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Topic:Endometritis

Endometritis in horses is an inflammatory condition of the endometrium, the inner lining of the uterus, often resulting from bacterial infection. It is a significant reproductive disorder that can affect fertility in mares. The condition can be classified as acute or chronic, depending on the duration and severity of the inflammation. Common causative agents include Streptococcus equi subsp. zooepidemicus, Escherichia coli, and other opportunistic pathogens. Clinical signs may include abnormal uterine discharge, prolonged estrus, and failure to conceive. Diagnosis typically involves uterine cytology, culture, and biopsy. Treatment strategies often include antimicrobial therapy, uterine lavage, and management of underlying predisposing factors. This page compiles peer-reviewed research studies and scholarly articles that explore the etiology, pathophysiology, diagnostic methods, and treatment options for endometritis in equine reproductive health.
[Dimethylsulfoxide (DMSO) in horses: a literature review].
Tijdschrift voor diergeneeskunde    April 16, 1998   Volume 123, Issue 3 74-80 
Douwes RA, van der Kolk JH.The use of dimethyl sulphoxide in equine medicine is discussed with special reference to trauma of the central nervous system, chronic endometritis, trauma of the locomotor apparatus, and ischaemic bowel pathophysiology. The ability of dimethyl sulphoxide to reduce connective tissue formation might be of interest in abdominal surgery. The anti-inflammatory effect of dimethyl sulphoxide is used in the treatment of muscle trauma, tendinitis, laminitis, and arthritis. Dimethyl sulphoxide can potentiate the effects of other drugs. The most common dose is 1 g/kg body weight intravenously up to a 40...
Intrauterine fluid accumulation in oestrous mares.
Acta veterinaria Scandinavica    January 1, 1997   Volume 38, Issue 1 69-78 doi: 10.1186/BF03548509
Reilas T, Katila T, Mäkelä O, Huhtinen M, Koskinen E.Intrauterine fluid (IUF) was collected using a tampon from mid-oestrous mares (n = 57) with and without ultrasonically detectable accumulations of free intraluminal fluid. Bacteria were cultured and neutrophils counted from all samples (n = 57). Total protein concentration, trypsin-inhibitor capacity (TIC), and plasmin, beta-glucuronidase (B-Gase) and N-acetyl-beta-D-glucosaminidase (NAGase) activities were determined in 27 IUF samples. The motility of spermatozoa in the presence of IUF, IUF extended with Kenney's medium (1:1) and Kenney's medium alone was analysed in 9 samples using a Hamilto...
Equine cryptococcal endometritis and placentitis with neonatal cryptococcal pneumonia. Petrites-Murphy MB, Robbins LA, Donahue JM, Smith B.No abstract available
Oxytocin enhances clearance of radiocolloid from the uterine lumen of reproductively normal mares and mares susceptible to endometritis.
Equine veterinary journal    July 1, 1994   Volume 26, Issue 4 279-282 doi: 10.1111/j.2042-3306.1994.tb04387.x
LeBlanc M, Neuwirth L, Mauragis D, Klapstein E, Tran T.The effects of oxytocin on the percentage of technetium 99m albumin colloid (99mTc-microAA), cleared from the uterine lumen was measured in 13 mares. Scintigraphy was performed during 4 consecutive oestrous cycles, on Day 3 of oestrus during Cycles one and 3 and 48 h after ovulation during Cycles 2 and 4. Oxytocin (20 iu) was given i.v. after the initial scintigraphy image during Cycles 3 and 4. Seven multiparous mares (Group 1) were classified as 'susceptible' and 6 mares (2 nulliparous and 4 multiparous; Group 2) were classified as 'resistant' to endometritis. All mares cleared > 90% of 99mT...
Measurement by ELISA of equine alpha-1-proteinase inhibitor in uterine flushings from mares.
Research in veterinary science    July 1, 1994   Volume 57, Issue 1 45-52 doi: 10.1016/0034-5288(94)90080-9
Scudamore CL, Pemberton AD, Miller HR, McDonnell AM, Thomson SR, Dawson A, Watson ED.An enzyme linked immunosorbent assay (ELISA) was developed and used to estimate the concentrations of the serine proteinase inhibitor, alpha-1 proteinase inhibitor (API), in uterine flushings recovered from mares at different stages of the oestrous cycle and before and after the induction of experimental endometritis. There was a significant increase in the concentrations of API and albumin relative to total protein in flushings recovered during oestrus compared with dioestrus but no difference was observed in the concentrations of these proteins relative to total protein before and after the ...
Scintigraphic measurement of uterine clearance in normal mares and mares with recurrent endometritis.
Equine veterinary journal    March 1, 1994   Volume 26, Issue 2 109-113 doi: 10.1111/j.2042-3306.1994.tb04346.x
LeBlanc MM, Neuwirth L, Asbury AC, Tran T, Mauragis D, Klapstein E.The percentage of Technetium 99m-albumin colloid (99mTc-microAA), a radiocolloid, cleared from the uterine lumen within 4 h of intrauterine infusion, was measured in 15 mares during 2 consecutive cycles, on Day 3 of oestrus and 48 h after ovulation. Four nulliparous (Group 1) and 4 multiparous (Group 2) mares were classified as resistant and the remaining 7 multiparous mares were classified as susceptible (Group 3) to endometritis. Mares in Groups 1 and 2 cleared more 99mTc-microAA from their uteri than did mares in Group 3 during oestrus (P < 0.01) and 48 h after ovulation (P 50% of the c...
Proceedings of the John P. Hughes International Workshop on Equine Endometritis. Davis, California, August 1992.
Equine veterinary journal    May 1, 1993   Volume 25, Issue 3 184-193 doi: 10.1111/j.2042-3306.1993.tb02940.x
The paper is a report from a workshop discussing equine endometritis, a condition affecting horse fertility. The event was held in honor of Professor John Hughes and his significant contributions […]
The contribution of complement to opsonic activity in the uterine secretions of mares free of endometritis.
Theriogenology    March 1, 1993   Volume 39, Issue 3 601-609 doi: 10.1016/0093-691x(93)90247-3
Hakansson A, Albihn A, Magnusson U.The aim of the present study was to investigate if complement contributes to opsonic activity in the uterine secretions of mares with normal reproductive functions. Five mares with a mean age of 9 years were used in the study. The mares were considered to be free of endometritis based upon clinical history, palpation per rectum and ultrasonogaraphy of the genital tract, videoendoscopic inspection of the uterus, electronmicroscopy of endometrial biopsies, and bacteriological and cytological examination of swabs from the endometrium. The hormonal status of the mares was also determined. Uterine ...
The effect of transcervical uterine manipulations on establishment of uterine infection in mares under the influence of progesterone.
Theriogenology    November 1, 1992   Volume 38, Issue 5 945-950 doi: 10.1016/0093-691x(92)90168-q
McDonnell AM, Watson ED.Four pony mares were used in a cross-over study to investigate the effect of different treatments on experimentally-induced endometritis. The mares were treated with progesterone to facilitate establishment of uterine infections. They received an intrauterine infusion of Streptococcus zooepidemicus 5 days after the start of progesterone therapy. Five days later, they were treated by intrauterine infusions of 2 g ampicillin in 50 ml sterile water or by sterile water without antibiotic for 3 consecutive days. Prior to infusion of Strep. zooepidemicus, no bacteria were cultured from the uteri of ...
Investigations into the use of exogenous oxytocin for promoting uterine drainage in mares susceptible to endometritis.
The Veterinary record    June 22, 1991   Volume 128, Issue 25 593-594 doi: 10.1136/vr.128.25.593
Allen WE.No abstract available
Identification and opsonic activity of immunoglobulins recognizing Streptococcus zooepidemicus antigens in uterine fluids of mares.
Journal of reproduction and fertility. Supplement    January 1, 1991   Volume 44 289-296 
LeBlanc M, Ward L, Tran T, Widders P.A direct ELISA was used to measure immunoglobulin (Ig) isotypes G, Gt, A, and M recognizing Streptococcus zooepidemicus epitopes in uterine lavage fluids collected during the early post ovulatory period. A S. zooepidemicus isolate, used as the plate antigen in this assay, was inoculated into the uteri of 8 mares (3 resistant and 5 susceptible to endometritis) at oestrus prior to ovulation during Oestrous Cycles 1, 3 and 5. Resistant mares aged 2-5 years were nulliparous, with clinically normal reproductive tracts as determined by physical examination, bacteriological culture of the uterus, and...
Inflammatory components in uterine fluid from mares with experimentally induced bacterial endometritis.
Equine veterinary journal    November 1, 1990   Volume 22, Issue 6 422-425 doi: 10.1111/j.2042-3306.1990.tb04309.x
Pycock JF, Allen WE.Exudate and uterine flushings were collected at either 30, 60, 120 or 240 mins after intrauterine infusions of Streptococcus zooepidemicus in genitally normal mares during oestrus. Uteri were also flushed without prior induction of endometritis. Protein concentrations in exudate and flushings increased with time and exudate pH decreased with time; the pH of flushings did not alter. Lysozyme and lactate dehydrogenase were present in flushings from non-infected uteri, but concentrations increased with time after infection. Immunoreactive prostaglandin E2 was undetectable before infection, but co...
Delayed drainage of neomycin from the uterus of mares susceptible to endometritis.
The Veterinary record    August 11, 1990   Volume 127, Issue 6 132 
Allen WE, Boyd EH.No abstract available
Lysozyme, alkaline phosphatase and neutrophils in uterine secretions of mares with differing resistance to endometritis.
Theriogenology    March 1, 1990   Volume 33, Issue 3 723-732 doi: 10.1016/0093-691x(90)90549-9
Katila T, Lock TF, Hoffmann WE, Smith AR.A study was conducted to 1) determine differences in the inflammatory response following bacterial challenge between normal mares and mares with chronic endometritis and 2) to determine if enzyme activity in uterine fluid can be used to evaluate degree of inflammation in the equine uterus. Six normal mares (Group 1) and four mares with chronic endometritis (Group 2) received an intrauterine infusion of beta-hemolytic streptococci on the second day of estrus. Neutrophil concentration as well as lysozyme and alkaline phosphatase activity were determined in uterine secretions obtained by placing ...
Uterine clearance mechanisms during the early postovulatory period in mares.
American journal of veterinary research    June 1, 1989   Volume 50, Issue 6 864-867 
LeBlanc MM, Asbury AC, Lyle SK.Uterine response to inoculation with Streptococcus zooepidemicus organisms, 51Cr-labeled 15-microns microspheres, and charcoal was evaluated in 9 mares (4 resistant and 5 susceptible to endometritis) to determine mechanical and cellular clearance rates during the early postovulatory period. Mares were inoculated at estrus prior to ovulation during estrous cycles 1, 3, and 5. Uterine swab specimens for aerobic and anaerobic bacteriologic culture and serum for progesterone determination were obtained on postovulation day 3 during estrous cycle 1, on the day of ovulation during estrous cycle 3, a...
Efficacy of intrauterine infusion of plasma for treatment of infertility and endometritis in mares.
Journal of the American Veterinary Medical Association    February 1, 1989   Volume 194, Issue 3 372-378 
Adams GP, Ginther OJ.We evaluated the efficacy of intrauterine plasma infusion in mares as a treatment for infertility caused by endometritis and distinguished the effects of intrauterine infusion of plasma vs saline solution. Forty-three subfertile mares were randomly assigned to 1 of 3 treatment groups: untreated controls (n = 14), those treated by saline infusion (n = 14), and those treated by plasma infusion (n = 15). Reproductive status was assessed daily by transrectal ultrasonography. Uterine aspirates and biopsy specimens were obtained 8 days after ovulation for cytologic and histologic evaluation, and mar...
Uterine defence mechanisms in mares resistant and susceptible to persistent endometritis: a review.
Equine veterinary journal    November 1, 1988   Volume 20, Issue 6 397-400 doi: 10.1111/j.2042-3306.1988.tb01558.x
Watson ED.No abstract available
Embryonic loss in mares. Incidence, possible causes, and diagnostic considerations.
The Veterinary clinics of North America. Equine practice    August 1, 1988   Volume 4, Issue 2 263-290 doi: 10.1016/s0749-0739(17)30641-7
Ball BA.Fertilization rates were similar for normal and subfertile mares, and much of the difference in fertility between normal and subfertile mares was due to embryonic loss. Fertilization rate estimates for mares ranged from 71 to 96 per cent. The incidence of embryonic loss detected by ultrasonography between Days 11 and 50 was approximately 9 per cent for normal mares, and the estimated incidence of embryonic loss before Day 14 was also 9 per cent. Therefore, the estimated incidence of embryonic loss in normal mares between fertilization and Day 50 is approximately 18 per cent (Fig. 1). In subfer...
Concentrations of immunoreactive leukotriene B4 in uterine lavage fluid from mares with experimentally induced and naturally occurring endometritis.
Journal of veterinary pharmacology and therapeutics    June 1, 1988   Volume 11, Issue 2 130-134 doi: 10.1111/j.1365-2885.1988.tb00133.x
Watson ED, Stokes CR, Bourne FJ.Acute endometritis was induced in ovariectomized pony mares by infusion of a 1% solution of oyster glycogen. Maximum concentrations of immunoreactive leukotriene B4 in uterine washings coincided with the greatest rate of infiltration of neutrophils into the uterine lumen. Concentrations of immunoreactive leukotriene B4 decreased to basal levels 6 h after infusion and were unaffected by administration of ovarian steroids to ovariectomized mares. Uterine washings from mares with persistent endometritis did not contain significantly different concentrations of leukotriene B4 from genitally normal...
Cyclical accumulation of uterine fluid in mares with lowered resistance to endometritis.
The Veterinary record    May 14, 1988   Volume 122, Issue 20 489-490 doi: 10.1136/vr.122.20.489
Allen WE, Pycock JF.No abstract available
Absorption of neomycin from the equine uterus: effect of bacterial and chemical endometritis.
The Veterinary record    January 9, 1988   Volume 122, Issue 2 37-39 doi: 10.1136/vr.122.2.37
Boyd EH, Allen WE.Plasma concentrations of neomycin were measured after intrauterine infusion of 3.3 mg/kg neomycin sulphate. Mares infected two hours previously with an intra-uterine infusion of beta-haemolytic streptococci absorbed approximately 12 per cent of the neomycin in both the oestrous and the luteal phases of the cycle. Normal mares in oestrus absorbed 6 per cent of the neomycin infused and luteal mares absorbed 56 per cent. In infected mares the peak plasma concentrations occurred two hours after neomycin infusion, earlier than in healthy mares. Cervical flushings after neomycin infusion in infected...
Cellular and humoral defence mechanisms in mares susceptible and resistant to persistent endometritis.
Veterinary immunology and immunopathology    September 1, 1987   Volume 16, Issue 1-2 107-121 doi: 10.1016/0165-2427(87)90178-4
Watson ED, Stokes CR, Bourne FJ.Both random and directional migration of blood neutrophils from 9 mares susceptible to persistent endometritis were significantly less (p less than 0.05) than neutrophils from 8 resistant mares. Serum from susceptible mares had significantly more (p less than 0.01) chemotactic activity than serum from resistant mares. Although phagocytosis of yeast blastospores by blood neutrophils from 4 resistant and 3 susceptible mares was similar, uterine neutrophils from susceptible mares were significantly worse (p less than 0.01) at phagocytosis than uterine neutrophils from resistant mares. Uterine was...
Opsonins of Streptococcus in uterine flushings of mares susceptible and resistant to endometritis: control of secretion and partial characterization.
American journal of veterinary research    April 1, 1987   Volume 48, Issue 4 646-650 
Hansen PJ, Asbury AC.The release of opsonins into the uterine lumen of mares susceptible or resistant to endometritis was examined after intrauterine inoculation of a filtrate of Streptococcus culture fluid or vehicle. Uterine flushings were collected at 0.5 hour before and 2, 4, 6, 8, and 24 hours after inoculation on day 2 or 3 of estrus and on day 7 or 8 after ovulation. Amounts of opsonins in flushings were quantified as the H2O2 produced by leukocytes incubated with flushings-opsonized bacteria, compared with H2O2 produced by leukocytes incubated with nonopsonized bacteria. Opsonin values in flushings increas...
Early pregnancy loss in brood mares.
Journal of reproduction and fertility. Supplement    January 1, 1987   Volume 35 455-459 
Woods GL, Baker CB, Baldwin JL, Ball BA, Bilinski J, Cooper WL, Ley WB, Mank EC, Erb HN.During 1985, linear-array ultrasonography was used to study early pregnancy loss in commercial brood mares: 600/1115 (54%) of the cycles resulted in detected pregnancy at Week 2 after ovulation and 80 (13%) of these pregnancies resulted in early pregnancy loss. The pregnancy loss rate was significantly higher (P less than 0.05) for twin pregnancies (10/41) than for singleton pregnancies (70/559). The pregnancy loss rate was significantly higher (P less than 0.05) at 2-4 weeks (29/60) than at 6-8 weeks (12/60). The pregnancy rate was significantly less (P less than 0.05) for post-partum mares i...
Effects of susceptibility of mares to endometritis and stage of cycle on phagocytic activity of uterine-derived neutrophils.
Journal of reproduction and fertility. Supplement    January 1, 1987   Volume 35 311-316 
Asbury AC, Hansen PJ.Fourteen mares, 7 susceptible and 7 resistant to bacterial endometritis, were used to provide circulating and uterine-derived neutrophils. Uterine neutrophils were recruited by inoculating cell-free filtrates of Streptococcus zooepidemicus, or control vehicle. Mares were assigned to schedules for collection of neutrophils at oestrus or dioestrus. Phagocytic activity of circulating and uterine cells was evaluated by an assay for chemiluminescence after addition of opsonized streptococci. Chemiluminescence generated by circulating neutrophils was greater (P less than 0.05) for susceptible mares ...
Concentrations of uterine luminal prostaglandins in mares with acute and persistent endometritis.
Equine veterinary journal    January 1, 1987   Volume 19, Issue 1 31-37 doi: 10.1111/j.2042-3306.1987.tb02574.x
Watson ED, Stokes CR, David JS, Bourne FJ, Ricketts SW.Intrauterine infusion of 1 per cent oyster glycogen solution was used to induce acute endometritis in four genitally normal mares. Numbers of viable neutrophils recovered in uterine washings had increased by 1 h after infusion and remained elevated for at least 72 h. There was a significant correlation between numbers of viable neutrophils and total protein concentrations and between prostaglandin (PG)F and PGE2 concentrations in washings. There was also a significant relationship between concentrations of 15-keto-13, 14-dihydro PGF2 alpha in plasma and PGF in washings. Intrauterine concentrat...
The functional competence of uterine-derived polymorphonuclear neutrophils (PMN) from mares resistant and susceptible to chronic uterine infection: a sequential migration analysis.
Biology of reproduction    December 1, 1986   Volume 35, Issue 5 1168-1174 doi: 10.1095/biolreprod35.5.1168
Liu IK, Cheung AT, Walsh EM, Ayin S.The functional competence of uterine-derived polymorphonuclear neutrophils (PMNs) from 28 mares was measured for migration responsiveness by use of a chamber (filter) assay. Uterine infection was induced with Streptococcus zooepidemicus in mares considered resistant to chronic uterine infection (Grade I). In sequential analysis of uterine flushings obtained from these mares 5, 12, 15, 20, and 25 h after infection was induced, PMNs showed an initial rise at 12 h (from 5), then a general decline in migration response and in concentration of cells per ml from 12 through 25 h post-inoculation. In ...
Recovery and evaluation of embryos from normal and infertile mares.
The Cornell veterinarian    October 1, 1986   Volume 76, Issue 4 386-394 
Woods GL, Hillman RB, Schlafer DH.To evaluate embryo transfer as a possible method to circumvent infertility in mares, embryos from 14 normal and 14 infertile mares were collected three times and examined. Fewer flushes (p less than 0.05) from normal than infertile mares (1/42 vs 9/42) contained only abnormal embryos whereas more flushes (p less than 0.05) from normal than infertile mares contained one or more normal embryos (28/42 vs 8/42). More flushes (p less than 0.05) from normal than infertile mares contained embryos (29/42 vs 17/42). The embryo diameters (mm) at either day-7 or day-8 post ovulation were greater (p less ...
Phagocytic and killing capacities of uterine-derived polymorphonuclear leukocytes from mares resistant and susceptible to chronic endometritis.
American journal of veterinary research    September 1, 1985   Volume 46, Issue 9 1938-1940 
Cheung AT, Liu IK, Walsh EM, Miller ME.The host defense competence of uterine-derived polymorphonuclear leukocytes (PMN) from mares considered resistant (grade I uteri) and susceptible (grade III uteri) to chronic endometritis was evaluated for phagocytic and killing (bactericidal) capacities, using a fluorochrome assay. Peripheral blood PMN from noncategorized mares and from grade I and grade III mares were used as controls. Uterine-derived PMN from mares with grade I uteri were functionally competent for phagocytosis and killing of Candida albicans, whereas uterine-derived PMN from mares with grade III uteri had significantly les...
The effects of EDTA-Tris infusion on the equine endometrium.
Theriogenology    November 1, 1984   Volume 22, Issue 5 593-599 doi: 10.1016/0093-691x(84)90059-1
Youngquist RS, Blanchard TL, Lapin D, Klein W.Four groups of five pony mares each were used to determine if the intrauterine infusion of EDTA-Tris solution caused adverse effects on the endometrium. The uteri of mares were infused with either saline or EDTA-Tris solution or biopsied or sham-biopsied without infusion. Acute endometritis developed in one (20%) to three (60%) mares in each group during the seven days following treatment, but there were no differences (P > 0.05) in the incidence of endometritis among the groups. Endometrial fibrosis was not evident in biopsies taken on days 14, 30 and 60 following infusion of saline or EDT...