Veterinary sciences2023; 10(7); doi: 10.3390/vetsci10070442

Nontuberculous Mycobacteria in Horses: A Narrative Review.

Abstract: Nontuberculous mycobacteria (NTM) infections are increasing in human and veterinary medicine. Although horses were initially thought to be resistant to NTM infection, reports of horses suffering from gastrointestinal, respiratory, and reproductive diseases associated with NTM have increased in the last few decades. The aim of this literature review is to summarize the mycobacteria species found in horses, describe clinical manifestations, diagnostic and treatment approaches, and public health concerns of NTM infection in horses. Clinical manifestations of NTM in horses include pulmonary disease, lymphadenitis, soft tissue, bone infections, and disseminated disease. NTM are also linked to granulomatous enteritis, placentitis, and abortions. Currently, diagnostic methods for NTM are limited and include acid-fast microscopy, bacterial cultures, species-specific PCR assays, and gene sequencing. In humans, NTM treatment guidelines are available, but their application appears inadequate and inconsistent. In horses, treatment guidelines for NTM infections are not available. NTM are a serious public health threat as 70% of people with untreated acquired immunodeficiency syndrome (AIDS) have a chronic pulmonary disease caused by NTM. Thus, it is essential that we gain a better understanding of NTM infections in horses and their zoonotic potential.
Publication Date: 2023-07-06 PubMed ID: 37505847PubMed Central: PMC10384023DOI: 10.3390/vetsci10070442Google 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
  • Review

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.

Nontuberculous mycobacteria (NTM) infections in horses are on the rise, with cases reported in various systems like the gastrointestinal, respiratory, and reproductive systems. This literature review examines the species of mycobacteria found in horses, their clinical manifestations, and the diagnostic and treatment approaches, along with the public health implications of NTM in horses.

Mycobacteria Species in Horses

  • This section of the review aims to summarize the different species of mycobacteria that have been found in horses. Though initially thought to be resistant, horses have shown an increase in NTM infections over recent decades.

Clinical Manifestations

  • NTM infections in horses can lead to various conditions including pulmonary disease, lymphadenitis, soft tissue and bone infections, and disseminated disease.
  • They are also associated with granulomatous enteritis, placentitis, and abortions in horses.

Diagnostic and Treatment Approaches

  • Current diagnostic methods for NTM in horses are limited and include techniques like acid-fast microscopy, bacterial cultures, species-specific PCR assays, and gene sequencing.
  • While treatment guidelines for NTM infections exist in humans, they are often considered inadequate and inconsistent.
  • In horses, specific treatment guidelines for NTM infections are not available, highlighting a gap in the current understanding and management of these infections.

Public Health Concerns

  • NTM poses a significant public health threat, especially as 70% of individuals with untreated acquired immunodeficiency syndrome (AIDS) suffer from chronic pulmonary disease caused by NTM.
  • The review emphasizes the need to better understand NTM infections in horses, considering their zoonotic potential, and to develop effective treatment and control measures to mitigate the risks to both equine and human health.

Cite This Article

APA
Li L, Maboni G, Lack A, Gomez DE. (2023). Nontuberculous Mycobacteria in Horses: A Narrative Review. Vet Sci, 10(7). https://doi.org/10.3390/vetsci10070442

Publication

ISSN: 2306-7381
NlmUniqueID: 101680127
Country: Switzerland
Language: English
Volume: 10
Issue: 7

Researcher Affiliations

Li, Lynna
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.
Maboni, Grazieli
  • Department of Population Health, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
Lack, Amy
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.
Gomez, Diego E
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON N1G 2W1, Canada.

Conflict of Interest Statement

The author declares no conflict of interest.

References

This article includes 52 references
  1. Weese J.S., Gomez-Nieto D. Mycobacterial infections in horses. Equine Vet. Educ. 2016;28:623u2013624. doi: 10.1111/eve.12423.
    doi: 10.1111/eve.12423google scholar: lookup
  2. Pavlik I., Jahn P., Moravkova M., Matlova L., Treml F., Cizek A., Nesnalova E., Dvorska-Bartosova L., Halouzka R. Lung tuberculosis in a horse caused by Mycobacterium avium subsp. avium of serotype 2: A case report. Vet. Med.-Czech. 2008;53:111. doi: 10.17221/1987-VETMED.
    doi: 10.17221/1987-VETMEDgoogle scholar: lookup
  3. Thorel MF, Huchzermeyer H, Weiss R, Fontaine JJ. Mycobacterium avium infections in animals. Literature review.. Vet Res 1997 Sep-Oct;28(5):439-47.
    pubmed: 9342821
  4. Hewes CA, Schneider RK, Baszler TV, Oaks JL. Septic arthritis and granulomatous synovitis caused by infection with Mycobacterium avium complex in a horse.. J Am Vet Med Assoc 2005 Jun 15;226(12):2035-8, 2002.
    doi: 10.2460/javma.2005.226.2035pubmed: 15989187google scholar: lookup
  5. Silva FS, Lorenzett MP, Bianchi MV, Bastos HBA, Larentis GR, Paul LG, Snel GGM, Oliveira-Filho JP, Mattos RC, Sonne L. Mycobacterium branderi Infection in a Horse with Granulomatous Mesenteric Lymphadenitis.. J Comp Pathol 2019 Apr;168:30-34.
    doi: 10.1016/j.jcpa.2019.03.003pubmed: 31103056google scholar: lookup
  6. Mu00f6nki J.A.K., Hewetson M., Hahn S., Vainio K., Skrzypczak T. Disseminated alimentary mycobacteriosis in the horse: A retrospective study of nine cases. Equine Vet. Educ. 2016;28:614u2013622. doi: 10.1111/eve.12393.
    doi: 10.1111/eve.12393google scholar: lookup
  7. Erol E, Sells SF, Williams NM, Kennedy L, Locke SJ, Labeda DP, Donahue JM, Carter CN. An investigation of a recent outbreak of nocardioform placentitis caused abortions in horses.. Vet Microbiol 2012 Aug 17;158(3-4):425-30.
    doi: 10.1016/j.vetmic.2012.02.023pubmed: 22410309google scholar: lookup
  8. Gupta RS, Lo B, Son J. Phylogenomics and Comparative Genomic Studies Robustly Support Division of the Genus Mycobacterium into an Emended Genus Mycobacterium and Four Novel Genera.. Front Microbiol 2018;9:67.
    doi: 10.3389/fmicb.2018.00067pmc: PMC5819568pubmed: 29497402google scholar: lookup
  9. Thorel MF, Krichevsky M, Lu00e9vy-Fru00e9bault VV. Numerical taxonomy of mycobactin-dependent mycobacteria, emended description of Mycobacterium avium, and description of Mycobacterium avium subsp. avium subsp. nov., Mycobacterium avium subsp. paratuberculosis subsp. nov., and Mycobacterium avium subsp. silvaticum subsp. nov.. Int J Syst Bacteriol 1990 Jul;40(3):254-60.
    doi: 10.1099/00207713-40-3-254pubmed: 2397193google scholar: lookup
  10. Mijs W, de Haas P, Rossau R, Van der Laan T, Rigouts L, Portaels F, van Soolingen D. Molecular evidence to support a proposal to reserve the designation Mycobacterium avium subsp. avium for bird-type isolates and 'M. avium subsp. hominissuis' for the human/porcine type of M. avium.. Int J Syst Evol Microbiol 2002 Sep;52(Pt 5):1505-1518.
    doi: 10.1099/00207713-52-5-1505pubmed: 12361252google scholar: lookup
  11. Tasler GR, Hartley WJ. Foal abortion associated with Mycobacterium terrae infection.. Vet Pathol 1981 Jan;18(1):122-5.
    doi: 10.1177/030098588101800115pubmed: 7467063google scholar: lookup
  12. Buergelt CD, Green SL, Mayhew IG, Wilson JH, Merritt AM. Avian mycobacteriosis in three horses.. Cornell Vet 1988 Oct;78(4):365-80.
    pubmed: 3168473
  13. Lofstedt J, Jakowski RM. Diagnosis of avian tuberculosis in a horse by use of liver biopsy.. J Am Vet Med Assoc 1989 Jan 15;194(2):260-2.
    pubmed: 2917893
  14. Sills RC, Mullaney TP, Stickle RL, Darien BJ, Brown CM. Bilateral granulomatous guttural pouch infection due to Mycobacterium avium complex in a horse.. Vet Pathol 1990 Mar;27(2):133-5.
    doi: 10.1177/030098589002700213pubmed: 2345938google scholar: lookup
  15. Cline JM, Schlafer DW, Callihan DR, Vanderwall D, Drazek FJ. Abortion and granulomatous colitis due to Mycobacterium avium complex infection in a horse.. Vet Pathol 1991 Jan;28(1):89-91.
    doi: 10.1177/030098589102800115pubmed: 2017833google scholar: lookup
  16. Flores JM, Sanchez J, Castau00f1o M. Avian tuberculosis dermatitis in a young horse.. Vet Rec 1991 Apr 27;128(17):407-8.
    doi: 10.1136/vr.128.17.407pubmed: 1858262google scholar: lookup
  17. Hu00e9lie P, Higgins R. Mycobacterium avium complex abortion in a mare.. J Vet Diagn Invest 1996 Apr;8(2):257-8.
    doi: 10.1177/104063879600800221pubmed: 8744753google scholar: lookup
  18. van Zyl A, Daniel J, Wayne J, McCowan C, Malik R, Jelfs P, Lavender CJ, Fyfe JA. Mycobacterium ulcerans infections in two horses in south-eastern Australia.. Aust Vet J 2010 Mar;88(3):101-6.
  19. Kriz P, Jahn P, Bezdekova B, Blahutkova M, Mrlik V, Slana I, Pavlik I. Mycobacterium avium subsp. hominissuis infection in horses.. Emerg Infect Dis 2010 Aug;16(8):1328-9.
    doi: 10.3201/eid1608.100097pmc: PMC3298305pubmed: 20678342google scholar: lookup
  20. Chiers K, Deschaght P, De Baere T, Dabrowski S, Kotlowski R, De Clercq D, Ducatelle R, Vaneechoutte M. Isolation and identification of Mycobacterium avium subspecies silvaticum from a horse.. Comp Immunol Microbiol Infect Dis 2012 Jul;35(4):303-7.
    doi: 10.1016/j.cimid.2012.01.011pubmed: 22349520google scholar: lookup
  21. Johnson AK, Roberts JF, Hagan A, Wilborn RR, Dujovne G, Sells SF, Donahue JM. Infection of an equine placenta with a novel mycobacterial species leading to abortion.. J Vet Diagn Invest 2012 Jul;24(4):785-90.
    doi: 10.1177/1040638712445766pubmed: 22585955google scholar: lookup
  22. Sano Y, Matsuda K, Osaki K, Miyasho T, Tsuda T, Taniyama H. Systemic mycobacteriosis in an aborted thoroughbred fetus in Japan.. J Vet Med Sci 2014 Dec;76(12):1617-21.
    doi: 10.1292/jvms.14-0276pmc: PMC4300377pubmed: 25649944google scholar: lookup
  23. Kinoshita Y, Takechi M, Uchida-Fujii E, Miyazawa K, Nukada T, Niwa H. Ten cases of Mycobacterium avium subsp. hominissuis infections linked to equine abortions in Japan, 2018-2019.. Vet Med Sci 2021 May;7(3):621-625.
    doi: 10.1002/vms3.411pmc: PMC8136959pubmed: 33336899google scholar: lookup
  24. Vail KJ, Stranahan LW, Richardson LM, Yanchik AE, Arnold CE, Porter BF, Wiener DJ. Granulomatous Rhinitis in a Horse due to Mycobacterium intracellulare Infection.. J Comp Pathol 2019 May;169:30-34.
    doi: 10.1016/j.jcpa.2019.04.001pmc: PMC6550339pubmed: 31159948google scholar: lookup
  25. Griffith DE. Therapy of nontuberculous mycobacterial disease.. Curr Opin Infect Dis 2007 Apr;20(2):198-203.
    doi: 10.1097/QCO.0b013e328055d9a2pubmed: 17496580google scholar: lookup
  26. Lindberg R. Pathology of equine granulomatous enteritis.. J Comp Pathol 1984 Apr;94(2):233-47.
    doi: 10.1016/0021-9975(84)90043-4pubmed: 6736310google scholar: lookup
  27. Gunnes G, Nord K, Vatn S, Saxegaard F. A case of generalised avian tuberculosis in a horse.. Vet Rec 1995 Jun 3;136(22):565-6.
    doi: 10.1136/vr.136.22.565pubmed: 7676582google scholar: lookup
  28. Fujisawa K, Watanabe H, Yamamoto K, Nasu T, Kitahara Y, Nakano M. Primary atypical mycobacteriosis of the intestine: a report of three cases.. Gut 1989 Apr;30(4):541-5.
    doi: 10.1136/gut.30.4.541pmc: PMC1434047pubmed: 2714687google scholar: lookup
  29. Meuten DJ, Butler DG, Thomson GW, Lumsden JH. Chronic enteritis associated with the malabsorption and protein-losing enteropathy in the horse.. J Am Vet Med Assoc 1978 Feb 1;172(3):326-33.
    pubmed: 621180
  30. Kalck KA. Inflammatory bowel disease in horses.. Vet Clin North Am Equine Pract 2009 Aug;25(2):303-15.
    doi: 10.1016/j.cveq.2009.04.008pubmed: 19580941google scholar: lookup
  31. O'Brien RJ, Geiter LJ, Snider DE Jr. The epidemiology of nontuberculous mycobacterial diseases in the United States. Results from a national survey.. Am Rev Respir Dis 1987 May;135(5):1007-14.
    pubmed: 3579001doi: 10.1164/arrd.1987.135.5.1007google scholar: lookup
  32. Falkinham JO 3rd. Epidemiology of infection by nontuberculous mycobacteria.. Clin Microbiol Rev 1996 Apr;9(2):177-215.
    doi: 10.1128/CMR.9.2.177pmc: PMC172890pubmed: 8964035google scholar: lookup
  33. Goldstein N, St Clair JB, Kasperbauer SH, Daley CL, Lindeque B. Nontuberculous Mycobacterial Musculoskeletal Infection Cases from a Tertiary Referral Center, Colorado, USA.. Emerg Infect Dis 2019 Jun;25(6):1075-1083.
    doi: 10.3201/eid2506.181041pmc: PMC6537735pubmed: 31107224google scholar: lookup
  34. Somoskovi A, Salfinger M. Nontuberculous mycobacteria in respiratory infections: advances in diagnosis and identification.. Clin Lab Med 2014 Jun;34(2):271-95.
    doi: 10.1016/j.cll.2014.03.001pubmed: 24856528google scholar: lookup
  35. Guerrero C, Bernasconi C, Burki D, Bodmer T, Telenti A. A novel insertion element from Mycobacterium avium, IS1245, is a specific target for analysis of strain relatedness.. J Clin Microbiol 1995 Feb;33(2):304-7.
    doi: 10.1128/jcm.33.2.304-307.1995pmc: PMC227937pubmed: 7714183google scholar: lookup
  36. Kunze ZM, Wall S, Appelberg R, Silva MT, Portaels F, McFadden JJ. IS901, a new member of a widespread class of atypical insertion sequences, is associated with pathogenicity in Mycobacterium avium.. Mol Microbiol 1991 Sep;5(9):2265-72.
  37. Griffith DE, Winthrop KL. Mycobacterium avium complex lung disease therapy.. Am J Respir Crit Care Med 2012 Sep 15;186(6):477-9.
    doi: 10.1164/rccm.201207-1321EDpubmed: 22984024google scholar: lookup
  38. Vasireddy R, Vasireddy S, Brown-Elliott BA, Greninger AL, Davidson RM, Ard KL, Turenne CY, Wallace RJ Jr. Mycobacterium talmoniae, a Potential Pulmonary Pathogen Isolated from Multiple Patients with Bronchiectasis in the United States, Including the First Case of Clinical Disease in a Patient with Cystic Fibrosis.. J Clin Microbiol 2019 Feb;57(2).
    doi: 10.1128/JCM.00906-18pmc: PMC6355530pubmed: 30429252google scholar: lookup
  39. Yu X, Zheng H, Zhou F, Hu P, Wang H, Li N, He J, Wang P, Zhang L, Men H, Xiang J, Zhang S. Phenotypic and molecular characterisation of a novel species, Mycobacterium hubeiense sp., isolated from the sputum of a patient with secondary tuberculosis in Hubei of China.. Epidemiol Infect 2020 Feb 14;148:e49.
    doi: 10.1017/S0950268820000436pmc: PMC7078510pubmed: 32054545google scholar: lookup
  40. Chaisson RE, Benson CA, Dube MP, Heifets LB, Korvick JA, Elkin S, Smith T, Craft JC, Sattler FR. Clarithromycin therapy for bacteremic Mycobacterium avium complex disease. A randomized, double-blind, dose-ranging study in patients with AIDS. AIDS Clinical Trials Group Protocol 157 Study Team.. Ann Intern Med 1994 Dec 15;121(12):905-11.
  41. Weese J.S. Antimicrobial therapy for difficult to identify and atypical pathogens. Equine Vet. Educ. 2009;21:388u2013392. doi: 10.2746/095777308X334284.
    doi: 10.2746/095777308X334284google scholar: lookup
  42. Frazer ML. Lawsonia intracellularis infection in horses: 2005-2007.. J Vet Intern Med 2008 Sep-Oct;22(5):1243-8.
  43. Lavoie JP, Drolet R, Parsons D, Leguillette R, Sauvageau R, Shapiro J, Houle L, Hallu00e9 G, Gebhart CJ. Equine proliferative enteropathy: a cause of weight loss, colic, diarrhoea and hypoproteinaemia in foals on three breeding farms in Canada.. Equine Vet J 2000 Sep;32(5):418-25.
    doi: 10.2746/042516400777591110pubmed: 11037264google scholar: lookup
  44. Giguu00e8re S. Treatment of Infections Caused by Rhodococcus equi.. Vet Clin North Am Equine Pract 2017 Apr;33(1):67-85.
    doi: 10.1016/j.cveq.2016.11.002pubmed: 28161038google scholar: lookup
  45. Ignatov D, Kondratieva E, Azhikina T, Apt A. Mycobacterium avium-triggered diseases: pathogenomics.. Cell Microbiol 2012 Jun;14(6):808-18.
  46. Kendall BA, Winthrop KL. Update on the epidemiology of pulmonary nontuberculous mycobacterial infections.. Semin Respir Crit Care Med 2013 Feb;34(1):87-94.
    doi: 10.1055/s-0033-1333567pubmed: 23460008google scholar: lookup
  47. Brode SK, Marchand-Austin A, Jamieson FB, Marras TK. Pulmonary versus Nonpulmonary Nontuberculous Mycobacteria, Ontario, Canada.. Emerg Infect Dis 2017 Nov;23(11):1898-1901.
    doi: 10.3201/eid2311.170959pmc: PMC5652412pubmed: 29048292google scholar: lookup
  48. Adjemian J, Olivier KN, Seitz AE, Holland SM, Prevots DR. Prevalence of nontuberculous mycobacterial lung disease in U.S. Medicare beneficiaries.. Am J Respir Crit Care Med 2012 Apr 15;185(8):881-6.
    doi: 10.1164/rccm.201111-2016OCpmc: PMC3360574pubmed: 22312016google scholar: lookup
  49. Parkins MD, Floto RA. Emerging bacterial pathogens and changing concepts of bacterial pathogenesis in cystic fibrosis.. J Cyst Fibros 2015 May;14(3):293-304.
    doi: 10.1016/j.jcf.2015.03.012pubmed: 25881770google scholar: lookup
  50. Aitken ML, Limaye A, Pottinger P, Whimbey E, Goss CH, Tonelli MR, Cangelosi GA, Dirac MA, Olivier KN, Brown-Elliott BA, McNulty S, Wallace RJ Jr. Respiratory outbreak of Mycobacterium abscessus subspecies massiliense in a lung transplant and cystic fibrosis center.. Am J Respir Crit Care Med 2012 Jan 15;185(2):231-2.
    doi: 10.1164/ajrccm.185.2.231pubmed: 22246710google scholar: lookup
  51. Bryant JM, Grogono DM, Greaves D, Foweraker J, Roddick I, Inns T, Reacher M, Haworth CS, Curran MD, Harris SR, Peacock SJ, Parkhill J, Floto RA. Whole-genome sequencing to identify transmission of Mycobacterium abscessus between patients with cystic fibrosis: a retrospective cohort study.. Lancet 2013 May 4;381(9877):1551-60.
  52. Haist V, Seehusen F, Moser I, Hotzel H, Deschl U, Baumgu00e4rtner W, Wohlsein P. Mycobacterium avium subsp. hominissuis infection in 2 pet dogs, Germany.. Emerg Infect Dis 2008 Jun;14(6):988-90.
    doi: 10.3201/eid1406.071463pmc: PMC2600286pubmed: 18507926google scholar: lookup

Citations

This article has been cited 0 times.