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Equine veterinary journal2019; 51(3); 287-292; doi: 10.1111/evj.13069

Leptospirosis: An important infectious disease in North American horses.

Abstract: North American horses are commonly exposed to Leptospira organisms. Leptospira Bratislava is the most common infecting serovar but this serovar has not been confirmed to cause clinical disease in North American horses. Leptospira Pomona type kennewicki is responsible for most of the clinical diseases (leptospirosis) in North American horses. Leptospirosis is most commonly associated with diseases of the placenta and fetus, the kidneys and the eyes in horses. In-utero infections in pregnant mares may result in abortion, neonatal illness or birth of an antibody positive healthy foal. Acute renal failure in younger horses and recurrent uveitis in adult horses are other well documented clinical syndromes of leptospirosis. Abortions, neonatal disease and acute renal failure are caused by a subacute infection, while horses with Leptospira associated recurrent uveitis develop ocular disease months or years after the initial Leptospira infection. Diagnosis of Leptospirosis is made by a combination of antigen or antibody testing methods. Mares that abort following Leptospira infection have no additional clinical signs at the time of abortion but may shed the offending Leptospira spp. in the urine for several weeks. Antibiotic treatments are sometimes used in hopes of decreasing Leptospira shedding in infected horses or prophylactically in exposed pregnant mares but documentation of efficacy is lacking. Horses with Leptospira - associated acute renal failure can be successfully treated with antibiotics and supportive care. Recurrent uveitis is commonly associated with leptospirosis in North American horses and although horses may have chronic intraocular infection triggering an immune disease, systemic antimicrobial therapy has not been effective in eliminating the organism from the eye. An equine approved Leptospira Pomona type kennewicki vaccine is now available in North America.
Publication Date: 2019-01-28 PubMed ID: 30629756DOI: 10.1111/evj.13069Google Scholar: Lookup
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Summary

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The research article explores leptospirosis, a common infectious disease in North American horses caused by Leptospira organisms. The main consequences of this disease are related to the placenta and fetus, kidneys, and eyes in horses.

Leptospira Serovars Involved

  • The paper elaborates that Leptospira Bratislava is the most frequent serovar found in horses, but it has not been confirmed to trigger clinical disease in North American horses.
  • Leptospira Pomona type kennewicki is identified as the primary cause of clinical diseases, such as leptospirosis, in North American horses.

Common Symptoms and Diseases

  • The diseases linked to leptospirosis most often affect the placenta and the fetus, the kidneys, and the eyes in horses.
  • In-utero infections can lead to abortion, illness in newborn horses, or the birth of a healthy, antibody-positive foal.
  • Acute renal failure in younger horses and recurrent uveitis in adult horses are two highly documented clinical symptoms of leptospirosis.
  • Abortions, newborn disease, and acute renal failure are often the result of a subacute Leptospira infection, while recurrent uveitis can occur months or years following the initial infection.

Diagnosis and Treatment

  • Leptospirosis is diagnosed through a combination of antigen or antibody testing methods.
  • Mares that have abortions after a Leptospira infection may not exhibit additional clinical signs at the time of abortion but may excrete the Leptospira bacteria in their urine for several weeks.
  • In some cases, antibiotics are administered to reduce Leptospira shedding in infected horses or as a preventive measure in exposed pregnant mares, although the effectiveness of this measure is not well documented.
  • Successful treatment of horses with Leptospira-associated acute renal failure involves the use of antibiotics and supportive care.
  • Despite systemic antimicrobial therapy, horses with chronic intraocular infection triggering an immune disease, known as recurrent uveitis, commonly associated with leptospirosis are not able to completely eliminate the organism from the eye.

Vaccination

  • A vaccine for Leptospira Pomona type kennewicki, approved for use in horses, is now available in North America, offering a preventive measure against leptospirosis in horses.

Cite This Article

APA
Divers TJ, Chang YF, Irby NL, Smith JL, Carter CN. (2019). Leptospirosis: An important infectious disease in North American horses. Equine Vet J, 51(3), 287-292. https://doi.org/10.1111/evj.13069

Publication

ISSN: 2042-3306
NlmUniqueID: 0173320
Country: United States
Language: English
Volume: 51
Issue: 3
Pages: 287-292

Researcher Affiliations

Divers, T J
  • Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Chang, Y-F
  • Department of Population Medicine and Diagnostic Sciences, Cornell University College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Irby, N L
  • Department of Clinical Sciences, Cornell University College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
Smith, J L
  • Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, Kentucky, USA.
Carter, C N
  • Veterinary Diagnostic Laboratory, University of Kentucky, Lexington, Kentucky, USA.

MeSH Terms

  • Animals
  • Horse Diseases / epidemiology
  • Horse Diseases / microbiology
  • Horses
  • Leptospirosis / epidemiology
  • Leptospirosis / microbiology
  • Leptospirosis / veterinary
  • North America / epidemiology

Citations

This article has been cited 27 times.
  1. Cardoso TL, Wozeak DR, Pereira IL, da Silva Ribeiro LD, Rodrigues RO, Hartwig DD. Advances in ELISA-based detection of equine leptospirosis. Braz J Microbiol 2026 Feb 9;57(1):52.
    doi: 10.1007/s42770-025-01854-zpubmed: 41663676google scholar: lookup
  2. Mendes J, Aymée L, Lilenbaum W. A Scoping Review of Antimicrobial Therapy in Leptospira Infections in Domestic Animals. Animals (Basel) 2025 Oct 20;15(20).
    doi: 10.3390/ani15203045pubmed: 41153972google scholar: lookup
  3. Braga CDS, Zeppelini CG. Leptospira in Brazilian Bats (Mammalia: Chiroptera): A Systematic Review. Vet Med Sci 2025 Nov;11(6):e70619.
    doi: 10.1002/vms3.70619pubmed: 41020725google scholar: lookup
  4. Basiouni S, Rodriguez-Morales AJ, Shehata AA, Duarte PM. Silent Carriers: The Role of Rodents in the Emergence of Zoonotic Bacterial Threats. Pathogens 2025 Sep 15;14(9).
    doi: 10.3390/pathogens14090928pubmed: 41011829google scholar: lookup
  5. Azócar-Aedo L, Meniconi G, Pino-Olguín C, Gallardo M. Seropositivity for Pathogenic Leptospira in Dogs, Cats, and Horses at a Teaching Veterinary Hospital in Southern Chile. Trop Med Infect Dis 2025 Sep 3;10(9).
    doi: 10.3390/tropicalmed10090253pubmed: 41003563google scholar: lookup
  6. Motta D, Pedrosa J, Lilenbaum W. Detection of Pathogenic Leptospira DNA in Cervicovaginal Mucus of Mares With Reproductive Disorders in a Brazilian Herd. Reprod Domest Anim 2025 Sep;60(9):e70125.
    doi: 10.1111/rda.70125pubmed: 40988486google scholar: lookup
  7. Gerras J, Young K, Roberts D, Waldman G, Salmon JH, Gilger BC. Uveitis and blindness in a closed herd of Equidae following leptospiral infection. Front Vet Sci 2024;11:1504990.
    doi: 10.3389/fvets.2024.1504990pubmed: 39834922google scholar: lookup
  8. Ramsay L, Eberhardt C, Schoster A. Acute leptospirosis in horses: A retrospective study of 11 cases (2015-2023). J Vet Intern Med 2024 Sep-Oct;38(5):2729-2738.
    doi: 10.1111/jvim.17184pubmed: 39194176google scholar: lookup
  9. Li L, Li S, Ma H, Akhtar MF, Tan Y, Wang T, Liu W, Khan A, Khan MZ, Wang C. An Overview of Infectious and Non-Infectious Causes of Pregnancy Losses in Equine. Animals (Basel) 2024 Jul 2;14(13).
    doi: 10.3390/ani14131961pubmed: 38998073google scholar: lookup
  10. Zečević I, Picardeau M, Vince S, Hađina S, Perharić M, Štritof Z, Stevanović V, Benvin I, Turk N, Lohman Janković I, Habuš J. Association between Exposure to Leptospira spp. and Abortion in Mares in Croatia. Microorganisms 2024 May 21;12(6).
  11. Hamond C, Adam EN, Stone NE, LeCount K, Anderson T, Putz EJ, Camp P, Hicks J, Stuber T, van der Linden H, Bayles DO, Sahl JW, Schlater LK, Wagner DM, Nally JE. Identification of equine mares as reservoir hosts for pathogenic species of Leptospira. Front Vet Sci 2024;11:1346713.
    doi: 10.3389/fvets.2024.1346713pubmed: 38784659google scholar: lookup
  12. Anderson T, Hamond C, Haluch A, Toot K, Nally JE, LeCount K, Schlater LK. Animals Exposed to Leptospira Serogroups Not Included in Bacterins in the United States and Puerto Rico. Trop Med Infect Dis 2023 Mar 22;8(3).
    doi: 10.3390/tropicalmed8030183pubmed: 36977184google scholar: lookup
  13. Cantón GJ, Navarro MA, Asin J, Chu P, Henderson EE, Mete A, Uzal FA. Equine abortion and stillbirth in California: a review of 1,774 cases received at a diagnostic laboratory, 1990-2022. J Vet Diagn Invest 2023 Mar;35(2):153-162.
    doi: 10.1177/10406387231152788pubmed: 36744759google scholar: lookup
  14. Zhao X, Guo J, Jia X, Yang Y, Liu L, Nie W, Fang Z. Internalization of Leptospira interrogans via diverse endocytosis mechanisms in human macrophages and vascular endothelial cells. PLoS Negl Trop Dis 2022 Sep;16(9):e0010778.
    doi: 10.1371/journal.pntd.0010778pubmed: 36137081google scholar: lookup
  15. Strutzberg-Minder K, Ullerich A, Dohmann K, Boehmer J, Goris M. Comparison of Two Leptospira Type Strains of Serovar Grippotyphosa in Microscopic Agglutination Test (MAT) Diagnostics for the Detection of Infections with Leptospires in Horses, Dogs and Pigs. Vet Sci 2022 Aug 29;9(9).
    doi: 10.3390/vetsci9090464pubmed: 36136680google scholar: lookup
  16. Bolwell C, Gee E, Adams B, Collins-Emerson J, Scarfe K, Nisa S, Gordon E, Rogers C, Benschop J. Longitudinal Testing of Leptospira Antibodies in Horses Located near a Leptospirosis Outbreak in Alpacas. Vet Sci 2022 Aug 12;9(8).
    doi: 10.3390/vetsci9080426pubmed: 36006341google scholar: lookup
  17. Wollanke B, Gerhards H, Ackermann K. Infectious Uveitis in Horses and New Insights in Its Leptospiral Biofilm-Related Pathogenesis. Microorganisms 2022 Feb 7;10(2).
  18. Geiger T, Gerhards H, Wollanke B. Detection of Anti-LipL32 Antibodies in Serum Samples from Horses with Chronic Intraocular Infection with Leptospira spp. Pathogens 2021 Oct 14;10(10).
    doi: 10.3390/pathogens10101325pubmed: 34684272google scholar: lookup
  19. Wasiński B, Paschalis-Trela K, Trela J, Czopowicz M, Kita J, Żychska M, Cywińska A, Markowska-Daniel I, Carter C, Witkowski L. Serological Survey of Leptospira Infection in Arabian Horses in Poland. Pathogens 2021 Jun 1;10(6).
    doi: 10.3390/pathogens10060688pubmed: 34206112google scholar: lookup
  20. Piredda I, Ponti MN, Piras A, Palmas B, Pintore P, Pedditzi A, Chisu V. New Insights on Leptospira Infections in a Canine Population from North Sardinia, Italy: A Sero-Epidemiological Study. Biology (Basel) 2021 Jun 7;10(6).
    doi: 10.3390/biology10060507pubmed: 34200298google scholar: lookup
  21. Tirosh-Levy S, Baum M, Schvartz G, Kalir B, Pe'er O, Shnaiderman-Torban A, Bernstein M, Blum SE, Steinman A. Seroprevalence of Leptospira spp. in Horses in Israel. Pathogens 2021 Apr 1;10(4).
    doi: 10.3390/pathogens10040408pubmed: 33915691google scholar: lookup
  22. Schuler E, Marconi RT. The Leptospiral General Secretory Protein D (GspD), a secretin, elicits complement-independent bactericidal antibody against diverse Leptospira species and serovars. Vaccine X 2021 Apr;7:100089.
    doi: 10.1016/j.jvacx.2021.100089pubmed: 33733085google scholar: lookup
  23. O'Bier NS, Hatke AL, Camire AC, Marconi RT. Human and Veterinary Vaccines for Lyme Disease. Curr Issues Mol Biol 2021;42:191-222.
    doi: 10.21775/cimb.042.191pubmed: 33289681google scholar: lookup
  24. Bolwell CF, Rogers CW, Benschop J, Collins-Emerson JM, Adams B, Scarfe KR, Gee EK. Seroprevalence of Leptospira in Racehorses and Broodmares in New Zealand. Animals (Basel) 2020 Oct 23;10(11).
    doi: 10.3390/ani10111952pubmed: 33114082google scholar: lookup
  25. Fagre AC, Mayo CE, Pabilonia KL, Landolt GA. Seroprevalence of Leptospira spp. in Colorado equids and association with clinical disease. J Vet Diagn Invest 2020 Sep;32(5):718-721.
    doi: 10.1177/1040638720943155pubmed: 32715980google scholar: lookup
  26. Vera E, Taddei S, Cavirani S, Schiavi J, Angelone M, Cabassi CS, Schiano E, Quintavalla F. Leptospira Seroprevalence in Bardigiano Horses in Northern Italy. Animals (Basel) 2019 Dec 20;10(1).
    doi: 10.3390/ani10010023pubmed: 31877658google scholar: lookup
  27. Verma A, Beigel B, Smola CC, Kitts-Morgan S, Kish D, Nader P, Morgan J, Roberson J, Christmann U, Gruszynski K, Brandt L, Cho E, Murphy K, Goss R. Evidence of Leptospiral Presence in the Cumberland Gap Region. PLoS Negl Trop Dis 2019 Dec;13(12):e0007990.
    doi: 10.1371/journal.pntd.0007990pubmed: 31877135google scholar: lookup