A contagious zoonosis affecting primarily horses, mules, and donkeys and caused by the bacterium Burkholderia (Pseudomonas) mallei. Glanders (farcy) was once common throughout the world but is now found only in parts of Africa, Russia, and Asia. Burkholderia mallei is a gram-negative, non-acid-fast, nonsporulating, nonmotile, unencapsulated bacillus occasionally showing bipolar staining; it is obligately aerobic and oxidase-positive. Burkholderia mallei is highly infectious for humans, who may acquire it by handling or treating glanderous animals or during laboratory investigations. See also Zoonoses.
Glanders is usually contracted by ingestion of contaminated food or water, by contact, and by inhalation of infectious droplets. All equids are highly susceptible. The disease is usually acute and often fatal in donkeys and mules, and chronic in horses, some of which may ultimately recover but continue to carry B. mallei. It is characterized by formation of nodules and ulcerations of the skin and respiratory membranes and by granulomatous nodules in the lungs, lymphatic channels, and lymph nodes.
Although B. mallei is sensitive to sulfonamides and tetracyclines, affected horses are not usually treated since destruction of cases has been found to be extremely effective in control and eradication. Essential components of diagnosis include clinical examinations at frequent intervals to detect the cutaneous and nasal forms; immunological tests to detect serum antibody; and skin and intradermopalpebral (within the skin of the eyelid) injection of mallein, a glycoprotein of B. mallei, to detect hypersensitivity. See also Agglutination reaction; Complement-fixation test; Hypersensitivity.