“…SeM titers greater than 1:12,800 are most associated with metastatic strangles infection, and values of 1:3200 to 1:6400 are found with recent infection and recovery. 4,30 A subset of affected horses become persistent shedders of S equi after resolution of their primary disease. The infectious material is typically found within the GP, although it is also rarely reported to occur in the sinuses.…”