The use of streptolysin O (SLO) as an adjunct therapy for Rhodococcus equi pneumonia in foals.
Abstract: Rhodococcus equi is a soil borne bacterium that causes severe morbidity and death in young foals. The economic costs of the disease include loss of life, treatment expenses, veterinary monitoring expenses and, perhaps most importantly, potential reduction in future athletic performance in horses that suffer severe lung abscessations caused by R. equi. Current standard of care for pneumonia caused by R. equi is treatment with a macrolide antimicrobial and rifampicin. However, the hallmark of pneumonia caused by R. equi is severe formation of pyogranulomas and a walling off effect that can prevent systemic antibiotics from reaching antimicrobial concentrations in lung tissues. It is hypothesized that streptolysin O (SLO) used as an adjunct therapy with antibiotics will reduce the duration and severity of disease caused by R. equi pneumonia compared to antibiotic therapy alone. Addition of SLO to the antibiotic enhanced clinical responses compared to the other groups, including the antibiotic alone group. Of particular significance were lower bacterial counts in the lungs and longer survival time in those foals treated with SLO and antibiotics.
Copyright © 2011 Elsevier B.V. All rights reserved.
Publication Date: 2011-07-07 PubMed ID: 21798675DOI: 10.1016/j.vetmic.2011.06.037Google Scholar: Lookup
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- Journal Article
- Randomized Controlled Trial
- Research Support
- Non-U.S. Gov't
Summary
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The research explores the use of streptolysin O (SLO) with antibiotics to treat Rhodococcus equi pneumonia in foals, suggesting that SLO might improve the effectiveness of treatment compared to using antibiotics alone.
Background
- The paper begins by providing a context for the study. It explains that Rhodococcus equi is a bacterium found in soil that causes severe illness and death in young foals (baby horses).
- The bacterium has significant economic implications due to the loss of life, treatment costs, veterinary monitoring expenses, and potentially reducing the athletic performance of horses that have experienced severe lung abscessations caused by R. equi.
- The study references the current standard of care for this type of pneumonia: treatment with a macrolide antimicrobial and rifampicin. However, it also highlights the challenges of this treatment, primarily the formation of pyogranulomas and a walling-off effect that can prevent antibiotics from reaching effective concentrations in lung tissues.
Research Hypothesis
- The researchers propose the hypothesis that using streptolysin O (SLO) as an adjunct therapy with antibiotics could reduce the duration and severity of the disease compared to antibiotic therapy alone.
Research Results
- Data collected through the conducted research supports the hypothesis, presenting that adding SLO to the antibiotic treatment resulted in improved clinical responses compared to other groups, including the group treated with antibiotics alone.
- Specifically, the results showed lower bacterial counts in the lungs and longer survival time in foals treated with the combination of SLO and antibiotics.
Conclusion
- The study suggests that using SLO in combination with antibiotics enhances the treatment of R. equi. pneumonia in foals, potentially providing a promising approach to reduce the risks and costs associated with this devastating disease in young horses.
Cite This Article
APA
Horohov DW, Loynachan AT, Page AE, Hughes K, Timoney JF, Fettinger M, Hatch T, Spaulding JG, McMichael J.
(2011).
The use of streptolysin O (SLO) as an adjunct therapy for Rhodococcus equi pneumonia in foals.
Vet Microbiol, 154(1-2), 156-162.
https://doi.org/10.1016/j.vetmic.2011.06.037 Publication
Researcher Affiliations
- Maxwell H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY, United States. DWHoro2@uky.edu
MeSH Terms
- Actinomycetales Infections / drug therapy
- Actinomycetales Infections / microbiology
- Actinomycetales Infections / veterinary
- Animals
- Anti-Bacterial Agents / therapeutic use
- Bacterial Proteins / therapeutic use
- Fibrinogen / analysis
- Horse Diseases / drug therapy
- Horse Diseases / microbiology
- Horses / microbiology
- Lung / microbiology
- Lung / pathology
- Macrolides / therapeutic use
- Pneumonia, Bacterial / drug therapy
- Pneumonia, Bacterial / microbiology
- Pneumonia, Bacterial / veterinary
- Rhodococcus equi / pathogenicity
- Rifampin / therapeutic use
- Streptolysins / therapeutic use
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