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Topic:Strangles

Strangles is a highly contagious bacterial infection affecting horses, caused by the bacterium Streptococcus equi subspecies equi. It primarily impacts the upper respiratory tract and is characterized by fever, nasal discharge, and swelling of the lymph nodes, which may abscess and rupture. Transmission occurs through direct contact with infected horses or contaminated environments. Diagnosis is typically confirmed through bacterial culture or PCR testing of nasal swabs or abscess material. Management of strangles involves isolation of affected animals, supportive care, and in some cases, antibiotic treatment. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, diagnostic methods, treatment options, and prevention strategies for strangles in equine populations.
Investigation of the Fim1 putative pilus locus of Streptococcus equi subspecies equi.
Microbiology (Reading, England)    July 28, 2017   Volume 163, Issue 8 1217-1228 doi: 10.1099/mic.0.000506
Steward KF, Robinson C, Maskell DJ, Nenci C, Waller AS.The Gram-positive bacterium subspecies () is the causative agent of strangles, among the most frequently diagnosed infectious diseases of horses worldwide. Genome analysis of strain 4047 (4047) identified a putative operon, Fim1, with similarity to the pilus loci of other Gram-positive bacteria. The Fim1 locus was present in all strains of and its close relative subspecies () that have been studied to date. In this study we provide evidence that the putative structural pilus proteins, SEQ_0936 and CNE, are produced on the cell surface during growth and infection. Although the proteins ...
Defining the ABC of gene essentiality in streptococci.
BMC genomics    May 31, 2017   Volume 18, Issue 1 426 doi: 10.1186/s12864-017-3794-3
Charbonneau ARL, Forman OP, Cain AK, Newland G, Robinson C, Boursnell M, Parkhill J, Leigh JA, Maskell DJ, Waller AS.Utilising next generation sequencing to interrogate saturated bacterial mutant libraries provides unprecedented information for the assignment of genome-wide gene essentiality. Exposure of saturated mutant libraries to specific conditions and subsequent sequencing can be exploited to uncover gene essentiality relevant to the condition. Here we present a barcoded transposon directed insertion-site sequencing (TraDIS) system to define an essential gene list for Streptococcus equi subsp. equi, the causative agent of strangles in horses, for the first time. The gene essentiality data for this grou...
Discrimination of Streptococcus equi subsp. equi and Streptococcus equi subsp. zooepidemicus using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry. Mani RJ, Thachil AJ, Ramachandran A.Accurate and timely identification of infectious etiologies is of great significance in veterinary microbiology, especially for critical diseases such as strangles, a highly contagious disease of horses caused by Streptococcus equi subsp. equi. We evaluated a matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) platform for use in species- and subspecies-level identification of S. equi isolates from horses and compared it with an automated biochemical system. We used 25 clinical isolates each of S. equi subsp. equi and S. equi subsp. zooepidemicus. Using ...
Vet students help regiments declare their horses to be ‘strangles free’.
The Veterinary record    April 15, 2017   Volume 180, Issue 15 373 doi: 10.1136/vr.j1816
No abstract available
Immunogenicity of phospholipase A2 toxins and their role in Streptococcus equi pathogenicity.
Veterinary microbiology    April 4, 2017   Volume 204 15-19 doi: 10.1016/j.vetmic.2017.04.002
López-Álvarez MR, Salze M, Cenier A, Robinson C, Paillot R, Waller AS.Streptococcus equi subsp. equi (S. equi) is the causative agent of strangles, one of the most frequently diagnosed infectious diseases of horses worldwide. Phospholipase A toxins (PLA) cleave phospholipid molecules at position sn-2 contributing to the production of leukotrienes that are important inflammatory mediators. Two homologous phospholipases, SlaA and SlaB are encoded by the S. equi genome suggesting that PLA toxins may contribute to its pathogenicity. Here we report the immunogenicity and role of PLA toxins during natural and experimental infection of horses with S. equi. The levels o...
Comparison of nasopharyngeal and guttural pouch specimens to determine the optimal sampling site to detect Streptococcus equi subsp equi carriers by DNA amplification.
BMC veterinary research    March 23, 2017   Volume 13, Issue 1 75 doi: 10.1186/s12917-017-0989-4
Boyle AG, Stefanovski D, Rankin SC.Streptococcus equi subsp equi (S. equi) is the cause of "equine strangles" which is a highly infectious upper respiratory disease. Detection of S. equi is influenced by site of specimen collection, method of sampling, and type of diagnostic test that is performed. We hypothesized i) that a loop-mediated isothermal amplification (LAMP) assay that targets the S. equi-specific eqbE gene would be more sensitive than a realtime PCR assay that targets the S. equi-specific seeI gene and ii) that LAMP of specimens obtained by guttural pouch lavage (GPL) would be more sensitive than LAMP of nasopharyng...
Strangles: A modern clinical view from the 17th century.
Equine veterinary journal    February 9, 2017   Volume 49, Issue 2 141-145 doi: 10.1111/evj.12659
Paillot R, Lopez-Alvarez MR, Newton JR, Waller AS.No abstract available
Streptococcus equi subspecies equi in horses in Israel: seroprevalence and strain types.
Veterinary record open    August 16, 2016   Volume 3, Issue 1 e000187 doi: 10.1136/vetreco-2016-000187
Tirosh-Levy S, Blum SE, Steward KF, Waller AS, Steinman A.The purpose of this cross-sectional study was to determine the seroprevalence of Streptococcus equi in Israel, to monitor seropositive horses over time and to identify archived strains that were recovered from Israeli horses. A serological survey of 200 healthy horses on 20 farms throughout Israel was performed to detect recent exposure to S equi antigens A and C via indirect ELISA. Seroprevalence was 9.5 per cent (19/200) and positive horses were found in 30 per cent (6/20) of the farms. Sixteen horses that returned a positive serology result were retested three and six months later. Most (12...
Strangles in Arabian horses in Egypt: Clinical, epidemiological, hematological, and biochemical aspects.
Veterinary world    August 6, 2016   Volume 9, Issue 8 820-826 doi: 10.14202/vetworld.2016.820-826
Neamat-Allah AN, Damaty HM.Respiratory tract infections are considered the major problem of equine worldwide. Strangles is an infectious and highly contagious respiratory bacterial disease of equine caused by Streptococcus equi. This study is aimed to evaluate some clinical and epidemiological investigation associated with strangles and to study the hematological and biochemical changes in 20 Arabian horse naturally infected with S. equi during the disease and after 10 days from treatment by procaine penicillin with benzathine penicillin. Methods: A total of 490 Arabian horses have been examined, 120 (24.5%) have been c...
Detection and differentiation of wild-type and a vaccine strain of Streptococcus equi ssp. equi using pyrosequencing.
Vaccine    June 17, 2016   Volume 34, Issue 34 3935-3937 doi: 10.1016/j.vaccine.2016.06.035
Livengood JL, Lanka S, Maddox C, Tewari D.Streptococcus equi subspecies equi (S. equi), the causative agent of strangles, is an important equine pathogen. Strangles is a highly contagious disease and a commercial modified live vaccine (MLV) is used for protection, which although effective, may also result in clinical signs of the disease. A rapid means to differentiate between the MLV and wild-type infection is crucial for quarantine release and limiting the disease spread. This study describes the use of a pyrosequencing assay targeting a single nucleotide deletion upstream of the SzPSe gene to distinguish between the wild-type and v...
Strangles: a pathogenic legacy of the war horse.
The Veterinary record    January 23, 2016   Volume 178, Issue 4 91-92 doi: 10.1136/vr.i123
Waller AS.Strangles, characterised by pyrexia followed by abscessation of the lymph nodes of the head and neck, was first described in 1251 (Rufus 1251) and the causative agent, Streptococcus equi, was identified in 1888 (Schutz 1888). However, despite more than a century of research into this disease, strangles remains the most frequently diagnosed infection of horses with over 600 outbreaks being identified in the UK alone each year (Parkinson and others 2011). Here, Andrew Waller reviews some of the recent advances in the understanding of the evolution of S equi and puts this into the context of prev...
Prevalence of Streptococcus equi subsp. equi in horses and associated risk factors in the State of Rio Grande do Sul, Brazil.
Research in veterinary science    November 14, 2015   Volume 104 53-57 doi: 10.1016/j.rvsc.2015.11.009
Libardoni F, Machado G, Gressler LT, Kowalski AP, Diehl GN, dos Santos LC, Corbellini LG, de Vargas AC.The aim of this study was to estimate the prevalence of equine strangles and to identify associated risk factors for this disease through a cross-sectional study of nasal swabs. Nasal swabs (n=1010) from healthy equines (absence of nasal discharge, lymphadenopathy and cough) from 341 farms were plated on 5% blood agar; of these horses, 24 were identified as positive for Streptococcus equi through isolation, PCR and DNA sequencing. The estimated prevalence for individual animals was 2.3%, and for herds, it was 5.86%. Statistical analysis identified the following as associated risk factors: the ...
Predictor variables for and complications associated with Streptococcus equi subsp equi infection in horses.
Journal of the American Veterinary Medical Association    November 1, 2015   Volume 247, Issue 10 1161-1168 doi: 10.2460/javma.247.10.1161
D○ LR, Stefanovski D, Boston RC, Boyle AG.To evaluate predictor variables for and complications associated with Streptococcus equi subsp equi infection (strangles) in horses. Methods: Retrospective case-control study. Methods: 108 horses with strangles (cases) and 215 horses without strangles (controls). Methods: Medical records from January 2005 through July 2012 were reviewed. Cases were defined as horses with clinical signs of strangles (pyrexia, retropharyngeal lymphadenopathy, and mucopurulent nasal discharge) that were associated with a confirmed strangles outbreak or had positive results for S equi on PCR assay or bacteriologic...
Practical management of strangles outbreaks in horses.
Australian veterinary journal    October 7, 2015   Volume 93, Issue 8 N20 
Richmond R.No abstract available
A human case of strangles (equine distemper) with skin lesions.
Indian journal of dermatology, venereology and leprology    August 12, 2015   Volume 82, Issue 2 198-200 doi: 10.4103/0378-6323.162320
Brzezinski P, Chiriac A.No abstract available
Rapid diagnosis of strangles (Streptococcus equi subspecies equi) using PCR.
Research in veterinary science    August 9, 2015   Volume 102 162-166 doi: 10.1016/j.rvsc.2015.08.008
Cordoni G, Williams A, Durham A, Florio D, Zanoni RG, La Ragione RM.Strangles is one of the most common equine infectious diseases with serious health, welfare and socio-economic impact. However, the detection of Streptococcus equi subspecies equi can be challenging and persistently infected carriers are common. Furthermore, the use of classical microbiology can result in an underestimation of the prevalence of the disease. The difficulties associated with the slow diagnosis of Strangles can result in rapid spread of the disease. Therefore, rapid and economical diagnostic tests are urgently required. Here, two multiplex assays, were developed and validated for...
Genome specialization and decay of the strangles pathogen, Streptococcus equi, is driven by persistent infection.
Genome research    July 9, 2015   Volume 25, Issue 9 1360-1371 doi: 10.1101/gr.189803.115
Harris SR, Robinson C, Steward KF, Webb KS, Paillot R, Parkhill J, Holden MT, Waller AS.Strangles, the most frequently diagnosed infectious disease of horses worldwide, is caused by Streptococcus equi. Despite its prevalence, the global diversity and mechanisms underlying the evolution of S. equi as a host-restricted pathogen remain poorly understood. Here, we define the global population structure of this important pathogen and reveal a population replacement in the late 19th or early 20th Century. Our data reveal a dynamic genome that continues to mutate and decay, but also to amplify and acquire genes despite the organism having lost its natural competence and become host-rest...
Strangles in horses can be caused by vaccination with Pinnacle I. N.
Vaccine    May 27, 2015   Volume 33, Issue 30 3440-3443 doi: 10.1016/j.vaccine.2015.05.009
Cursons R, Patty O, Steward KF, Waller AS.The differentiation of live attenuated vaccine strains from their progenitor and wild-type counterparts is important for ongoing surveillance of product safety and improved guidelines on their use. We utilised a genome sequencing approach to confirm that two cases of strangles in previously healthy horses that had received the Pinnacle I. N. vaccine (Zoetis) were caused by the vaccine strain. Our data shed new light on the safety of this vaccine and suggest that factors beyond the maturity of the animal's immune system influence the development of adverse reactions.
Localised mitogenic activity in horses following infection with Streptococcus equi.
Research in veterinary science    March 11, 2015   Volume 100 100-104 doi: 10.1016/j.rvsc.2015.03.015
McLean R, Rash NL, Robinson C, Waller AS, Paillot R.Streptococcus equi subspecies equi (S. equi) is the causative agent of strangles, a highly contagious upper respiratory disease of equids. Streptococcus equi produces superantigens (sAgs), which are thought to contribute to strangles pathogenicity through non-specific T-cell activation and pro-inflammatory response. Streptococcus equi infection induces abscesses in the lymph nodes of the head and neck. In some individuals, some abscess material remains into the guttural pouch and inspissates over time to form chondroids which can harbour live S. equi. The aim of this study was to determine...
Update on Streptococcus equi subsp equi infections.
The Veterinary clinics of North America. Equine practice    January 16, 2015   Volume 31, Issue 1 27-41 doi: 10.1016/j.cveq.2014.11.003
Mallicote M.There are few diseases that ignite as much fervor among horse owners as strangles. Streptococcus equi subsp equi (strangles) infections frequently require the treating veterinarian to manage not only the clinical cases but also the biosecurity and provision of information to all involved parties. Although the disease is typically characterized by low mortality and high morbidity, restrictions of horse movement that result from appropriate quarantine procedures often frustrate the involved parties. The aims of this article are to provide clinically relevant information for diagnosis, treatment,...
Vaccination with a live multi-gene deletion strain protects horses against virulent challenge with Streptococcus equi.
Vaccine    January 15, 2015   Volume 33, Issue 9 1160-1167 doi: 10.1016/j.vaccine.2015.01.019
Robinson C, Heather Z, Slater J, Potts N, Steward KF, Maskell DJ, Fontaine MC, Lee JJ, Smith K, Waller AS.Strangles, caused by Streptococcus equi subspecies equi (S. equi) is one of the most frequently diagnosed infectious diseases of horses and there remains a significant need to develop new preventative vaccines. We generated a live vaccine strain of S. equi containing deletions in six genes: sagA, hasA, aroB, pyrC, seM and recA, which was administered to nine Welsh mountain ponies via the intramuscular route. Four vaccinated ponies developed adverse reactions following the first vaccination from which the live vaccine strain was isolated. Two of these ponies were withdrawn from the study and se...
New perspectives for the diagnosis, control, treatment, and prevention of strangles in horses.
The Veterinary clinics of North America. Equine practice    October 6, 2014   Volume 30, Issue 3 591-607 doi: 10.1016/j.cveq.2014.08.007
Waller AS.Strangles, characterized by abscessation of the lymph nodes of the head and neck, is the most frequently diagnosed infectious disease of horses worldwide. The persistence of the causative agent, Streptococcus equi, in a proportion of convalescent horses plays a critical role in the recurrence and spread of disease. Recent research has led to the development of effective diagnostic tests that assist the eradication of S equi from local horse populations. This article describes how these advances have been made and provides advice to assist the resolution and prevention of outbreaks. New perspec...
Streptococcus zooepidemicus and Streptococcus equi evolution: the role of CRISPRs.
Biochemical Society transactions    November 22, 2013   Volume 41, Issue 6 1437-1443 doi: 10.1042/BST20130165
Waller AS, Robinson C.The host-restricted bacterium Streptococcus equi is the causative agent of equine strangles, the most frequently diagnosed infectious disease of horses worldwide. The disease is characterized by abscessation of the lymph nodes of the head and neck, leading to significant welfare and economic cost. S. equi is believed to have evolved from an ancestral strain of Streptococcus zooepidemicus, an opportunistic pathogen of horses and other animals. Comparison of the genome of S. equi strain 4047 with those of S. zooepidemicus identified examples of gene loss due to mutation and deletion, and gene ga...
The molecular identification of Streptococcus equi subsp. equi strains isolated within New Zealand.
New Zealand veterinary journal    October 24, 2013   Volume 62, Issue 2 63-67 doi: 10.1080/00480169.2013.841536
Patty OA, Cursons RT.To identify Streptococcus equi subsp. equi (S. equi) by PCR analysis and obtain isolates by culture, in order to investigate the strains of S. equi infecting horses within New Zealand. Methods: A diagnostic PCR, based on the amplification of the seeI gene for S. equi, was used on 168 samples submitted from horses with and without clinical signs of strangles. Samples were also processed and cultured on selective media for the isolation of β-haemolytic colonies. In addition, the hypervariable region of the seM gene of S. equi was amplified and then sequenced for strain typing purposes. Results:...
Successful medical management of intra-abdominal abscesses in 4 adult horses.
The Canadian veterinary journal = La revue veterinaire canadienne    August 2, 2013   Volume 54, Issue 2 157-161 
Berlin D, Kelmer G, Steinman A, Sutton GA.Four adult horses with large intra-abdominal abscesses, suspected to be complications of strangles, were treated with systemic antibiotics alone and made a full recovery. The 100% survival rate is significantly better than other reported survival rates. The median duration of treatment (35 days) was shorter than in most previous reports. This study suggests that penicillin G can be used for successful treatment of strangles associated intra-abdominal abscesses in horses. Quatre chevaux adultes avec des abcès intra-abdominaux de grande taille, suspectés d’être des complications de la gour...
Development of a real-time PCR to detect Streptococcus equi subspecies equi.
Equine veterinary journal    June 28, 2013   Volume 46, Issue 1 56-59 doi: 10.1111/evj.12088
North SE, Wakeley PR, Mayo N, Mayers J, Sawyer J.Infection with Streptococcus equi subspecies equi (S. equi) is endemic in the UK. A proportion of horses serve as long-term carriers and act as a reservoir of infection. Detection of these persistently infected horses is difficult using standard culture techniques owing to a lack of sensitivity and overgrowth by contaminating bacteria. In addition, differentiation of this causative bacterium from the closely related S. equi zooepidemicus has made the development of reliable and accurate diagnostic tests difficult. Objective: To develop and validate a sensitive and specific real-time PCR assay ...
Lineages of Streptococcus equi ssp. equi in the Irish equine industry.
Irish veterinary journal    June 4, 2013   Volume 66, Issue 1 10 doi: 10.1186/2046-0481-66-10
Moloney E, Kavanagh KS, Buckley TC, Cooney JC.Streptococcus equi ssp. equi is the causative agent of 'Strangles' in horses. This is a debilitating condition leading to economic loss, yard closures and cancellation of equestrian events. There are multiple genotypes of S. equi ssp. equi which can cause disease, but to date there has been no systematic study of strains which are prevalent in Ireland. This study identified and classified Streptococcus equi ssp. equi strains isolated from within the Irish equine industry. Results: Two hundred veterinary isolates were subjected to SLST (single locus sequence typing) based on an internal sequenc...
Strangles: taking steps towards eradication.
Veterinary microbiology    April 12, 2013   Volume 167, Issue 1-2 50-60 doi: 10.1016/j.vetmic.2013.03.033
Waller AS.Strangles, caused by the host adapted Lancefield group C bacterium Streptococcus equi sub-species equi (S. equi), is one of the oldest recognised infectious diseases of horses and continues to cause significant welfare and economic cost throughout the world. The ability of S. equi to establish sub-clinical persistent infections primarily in the guttural pouches of convalescent horses has been instrumental to its success. However, the implementation of simple control measures that permit the identification and treatment of persistently infected carriers can prevent further outbreaks of disease ...
Comparison of sampling sites and laboratory diagnostic tests for S. equi subsp. equi in horses from confirmed strangles outbreaks.
Journal of veterinary internal medicine    March 25, 2013   Volume 27, Issue 3 542-547 doi: 10.1111/jvim.12063
Lindahl S, Båverud V, Egenvall A, Aspán A, Pringle J.Strangles is a contagious equine-specific disease caused by Streptococcus equi subsp. equi. Unfortunately, detection of S. equi can fail in up to 40% of horses with strangles. Whereas recent molecular biologic methods and sampling techniques have improved recovery of S. equi optimal sampling methods and laboratory analyses remain ill-defined. Objective: To determine the yield of S. equi from horses with acute strangles in confirmed outbreaks by field-sampling methods subjected to culture and biochemical identification, and real-time PCR directly and after culture. Methods: Fifty-seven horses o...
Efforts to combat strangles recognised.
The Veterinary record    November 28, 2012   Volume 171, Issue 21 522 doi: 10.1136/vr.e7920
No abstract available