On May 3, 2018, the attending veterinarian confirmed strangles in a private facility in Shelby County, Tennessee. Four horses—an 8- and 9-year-old gelding, a 7-year old mare, and a 2-year-old Mini gelding) had clinical signs of high fevers, draining submandibular lymph nodes, coughing and nasal drainage. 

All four horses are alive and under voluntary quarantine until they are confirmed negative for the disease.