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Topic:Streptococcus
Streptococcus spp. are a genus of bacteria that can affect horses, leading to various infections and health conditions. These bacteria are known for causing respiratory and systemic diseases, including strangles, which is primarily caused by Streptococcus equi subsp. equi. Streptococcal infections in horses can result in symptoms such as fever, nasal discharge, and lymph node abscessation. The transmission typically occurs through direct contact with infected animals or contaminated environments. Diagnosis often involves bacterial culture or PCR testing. This page compiles peer-reviewed research studies and scholarly articles that explore the epidemiology, pathogenesis, diagnosis, and treatment of Streptococcus infections in equine populations.
Efficacy of Therapeutic UVC Irradiation in Reducing Bacterial Load in Microbial Keratitis: A Retrospective Clinical Study in Veterinary Patients. To evaluate the immediate effect of therapeutic ultraviolet-C (UVC) irradiation on corneal bacterial load in veterinary patients with microbial keratitis (MK), using a retrospective analysis of clinical data collected at a UK referral ophthalmology hospital. Methods: Client-owned dogs, horses, and cats presented to a referral ophthalmology clinic with MK in 2025. Methods: Clinical records from MK cases were reviewed. For each case, paired corneal swabs were obtained immediately before and immediately after UVC irradiation with a commercially available 265 nm device (PhotonUVC). Treatment con...
A new single-antigen serological test accurately detects horses infected with Streptococcus equi subsp equi. To develop an accurate serological test for detecting horses infected with Streptococcus equi subsp equi (SEE). Unassigned: The study was designed as a prospective experiment. First, 89 proteins either expressed on the surface or secreted by SEE were cloned, expressed in a cell-free culture system, and printed onto a microarray. Microarrays were probed with serum from 30 horses with strangles, 30 horses with no history of infection or immunization against SEE, and 18 horses infected with Streptococcus equi subsp zooepidemicus (SEZ); serum samples were collected between 2020 and 2021 from Texas...
Retrospective study of blood culture isolates, antimicrobial sensitivity, and survival factors from 243 neonatal foals in Normandy (France). Identifying causative bacterial species in neonatal foal bacteremia and their antimicrobial susceptibility profiles is essential for guiding appropriate antibiotic therapy. Objective: To describe bacterial isolates from blood culture and their antimicrobial susceptibility patterns in neonatal foals from two French institutes, and to assess associations between pretreatment and blood culture positivity, and between in-hospital death (euthanasia or natural death) and the presence of multidrug-resistant (MDR) bacteria. Methods: Two hundred forty-three foals (<7 days old) admitted to two equin...
Cross-protective effect of a multicomponent fusion protein vaccine during a natural episode of Streptococcus zooepidemicus respiratory disease in ponies. Streptococcus equi subspecies zooepidemicus is a highly diverse opportunistic pathogen of horses, associated with respiratory disease and endometritis. Objective: To characterise S. zooepidemicus isolates recovered from young ponies during a natural episode of respiratory disease, and to determine if vaccination with Strangvac®, a vaccine against Streptococcus equi subspecies equi, conferred cross-protection. Methods: Retrospective analysis of a double-blinded placebo-controlled study involving 32 ponies (16 vaccinates and 16 placebo controls) that experienced a natural episode of respiratory...
Integrative and conjugative elements carrying high-level gentamicin resistance genes in Streptococcus dysgalactiae subsp. equisimilis from horses. In streptococci, the acquisition of high-level gentamicin resistance (HLGR) abolishes the synergy with beta-lactams, constituting a medical concern for humans and animals. This synergy between gentamicin and beta-lactams is useful to treat severe infections like endocarditis, among others. HLGR has been characterized mostly in roup B Streptococci mediated by the bi-functional gene (6)-(2).HLGR- subsp. () (=27) were isolated from the uterus of mares during a routine screening before fecundation. One HLGR- was isolated from a lymph node of a mare. The mares resided in six different studs locat...
The prevalence of Streptococcus equi subsp. equi carriers in the Netherlands. Streptococcus equi subspecies equi (S. equi) carriers are thought to be important drivers for strangles outbreaks. Limited data are available on the prevalence of carriers in European horse husbandry settings. Objective: To estimate the prevalence of S. equi carriers among apparently healthy adult horses and ponies in the Netherlands. Methods: Cross-sectional survey. Methods: The carrier prevalence in the Netherlands was estimated, detecting carriers by PCR analysis of three repeated nasopharyngeal lavages at weekly intervals. Bayesian methods were used for a true prevalence estimation. Result...
Generation of equine-specific local antibiograms: reproductive tract of mares and fillies in Western Australia. Antimicrobial resistance (AMR) may lead to increasing inefficacy and treatment failure of bacterial infections in the future. Antimicrobial stewardship (AMS) programmes are critical to ensuring the continued efficacy of available antimicrobials. There is a lack of published evidence-based data on the susceptibility of isolates from common reproductive infections encountered in mares. This study aims to provide equine veterinarians in Western Australia (WA) with the most appropriate first-line empirical antimicrobials for infections of the mare reproductive tract. Methods: A retrospective study...
Septic arthritis caused by Streptococcus equi subspecies zooepidemicus: a case report. subspecies (SESZ) is an uncommon zoonotic pathogen in humans but can cause severe joint infections. Reported cases are often linked to exposure to horses, dairy products, or raw pork, though infections may occur without an identifiable animal source. Unassigned: An 84-year-old man with multiple comorbidities presented with acute left shoulder pain, fever, and chills. Synovial fluid aspiration yielded turbid fluid containing calcium pyrophosphate dihydrate crystals, while Gram stain was negative. Despite empiric broad-spectrum antibiotics, his symptoms persisted, requiring surgical irrigation...
Antibiofilm and resistance-modulating properties of tt-farnesol against Streptococcus equi subsp. equi and zooepidemicus. The aim of this study was to investigate the antibacterial, antibiofilm and modulating activities of trans-trans-farnesol (tt-farnesol) on two strains of Streptococcus equi subsp. equi and two strains of S. equi subsp. zooepidemicus, pathogenic or commensal bacteria of horses. Tt-farnesol showed bactericidal activity against all tested strains, with a minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC) between 8 and 4 μg/mL. The sesquiterpene caused significant damage to the bacterial membrane, and its antibacterial activity did not appear to depend on oxidat...
Updates on Diagnosis and Treatment of Guttural Pouch Conditions. The complex anatomy and unique features of the equine guttural pouch create diagnostic and treatment challenges. Novel surgical approaches, as well as transendoscopic devices and medications, have improved the management of guttural pouch conditions, such as mycosis, empyema, tympany, and temporohyoid osteoarthropathy. Guidelines for Streptococcus equi subspecies equi diagnosis and disinfection protocols are strengthened by new evidence for point-of-care polymerase chain reaction, serial sampling for determining carrier status, and evaluation of disinfection techniques.
Occurrence, antibiotic susceptibility and genetic variation of Streptococcus zooepidemicus in Finnish weanling horses with and without respiratory infection. subsp. (), an opportunistic pathogen often found in the stable environment and upper respiratory tract of young horses, can cause severe pneumonias in Equidae. In this study we investigated the occurrence, genetic variation and antimicrobial susceptibility of isolates from 63 weanling horses kept in loose housing or conventional stables. The bacterial isolates were typed by using pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). The possible associating factors (stable type, age, breed and clinical signs) for positive finding were analysed using logistic regre...
Polyhexanide, Povidone-Iodine, and Hypochlorous Acid Show High In Vitro Antimicrobial Efficacy Against Pathogens Commonly Associated With Equine Infectious Keratitis. To determine the in vitro antimicrobial activity of specific antiseptics against common equine ocular surface pathogens. Methods: Staphylococcus aureus (S. aureus) (n = 12), Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) (n = 9), Enterobacter hormaechei (E. hormaechei) (n = 6), and Bacillus cereus (B. cereus) (n = 5) were collected from corneal samples of horses with ulcerative keratitis. Reference strains were included. Minimum bactericidal concentrations (MBC) of polyhexanide, povidone-iodine, and hypochlorous acid were tested using the microdilution method. ...
Zoonotic aortic graft infection by Streptococcusequi. 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 ...
Closing the Stable Door on Strangles: Serological Responses of Vaccinated Horses on a Farm Following the Arrival of a New Horse. 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. 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...
Geographic diversity of the Streptococcus equi subsp. equi accessory genome: implications for vaccines and global surveillance. Strangles, caused by the host-adapted subsp. (. ), imposes significant welfare and economic losses on the equine industry worldwide. Understanding its genomic features, virulence-associated genes (VAGs), antimicrobial resistance (AMR) and mobile genetic elements (MGEs) is essential for disease control and vaccine development. This study aimed to characterize the accessory genome composition, geographic distribution of VAGs and MGEs, and AMR profiles of . by a large-scale genomic analysis of global publicly available . sequences. All publicly available . sequences in the Sequence Read Arch...
Uterine proteomic and cytokine profiling show that Streptococcus equi subsp. zooepidemicus induces immune-metabolic dysregulation and may predispose mares to endometrosis. This study aims to characterize and compare the uterine fluid proteome and cytokine profile of reproductively healthy mares (HM; n = 15) and mares with Streptococcus equi subsp. zooepidemicus (S. zooepidemicus)-associated endometritis (SAE; n = 9). Uterine flush samples collected during the follicular phase were analyzed by shotgun proteomics and multiplex cytokine assays. Equine proteins were mapped to human orthologs, and enrichment and network analyses were performed using g:Profiler, Metascape, ToppGene, and STRING/MCODE. SAE mares showed higher levels of IL-1α, IL-1β, GRO, IL12p...
Reining in strangles: Absence of disease in horses vaccinated with a DIVA-compatible recombinant fusion protein vaccine, Strangvac, following natural exposure to Streptococcus equi subspecies equi. Strangles, caused by Streptococcus equi subspecies equi (S. equi), is a prevalent infectious disease of horses. This is the first report on the use of a new vaccine, Strangvac, in a natural outbreak of strangles. Objective: To measure the effects of Strangvac vaccination during an outbreak of strangles at a Swedish farm. Methods: Longitudinal cohort study. Methods: Healthy horses (n = 17) were vaccinated on day 0, which occurred 23 days after strangles was first confirmed in three unvaccinated horses on the same farm. Blood serum samples were collected on day 0, day 28 and day 489. A com...
In Vitro Activity of Manuka Honey, Either Alone or in Combination With Topical Antibiotics, Against Bacteria Commonly Found in Equine Ulcerative Keratitis. To assess the antibacterial activity of manuka honey against bacterial isolates commonly associated with infected corneal ulcerations in horses, and to investigate possible combined effects of manuka honey and commonly prescribed topical antibiotics. Methods: Four Staphylococcus aureus, including three methicillin-resistant (MRSA), two methicillin-resistant coagulase-negative staphylococci (S. sciuri and S. haemolyticus), and two Streptococcus equi subspecies zooepidemicus isolates from horses with stromal ulcerative keratitis were selected. Minimum inhibitory concentrations (MICs) and minimu...
Neutralisation of the Immunoglobulin-Cleaving Activity of Streptococcus equi Subspecies equi IdeE by Blood Sera from Ponies Vaccinated with a Multicomponent Protein Vaccine. subspecies () is the cause of strangles, one of the most prevalent diseases of horses worldwide. The disease is characterised by fever and the formation of abscesses in the lymph nodes of the head and neck, which can restrict the airway. A multicomponent subunit vaccine, Strangvac, has been shown to effectively reduce clinical signs of strangles and to reduce its incidence. The aim of this study was to determine the immune response against the immunoglobulin-cleaving endopeptidase IdeE, a key protective component within the vaccine and the ability of antibodies to neutralize the proteolytic...
Analysis of the presence of Beta-hemolytic streptococci and cytological profiles in horse tracheal lavage samples with diverse clinical respiratory symptoms. Riding clubs face significant financial losses due to upper respiratory infections caused by Beta-hemolytic (β-hemolytic) streptococci, leading to strangles and related diseases that negatively impact the health and performance of horses. Our objective was to determine the relationship between these inflammatory cells, the presence of β-hemolytic streptococcal species, and the clinical symptoms exhibited by the horses. This study investigated the presence of β-hemolytic streptococcus in 133 tracheal lavage samples from horses exhibiting various clinical respiratory symptoms and quantified t...
Effectiveness of a screening protocol employed at a UK rescue centre to prevent introduction of strangles. Infection with Streptococcus equi subspecies equi (S. equi) is characterised by acute disease, with about 10% of infected animals remaining persistently infected. Clinically, infection with S. equi cannot readily be distinguished from infection caused by other respiratory pathogens, including Streptococcus equi subspecies zooepidemicus (S. zooepidemicus), equine influenza virus, and equine herpes virus. Screening protocols, with appropriate quarantining facilities, are important to detect horses infected with S. equi and avoid strangles outbreaks. Virulent strains of S. zooepidemicus can also ...
Streptococcus equi subsp. equi isolated from horses in Southern Brazil: molecular and phenotypic analyses. Streptococcus equi subsp. equi (S. equi) is the etiological agent of strangles, a contagious equine disease characterized by lymph node abscess and respiratory complications. To clarify the epidemiology and virulence factors of isolates, this study demonstrated phenotypic and genotypic differences between S. equi obtained from nasal secretions and lymph node aspirates of clinical strangles cases. Additionally, circulating alleles were differentiated through sequencing of the 5' end of the seM gene. A total of 23 clinical isolates collected from horses with strangles over the past decade were a...
Antimicrobial Resistance and Genetic Characterization of Streptococcus equi subsp. zooepidemicus in Equines from Central Italy: Insights from a One Health Perspective. subsp. (SEZ) is a bacterium that primarily affects horses but can also infect other animals and humans. In 2021-2022, two SEZ outbreaks occurred in Abruzzo, Italy: one in humans linked to unpasteurized cheese (37 cases) and another in donkeys (4 deaths). These events led researchers to investigate SEZ in horses, donkeys, and a mule in the regions of Abruzzo and Molise, focusing on antibiotic resistance and genetic traits. A total of 490 nasal and genital swabs were collected from equids and analyzed for SEZ presence, with 61 positive samples. Isolated strains underwent antimicrobial suscepti...
Tricuspid valve endocarditis in a horse owner, caused by Streptococcus equi subsp. zooepidemicus. subsp. (SESZ) are zoonotic group C streptococci primarily acquired from contact with horses and other animals, such as llamas. They are unusual causes of infection in humans and rarely cause infective endocarditis. Unassigned: A 58-year-old woman presented with fever, malaise, and polyarthritis. Clinical evaluation diagnosed native tricuspid valve SESZ endocarditis. The SESZ isolate was genetically closely related to a clone causing an outbreak of post-streptococcal glomerulonephritis linked to the consumption of unpasteurized cheese in Brazil. The patient had no exposure to unpasteurized ch...
High-resolution melting curve FRET-qPCR rapidly distinguishes Streptococcus equi subsp. equi and zooepidemicus. We developed a fluorescence resonance energy transfer (FRET)-based real-time PCR (qPCR) assay coupled with high-resolution melting (HRM) analysis to differentiate subsp. (SEE) from subsp. (SEZ), two closely related equine pathogens with distinct clinical implications. The assay targets a region of the 23S rRNA gene containing single-nucleotide polymorphisms that differentiate the subspecies. By combining subspecies-specific probes with melting temperature () analysis, the assay accurately distinguished SEE, SEZ, and mixed infections without the need for post-PCR processing. The entire work...
Unwelcome neighbours: Tracking the transmission of Streptococcus equi in the United Kingdom horse population. Strangles (Streptococcus equi infection) remains endemic in the UK, with ~300 laboratory diagnoses annually. Sub-clinically infected long-term carriers are considered a key driver of endemicity. Analysing genomes of circulating strains could provide valuable transmission insights of this pathogen. Objective: To determine the population structure and diversity of UK S. equi isolates and to model transmission using epidemiological and whole genome sequencing data. Methods: Retrospective cross-sectional epidemiological and genomic surveillance. Methods: A dated phylogenetic tree derived from 511...
Streptococcus equi subsp. zooepidemicus Supernatant Containing Streptolysin S Alters the Equine Nasal and Vaginal Mucosa, Modulating Equine Herpesvirus 1, 3 and 4 Infections. The equine respiratory and reproductive tract microbiomes are complex and subject to constant fluctuations. Among the microbial inhabitants, subsp. (SEZ) is recognized as the dominant bacterium. It is an opportunistic pathogen that may occasionally lead to various types of infections. A key virulence factor of SEZ is the streptolysin S (SLS) toxin, which is responsible for the characteristic β-hemolysis on blood agar and tissue damage. Viruses and bacteria may interact and aggravate lesions and disease. This study aimed to evaluate the impact of an SLS-containing supernatant from SEZ on the...
Comparative genomic and virulence analyses of a novel sequence type 420 Streptococcus equi subspecies zooepidemicus isolated from donkey. The zoonotic pathogen subspecies (SEZ) frequently colonizes equines harmlessly but can occasionally cause disease or cross species barriers. Currently, growing evidence suggests SEZ can lead to severe clinical manifestations in horses and other animals, posing a threat to human and companion animal health. In this study, we sequenced the complete genome of the SEZ strain HT321, a novel sequence type 420 isolated from a donkey with a respiratory infection in China. Subsequently, we conducted comparative genomics, core genome single nucleotide polymorphisms (cgSNP), phylogenetic analysis multi...
Antimicrobial resistance in bacteria isolated from diseased horses in Poland, 2010-2022. The rise of antibiotic resistance is a global health crisis affecting human and veterinary medicine, highlighted within the One Health framework. Horses, classified as both meat and companion animals, play a crucial role in facilitating resistant bacteria spread to humans. Despite increased awareness and reduced antibiotic use in livestock, data on equine antibiotic use and resistance remain limited. This retrospective study examines antimicrobial resistance in 978 bacterial isolates from horses in Poland over 12 years (2010-2022), utilizing data from the Microbiological Diagnostic Laboratory ...
