“…In addition to pneumonia (2,13,21), H. somni can cause meningoencephalitis, myocarditis, arthritis, septicemia, and other systemic infections (7,22). H. somni expresses a wide array of virulence factors, including phase variation of lipooligosaccharide epitopes (20,24,25,52), decoration of lipooligosaccharide with sialic acid and phosphorylcholine (20,24,43), expression of high-molecular-weight immunoglobulin-binding proteins (5,6,51), intracellular survival in professional phagocytes (8,33), and induction of apoptosis (46,47). However, urogenital strains of H. somni lack many of these virulence factors and are incapable or less capable of causing disease than isolates from normally sterile sites (43).…”