Analyze Diet
Journal of clinical microbiology2009; 47(3); 734-737; doi: 10.1128/JCM.01395-08

Detection of virulent Rhodococcus equi in exhaled air samples from naturally infected foals.

Abstract: Virulent Rhodococcus equi causes pyogranulomatous bronchopneumonia in foals. The route of infection of foals has been considered to be inhalation of aerosolized bacteria from soil that is contaminated with equine feces. Thus, disease caused by R. equi has been regarded as an opportunistic infection of environmental origin and not a contagious disease. In this study, we report the exhalation of virulent R. equi from the respiratory tract of naturally infected foals. A handheld air-monitoring system was used to recover virulent R. equi from the exhaled breath of foals, and the concentration of virulent R. equi organisms in exhaled air was compared to the concentration in environmental air samples taken from the holding pens and lane areas on farms. R. equi strains carrying the vapA gene of the virulence plasmid were detected by using colony blotting and DNA hybridization techniques in cultures of exhaled air from 67% (37/55) of foals tested. The concentration of virulent R. equi organisms in exhaled air from foals was significantly higher than that in environmental air (P<0.001). There were no significant differences in the median concentrations of virulent R. equi bacteria exhaled by clinically healthy or diseased foals. The high concentrations of virulent R. equi bacteria in exhaled air suggested that aerosol transmission between foals is possible and may have a significant impact on the prevalence of R. equi pneumonia on farms. The air sampling technique described is potentially useful as a noninvasive method for the detection and quantification of virulent R. equi in the respiratory tract of foals.
Publication Date: 2009-01-14 PubMed ID: 19144811PubMed Central: PMC2650914DOI: 10.1128/JCM.01395-08Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article suggests that foals (young horses) infected with the virulent Rhodococcus equi, a bacteria that causes a specific type of pneumonia, may release the bacteria into the air when they exhale. The researchers found concentrations of these bacteria to be higher in exhaled air compared to environmental air, implying that it’s possible for the bacteria to spread via aerosols from one foal to another.

Introduction to Rhodococcus equi

  • Virulent Rhodococcus equi is a type of bacteria known to cause pyogranulomatous bronchopneumonia in foals, which is a serious pulmonary disease.
  • Traditionally, it has been thought that foals contract the bacteria by inhaling it from soil contaminated with equine feces, as R. equi is generally considered an infection of environmental origin and not a contagious disease.

Study Objectives and Methods

  • The researchers in this study aim to examine if virulent R. equi might also be spreading via a different route – through the air exhaled by infected foals.
  • They used a handheld air-monitoring system to collect air samples exhaled by the foals and measure the concentration of R. equi bacteria. This method also helped isolate strains of R. equi carrying the vapA gene, a key marker of the bacterium’s virulence or ability to cause disease.
  • The study conducted tests on air samples from 55 foals and compared the bacterial concentration in the foals’ exhaled air with that in the environmental air samples taken from their holding areas.

Study Findings

  • They found that R. equi was detected in cultures of exhaled air from 67% of the foals tested. This means that a significant majority of foals were exhaling the bacteria.
  • Interestingly, the concentration of R. equi bacteria found in the exhaled air was significantly higher than the concentration in environmental air samples.
  • No significant difference was observed in the concentrations of exhaled bacteria between healthy foals and ones already exhibiting symptoms of the disease caused by R. equi.

Implications and Conclusions

  • The high concentrations of the bacteria in exhaled air suggest that aerosol transmission (spreading by air droplets) of the bacteria between foals could be a significant method of disease spread, affecting the overall disease prevalence on farms.
  • The researchers propose the air sampling technique as a useful noninvasive method to detect and quantify R. equi in the respiratory tracts of foals, helping to monitor and prevent the potential spread of the disease.

Cite This Article

APA
Muscatello G, Gilkerson JR, Browning GF. (2009). Detection of virulent Rhodococcus equi in exhaled air samples from naturally infected foals. J Clin Microbiol, 47(3), 734-737. https://doi.org/10.1128/JCM.01395-08

Publication

ISSN: 1098-660X
NlmUniqueID: 7505564
Country: United States
Language: English
Volume: 47
Issue: 3
Pages: 734-737

Researcher Affiliations

Muscatello, G
  • Equine Infectious Disease Laboratory, School of Veterinary Science, The University of Melbourne, Parkville, Victoria 3010, Australia.
Gilkerson, J R
    Browning, G F

      MeSH Terms

      • Actinomycetales Infections / microbiology
      • Actinomycetales Infections / veterinary
      • Air Microbiology
      • Animals
      • Bacterial Proteins / genetics
      • Breath Tests / methods
      • DNA, Bacterial / genetics
      • Disease Transmission, Infectious
      • Exhalation
      • Horse Diseases / microbiology
      • Horses
      • Nucleic Acid Hybridization
      • Plasmids
      • Rhodococcus equi / isolation & purification
      • Virulence Factors / genetics

      References

      This article includes 29 references
      1. Ardens AA, Hietala SK, Spensley MS, Sansome A. Studies of naturally occurring and experimental Rhodococcus equi (Corynebacterium equi) pneumonia in foals. Proc. Am. Assoc. Equine Pract. 1986 32129-144.
      2. Barton MD, Embury DH. Studies of the pathogenesis of Rhodococcus equi infection in foals.. Aust Vet J 1987 Nov;64(11):332-9.
      3. Barton MD, Hughes KL. Ecology of Rhodococcus equi.. Vet Microbiol 1984 Feb;9(1):65-76.
        pubmed: 6719819doi: 10.1016/0378-1135(84)90079-8google scholar: lookup
      4. Chaffin MK, Cohen ND, Martens RJ, Edwards RF, Nevill M. Foal-related risk factors associated with development of Rhodococcus equi pneumonia on farms with endemic infection.. J Am Vet Med Assoc 2003 Dec 15;223(12):1791-9.
        pubmed: 14690209doi: 10.2460/javma.2003.223.1791google scholar: lookup
      5. Giguère S, Prescott JF. Clinical manifestations, diagnosis, treatment, and prevention of Rhodococcus equi infections in foals.. Vet Microbiol 1997 Jun 16;56(3-4):313-34.
        pubmed: 9226845doi: 10.1016/s0378-1135(97)00099-0google scholar: lookup
      6. Giguère S, Hondalus MK, Yager JA, Darrah P, Mosser DM, Prescott JF. Role of the 85-kilobase plasmid and plasmid-encoded virulence-associated protein A in intracellular survival and virulence of Rhodococcus equi.. Infect Immun 1999 Jul;67(7):3548-57.
      7. Hashikura S, Higuchi T, Taharaguchi S, Orita Y, Nanao Y, Takai S. Evaluation of nasotracheal aspiration as a diagnostic tool for Rhodococcus equi pneumonia in foals.. Equine Vet J 2000 Nov;32(6):560-4.
        pubmed: 11093633doi: 10.2746/042516400777584587google scholar: lookup
      8. Hillidge CJ. Use of erythromycin-rifampin combination in treatment of Rhodococcus equi pneumonia.. Vet Microbiol 1987 Aug;14(3):337-42.
        pubmed: 3314109doi: 10.1016/0378-1135(87)90121-0google scholar: lookup
      9. Hondalus MK. Pathogenesis and virulence of Rhodococcus equi.. Vet Microbiol 1997 Jun 16;56(3-4):257-68.
        pubmed: 9226840doi: 10.1016/s0378-1135(97)00094-1google scholar: lookup
      10. Horowitz ML, Cohen ND, Takai S, Becu T, Chaffin MK, Chu KK, Magdesian KG, Martens RJ. Application of Sartwell's model (lognormal distribution of incubation periods) to age at onset and age at death of foals with Rhodococcus equi pneumonia as evidence of perinatal infection.. J Vet Intern Med 2001 May-Jun;15(3):171-5.
      11. Hughes KL, Sulaiman I. The ecology of Rhodococcus equi and physicochemical influences on growth.. Vet Microbiol 1987 Aug;14(3):241-50.
        pubmed: 3672866doi: 10.1016/0378-1135(87)90111-8google scholar: lookup
      12. Jacks S, Giguère S, Crawford PC, Castleman WL. Experimental infection of neonatal foals with Rhodococcus equi triggers adult-like gamma interferon induction.. Clin Vaccine Immunol 2007 Jun;14(6):669-77.
        pmc: PMC1951072pubmed: 17409222doi: 10.1128/cvi.00042-07google scholar: lookup
      13. Jain S, Bloom BR, Hondalus MK. Deletion of vapA encoding Virulence Associated Protein A attenuates the intracellular actinomycete Rhodococcus equi.. Mol Microbiol 2003 Oct;50(1):115-28.
      14. Martens RJ, Fiske RA, Renshaw HW. Experimental subacute foal pneumonia induced by aerosol administration of Corynebacterium equi.. Equine Vet J 1982 Apr;14(2):111-6.
      15. Muscatello G, Anderson GA, Gilkerson JR, Browning GF. Associations between the ecology of virulent Rhodococcus equi and the epidemiology of R. equi pneumonia on Australian thoroughbred farms.. Appl Environ Microbiol 2006 Sep;72(9):6152-60.
        pmc: PMC1563629pubmed: 16957241doi: 10.1128/aem.00495-06google scholar: lookup
      16. Muscatello G, Browning GF. Identification and differentiation of avirulent and virulent Rhodococcus equi using selective media and colony blotting DNA hybridization to determine their concentrations in the environment.. Vet Microbiol 2004 May 20;100(1-2):121-7.
        pubmed: 15135520doi: 10.1016/j.vetmic.2004.01.016google scholar: lookup
      17. Muscatello G, Gilkerson JR, Browning GF. Comparison of two selective media for the recovery, isolation, enumeration and differentiation of Rhodococcus equi.. Vet Microbiol 2007 Jan 31;119(2-4):324-9.
        pubmed: 17084043doi: 10.1016/j.vetmic.2006.08.022google scholar: lookup
      18. Muscatello G, Gerbaud S, Kennedy C, Gilkerson JR, Buckley T, Klay M, Leadon DP, Browning GF. Comparison of concentrations of Rhodococcus equi and virulent R. equi in air of stables and paddocks on horse breeding farms in a temperate climate.. Equine Vet J 2006 May;38(3):263-5.
        pubmed: 16706283doi: 10.2746/042516406776866480google scholar: lookup
      19. Prescott JF. Rhodococcus equi: an animal and human pathogen.. Clin Microbiol Rev 1991 Jan;4(1):20-34.
        pmc: PMC358176pubmed: 2004346doi: 10.1128/cmr.4.1.20google scholar: lookup
      20. Ramirez S, Lester GD, Roberts GR. Diagnostic contribution of thoracic ultrasonography in 17 foals with Rhodococcus equi pneumonia.. Vet Radiol Ultrasound 2004 Mar-Apr;45(2):172-6.
      21. Reef VB. Thoracic ultrasonography. 1998 p. 187-214 In Equine diagnostic ultrasound. WB Saunders Company, Philadelphia, PA.
      22. Takai S. Epidemiology of Rhodococcus equi infections: a review.. Vet Microbiol 1997 Jun 16;56(3-4):167-76.
        pubmed: 9226831doi: 10.1016/s0378-1135(97)00085-0google scholar: lookup
      23. Takai S, Takahagi J, Sato Y, Yamaguchi K, Kakizaki S, Takehara F, Matsukura S, Tamada Y, Tani A, Sasaki Y, Tsubaki S, Kamada M. Molecular epidemiology of virulent Rhodococcus equi in horses and their environment. 1994 p. 183-187 In H. Nakajima and W. Plowright (ed.), Proceedings of the 7th International Conference on Equine Infectious Diseases, R&W Publications, Newmarket, United Kingdom.
      24. Takai S, Shoda M, Sasaki Y, Tsubaki S, Fortier G, Pronost S, Rahal K, Becu T, Begg A, Browning G, Nicholson VM, Prescott JF. Restriction fragment length polymorphisms of virulence plasmids in Rhodococcus equi.. J Clin Microbiol 1999 Oct;37(10):3417-20.
      25. Takai S, Hines SA, Sekizaki T, Nicholson VM, Alperin DA, Osaki M, Takamatsu D, Nakamura M, Suzuki K, Ogino N, Kakuda T, Dan H, Prescott JF. DNA sequence and comparison of virulence plasmids from Rhodococcus equi ATCC 33701 and 103.. Infect Immun 2000 Dec;68(12):6840-7.
      26. Takai S, Iimori S, Tsubaki S. Quantitative fecal culture for early diagnosis of Corynebacterium (Rhodococcus) equi enteritis in foals.. Can J Vet Res 1986 Oct;50(4):479-84.
        pmc: PMC1255252pubmed: 3791074
      27. Takai S, Ohbushi S, Koike K, Tsubaki S, Oishi H, Kamada M. Prevalence of virulent Rhodococcus equi in isolates from soil and feces of horses from horse-breeding farms with and without endemic infections.. J Clin Microbiol 1991 Dec;29(12):2887-9.
      28. Wada R, Kamada M, Anzai T, Nakanishi A, Kanemaru T, Takai S, Tsubaki S. Pathogenicity and virulence of Rhodococcus equi in foals following intratracheal challenge.. Vet Microbiol 1997 Jun 16;56(3-4):301-12.
        pubmed: 9226844doi: 10.1016/s0378-1135(97)00098-9google scholar: lookup
      29. Zink MC, Yager JA, Smart NL. Corynebacterium equi Infections in Horses, 1958-1984: A Review of 131 Cases.. Can Vet J 1986 May;27(5):213-7.
        pmc: PMC1680250pubmed: 17422658

      Citations

      This article has been cited 6 times.
      1. Nielsen SS, Bicout DJ, Calistri P, Canali E, Drewe JA, Garin-Bastuji B, Gonzales Rojas JL, Gortázar C, Herskin M, Michel V, Miranda Chueca MÁ, Padalino B, Pasquali P, Roberts HC, Spoolder H, Ståhl K, Velarde A, Viltrop A, Winckler C, Baldinelli F, Broglia A, Kohnle L, Alvarez J. Assessment of listing and categorisation of animal diseases within the framework of the Animal Health Law (Regulation (EU) No 2016/429): antimicrobial-resistant Rhodococcus equi in horses.. EFSA J 2022 Feb;20(2):e07081.
        doi: 10.2903/j.efsa.2022.7081pubmed: 35136423google scholar: lookup
      2. Rampacci E, Marenzoni ML, Giovagnoli S, Passamonti F, Coletti M, Pietrella D. Phenotypic Characterization of Rhodococcus equi Biofilm Grown In Vitro and Inhibiting and Dissolving Activity of Azithromycin/Rifampicin Treatment.. Pathogens 2019 Dec 4;8(4).
        doi: 10.3390/pathogens8040284pubmed: 31817114google scholar: lookup
      3. May AK, Brady JS, Romano-Keeler J, Drake WP, Norris PR, Jenkins JM, Isaacs RJ, Boczko EM. A pilot study of the noninvasive assessment of the lung microbiota as a potential tool for the early diagnosis of ventilator-associated pneumonia.. Chest 2015 Jun;147(6):1494-1502.
        doi: 10.1378/chest.14-1687pubmed: 25474571google scholar: lookup
      4. Whittingham JL, Blagova EV, Finn CE, Luo H, Miranda-CasoLuengo R, Turkenburg JP, Leech AP, Walton PH, Murzin AG, Meijer WG, Wilkinson AJ. Structure of the virulence-associated protein VapD from the intracellular pathogen Rhodococcus equi.. Acta Crystallogr D Biol Crystallogr 2014 Aug;70(Pt 8):2139-51.
        doi: 10.1107/S1399004714012632pubmed: 25084333google scholar: lookup
      5. Xu Z, Shen F, Li X, Wu Y, Chen Q, Jie X, Yao M. Molecular and microscopic analysis of bacteria and viruses in exhaled breath collected using a simple impaction and condensing method.. PLoS One 2012;7(7):e41137.
        doi: 10.1371/journal.pone.0041137pubmed: 22848436google scholar: lookup
      6. Isaacs RJ, Debelak K, Norris PR, Jenkins JM, Rooks JC, Young TR, May AK, Boczko EM. Non-invasive detection of pulmonary pathogens in ventilator-circuit filters by PCR.. Am J Transl Res 2012;4(1):72-82.
        pubmed: 22347523