 2026   Volume 15, Issue 1 106 doi: 10.3390/antibiotics15010106
Stöckle SD, Kannapin DA, Merle R, Lübke-Becker A, Gehlen H. The emergence and spread of multi-drug-resistant (MDR) bacteria pose a growing threat in veterinary medicine, particularly in equine hospitals. This study investigated the colonization and infection dynamics of horses undergoing emergency laparotomy with two distinct antibiotic protocols (single-shot versus 5-day protocol) during hospitalization. Nasal swabs and fecal samples were collected from 67 horses undergoing emergency laparotomy at clinic admission as well as on postoperative days 3 and 10. These were screened for multi-drug-resistant indicator pathogens. As multi-drug-resistant indi...
Cell Surface Vimentin Is an Attachment Factor That Facilitates Equine Arteritis Virus Infection In Vitro.
Viruses    January 15, 2026   Volume 18, Issue 1 113 doi: 10.3390/v18010113
Thieulent CJ, Sarkar S, Carossino M, Bhowmik M, Zhu H, Balasuriya UBR.Our laboratory identified the susceptible allelic variant of equine CXCL16 protein (EqCXCL16S) as an entry receptor for equine arteritis virus (EAV). However, EAV has a broad host cell tropism and infects cells that lack EqCXCL16S. Thus, we hypothesized that EAV interacts with other host cell protein(s) that facilitate EAV infection. A virus overlay protein-binding assay in combination with a Far-Western blot from EAV-susceptible equine pulmonary artery endothelial cells (EECs) and equine dermal fibroblasts (E. Derm) identified a 57 kDa protein, present in the membrane fraction of the protein ...
Molecular Detection of Theileria equi, Babesia caballi, and Borrelia burgdorferi Sensu Lato in Hippobosca equina from Horses in Spain.
Pathogens (Basel, Switzerland)    January 15, 2026   Volume 15, Issue 1 94 doi: 10.3390/pathogens15010094
Dorrego A, Olvera-Maneu S, Jose-Cunilleras E, Gago P, Raez A, Rivera B, Oporto A, Gonzalez S, Cruz-Lopez F.The forest fly ) is an obligate haematophagous dipteran insect (order Diptera) that primarily infests horses and may contribute to the circulation of vector-borne pathogens. This study aimed to investigate the presence of , s.l., , and , important vector-borne pathogens of equids, in forest flies collected from horses in endemic areas of Spain. A total of 170 forest flies were collected from 39 equids across four geographical regions in Spain (Segovia, Madrid, Toledo, and Menorca) and blood samples were collected from 27 of these horses. All flies were morphologically and molecularly identifi...
Serological Assays to Measure Rabies Antibody Response in Equine Serum Samples.
Viruses    January 14, 2026   Volume 18, Issue 1 108 doi: 10.3390/v18010108
Beniwal N, Lal B, Mithina S, Verma CK, Kumar S, Phagna V, Jakhar K, Sonar S, Gupta V, Singh R, Kumar N, Tan CW, Thachamvally R, Singha H, Murzello K....Rabies is a neglected tropical zoonotic disease caused by rabies-virus (RV) infection and is responsible for almost 60,000 annual deaths globally, largely affecting the socio-economically disadvantaged population. Although fatality is preventable by immunization either before or after exposure with therapeutic antibodies, the high cost of prophylaxis or treatment limits their accessibility for the affected population. However, due to the almost 100% fatality rate in symptomatic individuals, almost 29 million annual vaccinations are performed, imposing high financial burden. Human transmission ...
Review: Genomic insights into the adaptive traits and stress resistance in modern horses.
Stress biology    January 12, 2026   Volume 6, Issue 1 5 doi: 10.1007/s44154-025-00274-1
Jafari H, Abebe BK, Cong L, Ahmed Z, Zhaofei W, Sun M, Muhatai G, Chuzhao L, Dang R.The domestication and selective breeding of horses have profoundly influenced the emergence of adaptive traits and stress resistance mechanisms, shaping modern equine populations. This comprehensive review examines the genomic foundations of these traits, emphasizing recent advancements in high-throughput sequencing technologies and bioinformatics. These tools have elucidated the genetic underpinnings of key characteristics such as endurance, speed, metabolic efficiency, and disease resistance. Importantly, the review identifies and connects gene variants associated with thermoregulation, immu...
Isolation of Madariaga Virus (MADV) in a Horse Coinfected with Equine Infectious Anemia in Venezuela: A Review of MADV Circulation in the Country.
Veterinary sciences    January 10, 2026   Volume 13, Issue 1 71 doi: 10.3390/vetsci13010071
Garzaro D, Rodríguez N, Medina G, Alcazar W, Gualdron M, Siem JA, Sulbaran Y, Barrios M, Liprandi F, Jaspe RC, Pujol FH.Madariaga virus (MADV), formerly known as the South American variant of Eastern Equine Encephalitis virus (EEEV), is an alphavirus that belongs to the family and has been periodically infecting equids in Venezuela since its first identification in 1975. This study reports the isolation and molecular characterization of MADV isolated from a horse in December 2024 in the context of MADV cases reported in Venezuela. Methods: Antibodies to the rabies virus were detected by indirect immunofluorescence, and to the Equine Infectious Anemia virus (EIAV) by passive immunodiffusion. MADV RNA was detect...
Outbreak of equine botulism type C associated with consumption of baleage in Brazil. Souza LL, Lima AS, Martins AS, Silva TA, Borsanelli AC, Dutra IS, Pupin RC, Gomes DC, Lemos RA.An outbreak of botulism occurred in March 2024 among horses at a Quarter Horse stud farm in Central-West Brazil. After ingesting baleage, 22 of 26 (85%) horses housed in stables and fed baleage became ill. The affected horses had dysphagia, muscular weakness, fasciculations, and progressive recumbency; 13 of 22 (59%) died within a few days. The diagnosis of type C botulism was established based on clinical and epidemiologic findings and confirmed by mouse bioassays, which indicated botulinum toxin type C in liver samples and intestinal contents. Furthermore, PCR testing identified toxigenic i...
Post-surgical seroreversion in a case of equine cutaneous leishmaniosis by Leishmania infantum.
Veterinary research communications    January 8, 2026   Volume 50, Issue 2 91 doi: 10.1007/s11259-025-11031-0
Murillo A, Lebrero ME, Valdés M, Ramos J, Villanueva-Saz S, Davies JE, Gómez Á, Pérez E, Riera C, Marteles-Aragüés D.Equine leishmaniosis, caused by Leishmania infantum and transmitted by infected sand flies, has been increasingly reported in Europe, although clinical and immunological data remain scarce. We describe a 10-year-old mare from southern Spain presenting with periocular nodular lesions. Histopathology and immunohistochemistry confirmed granulomatous dermatitis with intrahistiocytic Leishmania amastigotes. Additionally, Leishmania infantum DNA was detected in paraffin embedded skin biopsy. Following surgical removal of the lesions, sequential serological monitoring using enzyme-linked immunosorben...
Bacterial contamination of covered versus non-covered plates in a sterile operating room in an equine referral center.
Journal of equine veterinary science    January 7, 2026   Volume 157 105775 doi: 10.1016/j.jevs.2026.105775
Dersch K, Kreuder A, Wang C, Troy J.Surgical site infections (SSI) are a common postoperative complication of equine orthopedic surgery and often increase morbidity and mortality. Objective: This study aimed to determine if covering surgical instruments during surgery decreased bacterial environmental air contamination during early opening of surgical packs (EOSP). The authors hypothesized that covering instruments with sterile surgical towels would reduce the total number of bacterial colonies to which the instruments were exposed. Methods: Blood agar plates (BAP) were allocated into two groups (non-covered vs. covered with a s...
Metagenomics insights into the effects of lactic acid bacteria inoculation on the microbial communities and antibiotic resistance genes in mare milk.
International journal of food microbiology    January 7, 2026   Volume 450 111622 doi: 10.1016/j.ijfoodmicro.2026.111622
Liu J, Huang X, Wang Y, Wang Y, Luo R, Lu X, Cao K, Xing J, Tu Y, Zheng W.Antibiotic resistance genes (ARGs) are emerging contaminants threatening public health, yet their transmission risk via mare milk products remains understudied. Using metagenomics, we analyzed lactic acid bacteria (LAB)-inoculated fermented, naturally fermented, raw, and pasteurized mare milk to investigate the effect of LAB inoculation on the distribution and transmission pathways of ARGs in mare milk. The results showed that naturally fermented, raw, and pasteurized mare milk had the highest number of pathogens, relative abundance of ARGs, and relative abundance of mobile genetic elements (M...
Abortive diseases in horses and donkeys in Algeria: a systematic review.
Tropical animal health and production    January 5, 2026   Volume 58, Issue 1 30 doi: 10.1007/s11250-025-04843-4
Dahmani A, Salhi O, Nabi M, Boucif A, Mekroud M, Touhami NAK, Ouchene N.No abstract available
Characterizing mixed strongyle infections in foals and broodmares using cytochrome c oxidase subunit I deep amplicon sequencing.
Parasites & vectors    January 3, 2026   Volume 19, Issue 1 65 doi: 10.1186/s13071-025-07192-1
Klass LG, Krücken J, Mbedi S, Sparmann S, Schenk T, Andreotti S, von Samson-Himmelstjerna G.Mixed strongyle infections represent the most prevalent equine parasitosis and can result in life-threatening disease, especially in young horses. Species involvement and pathogenesis of this parasitosis are poorly understood, and data on foals and broodmares are notably lacking. Methods: In a longitudinal study undertaken in 2022 in Germany, individual faecal samples (n = 497) and metadata were collected for naturally infected foals and broodmares (n = 48) kept under conventional husbandry conditions. Nematode infections were detected coproscopically via the Mini-FLOTAC method. In a s...
Clostridioides difficile in equidae necropsied in Northwestern France, between 2019 and 2021.
Microbiology spectrum    December 30, 2025   Volume 14, Issue 2 e0216525 doi: 10.1128/spectrum.02165-25
Petry S, Tapprest J, Maillard K, Barbut F, Duquesne F, Kozak S, Foucher N, Bernez-Romand M, Bridoux L, Poquet I. an anaerobic, spore-forming enteropathogen, is less studied in animals than in humans despite its importance in One Health. We evaluated occurrence, diversity, circulation, and virulence in French Equidae ( = 100) after their necropsy in northwestern France, from 2019 to 2021. We systematically recovered all cecal contents and any watery intestinal contents. We isolated strains, determined their toxin gene profile by PCR, and established their PCR-ribotype according to the WEBRIBO database. We also performed free toxin detection. Twenty-seven Equidae were positive for and 20 had a toxigeni...
Molecular Prevalence and Genotypic Diversity of Theileria equi in Xinjiang, China, Based on Three Genes.
Veterinary sciences    December 25, 2025   Volume 13, Issue 1 27 doi: 10.3390/vetsci13010027
Qin S, Kulabieke T, Mizhamuhan D, Zhang M, Jin M, Abula G, Pi M, Wang H, Zhang Y, Guo Q.Equine theileriosis, caused by the protozoan parasite , represents a significant economic threat to the equine industry. In Xinjiang, China, an endemic area for this disease, systematic research on the genetic diversity of has been notably lacking. The aim of this study was to obtain molecular epidemiological data pertaining to the parasite in selected regions of Xinjiang, China, and analyze the genetic characteristics (including rRNA, , and genes) and genotype distribution patterns of isolates from these regions, providing a scientific basis for developing targeted prevention and control s...
Descriptive network analysis of Ontario, Canada equine competitions: implications for disease control.
BMC veterinary research    December 23, 2025   Volume 22, Issue 1 43 doi: 10.1186/s12917-025-05248-z
Rossi TM, O'Sullivan TL, Greer AL.Competitions are an important source of entertainment and revenue in the horse industry but may contribute to disease introduction and spread. The objectives of this study were to, (i) describe the annual (2016 to 2018) contact networks of Equestrian Canada competitions in Ontario, Canada, and (ii) determine if the networks exhibit characteristics of 'small world' networks. Data on Equestrian Canada registered competitions in the province of Ontario, Canada between 2016 and 2018 were used to create three types of yearly contact networks: competition networks, horse networks, and venue networks...
Characterization of Staphylococci colonizing healthy equine skin: antibiotic resistance, virulence factors, and biofilm formation.
Veterinary research communications    December 23, 2025   Volume 50, Issue 2 83 doi: 10.1007/s11259-025-11037-8
Strompfová V, Štempelová L, Bujňáková D, Karahutová L, Gondoľová D, Nagyová M, Siegfried L.In order to develop non-antibiotic therapies to treat dermatological diseases it is urgent to spread knowledge on composition and properties of skin bacteria in healthy animals. Since horses are popular companions of humans, it is necessary to know what risk skin bacteria pose to humans. Therefore the aim of this work was to analyse species composition of staphylococci isolated from skin swabs of 50 healthy horses using MALDI-TOF (Matrix-Assisted Laser Desorption/Ionization Time-of-Flight) spectrometry and to characterize their virulence properties. Swabs were collected from five body areas (n...
First documented case of equine brucellosis in Libya: a case report.
Journal of equine science    December 16, 2025   Volume 36, Issue 4 129-132 doi: 10.1294/jes.36.129
Hiblu MA, Ahmed MO.This case report documents the first identified Brucella infection in a 6-year-old male Thoroughbred horse in Libya. The horse exhibited muscle and joint pain, inflammation over the shoulders with a pulpy texture (fistulous withers), stress, fatigue, and potential systemic infection. Its diagnosis was confirmed through serological testing, with agglutination titers of 1/80 for B. melitensis and 1/160 for B. abortus, and a blood culture revealing Gram-negative coccobacilli. After 3 weeks of combination therapy with rifampicin and doxycycline, the inflammation resolved, systemic signs disappeare...
Seroprevalence and risk factors for Toxoplasma gondii infection in wild, domestic and companion animals in urban informal settlements from Salvador, Brazil.
PLoS neglected tropical diseases    December 16, 2025   Volume 19, Issue 12 e0013303 doi: 10.1371/journal.pntd.0013303
Bazan L, Argibay HD, Borges-Silva W, Pita Gondim LF, Dos Santos Mattos TA, Santana JO, da Silva EM, Begon M, Khalil H, Costa F, de Oliveira Carneiro I.Toxoplasma gondii is a globally neglected zoonotic parasite, particularly prevalent in socioeconomically vulnerable areas. Various animal species serve as reservoirs for T. gondii across different regions, including domestic cats, livestock, and a variety of wild and synanthropic animals. In urban areas, especially informal settlements, the close coexistence of humans, domestic animals, and wildlife may influence local transmission dynamics. This study evaluated the seroprevalence and associated risk factors for T. gondii infection in domestic and synanthropic animals from two low-income neigh...
Zoonotic aortic graft infection by Streptococcusequi.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy    December 16, 2025   Volume 32, Issue 1 102900 doi: 10.1016/j.jiac.2025.102900
Karaushi H, Yoshitake A, Kanazawa Y, Watanabe N, Tokano M, Seki M, Mitsutake K.A 69-year-old woman with hypertension had undergone total arch replacement with an open stent graft 7 years prior. She was referred to our hospital for evaluation after experiencing fever (>38 °C) and cough. Chest radiography revealed a prominent aortic arch, and contrast-enhanced computed tomography demonstrated aortic arch enlargement and peri-graft fluid collection containing air. These findings indicated graft infection and prompted immediate intervention. Blood cultures grew Streptococcus equi subspecies zooepidemicus, a zoonotic pathogen associated with horses. Notably, the patient wor...
Closing the Stable Door on Strangles: Serological Responses of Vaccinated Horses on a Farm Following the Arrival of a New Horse.
Animals : an open access journal from MDPI    December 13, 2025   Volume 15, Issue 24 3584 doi: 10.3390/ani15243584
Rask E, Righetti F, Ruiz A, Bjerketorp J, Frosth S, Frykberg L, Jacobsson K, Guss B, Flock JI, Henriques-Normark B, Hartman E, Gustafsson A....Infection of susceptible horses with subspecies (), the causative agent of strangles, is associated with commingling. Exposure may occur among horses at equestrian events, sales, or horses moved among different equine stabling environments. Strangles can affect all horses on a farm, leading to the death of up to 10% of cases depending on their immunity status at the time of infection, the development of complications, the success of biosecurity measures, and the use of vaccination. The current retrospective study used ELISAs to measure the exposure of horses to at a farm that experienced an...
A Rare Case of Streptococcus equi Infection: A Report and Brief Review of the Literature.
Cureus    December 12, 2025   Volume 17, Issue 12 e99040 doi: 10.7759/cureus.99040
Singh B, Sulaiman ZI, Raynor EM.We present a rare case of subspecies zooepidemicus (SEZ) bacteremia in a 73-year-old male with a history of Parkinson's disease, pulmonary embolism, and recent left knee total arthroplasty who developed fever and sepsis complicated by septic arthritis of a prosthetic knee and deep vein thrombosis (DVT). Blood cultures grew in four out of four bottles, and history revealed frequent horse exposure, suggesting zoonotic transmission with hematogenous seeding of the prosthetic joint. The diagnosis was further challenged by systemic computed tomography (CT) abnormalities and the concurrent DVT, wh...