Uterine diseases are prevalent in she-camel and lead to economic losses because of decreased fertility.The aim of this study is to look into the expression pattern of acute-phase proteins (APPs) and in ammatory cytokines in dromedary camels with clinical endometritis (CE) to highlight their role in immune-pathogenesis of the disease. Moreover, to identify the use of these parameters as a complementary tool for CE screening as well as investigate the e cacy of ceftiofur antibiotic. APPs and in ammatory cytokines were estimated in camels with CE. Values of APPs (Hp, SAA, and Fg), proin ammatory (IFN-γ, TNF-α, IL-1α, IL-1β, and IL-6) and ant-in ammatory cytokines (IL-10) were higher in camels with CE than that of healthy control (P<0.05). The highest correlation was observed between HP and IFN-γ (r = 0.73), and IL-1β and IL-6 (r = 0.73), while the lower correlation was observed between Fg and IFN-γ (r = 0.25). Corynebacterium pyogenes and Arcanobacterium pyogenes were the most common pathogens involved in the etiology of CE. All investigated biomarkers demonstrated a high degree of recognition between CE camel and healthy controls (AUC was > 0.90). A higher proportion of camels with CE that were treated with ceftiofur (90%, P<0.0001) scored clinical cure after the rst dose, while 10% required a second dose. In conclusion, CE causes increased APPs and in ammatory cytokines biomarkers indicating a signi cant acute phase response in diseased camels with CE. These changes in biomarkers could be bene cial for understanding immune-pathogenesis of CE in dromedary camels, clinical practice, and basic clinical research.