
What is strangles in horses?
What is "strangles?" Strangles is a highly contagious disease of equids including horses, donkeys and ponies. It is caused by the bacteria Streptococcus equi, often abbreviated Strep. equi or S. equi.
How long is a horse contagious after dying from Lyme disease?
A horse can stay contagious – Even after a horse has recovered they can still remain contagious for around six weeks. While this might not sound like an issue it means that the horse’s glands are still carrying the infection which can be passed onto other horses.
How long to quarantine a horse with strangles?
Should you quarantine a horse with strangles? Without question, all horses with strangles should be quarantined for at least two weeks but in some cases four weeks.
How long does it take for a horse to show strangles?
Once a horse has been infected with strangles he may not display any symptoms immediately but within three to fourteen days there’ll be obvious signs that he has strangles. While not every horse will display every symptom the common signs to look out for are:

How long is a horse contagious with strangles?
Horses who have had strangles may be contagious to other horses for a minimum of 3 weeks after all signs have resolved. Some horses are contagious for much longer (months).
How long is quarantine for equine strangles?
Horses that are disease-free after two to three weeks of quarantine pose almost no risk of disease transmission unless they are a “silent shedder.” As soon as you suspect that one of your horses has strangles, isolate it from all other animals in your facility.
Can strangles be passed on clothing?
Strangles bacteria spread most easily through direct contact between horse, but can also be passed on indirectly via surfaces, equipment, water and people's hands and clothing.
Is equine strangles contagious to humans?
Transmission to Humans. In rare cases, humans have contracted infections from the bacteria that cause Strangles. To prevent human infection, people caring for horses with Strangles should avoid getting any nasal or abscess discharge from the horse on their eyes, nose, or mouth.
What disinfectant kills strangles?
If you are on site, thoroughly disinfect any equipment you have used there with a product that is known to kill strangles (eg: Safe-4, Virkon, Steri-7). Change outer clothing, disinfect boots and thoroughly wash and disinfect hands.
Can a vaccinated horse get strangles?
We utilised a genome sequencing approach to confirm that two cases of strangles in previously healthy horses that had received the Pinnacle I. N. vaccine (Zoetis) were caused by the vaccine strain.
WHAT TO DO IF yard has strangles?
If strangles is suspected The main points are: Isolate the affected horse and any horses that have had direct contact with it. Call your vet to arrange appropriate testing and discuss management. If confirmed implement detailed isolation and handling procedures.
How long does the strangles virus live on surfaces?
Scary news from British researchers should have horse people on high alert: A research team has discovered that the bacteria that causes strangles can survive in the environment for up to 34 days.
How can you prevent strangles from spreading?
Protecting Your Horse Biosecurity protocols such as observation and screening of newly arriving horses help to prevent the spread of disease. However, vaccination is the best way to combat strangles. Pinnacle® I.N. is the only two-dose, modified-live bacterial vaccine developed to help prevent strangles.
What are the first signs of strangles in horses?
What are the signs of Strangles?Depression.Loss of appetite/ Difficulty eating.Raised temperature.Cough.Nasal discharge, often thick and yellow (purulent or pus like).Swollen lymph nodes (glands) around the throat.Drainage of pus from the lymph nodes around the jaw.
Can a horse get strangles twice?
Can A Horse Get Strangles More Than Once? Yes, but this is uncommon. About 75% of horses that get strangles will also develop a very strong immune response against S. equi, making them immune to reinfection for a long time, if not for the rest of their lives.
Does strangles have to be reported?
Strangles, a highly contagious upper respiratory tract disease caused by Streptococcus equi subsp equi, remains one of the most common diseases in horses. As of 2017, strangles is a reportable disease in the United States and many other countries.
How long does it take for strangles to go away?
The prognosis for full recovery of uncomplicated cases of strangles is good, but usually takes 3 to 6 weeks. Approximately 70-75% of infected horses go on to develop an immunity to S. equi that can last for at least five years.
How long does it take for a horse to recover from strangles?
Most horses recover from strangles in 3-4 weeks. It's extremely important not to remove horses from isolation just because their symptoms have gone. Strangles bacteria can spread for around six weeks after signs of infection have gone, sometimes longer.
How long does the strangles virus live on surfaces?
Scary news from British researchers should have horse people on high alert: A research team has discovered that the bacteria that causes strangles can survive in the environment for up to 34 days.
How can you prevent strangles from spreading?
Prevention:Ensuring that the yard is not overcrowded.Avoid sharing tack or equipment from horses of an unknown health status.At shows/when away from the yard do not allow your horse to touch horses of an unknown health status. ... Ensure that new arrivals to the yard are quarantined for at least 2 weeks.More items...
Can a horse recover from strangles?
Yes! With supportive care and time, most horses will eventually recover uneventfully from a case of strangles. They’ll also typically acquire immun...
What are the first signs of strangles in horses?
The first signs of strangles include fever, which leads to lethargy and decreased appetite. Swollen lymph nodes and nasal discharge usually develop...
What is the survival rate of horses with strangles?
Most horses who contract the disease will recover (over 90%) unless they develop a severe case. If you notice any of the common signs, it’s importa...
What is strangles?
Strangles is a highly contagious bacterial infection of the upper airway in horses. Strangles can cause the lymph nodes to block the upper airway. Veterinarians can diagnose strangles by taking a swab.
What is a hot pack for horses?
Strangles is a highly contagious infection that causes fever, nasal discharge and abscesses near swollen lymph nodes. Hot packs can help the abscesses mature before opening and flushing them out. Horses that struggle to breathe may need antibiotics or hospital care. To prevent disease spread, isolate sick horses and refrain from sharing equipment ...
How to heal abscesses on horses?
This will help the abscesses mature so they can be safely opened. Once opened, flush the inside of the abscess with dilute povidone-iodine solutions until they heal. Horses usually recover fully after the abscesses open.
Why do horses refuse to eat?
These horses often refuse to eat due to pain. They may stand with their head and nose stretched out to help them breathe. Horses that are struggling to breathe need veterinary care right away. Some horses carry strangles but don’t show symptoms.
What to do if a horse has trouble breathing?
Horses that have trouble breathing need a more aggressive treatment. They’ll likely need anti-inflammatories and antibiotics. The horse may need hospital care to keep their airway open and keep them hydrated.
How to keep horses from strangling?
Thoroughly disinfect equipment, stables, fences, trailers, etc. Use a phenolic disinfectant. Change your clothes and wash your hands before coming in contact with healthy horses. Ideally, isolate new horses for two to three weeks. Check their temperatures regularly and watch for any signs of strangles. If signs occur, have a veterinarian take ...
Can horses recover from abscesses?
Horses usually recover fully after the abscesses open. Many veterinarians refrain from using antibiotics for uncomplicated cases. Antibiotics can delay the abscesses from maturing. Horses that have trouble breathing need a more aggressive treatment. They’ll likely need anti-inflammatories and antibiotics.
How can I prevent my horse from getting strangles?
As the saying goes, prevention is better than cure and strangles is no different. While it can be vaccinated against this is only a short term preventative measure. Long term prevention is harder but if you’re careful you can drastically lower the risk.
How long does it take for a horse to recover from strangles?
Around 90% of horses will make a full recovery, and will no longer be infectious, within three to four weeks but this isn’t the case for 10% of horses. While those horses will have made a full recover they can still carry the infection and as a result of this can easily infect other horses.
Should you quarantine a horse with strangles?
Without question, all horses with strangles should be quarantined for at least two weeks but in some cases four weeks. Quarantining doesn’t just mean the horse needs to be stabled, to stop it from spreading to other horses, the quarantined horse needs to be kept at least 10m (33 feet) away from other horses, ideally, a separation distance of 25m (82 feet) is better. As well as keeping the horse away from other horses, all equipment needs to be kept separate too.
Can a horse still remain infectious after they’ve recovered from strangles?
After most horses have fully recovered they’re no longer infectious but around 10% of horses are classed as ‘carriers’ this means that they are still infectious, even though they’ve fully recovered, and can still infect other horses.
Do I have to tell people my horse has strangles?
Every state/country is different and will have their own laws and regulations but strangles is highly contagious and as such is generally considered a notifiable disease. This means that you’ll need to report any cases or even suspected cases. A lot of authorities keep the information confidential unless the owner has agreed to the information being released.
What is strangles?
Strangles is a bacterial infection (caused by the bacteria known as Streptococcus equi) that affects the horse’s upper airway and lymph nodes. It causes the pharynx, larynx, and trachea to swell and can, if not treated, block the airways – the name strangles actually comes from the fact that, before modern treatments, horses were often suffocated, as if they’d been strangled.
What are the first signs of strangles?
Once a horse has been infected with strangles he may not display any symptoms immediately but within three to fourteen days there’ll be obvious signs that he has strangles. While not every horse will display every symptom the common signs to look out for are:
What is post exposure immunity in horses?
Postexposure immunity is prolonged after natural disease in most horses, and protection is associated with local (nasal mucosa) production of antibody against the antiphagocytic M protein. The clinical attack rate of strangles is reduced by 50% in horses vaccinated with IM products that do not induce mucosal immunity. Local (mucosal) production of antibody requires mucosal antigen stimulation. An intranasal vaccine containing a live attenuated strain of S equi equi was designed to elicit a mucosal immunologic response. This attenuated strain is not temperature sensitive (inactivated by core body temperature) like the intranasal influenza vaccine. Reported complications include S equi equi abscesses at subsequent IM injection sites (live bacteria on hands of administrator), submandibular lymphadenopathy, serous nasal discharge, and purpura hemorrhagica (see Type III Reactions : Other Type III Reactions ).
What is the diagnosis of neutrophilic leukocytosis?
Diagnosis is confirmed by bacterial culture of exudate from abscesses or nasal swab samples. CBC reveals neutrophilic leukocytosis and hyperfibrinogenemia. Serum biochemical analysis is typically unremarkable. Complicated cases may require endoscopic examination of the upper respiratory tract (including the guttural pouches), ultrasonographic examination of the retropharyngeal area, or radiographic examination of the skull to identify the location and extent of retropharyngeal abscesses.
What is a metastatic strangle?
Metastatic strangles (“bastard strangles”) is characterized by abscessation in other lymph nodes of the body, particularly the lymph nodes in the abdomen and, less frequently, the thorax. S equi is the most common cause of brain abscess in horses, albeit rare.
What is a strangle?
Tables (0) Videos (0) Strangles is an infectious, contagious disease of Equidae characterized by abscessation of the lymphoid tissue of the upper respiratory tract. The causative organism, Streptococcus equi equi, is highly host-adapted and produces clinical disease only in horses, donkeys, and mules.
How long does it take for a horse to get a strangle?
The incubation period of strangles is 3–14 days, and the first sign of infection is fever (103°–106°F [39.4°–41.1°C]). Within 24–48 hr of the initial fever spike, the horse will exhibit signs typical of strangles, including mucoid to mucopurulent nasal discharge, depression, and submandibular lymphadenopathy.
How often should you disinfect horses exposed to strangles?
The rectal temperature of all horses exposed to strangles should be obtained twice daily, and horses developing fever should be isolated (and potentially treated with penicillin). Contaminated equipment should be cleaned with detergent and disinfected using chlorhexidine gluconate or glutaraldehyde.
Can NSAIDs be used on horses?
NSAIDs can be administered judiciously to reduce pain and fever and to improve appetite in horses with fulminant clinical disease. Tracheotomy may be required in horses with retropharyngeal abscessation and pharyngeal compression.
Causes of Equine Strangles
Strangles are caused by the gram-positive bacteria Streptococcus equi. The bacteria are also called Streptococcus equi subspecies equi.
Distribution of Strangles in Horses
Strangles is a relatively common equine disease with distribution worldwide. Young horses are most commonly affected, but all ages are vulnerable to the disease. The susceptibility of the disease depends on the immune status of the host.
Epidemiology of Strangles
The highly adaptive S equi is maintained only in the horse population in which clinical disease is occurring. Survival is brief in the environment unless the organism is protected in moist discharges.
How Does A Horse Get Strangles?
Strangles in horses is highly contagious and easily transmitted through bacteria found in discharges from infected animals. Coughing will include aerosol the bacteria through the nearest air stream. Transmission is either by direct contact with an infected animal or indirect contact by equipment with an affected horse.
Pathogenesis of Strangles in horses
Infection of pharyngeal and nasal mucosa causes acute pharyngitis and rhinitis. The incubation of strangles is 3-12 days. The infection spread through the lymph channel but generally remains localized in the tissues adjacent to the original point of infection. Metastatic infection may occur in any organ of the body.
Clinical Signs of Equine Strangles
The disease’s incubation period is 3-12 days, and the complete course of the disease is 3-4 weeks with recovery. The usual clinical signs are:
Diagnosis of Equine Strangles
A preliminary diagnosis is usually made based on the characteristic clinical signs; however, laboratory confirmation is recommended.
How to treat strangles in horses?
If you suspect that your horse has strangles, notify your veterinarian to confirm the presence of the disease. The sooner a positive diagnosis is reached, the less down time the stable will have to tolerate. Most often strangles is allowed to “run its course,” with the majority of horses recovering with little or no problems. There are more severe strains of strangles that can cause multiple lymph nodes to abscess on the face. These horses maybe started on antibiotics. The treatment of strangles is dependent on the stage of the disease. Also, if a horse begins antibiotic treatment in the early stages of the disease, lymph node abscesses can be prevented. However, once lymph nodes have enlarged and become abscessed, antibiotic treatment will only prolong the horse's illness. It is better to allow the abscess to open, or have the veterinarian lance it, so that it may drain. The best treatment at this point is to flush the drainage site, keep the area as clean as possible, and to maintain strict isolation of the ill horse.
How long should a horse be isolated before being added to the stable?
To control the spread of the strangles bacteria, any new horse with a vague or unknown health history should be isolated for four to six weeks before being added to the general population of the stable or paddock. Nasal swabs can ascertain whether the horse is shedding the streptococcus equi bacteria, but because affected horses shed the bacteria sporadically, one swab test is not enough. Three nasal swabs over a period of seven days are required before it can be assumed that the horse is negative for strangles.
Why do horses make strangles?
The name, strangles, was coined due to the strangling breathing sounds made by affected horses, caused by the enlarged sub-mandibular and retro-pharyngeal lymph nodes. Strangles can affect horses of any age, but most commonly infects those between one and five years of age. The disease is usually acquired after exposure to another horse ...
How does equi shedding happen?
The disease is usually acquired after exposure to another horse that is shedding the streptococcus equi bacteria, either during or after its own bout of the illness. This can occur when new horses are introduced to an established herd and can also become established in an area.
How do strangles spread?
While direct contact between horses is the most common way that strangles is spread, it can also be spread by contaminated equipment. Improperly cleaned and shared buckets, stalls, and tack can spread the disease between horses. Fortunately, the bacteria die fairly quickly in the environment.
What temperature does a horse's throat get?
Typically, the temperature rises to 103°C. After a few days lymph nodes around the throat swell, forming abscesses. The horse can have difficulty breathing and swallowing. A nasal discharge is at first clear and then becomes purulent (thick with signs of pus), after the abscesses have ruptured in the nasal passages.
How long after exposure to strangles should you treat?
If your horse was stabled near one who had strangles at a show or rodeo, it is reasonable to treat it with antibiotics for at least six days after exposure. This is because horses usually don't show the first signs of the disease for two to six days.

What Is Strangles?
Signs of Illness
- Early signs 1. Fever, temperature above 102 F 2. Depression 3. Nasal discharge which starts clear and becomes thick and yellow A few days after onset, the horse will develop painful swelling of the lymph nodes. This swelling produces abscesses that will rupture and discharge pus. More serious cases arise when horses have lymph node swelling in the throatlatch area. These horse…
Treatment
- Veterinarians usually recommend applying hot packs to the lower jaw. This will help the abscesses mature so they can be safely opened. Once opened, flush the inside of the abscess with dilute povidone-iodine solutions until they heal. Horses usually recover fully after the abscesses open. Many veterinarians refrain from using antibiotics for uncomplicated cases. Ant…
Preventing Disease Spread
- How strangles spreads
1. Horse-to-horse contact 2. Contact with contaminated people, tack, drinking troughs, etc. - What to do if strangles occurs
1. Isolate all the horses with symptoms to one area. 2. Use separate tools and grooming equipment in the isolation area. 3. Completely clean all feed, manure and bedding from contaminated areas. Keep these materials away from healthy horses. 4. Thoroughly disinfect eq…
Vaccines
- Horses that haven’t been exposed to the bacteria in recent years are more prone to strangles. Intramuscular and intranasal vaccines are available for horses. These vaccines decrease the severity of strangles symptoms but don’t completely prevent the disease.