One of the horses in your stable has a fever and nasal discharge. This is not necessarily cause for concern, as it could just be a harmless cold. But a few days later, three more horses in the stable have exactly the same symptoms. It is noticeable that all affected horses have severely swollen lymph nodes on their heads. By now, at the latest, the veterinarians who have been called in are alert, because this respiratory disease is obviously very contagious. Swab samples are sent to the laboratory and the suspicion is quickly confirmed. It is strangles, a highly contagious bacterial infection of the upper respiratory tract in horses. Even though the disease is not notifiable or reportable, stable owners and horse owners should now act carefully to prevent further spread.
After an incubation period of approximately one to eight days, the first symptoms of glanders are usually fatigue, a slimy, purulent nasal discharge, coughing, and fever. A very characteristic symptom is swollen lymph nodes in the horse's head. As the disease progresses, the lymph nodes in the throat fill with purulent secretions and abscesses form. These can become so large that they cause breathing and swallowing difficulties.when these abscesses open or burst, the secretion can drain out and the body temperature returns to normal. Complications arise when the abscesses of the lymph nodes in the throat drain into the air sacs, where they become infected. Furthermore, the disease can spread to the lungs and cause pneumonia. If sick animals are not kept in isolation, the germs can spread through the blood to various organs, where they can also form abscesses. This is referred to as a metastatic form of glanders. Without treatment, the fever can last up to two weeks and, depending on its course, the disease can be fatal in rare cases.
The disease is caused by bacteria of the genus Streptococcus. These bacteria are not normally found in the environment. However, around 10% of the total horse population are carriers of these bacteria. They only become ill when a specific stimulus reactivates the pathogens. Young or immunocompromised horses are particularly susceptible. In such cases, even a harmless illness or stress can put such a strain on the immune system that it leads to the onset of strangles. The pathogen is transmitted via excreted secretions, in which it can survive for up to four days. The pathogen can even survive in water for up to eight weeks. Special hygiene and disinfection measures are therefore essential in the event of a strangles infection, as the bacteria can also be transmitted to other horses via drinking troughs, feed buckets or clothing, causing the disease to spread rapidly throughout the stable.
If the symptoms described above occur, a veterinarian should be called immediately. He will examine the sick animals, initiate treatment, and take further measures to protect the rest of the herd. The veterinarian can already make a tentative diagnosis based on the general clinical examination, the preliminary report, and the usually epidemic course of the disease in a barn. However, in order to identify the exact pathogen, it is necessary to take swab samples from the nose and throat or the air sac and have them examined in a laboratory.
Despite the bacterial pathogen that causes distemper, the use of antibiotics is also controversial among veterinarians. In the early stages, with mild fever and nasal discharge, it makes sense to use antibiotics to prevent the disease from progressing and, above all, to prevent the lymph nodes from abscessing and the pathogen from spreading further. However, it should be noted that horses treated with antibiotics develop only a low level of immunity to the pathogen. However, if abscesses have already formed, the pathogen inside them can no longer be reached by the administered antibiotic due to the abscess capsule. In this case, surgical measures to open the abscesses or warming compresses and ointments to help the abscesses mature are recommended. It is essential that the horse is rested for an appropriately long period of time to prevent any complications.
In addition to treating the sick animals, the entire stable must be quarantined during the illness, which means that no horses may leave the stable and no new horses may be brought in. Once the infection has been overcome, the entire stable must be thoroughly disinfected and the pastures of affected horses should not be used for at least one month.
Thanks to modern medication and treatment methods, the prognosis for this much-feared disease is good if detected early. All horses in a stable that have had the infection develop lifelong protection against strangles. In some horses, however, the streptococci can retreat into the air sac, where they cannot be reached by antibiotics. These horses become chronic carriers, as they repeatedly release small amounts of the pathogen into the airways over a long period of time. These small amounts do not pose a risk to horses with strong immune systems, but weak or old horses can become reinfected by these pathogens.
To prevent the spread of glanders, infected horses must be strictly separated from animals that are not yet sick. Indirect contact via humans or objects must also be prevented. Preventive vaccination against strangles for horses that are not (yet) sick in an affected stable is also possible. It does not prevent infection, but it can reduce the symptoms of the disease. Your veterinarian can advise you on the specific case. You can make an appointment directly via petsXL.
General preventive vaccination against strangles is not recommended due to the short-term protection offered by the vaccine and the possible side effects. However, general vaccination against influenza and herpes ensures good health and can reduce the risk of strangles infection.
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