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Topic:Infection

Infections in horses encompass a range of diseases caused by various pathogens, including bacteria, viruses, fungi, and parasites. These infections can affect different systems within the horse, such as the respiratory, gastrointestinal, and integumentary systems, leading to a variety of clinical signs depending on the pathogen and the severity of the infection. Common infectious diseases in horses include equine influenza, strangles, and equine herpesvirus. Diagnosis often involves clinical examination, laboratory testing, and sometimes imaging, to identify the causative agent and assess the extent of the disease. Treatment strategies may include antimicrobial therapy, supportive care, and preventive measures such as vaccination and biosecurity practices. This page aggregates peer-reviewed research studies and scholarly articles that explore the pathogenesis, diagnosis, treatment, and prevention of infectious diseases in equine populations.
A cross-sectional study of methicillin-resistant Staphylococcus aureus at the equine-human interface.
Tropical animal health and production    April 10, 2019   Volume 51, Issue 7 1927-1933 doi: 10.1007/s11250-019-01888-0
Waqar N, Amin Q, Munir T, Ikram MS, Shahzad N, Mirza A, Ali A, Arshad MI.The present study aimed at investigating the percent prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in equines and associated personnel. A total of 150 swabs of equines and 50 nasal swab samples of associated personnel were collected. These samples were processed in mannitol salt broth for enrichment. A total of 175 nasal swab samples changed the broth color from pink to yellow which were detected as samples containing S. aureus. These samples were processed further on specific media, namely mannitol salt agar, Staph-110, and blood agar, for phenotypic and Gram's staining-bas...
The prevalence of elevated gamma-glutamyltransferase and sorbitol dehydrogenase activity in racing Thoroughbreds and their associations with viral infection.
Equine veterinary journal    April 10, 2019   Volume 51, Issue 6 738-742 doi: 10.1111/evj.13092
Ramsay JD, Evanoff R, Mealey RH, Simpson EL.In racehorses, serum gamma-glutamyltransferase (GGT) activity is positively correlated with cumulative days in training and, when ≥100 IU/L, has been associated with poor performance. The prevalence of increased GGT activity in North American Thoroughbreds and its aetiopathogenesis are unknown. Four emerging viruses, pegivirus E (PgV E; equine pegivirus), hepacivirus A (HcV A; equine hepacivirus), pegivirus D (PgV D; Theiler's disease virus), and equine parvovirus-hepatitis (EqPV-H) have been identified in horses with clinical and subclinical hepatopathy. Available prevalence data indicate ...
Abortion in donkeys associated with Salmonella abortus equi infection.
Equine veterinary journal    April 10, 2019   Volume 51, Issue 6 756-759 doi: 10.1111/evj.13100
Wang H, Liu KJ, Sun YH, Cui LY, Meng X, Jiang GM, Zhao FW, Li JJ.Salmonella enterica subspecies enterica serovar abortus equi (S. abortus equi) is well known as the aetiological agent of equine abortion. However, abortion caused by S. abortus equi has not been previously described in donkeys. Objective: To investigate whether S. abortus equi was correlated with an abortion outbreak consisting of 61 abortions. Methods: Investigation of the clinical cases using pathoanatomical, bacteriological, serological and molecular approaches. Methods: Autopsies on nine aborted foetuses were performed. Tissue specimens from seven aborted foetuses and two mares were cu...
Population dynamics of ticks infesting horses in north-west Tunisia.
Revue scientifique et technique (International Office of Epizootics)    April 10, 2019   Volume 37, Issue 3 837-841 doi: 10.20506/rst.37.3.2890
Gharbi M, Drissi G, Darghouth MA.A preliminary study was carried out to examine the population dynamics of ticks on 24 pure Arabian horses. The horses were monitored monthly over one year in the Ghardimaou region of north-west Tunisia. A total of 120 adult ticks were collected and identified, leading to the estimation of different parasitological indicators. The ticks belonged to a single genus (Hyalomma) and three species: H. scupense (59%), H. marginatum (28%) and H. excavatum (13%) (p < 0.001). The mean infestation prevalence was 29.5%; the highest prevalence was observed for H. scupense (41.7%) (p 0.05), but the propo...
Seroprevalence of leptospirosis in human groups at risk due to environmental, labor or social conditions.
Revista Argentina de microbiologia    April 9, 2019   Volume 51, Issue 4 324-333 doi: 10.1016/j.ram.2019.01.005
Meny P, Menéndez C, Ashfield N, Quintero J, Rios C, Iglesias T, Schelotto F, Varela G.Leptospirosis is important in Uruguay due to the economic loss caused by the diseases of production animals, mainly bovines, and also due to frequent human infection. We decided to study anti-Leptospira antibodies in the sera of dairy workers, rice laborers, veterinarians, suburban slum dwellers and garbage recyclers. Our aims were to estimate the seroprevalence of infection by Leptospira spp. in these people at risk, the relative importance of the known risk factors associated with infection, and the impact of human infections in each setting. Groups at risk were identified and 35 visits to t...
Improving Techniques to Study Equine Cervical Mucociliary Clearance.
Journal of equine veterinary science    April 8, 2019   Volume 78 46-52 doi: 10.1016/j.jevs.2019.03.009
Hawkes M, Richard A, Oldfield C, Toothaker A, Stokes M, Causey R.Postbreeding bacterial uterine infections inflict major losses on the equine industry. Microcurrents propelled by ciliated cells between the folds of the uterus and cervix have been proposed as a means by which contaminants are expelled. Previous data have shown possible ciliary microcurrents propelling carbon particles, occasionally rotating, through cervical folds. However, adherence to the epithelium may have interfered with movement of carbon in these studies. Therefore, we tested potentially nonadherent substances to reveal ciliary microcurrents on the equine cervix under high magnificati...
Small RNA (sRNA) expression in the chorioallantois, endometrium and serum of mares following experimental induction of placentitis.
Reproduction, fertility, and development    April 6, 2019   Volume 31, Issue 6 1144-1156 doi: 10.1071/RD18400
Loux SC, Fernandes CB, Dini P, Wang K, Wu X, Baxter D, Scoggin KE, Troedsson MHT, Squires EL, Ball BA.Intrauterine infection and inflammation remain a major cause of preterm labour in women and mares, with little known about small RNA (sRNA) expression in tissue or circulation. To better characterise placental inflammation (placentitis), we examined sRNA expression in the endometrium, chorioallantois and serum of mares with and without placentitis. Disease was induced in 10 mares via intracervical inoculation of Streptococcus equi ssp. zooepidemicus, either with moderate or high levels of inoculum; three uninoculated gestationally matched mares were used as controls. Matched chorioallantois an...
Leptospirosis in horses: A European perspective.
Equine veterinary journal    April 6, 2019   Volume 51, Issue 3 285-286 doi: 10.1111/evj.13022
Malalana F.No abstract available
Identification of macrolide- and rifampicin-resistant Rhodococcus equi in environmental samples from equine breeding farms in central Kentucky during 2018.
Veterinary microbiology    April 6, 2019   Volume 232 74-78 doi: 10.1016/j.vetmic.2019.04.008
Huber L, Giguère S, Cohen ND, Slovis NM, Berghaus L, Greiter M, Hart KA.Rhodococcus equi causes severe pneumonia in foals and is most often recognized in people as an opportunistic pathogen. Longitudinal studies examining antimicrobial-resistant R. equi from environmental samples are lacking. We hypothesized that antimicrobial-resistant R. equi would be detectable in the ground (pasture soil or stall bedding) and air at breeding farms with previous documentation of foals infected with resistant isolates, and that concentrations of resistant isolates would increase over time during the foaling season. In this prospective cohort study, ground and air samples were co...
Mycobacterium branderi Infection in a Horse with Granulomatous Mesenteric Lymphadenitis.
Journal of comparative pathology    April 6, 2019   Volume 168 30-34 doi: 10.1016/j.jcpa.2019.03.003
Silva FS, Lorenzett MP, Bianchi MV, Bastos HBA, Larentis GR, Paul LG, Snel GGM, Oliveira-Filho JP, Mattos RC, Sonne L.Although relatively uncommon in horses, infections caused by Mycobacterium spp. may affect the gastrointestinal tract. Mycobacterium branderi is a non-tuberculous Mycobacterium (NTM) that causes respiratory infections in man. Non-tuberculous mycobacteria may also affect horses; however, infection by M. branderi has not yet been reported in this species. This report describes the clinical, pathological, microbiological and molecular findings of M. branderi infection in a horse, causing granulomatous mesenteric lymphadenitis. A 17-year-old Thoroughbred stallion had a 3-month history of chronic d...
Enterococcus infections in foals.
Veterinary journal (London, England : 1997)    April 6, 2019   Volume 248 42-47 doi: 10.1016/j.tvjl.2019.04.005
Willis AT, Magdesian KG, Byrne BA, Edman JM.Enterococci have been increasing in prevalence in foal sepsis over the past three decades. There are no published studies in the peer-reviewed literature documenting common sites of infection, antimicrobial susceptibility, or outcome specifically associated with enterococcal infections in foals. Our objectives were to evaluate the sites of origin, antimicrobial susceptibility, and survival outcome to discharge in foals with enterococcal infections compared with foals with sepsis of another bacterial etiology. Seventy-five foals 0-30 days of age with cultures positive for Enterococcus and 170 c...
Equine ulcerative keratitis with furrow: A review of the outcomes of 72 cases from 1987 to 2015.
Equine veterinary journal    April 5, 2019   Volume 51, Issue 6 749-755 doi: 10.1111/evj.13101
Berkowski WM, Craft WF, Whitley RD, Brooks DE, Plummer CE.Ulcerative keratitis with peripheral furrow formation is a poorly-described condition which has been associated with a grave prognosis due to rapid necrosis of the cornea. Objective: To describe the infectious aetiologies associated with furrow-forming ulcerative keratitis, its overall clinical course and the efficacy of medical and surgical intervention in horses. Methods: Retrospective clinical case series. Methods: Medical records of 72 horses which presented with furrow-forming ulcerative keratitis at the University of Florida between 1987 and 2015 were reviewed. Results: Seventy-two horse...
Immunogenicity of Potomac horse fever vaccine when simultaneously co-administered with rabies vaccine in a multivalent vaccine or as two monovalent vaccines at separate sites.
Equine veterinary journal    April 5, 2019   Volume 51, Issue 6 774-778 doi: 10.1111/evj.13096
McKenzie HC, Funk RA, Trager L, Werre SR, Crisman M.Potomac horse fever (PHF) is a potentially fatal enterocolitis of horses caused by Neorickettsia risticii. The disease was originally recognised almost 40 years ago in the state of Maryland in the US. It is now known to occur in many areas of North America, as well as having been described in South America and Europe. Monocomponent PHF vaccines are available, but clinical protection with vaccination has been reported to be inconsistent. Objective: This study was designed to assess the immunogenicity of a commercially available Potomac Horse Fever (PHF) vaccine when administered as either a mo...
Beyond Gut Instinct: Metabolic Short-Chain Fatty Acids Moderate the Pathogenesis of Alphaherpesviruses.
Frontiers in microbiology    April 5, 2019   Volume 10 723 doi: 10.3389/fmicb.2019.00723
Poelaert KCK, Van Cleemput J, Laval K, Descamps S, Favoreel HW, Nauwynck HJ.Short-chain fatty acids (SCFA), such as sodium butyrate (SB), sodium propionate (SPr), and sodium acetate (SAc), are metabolic end-products of the fermentation of dietary fibers. They are linked with multiple beneficial effects on the general mammalian health, based on the sophisticated interplay with the host immune response. Equine herpesvirus 1 (EHV1) is a major pathogen, which primarily replicates in the respiratory epithelium, and disseminates through the body via a cell-associated viremia in leukocytes, even in the presence of neutralizing antibodies. Infected monocytic CD172a cells and ...
Acute Endometritis due to Taylorella equigenitalis Transmission by Insemination of Cryopreserved Stallion Semen.
Journal of equine veterinary science    April 4, 2019   Volume 78 10-13 doi: 10.1016/j.jevs.2019.03.217
Delerue M, Breuil MF, Duquesne F, Bayon-Auboyer MH, Amenna-Bernard N, Petry S.Taylorella equigenitalis can be transmitted during artificial insemination. This report describes clinical T. equigenitalis transmission by cryopreserved stallion semen. T. equigenitalis isolates from a mare's vaginal discharge and semen from the same batch of the cryopreserved semen used for the insemination gave identical API ZYM, antibiotic susceptibility, and multilocus sequence typing results (ST-46); furthermore, the multilocus sequence typing lineage ST-46 is known to circulate in the country of semen collection. These results support the need for strict contagious equine metritis scre...
Evaluation of the bacterial ocular surface microbiome in clinically normal horses before and after treatment with topical neomycin-polymyxin-bacitracin.
PloS one    April 3, 2019   Volume 14, Issue 4 e0214877 doi: 10.1371/journal.pone.0214877
Scott EM, Arnold C, Dowell S, Suchodolski JS.Next generation sequencing (NGS) studies have demonstrated a rich and diverse ocular surface-associated microbiota in people that was previously undetected by traditional culture-based methods. The ocular surface microbiome of horses has yet to be investigated using NGS techniques. This study aimed to determine the bacterial composition of the ocular surface microbiome in healthy horses, and to identify whether there are microbial community changes over time and following topical antibiotic use. One eye of 12 horses was treated 3 times daily for 1 week with neomycin-polymyxin-bacitracin ophtha...
Reduction of Trypanosoma equiperdum from equine semen by single layer centrifugation.
Experimental parasitology    April 3, 2019   Volume 200 79-83 doi: 10.1016/j.exppara.2019.04.002
Yasine A, Ashenafi H, Geldhof P, Bekana M, Tola A, Van Brantegem L, Van Soom A, Duchateau L, Goddeeris BM, Govaere J.Trypanosoma equiperdum (T. equiperdum) causes dourine, a venereally transmitted infection in horses. Purification of semen by single layer centrifugation (SLC) has been proven to be successful in reducing venereally transmitted diseases when dealing with other pathogens. The objective of this study was to evaluate the purification of T. equiperdum spiked semen by SLC. Semen was spiked using cryopreserved T. equiperdum stabilates (Dodola strain isolate 943). In total, 6 concentrations, varying from 10 to >5 × 10 trypanosomes, were added to semen samples. Subsequently, SLC was performed ...
Using next-generation sequencing to determine diversity of horse intestinal worms: identifying the equine ‘nemabiome’.
Journal of equine science    April 3, 2019   Volume 30, Issue 1 1-5 doi: 10.1294/jes.30.1
Mitchell CJ, O'Sullivan CM, Pinloche E, Wilkinson T, Morphew RM, McEwan NR.Next-generation sequencing of DNA from nematode eggs has been utilised to give the first account of the equine 'nemabiome'. In all equine faecal samples investigated, multiple species of Strongylidae were detected, ranging from 7.5 (SEM 0.79) with 99+% identity to sequences in the NCBI database to 13.3 (SEM 0.80) with 90+% identity. This range is typical of the number of species described previously in morphological studies using large quantities of digesta per animal. However, the current method is non-invasive; relies on DNA analysis, avoiding the need for specialist microscopy identificatio...
Anti-Influenza A Virus Activities of Type I/III Interferons-Induced Mx1 GTPases from Different Mammalian Species. Dam Van P, Desmecht D, Garigliany MM, Bui Tran Anh D, Van Laere AS.Type I/III interferons provide powerful and universal innate intracellular defense mechanisms against viruses. Among the antiviral effectors induced, Mx proteins of some species appear as key components of defense against influenza A viruses. It is expected that such an antiviral protein must display a platform dedicated to the recognition of said viruses. In an attempt to identify such platform in human MxA, an evolution-guided approach capitalizing on the antagonistic arms race between MxA and its viral targets and the genomic signature it left on primate genomes revealed that the surface-ex...
Zoonotic multidrug-resistant microorganisms among non-hospitalized horses from Germany.
One health (Amsterdam, Netherlands)    April 1, 2019   Volume 7 100091 doi: 10.1016/j.onehlt.2019.100091
Kaspar U, von Lützau K, Schlattmann A, Rösler U, Köck R, Becker K.Colonization with multidrug-resistant organisms (MDROs) belonging to the genus Staphylococcus and the order Enterobacterales poses a particular threat to populations at risk. While previous studies focused on MDRO carriage among livestock or companion animals, respective epidemiological data on the general equine population are limited. Here, carriage of methicillin-resistant Staphylococcus aureus (MRSA) and extended spectrum beta-lactamase (ESBL) producing Enterobacteriaceae (ESBL-E) in non-hospitalized horses living on private farms in the rural area in Northwest Germany was assessed. Intran...
Evaluating African horse sickness virus in horses and field-caught Culicoides biting midges on the East Rand, Gauteng Province, South Africa.
Veterinaria italiana    March 31, 2019   Volume 55, Issue 1 91-94 doi: 10.12834/VetIt.1160.6400.3
Craig AF, Packer GC, Guthrie AJ, Venter EH.A prospective study was undertaken during 2013 and 2014, to determine the prevalence of African horse sickness virus (AHSV) in Culicoides midges and the incidence of infection caused by the virus in 28 resident horses on two equine establishments on the East Rand, Gauteng Province, South Africa. Field caught Culicoides midges together with whole blood samples from participating horses were collected every two weeks at each establishment. Culicoides midges and blood samples were tested for the presence of AHSV RNA by real-time quantitative reverse transcription polymerase chain reaction. Nine i...
A bilateral sinus cyst treated via a bilateral frontonasal bone flap in a standing horse.
Journal of the South African Veterinary Association    March 28, 2019   Volume 90 e1-e6 doi: 10.4102/jsava.v90i0.1729
Robert MP, Stemmet GP, Smit Y.Bilateral paranasal sinus diseases are rarely reported in horses. Treatment using a bilateral frontonasal bone flap on a standing, regular-sized adult horse has not been described previously. A 13-year-old Thoroughbred gelding was evaluated for bilateral mucopurulent nasal discharge. Radiographic, endoscopic and computed tomographic examinations revealed bilateral sinus pathological changes consistent with an ethmoid haematoma involving the maxillary and frontal sinuses. A bilateral frontonasal bone flap was created under standing sedation and local anaesthesia. A tracheotomy was performed ini...
Behavioral Signs Associated With Equine Periapical Infection in Cheek Teeth.
Journal of equine veterinary science    March 28, 2019   Volume 77 144-150 doi: 10.1016/j.jevs.2019.03.005
Pehkonen J, Karma L, Raekallio M.No studies have focused on dental pain signs associated with periapical infection in cheek teeth (CT) of horses. Moreover, the ability of owners to recognize signs of dental pain in horses has not been reported. We hypothesized that periapical infection will usually induce pain that manifests in the behavior of the horse. Removing the infected tooth will reduce the expression of such behaviors. Owners of 47 horses whose CT had been removed because of periapical infection participated in this study. They filled an internet-based questionnaire including 23 questions about eating behavior, bit be...
Multi-locus DNA sequence analysis, antifungal agent susceptibility, and fungal keratitis outcome in horses from Southeastern United States.
PloS one    March 28, 2019   Volume 14, Issue 3 e0214214 doi: 10.1371/journal.pone.0214214
Cullen M, Jacob ME, Cornish V, VanderSchel IQ, Cotter HVT, Cubeta MA, Carbone I, Gilger BC.Morphological characterization and multi-locus DNA sequence analysis of fungal isolates obtained from 32 clinical cases of equine fungal keratitis (FK) was performed to identify species and determine associations with antifungal susceptibility, response to therapy and clinical outcome. Two species of Aspergillus (A. flavus and A. fumigatus) and three species of Fusarium (F. falciforme, F. keratoplasticum, and F. proliferatum) were the most common fungi isolated and identified from FK horses. Most (91%) equine FK Fusarium nested within the Fusarium solani species complex (FSSC) with nine geneti...
Tissue (re)distribution of Trypanosoma equiperdum in venereal infected and blood transfused horses.
Veterinary parasitology    March 27, 2019   Volume 268 87-97 doi: 10.1016/j.vetpar.2019.03.007
Yasine A, Daba M, Ashenafi H, Geldhof P, Van Brantegem L, Vercauteren G, Demissie T, Bekana M, Tola A, Van Soom A, Duchateau L, Goddeeris B, Govaere J.Dourine, caused by Trypanosoma equiperdum, is a life-threatening venereal disease in equidae. So far, there is no clear evidence on how and when stallions become infectious, nor which tissues are affected by the parasite in diseased animals. Post-infection, after a transient, temporary phase of parasitaemia, the parasite disperses to different tissues in an unknown distribution pattern. This study describes the distribution of the parasite after infection by artificial insemination (AI) or blood transfusion. Mares (N = 4) were artificially inseminated with T. equiperdum spiked semen wherea...
Molecular Detection and Genetic Characterization of Toxoplasma gondii from Horses in Three Provinces of China.
Vector borne and zoonotic diseases (Larchmont, N.Y.)    March 26, 2019   Volume 19, Issue 9 703-707 doi: 10.1089/vbz.2018.2423
Ren WX, Zhang XX, Long CY, Zhao Q, Cheng T, Ma JG, Xu P, Hou G, Ni HB.Horse meat and milk are an important source of nutrition for many Chinese. Previous studies have shown a fairly high prevalence of infection in horses. However, there is no data concerning the molecular characterization of in horses in China. The present study tested 231 cervical lymph node samples of horses from northern China (97 from Jilin, 54 from Liaoning, and 80 from Xinjiang) for the presence of the B1 gene by seminested PCR. The B1-positive samples were genotyped at nine nuclear loci, that is, SAG1, alternative SAG2, SAG3, BTUB, c22-8, GRA6, c29-2, PK1, and an apicoplast locus, usin...
First reports of nasal and traumatic myiasis infection in endangered Przewalski’s horses (Equus ferus przewalskii).
International journal for parasitology. Parasites and wildlife    March 24, 2019   Volume 9 21-24 doi: 10.1016/j.ijppaw.2019.03.018
Yan L, Zhang M, Tang L, Ente M, Ma X, Chu H, Li K, Hu D, Zhang D.Myiasis has great economic and medical importance. However, myiasis in wildlife that is caused by oestroid flies is relatively rarely recorded compared with that in humans and domestic animals. Recently, during our research on the conservation of Przewalski's horse (PH), we observed two new records of oestroid flies parasitizing wildlife in China. The first is the horse nasal bot fly, Rhinoestrus sp. (Diptera: Oestridae), found in a dead PH from Kalamaili Nature Reserve. One morphotype (R. purpureus-like) was identified. The second is the Wohlfahrt's wound myiasis fly, Wohlfahrtia magnifica (S...
RAPID COMMUNICATION: TLR4 expressed but with reduced functionality on equine B lymphocytes.
Journal of animal science    March 23, 2019   Volume 97, Issue 5 2175-2180 doi: 10.1093/jas/skz074
Hay AN, Potter A, Kasmark L, Zhu J, Leeth CM.Varying susceptibility exists among mammalian species to the development of potentially fatal endotoxemia due to gram-negative bacteria molecular component, lipopolysaccharide (LPS). Toll-like receptor 4 (TLR4) is responsible for LPS-associated immune response and is expressed on numerous immune cells including B lymphocytes. TLR4 is expressed in a functional form on mouse B lymphocytes, a species much less susceptible to endotoxemia compared with humans who are highly sensitive to endotoxin. Humans possess B lymphocytes that are not responsive to LPS. Likewise, horses are highly susceptible t...
Intranasal IgG4/7 antibody responses protect horses against equid herpesvirus-1 (EHV-1) infection including nasal virus shedding and cell-associated viremia.
Virology    March 22, 2019   Volume 531 219-232 doi: 10.1016/j.virol.2019.03.014
Perkins G, Babasyan S, Stout AE, Freer H, Rollins A, Wimer CL, Wagner B.Equid herpesvirus-1 (EHV-1) outbreaks continue despite widely used vaccination. We demonstrated previously that an ORF1/ORF71 gene deletion mutant of the EHV-1 strain Ab4 (Ab4ΔORF1/71) is less virulent than its parent Ab4 virus. Here, we describe the Ab4 challenge infection evaluating protection induced by the Ab4ΔORF1/71 vaccine candidate. Susceptible control horses developed respiratory disease, fever, nasal shedding, and viremia. Full protection after challenge infection was observed in 5/5 previously Ab4 infected horses and 3/5 Ab4ΔORF1/71 horses. Two Ab4ΔORF1/71 horses developed short...
Effect of Macrolide and Rifampin Resistance on the Fitness of Rhodococcus equi.
Applied and environmental microbiology    March 22, 2019   Volume 85, Issue 7 e02665-18 doi: 10.1128/AEM.02665-18
Willingham-Lane JM, Berghaus LJ, Berghaus RD, Hart KA, Giguère S. is a leading cause of severe pneumonia in foals. Standard treatment is dual antimicrobial therapy with a macrolide and rifampin, but the emergence of macrolide- and rifampin-resistant isolates is an increasing problem. The objective of this study was to determine the effect of macrolide and/or rifampin resistance on fitness of Three unique isogenic sets were created, each consisting of four strains, as follows: a susceptible parent isolate, strains resistant to macrolides or rifampin, and a dual macrolide- and rifampin-resistant strain. Each isogenic set's bacterial growth curve was genera...
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