Courtney Shumpert, DVM

 

What is strangles?

          Swollen glands
             which may burst


Pus discharge
                                  from nostrils


Strangles is the most important infectious disease affecting horses!

 

What is strangles?

 

“Strangles” is a layman’s term for abscessation of the lymph nodes in the upper respiratory tract of a horse. This disease, also known as distemper, is highly contagious to other horses. The term “strangles” refers to the fact that in some cases, the lymph nodes become so enlarged that they actually constrict the airway, or “strangle” the sick animal.

Causes
Streptococcus equi is the bacteria that causes the infection known as strangles. It infects only horses. The infection begins in the mucous membranes (gums and inner lining) of the mouth and nose. Drainage by the lymphatic system then carries the infection to other lymph nodes, which are located throughout the body. Severe infections can cause abscesses (some fatal) in major organs. Young horses are most susceptible, but strangles can occur in horses of any age. The infection is spread through contamination from the nasal discharges of infected horses. Items such as buckets, halters, bridles, and even pastures can become contaminated and serve as sources of infection, even if horses are not present, for up to 4 weeks. Horses themselves can transmit the infection for up to 4 weeks following their infection.

Clinical signs

Strangles has a 3-8 day incubation period before clinical signs become evident. The first sign of strangles is usually reluctance to eat or drink. Symptoms include fever (103-106 degrees F), violent inflammation of the gums and nasal passages, and a thick mucoid nasal discharge. The nasal discharge quickly becomes heavy and full of yellow pus. A moist, painful cough is usually present, and the horse may be reluctant to swallow.

            Development of swelling and abscesses in the lymph nodes of the throat may take 3-4 days. The nodes tend to drain pus during this stage and may rupture. Strangles often begins to subside after the 10th day of infection, especially if it is treated promptly and properly.  

Treatment
If a diagnosis of strangles is suspected, the affected horse should be isolated from all other animals. Any contaminated items (shared buckets, halters, bridles, etc.) should be thoroughly disinfected (with bleach if possible). Applications of warm compresses to swollen areas will encourage them to break open and drain.  Abscesses may be surgically opened and drained at the discretion of the treating veterinarian. Your vet will also recommend the most appropriate antibiotic therapy for your horse.

 

Prevention
Vaccination is the most effective way to prevent infection. A horse receiving strangles vaccination for the first time should receive an initial series of vaccines. Vaccination on a yearly basis involves a single “booster” dose. Your veterinarian can determine the proper vaccination schedule for your horse based on your location and risk factors specific to your horse (age, environment, travel history, etc.)

 

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