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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.
Beta-hemolytic Streptococcus dysgalactiae strains isolated from horses are a genetically distinct population within the Streptococcus dysgalactiae taxon.
Scientific reports    August 17, 2016   Volume 6 31736 doi: 10.1038/srep31736
Pinho MD, Erol E, Ribeiro-Gonçalves B, Mendes CI, Carriço JA, Matos SC, Preziuso S, Luebke-Becker A, Wieler LH, Melo-Cristino J, Ramirez M.The pathogenic role of beta-hemolytic Streptococcus dysgalactiae in the equine host is increasingly recognized. A collection of 108 Lancefield group C (n = 96) or L (n = 12) horse isolates recovered in the United States and in three European countries presented multilocus sequence typing (MLST) alleles, sequence types and emm types (only 56% of the isolates could be emm typed) that were, with few exceptions, distinct from those previously found in human Streptococcus dysgalactiae subsp. equisimilis. Characterization of a subset of horse isolates by multilocus sequence analysis (MLSA) a...
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...
Notes from the Field: Fatal Infection Associated with Equine Exposure – King County, Washington, 2016.
MMWR. Morbidity and mortality weekly report    August 5, 2016   Volume 65, Issue 30 788 doi: 10.15585/mmwr.mm6530a5
Kawakami V, Rietberg K, Lipton B, Eckmann K, Watkins M, Oltean H, Kay M, Rothschild C, Kobayashi M, Van Beneden C, Duchin J.On March 17, 2016, Public Health-Seattle & King County in Washington was notified of two persons who received a diagnosis of Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) infections. S. zooepidemicus is a zoonotic pathogen that rarely causes human illness and is usually associated with consuming unpasteurized dairy products or with direct horse contact (1). In horses, S. zooepidemicus is a commensal bacterium that can cause respiratory, wound, and uterine infections (2). The health department investigated to determine the magnitude of the outbreak, identify risk factors, and o...
Preliminary study of tissue concentrations of penicillin after local administration into the guttural pouches in four healthy horses.
Australian veterinary journal    July 28, 2016   Volume 94, Issue 8 271-273 doi: 10.1111/avj.12462
Kendall A, Mayhew IG, Petrovski K.Treatment of subclinical carriers of Streptococcus equi subsp. equi with a gelatine-penicillin formulation deposited in the guttural pouch has been empirically proposed, but data on local tissue penicillin concentrations after treatment are lacking. Methods: We analysed tissue levels of penicillin after administration into the guttural pouches of four healthy horses. Two horses received local treatment with gelatine-penicillin and two horses received local treatment with an intramammary formulation of penicillin. Tissues were harvested for analysis either 12 or 24 h later. Conclusions: Resul...
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...
Streptococcus equi Detection Polymerase Chain Reaction Assay for Equine Nasopharyngeal and Guttural Pouch Wash Samples.
Journal of veterinary internal medicine    December 17, 2015   Volume 30, Issue 1 276-281 doi: 10.1111/jvim.13808
Boyle AG, Rankin SC, D○ L, Boston RC, Wheeler-Aceto H.Bacterial culture and polymerase chain reaction (PCR) assays for the detection of Streptococcus equi in nasopharyngeal washes (NPW) and guttural pouch lavage (GPL) samples have low sensitivity. In human diagnostics, processing of samples with flocked swabs has improved recovery rates of bacterial agents because of improved surface area and elution factors. Objective: For S. equi subsp. equi (S. equi) detection in NPW and GPL samples we hypothesized that: direct-PCR would be more reliable than flocked swab culture (FS culture); flocked swab PCR (FS-PCR) would be equivalent to direct-PCR; and FS...
Antimicrobial susceptibility of bacteria isolated from neonatal foal samples submitted to a New Zealand veterinary pathology laboratory (2004 to 2013).
New Zealand veterinary journal    November 23, 2015   Volume 64, Issue 2 107-111 doi: 10.1080/00480169.2015.1109006
Toombs-Ruane LJ, Riley CB, Kendall AT, Hill KE, Benschop J, Rosanowski SM.To describe antimicrobial susceptibility, and identify antimicrobial resistance (AMR), in bacteria isolated from New Zealand foals. Methods: A database search was performed of submissions to a veterinary pathology laboratory between April 2004 and December 2013 for bacterial culture of samples from foals <3 weeks of age. Culture and susceptibility results were compiled with demographic information. Susceptibility results were as defined for the Kirby-Bauer disk diffusion susceptibility test based on Clinical Laboratory Standards Institute guidelines. Multi-drug resistance (MDR) was defined as ...
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...
Effect of starch source (corn, oats or wheat) and concentration on fermentation by equine faecal microbiota in vitro.
Journal of applied microbiology    September 28, 2015   Volume 119, Issue 5 1234-1244 doi: 10.1111/jam.12927
Harlow BE, Donley TM, Lawrence LM, Flythe MD.The goal was to determine the effect of starch source (corn, oats and wheat) and concentration on: (i) total amylolytic bacteria, Group D Gram-positive cocci (GPC), lactobacilli and lactate-utilizing bacteria, and (ii) fermentation by equine microbiota. Results: When faecal washed cell suspensions were incubated with any substrate amylolytics increased over time. However, at 24 h there were 10 and 1000-fold more amylolytics with corn than wheat or oats respectively. Predominant amylolytics isolated were Enterococcus faecalis (corn, wheat) and Streptococcus bovis (oats). GPC increased with any ...
Comparison of specificities of serum antibody responses of horses to clinical infections caused by Streptococcus equi or zooepidemicus.
Veterinary microbiology    September 12, 2015   Volume 180, Issue 3-4 253-259 doi: 10.1016/j.vetmic.2015.09.004
Velineni S, DeNegri R, Artiushin SC, Timoney JF.Streptococcus zooepidemicus (Sz) and its clonal derivative Streptococcus equi (Se) share greater than 96% DNA identity and elicit immune responses to many shared proteins. Identification of proteins uniquely targeted by the immune response to each infection would have diagnostic value. Objective: The aim of the study was to compare serum antibody responses of horses infected by Se or Sz. Methods: Antibody levels were measured to panels of recombinant proteins of Sz and Se in sera of horses and ponies before and after experimental and naturally occurring invasive infections by these organisms. ...
Antimicrobial Susceptibilities of Aerobic Isolates from Respiratory Samples of Young New Zealand Horses.
Journal of veterinary internal medicine    August 20, 2015   Volume 29, Issue 6 1700-1706 doi: 10.1111/jvim.13600
Toombs-Ruane LJ, Riley CB, Kendall AT, Bolwell CF, Benschop J, Rosanowski SM.Decreased efficacy of antimicrobials and increased prevalence of multidrug resistance (MDR) is of concern worldwide. Objective: To describe and analyze bacterial culture and antimicrobial susceptibilities from respiratory samples submitted from young horses (4 weeks to 3 years old). Methods: Samples from 289 horses were submitted to a commercial laboratory. Methods: A retrospective database search of submissions made to a New Zealand veterinary laboratory between April 2004 and July 2014. The results of in vitro susceptibility testing by Kirby-Bauer disc diffusion were described and tabulat...
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...
Risk factors associated with uterine fluid after breeding caused by Streptococcus zooepidemicus.
Theriogenology    July 11, 2015   Volume 84, Issue 8 1283-1290 doi: 10.1016/j.theriogenology.2015.07.007
Christoffersen M, Söderlind M, Rí»ºlk SR, Pedersen HG, Allen J, Krekeler N.Infectious endometritis is a major cause of infertility in the mare and inflicts major losses on the equine breeding industry. The ability of the mare to eliminate uterine infections has been studied intensively for decades; however, despite identification of several factors contributing to the multifactorial pathogenesis and improved treatment, infectious endometritis remains a significant problem in a subpopulation of broodmares. Streptococcus equi subsp. zooepidemicus (S. zooepidemicus) is one of the most commonly isolated pathogens from the uterus of mares, suffering from infectious endom...
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...
Prevalence of Streptococcus dysgalactiae subsp. equisimilis and S. equi subsp. zooepidemicus in a sample of healthy dogs, cats and horses.
New Zealand veterinary journal    June 18, 2015   Volume 63, Issue 5 265-271 doi: 10.1080/00480169.2015.1016133
Acke E, Midwinter AC, Lawrence K, Gordon SJ, Moore S, Rasiah I, Steward K, French N, Waller A.To estimate the prevalence of β-haemolytic Lancefield group C streptococci in healthy dogs, cats and horses; to determine if frequent contact with horses was associated with isolation of these species from dogs and cats; and to characterise recovered S. equi subsp. zooepidemicus isolates by multilocus sequence typing. Methods: Oropharyngeal swabs were collected from 197 dogs and 72 cats, and nasopharyngeal swabs from 93 horses. Sampling was carried out at the Massey University Veterinary Teaching Hospital, on sheep and beef farms or on premises where horses were present. All animals were heal...
Activation of persistent Streptococcus equi subspecies zooepidemicus in mares with subclinical endometritis.
Veterinary microbiology    June 11, 2015   Volume 179, Issue 1-2 119-125 doi: 10.1016/j.vetmic.2015.06.006
Petersen MR, Skive B, Christoffersen M, Lu K, Nielsen JM, Troedsson MH, Bojesen AM.Endometritis in horses caused by Streptococcus equi subspecies zooepidemicus (S. zooepidemicus) may be underdiagnosed due to traditional diagnostic methods lacking sensitivity and specificity. We serendipitously identified a bacterial growth medium (bActivate) that appeared capable of inducing growth of dormant S. zooepidemicus, which subsequently allowed detection by standard diagnostics. To assess the effect of bActivate we compared its ability to activate dormant S. zooepidemicus in a group of potentially infected subfertile mares with phosphate-buffered saline (PBS). All mares had to test ...
A randomized controlled field trial of a novel trimethoprim-sulfadiazine oral suspension for treatment of Streptococcus equi subsp zooepidemicus infection of the lower respiratory tract in horses.
Journal of the American Veterinary Medical Association    June 5, 2015   Volume 246, Issue 12 1345-1353 doi: 10.2460/javma.246.12.1345
McClure SR, Koenig R, Hawkins PA.To evaluate the effectiveness of a novel trimethoprim-sulfadiazine oral suspension for the treatment of naturally acquired Streptococcus equi subsp zooepidemicus infection in horses. Methods: Randomized, controlled field trial. Methods: 180 horses with S equi subsp zooepidemicus infection. Methods: Horses with lower respiratory tract infections caused by S equi subsp zooepidemicus were treated with a new formulation of combined trimethoprim-sulfadiazine oral suspension at a dosage of 24 mg/kg (10.9 mg/lb) twice daily for 10 days (treatment group) or with an equivalent volume of saline (0.9% Na...
Rapid and accurate identification of Streptococcus equi subspecies by MALDI-TOF MS.
Systematic and applied microbiology    April 23, 2015   Volume 38, Issue 5 315-322 doi: 10.1016/j.syapm.2015.02.010
Kudirkiene E, Welker M, Knudsen NR, Bojesen AM.Streptococcus equi includes very important animal and human pathogens. S. equi subsp. equi (SEE) is a highly pathogenic equine specific subspecies, while S. equi subsp. zooepidemicus (SEZ) and S. equi subsp. ruminatorum are opportunistic pathogens of various animal species and humans. Due to great phenotypic and sequence similarity between three subspecies their discrimination remains difficult. In this study, we aimed to design and validate a novel, Superspectra based, MALDI-TOF MS approach for reliable, rapid and cost-effective identification of SEE and SEZ, the most frequent S. equi subspec...
Characterization and comparison of the bacterial microbiota in different gastrointestinal tract compartments in horses.
Veterinary journal (London, England : 1997)    March 23, 2015   Volume 205, Issue 1 74-80 doi: 10.1016/j.tvjl.2015.03.018
Costa MC, Silva G, Ramos RV, Staempfli HR, Arroyo LG, Kim P, Weese JS.The advance of new sequencing technologies has allowed more comprehensive characterization of complex microbial communities, including the ones inhabiting the intestinal tract. The presence of extreme environmental filters, such as low pH, digestive enzymes and anaerobic conditions along the tract, acts on the selection of unique bacteria in each compartment. The intestinal microbiota has an enormous impact on the maintenance of health. However, data about the bacteria present in the different intestinal compartments of horses are sparse. In this study, high throughput sequencing was used to c...
Efficacy and safety of lomefloxacin on bacterial extraocular disease in the horse.
The Journal of veterinary medical science    March 15, 2015   Volume 77, Issue 7 829-835 doi: 10.1292/jvms.14-0507
Hidaka S, Kobayashi M, Ando K, Fujii Y.Lomefloxacin is a broad-spectrum fluoroquinolone antibiotic used for the treatment of bacterial extraocular disease. This study investigated the efficacy and safety of lomefloxacin eye drops for bacterial extraocular disease in horses. Lomefloxacin ophthalmic solution (0.3%) was instilled three times daily for 2-5 days in 65 horses diagnosed with bacterial extraocular disease based on clinical findings. Clinical observations and bacteriological examinations were performed at the start of treatment, 2 and 5 days after the start of treatment, and at the discontinuation or termination of treatmen...
Solution structure and functional studies of the highly potent equine antimicrobial peptide DEFA1.
Biochemical and biophysical research communications    March 11, 2015   Volume 459, Issue 4 668-672 doi: 10.1016/j.bbrc.2015.02.168
Michalek M, Jung S, Shomali MR, Cauchard S, Sönnichsen FD, Grötzinger J.Defensins are small effector molecules of the innate immune system that are present in almost all organisms including plants and animals. These peptides possess antimicrobial activity against a broad range of microbes including bacteria, fungi and viruses and act as endogenous antibiotics. α-Defensins are a subfamily of the defensin family and their expression is limited to specific tissues. Equine DEFA1 is an enteric α-defensin exclusively secreted by Paneth cells and shows an activity against a broad spectrum of microbes, including typical pathogens of the horse such as Rhodococcus equi, v...
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...
Group C Streptococcus dysgalactiae subsp. equisimilis in south-east Brazil: genetic diversity, resistance profile and the first report of human and equine isolates belonging to the same multilocus sequence typing lineage.
Journal of medical microbiology    March 9, 2015   Volume 64, Issue Pt 5 551-558 doi: 10.1099/jmm.0.000052
Silva LG, Genteluci GL, Corrêa de Mattos M, Glatthardt T, Sá Figueiredo AM, Ferreira-Carvalho BT.Streptococcus dysgalactiae subsp. equisimilis (SDSE) isolates are the most common group C streptococci in humans and reports of invasive infections associated with SDSE have been increasing. Molecular epidemiology studies are an important strategy to trace the emergence and spread of possible well-fit bacterial pathogens of humans and animals. In this work, we analysed the antimicrobial and clonal profiles of 115 SDSE infection and colonization isolates of human and equine origin. PFGE revealed the spread of two main clusters: clone A (57.4%) and clone A (26.1%). Remarkably, two isolates from ...
PinR mediates the generation of reversible population diversity in Streptococcus zooepidemicus.
Microbiology (Reading, England)    February 20, 2015   Volume 161, Issue Pt 5 1105-1112 doi: 10.1099/mic.0.000057
Steward KF, Harrison T, Robinson C, Slater J, Maskell DJ, Harris SR, Holden MTG, Waller AS.Opportunistic pathogens must adapt to and survive in a wide range of complex ecosystems. Streptococcus zooepidemicus is an opportunistic pathogen of horses and many other animals, including humans. The assembly of different surface architecture phenotypes from one genotype is likely to be crucial to the successful exploitation of such an opportunistic lifestyle. Construction of a series of mutants revealed that a serine recombinase, PinR, inverts 114 bp of the promoter of SZO_08560, which is bordered by GTAGACTTTA and TAAAGTCTAC inverted repeats. Inversion acts as a switch, controlling the tra...
Trends in antimicrobial resistance in equine bacterial isolates: 1999-2012.
The Veterinary record    January 27, 2015   Volume 176, Issue 13 334 doi: 10.1136/vr.102708
Johns IC, Adams EL.This study aimed to identify changing antimicrobial resistance patterns in isolates commonly obtained from equine clinical submissions. Laboratory records from 1999 to 2012 were searched for equine samples from which Escherichia coli or Streptococcus species was isolated. Susceptibility to enrofloxacin, ceftiofur, gentamicin, penicillin G, trimethoprim sulfamethoxazole (TMPS) and tetracyclines was noted. Isolates were divided into those identified between 1999 and 2004 (Early) and between 2007 and 2012 (Late). The proportion of isolates resistant to each antimicrobial and multiple drug-resista...
Update on bacterial pneumonia and pleuropneumonia in the adult horse.
The Veterinary clinics of North America. Equine practice    January 16, 2015   Volume 31, Issue 1 105-120 doi: 10.1016/j.cveq.2014.11.002
Reuss SM, Giguère S.Bacterial infections of the lower respiratory tract in adult horses occur when bacteria from the nasopharynx reach the lower airways and overwhelm normal defense mechanisms. Although Streptococcus equi subsp zooepidemicus is the most commonly isolated bacterial species, mixed infections are possible. Tracheobronchial aspiration for microbiologic culture and sensitivity is suggested in cases presenting with severe clinical signs or not responding to treatment. Early intervention and appropriate antimicrobial selection results in a good prognosis for both survival and return to athletic function...
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,...
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