Occurrence, antibiotic susceptibility and genetic variation of Streptococcus zooepidemicus in Finnish weanling horses with and without respiratory infection.
Abstract: 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 regression analysis. In addition, we describe antimicrobial susceptibility of 535 equine . isolates in Finland derived from clinical samples sent to the Clinical Microbiology Laboratory of the Faculty of Veterinary Medicine, University of Helsinki from 2011 to 2024. Out of the 63 weanling foalssampled, was isolated in 26 (41%). There was a positive correlation between signs of respiratory infection and positive finding (OR = 5.15, 95% CI: 1.169–22.694). Age was also a significant factor (OR = 0.972, 95% CI: 0.952–0.992), as younger foals were more likely to be positive. Bacterial isolates were distributed into eleven PFGE clusters. The largest cluster contained six isolates, followed by clusters with five and three isolates, respectively. The cluster with three isolates appeared to have a new S allele in MLST analysis. In addition, two more new sequence types were observed. Sequence types observed in our study differed from those previously identified in two earlier equine studies conducted in Sweden and Iceland. All isolates from weanling foals in our study were susceptible to penicillin and trimethoprim-sulfamethoxazole. There was no resistance to penicillin in the patient samples ( = 535) from 2011 to 2024. Of the 522 isolates tested, 28 (5.4%) were classified as either resistant or intermediate to trimethoprim-sulfamethoxazole. Only 24% of the isolates tested ( = 403) were susceptible to tetracycline. Younger weanlings are more likely to have a positive finding and their clinical signs, including high temperature, are associated with this common opportunistic pathogen. A high level of genetic variation of is evident in weanling horses. Based on our findings, there is no evidence to suggest that exhibits reduced susceptibility to penicillin. Additionally, the susceptibility to trimethoprim-sulfamethoxazole in the horses under study remains high.
Publication Date: 2026-01-27 PubMed ID: 41593672PubMed Central: PMC12837959DOI: 10.1186/s13028-025-00839-0Google 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
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.
Overview
- The study investigates the occurrence, genetic diversity, and antibiotic susceptibility of Streptococcus zooepidemicus in Finnish weanling horses with and without respiratory infections.
- Results show that younger foals and those with respiratory symptoms are more likely to carry S. zooepidemicus, which remains largely susceptible to key antibiotics like penicillin.
Background and Purpose
- Pathogen Studied: Streptococcus zooepidemicus (S. zooepidemicus) is an opportunistic bacterial pathogen commonly present in the environment of horse stables and in the upper respiratory tract of young horses.
- Health Impact: It can cause severe respiratory diseases, especially pneumonia, in Equidae (horses and related species).
- Study Goals:
- To determine how frequently S. zooepidemicus is found in weanling horses with or without respiratory infections.
- To analyze the genetic variation among bacterial isolates from these horses.
- To assess antimicrobial susceptibility patterns of S. zooepidemicus from both clinical and study samples.
- To identify potential factors linked to infection such as stable type, age, breed, and clinical symptoms.
Methodology
- Sample Collection: Samples were collected from 63 weanling horses housed either in loose or conventional stables.
- Laboratory Testing:
- Pulsed-field gel electrophoresis (PFGE) was used for bacterial typing to distinguish genetic clusters.
- Multi-locus sequence typing (MLST) was used to identify sequence types and genetic variations.
- Antimicrobial susceptibility testing was conducted on 535 equine S. zooepidemicus isolates obtained from clinical samples between 2011 and 2024.
- Statistical Analysis: Logistic regression was used to analyze associations between various factors (stable type, age, breed, and clinical signs) and presence of S. zooepidemicus.
Key Findings
- Occurrence:
- S. zooepidemicus was isolated from 26 out of 63 (41%) weanling foals.
- There was a significant positive correlation between respiratory infection signs and bacterial presence (Odds Ratio, OR = 5.15).
- Younger foals had higher odds of being positive for S. zooepidemicus (OR = 0.972, meaning odds decrease slightly as age increases).
- Genetic Diversity:
- The isolates clustered into 11 distinct PFGE patterns, with the largest clusters containing six and five isolates.
- MLST analysis identified a new allele type within one cluster and two new sequence types not previously documented.
- The sequence types found differed from those reported in earlier Scandinavian studies, indicating geographic or population-specific variation.
- Antibiotic Susceptibility:
- All weanling isolates were susceptible to penicillin and trimethoprim-sulfamethoxazole.
- No penicillin resistance was found in the larger clinical sample set (n=535).
- Approximately 5.4% showed resistance or intermediate susceptibility to trimethoprim-sulfamethoxazole among 522 tested isolates.
- Tetracycline susceptibility was much lower, with only 24% of 403 isolates being susceptible.
Interpretation and Implications
- Clinical Relevance: Younger weanling horses are at greater risk of S. zooepidemicus colonization, particularly during respiratory infections, and the bacterium is a significant pathogen associated with fever and other clinical symptoms.
- Genetic Variation: High genetic diversity of S. zooepidemicus exists among Finnish weanlings, highlighting the need for ongoing surveillance to detect emerging strains.
- Antimicrobial Treatment: Penicillin remains effective and is the drug of choice for treatment, while there is some concern regarding tetracycline susceptibility.
- Resistance Monitoring: Continued monitoring of antimicrobial susceptibility is essential to detect any emerging resistance, especially for commonly used drugs like trimethoprim-sulfamethoxazole.
Conclusions
- S. zooepidemicus is a common opportunistic pathogen in Finnish weanling horses and is more likely to be present in younger foals and those with respiratory symptoms.
- The bacterial strains present show significant genetic variability but maintain susceptibility to key antimicrobial agents such as penicillin.
- The study provides important epidemiological data supporting targeted therapeutic strategies and ongoing surveillance of equine respiratory pathogens.
Cite This Article
APA
Junkkari R, Mykkänen A, Sulku P, Rantala M, Pohjanvirta T, Eklund M, Pelkonen S, Grönthal T.
(2026).
Occurrence, antibiotic susceptibility and genetic variation of Streptococcus zooepidemicus in Finnish weanling horses with and without respiratory infection.
Acta Vet Scand, 68(1), 7.
https://doi.org/10.1186/s13028-025-00839-0 Publication
Researcher Affiliations
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, FI-00014, Finland. reija.junkkari@helsinki.fi.
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, FI-00014, Finland.
- Horse Clinic Anivet, Raviraitti 45, Turku, FI-20380, Finland.
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, FI-00014, Finland.
- Research and Laboratory Department, Animal Health Diagnostic Unit, Finnish Food Authority, Neulaniementie 4, Kuopio, FI-70201, Finland.
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, FI-00014, Finland.
- Research and Laboratory Department, Animal Health Diagnostic Unit, Finnish Food Authority, Neulaniementie 4, Kuopio, FI-70201, Finland.
- Department of Equine and Small Animal Medicine, University of Helsinki, Helsinki, FI-00014, Finland.
Conflict of Interest Statement
Declarations. Ethics approval and consent for publication: The study design was approved by the Finnish National Animal Experiment Board (ESAVI/6013/04.10.07/2013). The owners of horses were asked for their written approvals before the first farm visit. Consent for publication: Not applicable. Competing interests: The authors declare that they have no competing interests. Prior publication: Data have not been published previously.
References
This article includes 39 references
- Cito F, Di Francesco CE, Averaimo D, Chiaverini A, Alessiani A, Di Domenico M. subsp. : epidemiological and genomic findings of an emerging pathogen in central Italy.. Animals 2025.
- Lawton K, Runk D, Hankin S, Mendonsa E, Hull D, Barnum S. Detection of selected equine respiratory pathogens in stall samples collected at a multi-week equestrian show during the winter months.. Viruses 2023.
- Barr BS. Pneumonia in weanlings.. Vet Clin North Am Equine Pract 2003;19:35–49.
- Lindahl SB, Aspán A, Båverud V, Paillot R, Pringle J, Rash NL. Outbreak of upper respiratory disease in horses caused by subsp. ST-24.. Vet Microbiol 2013.
- Björnsdóttir S, Holden MTG, Harris SR, Gunnarsson E, Svansson V, Gammeljord K. Introduction, spread and persistence of ST-209 in the Icelandic horse population.. J Eq Vet Sci 2016.
- Carvallo FR, Uzal FA, Diab SS, Hill AE, Arthur RM. Retrospective study of fatal pneumonia in racehorses.. J Vet Diagn Invest 2017;29:450–6.
- Hallowell KL, Hepworth-Warren KL, Dembek K. An updated description of bacterial pneumonia in adult horses and factors associated with death.. J Vet Intern Med 2024.
- Pesavento PA, Hurley KF, Bannasch MJ, Artiushin S, Timoney JF. A Clonal Outbreak of Acute Fatal Hemorrhagic Pneumonia in Intensively Housed (Shelter) Dogs Caused by subsp.. Vet Pathol 2008;45:51 – 3.
- Blum S, Elad D, Zukin N, Lysnyansky I, Weisblith L, Perl S. Outbreak of subsp. infections in cats.. Vet Microbiol 2010;144:236–9.
- Polak KC, Levy JK, Crawford PC, Leutenegger CM, Moriello KA. Infectious diseases in large-scale Cat hoarding investigations.. Vet J 2014;201:189–95.
- Jara LM, Angulo-Tisoc J, Giménez-Lirola LG, Li G, Andrade R, Mamani J. Outbreak of pathogenic subsp. in Guinea pigs farms of the Andean region.. Pathogens 2023.
- Geiping L, Detlefsen H, Trittmacher S, Baums CG, Bergman R, Henning-Pauka I. subspecies – a case report of sudden death in a German sow farm.. Porc Health Manag 2023.
- Hau SJ, Lantz K, Stuart KL, Sitthicharoenchai P, Macedo N, Derscheid RJ. Replication of subspecies infection in swine.. Vet Microbiol 2022.
- Bosica S, Chiaverini A, De Angelis M, Petrini A, Averaimo D, Martino M. Severe subspecies outbreak from unpasteurized dairy product consumption, Italy.. Emerg Infect Dis 2023.
- Abbott Y, Acke E, Khan S, Muldoon EG, Markey BK, Pinilla M. Zoonotic transmission of subsp. from a dog to a handler.. J Med Microbiol 2010;59:120–3.
- Gruszynski K, Young A, Levine SJ, Garvin JP, Brown S, Turner L, et al. subsp. infections associated with Guinea pigs. Emerg Infect Dis. 2015;21:156–8.n
- Pelkonen S, Lindahl SB, Suomala P, Karhukorpi J, Vuorinen S, Koivula I, et al. Transmission of subspecies infection from horses to humans. Emerg Infect Dis. 2013. 10.3201/eid1907.n
- Saleh M, Vialette V. Toxic shock syndrome related to subsp.Zooepidemicus. BMJ Case Rep. 2013. 10.1136/bcr-2013-200566.n
- Held J, Schmitz R, van der Linden M, Nührenberg T, Häcker G, Neumann FJ. Purulent pericarditis and pneumonia caused by subsp. . J Med Microbiol. 2014;63:313–6.n
- Maiden MC, Bygraves JA, Feil E, Morelli G, Russell JE, Urwin R, et al. Multilocus sequence typing: a portable approach to the identification of clones within populations of pathogenic microorganisms. Proc Natl Acad Sci USA. 1998;95:3140–5.
- Webb K, Jolley KA, Mitchell Z, Robinson C, Newton JR, Maiden MC, et al. Development of an unambiguous and discriminatory multilocus sequence typing scheme for the group. Microbiol. 2008;154:3016–24.
- Björnsdóttir S, Harris SR, Svansson V, Gunnarsson E, Sigurðardóttir ÓG, Gammeljord K, et al. Genomic dissection of an Icelandic epidemic of respiratory disease in horses and associated zoonotic cases. Mbio. 2017. 10.1128/mBio.00826-17.
- Junkkari R, Simojoki H, Heiskanen ML, Pelkonen S, Sankari S, Tulamo RM, et al. A comparison of unheated loose housing with stables on the respiratory health of weaned-foals in cold winter conditions: an observational field-study. Acta Vet Scand. 2017. 10.1186/s13028-017-0339-3.
- Reus SM, Cohen ND. Update on bacterial pneumonia in the foal and weanling. Vet Clin North Am Equine Pract. 2015;31:121–5.
- Lord J, Carter C, Smith J, Locke S, Phillips E, Odoi A. Antimicrobial resistance among Streptococcus equi subspecies zooepidemicus and Rhodococcus equi isolated from equine specimens submitted to a diagnostic laboratory inKentucky, USA. PeerJ. 2022. 10.7717/peerj.13682.
- Su Y, Zhang Z, Wang L, Zhang B, Su L. Whole-genome sequencing and phenotypic analysis of subsp. sequence type 147 isolated from China. Microorganisms. 2024. 10.3390/microorganisms12040824.n
- Newton JR, Wood JL, Chanter N. A case control study of factors and infections associated with clinically apparent respiratory disease in UK thoroughbred racehorses. Prev Vet Med. 2003. 10.1016/s0167-5877(03)00085-0.
- Back H, Ullman K, Treiberg Berndtsson L, Riihimäki M, Penell J, Ståhl K, et al. Viral load of equine herpesviruses 2 and 5 in nasal swabs of actively racing standardbred trotters: Temporal relationship of shedding to clinical findings and poor performance. Vet Microbiol. 2015. 10.1016/j.vetmic.2015.06.002.
- Markey BK, Leonard FC, Archambault M, Cullinane A, Maguire D, editors. Clinical veterinary microbiology. 2nd ed. Edinburgh: Mosby Ltd.; 2013. Chapter 8.
- World Health Organization (WHO). Characterization of neisseria meningitidis, haemophilus influenzae, and by molecular typing methods. Laboratory methods for the diagnosis of meningitis caused by neisseria meningitidis,, and haemophilus influenzae. 2nd ed. Geneva: WHO; 2011. pp. 41–57.
- Skjaervold NK, Bergh K, Bevanger L. Distribution of PFGE types of invasive Norwegian group B in relation to serotypes. Indian J Med Res. 2004;119:201–4.n
- https://pubmlst.org/szooepidemicus/
- Clinical and Laboratory Standards Institute. Performance standards for antimicrobial disk and Dilution susceptibility tests for bacteria isolated from animals. 5th ed. Wayne (PA): CLSI; 2018.
- Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing. 34th ed. CLSI supplement M100. Wayne (PA): CLSI; 2024.
- Koirala S, Pantuzza C, Costa MO. Survival of subsp. on environmental samples is affected by material type and incubation temperature. Vet Res Commun. 2023; 10.1007/s11259-023-10095-0
- Tufts SR, Aworh MK, Love KR, Treece EJ, Horne CR, Jacob ME, et al. Temperature has a greater effect than salinity on microbial survival in saltwater from a single equine hydrotherapy unit. Am J Vet Res. 2024. 10.2460/ajvr.24.07.0184.
- Laing G, Christley R, Stringer A, Ashine T, Cian F, Aklilu N, et al. Pathology, infectious agents and horse- and management-level risk factors associated with signs of respiratory disease in Ethiopian working horses. Equine Vet J. 2021. 10.1111/evj.13339.
- Nielsen SS, Bicout DJ, Calistri P, Canali E, Drewe JA, Garin-Bastuji B, et al. Assessment of listing and categorisation of animal diseases within the framework of the animal health law (Regulation (EU) 2016/429): antimicrobial‐resistant i in dogs and cats, horses, swine, poultry, cattle, sheep and goats. EFSA J. 2022. 10.2903/j.efsa.2022.7311.
- https://www.eucast.org/mic_and_zone_distributions_and_ecoffs
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists