Cited by 34Clostridium difficile and Clostridium perfringens researchVeterinary Equine Medical ResearchVeterinary medicine and infectious diseases

Equine Colitis X Associated with Infection by Clostridium Difficile NAP1/027

Songer, J. Glenn, Trinh, H. T., Dial, Sharon M., Brazier, Jon S., Glock, Robert D.·2009·Journal of Veterinary Diagnostic Investigation

Abstract

A 14-year-old Quarter Horse with a 48-hr history of colic was euthanized after failure to respond to treatment. At necropsy, cecal and colonic mucosae were congested throughout, and there was segmental edema and significant thickening of the intestinal wall. Excessive numbers of mononuclear cells were found in mucosal lamina propria. Submucosal hemorrhage was diffuse and extensive, and Clostridium difficile toxins A and B were detected. Large numbers of C. difficile were isolated, and genetic characterization revealed them to be North American pulsed-field gel electrophoresis type 1, polymerase chain reaction ribotype 027, and toxinotype III. Genes for the binary toxin were present, and toxin negative-regulator tcdC contained an 18-bp deletion. This genotype comprises the current human "epidemic strain," which is associated with human C. difficile-associated disease of greater than historical severity. The diagnosis was peracute typhlocolitis, with lesions and history typical of those attributed to colitis X.

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Crossref · 10.1177/104063870902100314

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  • The clinical presentation, gross and microscopic findings, and the evident positive immunohistochemistry tests for C. difficile toxin A in 13 manatees (if not cross reacting) is reminiscent of C. difficile-associated disease in horses and pigs, possibly implicating C. difficile in the pathogenesis of the clostridial infections of manatees.

    “the clinical presentation, gross and microscopic findings, and the evident positive IHC tests for C. difficile toxin A in 13 manatees (if not cross reacting) is reminiscent of C. difficileassociated disease (CDAD) in horses and pigs (Songer, 2004;Songer and Uzal, 2005;Songer et al., 2009), possibly implicating C. difficile in the pathogenesis of the clostridial infections of manatees.”
  • Although C. perfringens type A was detected in 11 cases in the present study, no obvious gross or microscopic lesions with gas bubbles were seen, and the blebbing seen in the cecum of three manatees and colon of 11 manatees, reflecting edema-associated blistering and mucosal lifting similar to C. difficile-associated disease, was striking.

    “Although C. perfringens type A was detected in 11 cases in the present study, no obvious gross or microscopic lesions with gas bubbles were seen, and the blebbing seen in the cecum of three manatees and colon of 11 manatees, reflecting edema-associated blistering and mucosal lifting similar to CDAD associated with Clostridioides difficile (Songer et al., 2009), was striking.”

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Authors
Songer, J. G., Trinh, H. T., Dial, S. M., Brazier, J. S., & Glock, R. D.
Affiliations
  • University of Arizona (US)
  • Anaerobe Reference Laboratory, National Public Health Service, Cardiff, Wales, UK
Venue
Journal of Veterinary Diagnostic Investigation
Published
2009-05
Volume
21
Issue
3
Pages
377-380
ISSN
  • 1040-6387 (ISSN-L)
  • 1943-4936
OpenAlex
W2011601131
Cited by
34
References
0
Citations by year
2026: 2 · 2023: 1 · 2022: 2 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 3 · 2014: 2 · 2013: 8 · 2012: 6
FWCI
2.75
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Veterinary Diagnostic Investigation (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Clostridium difficile and Clostridium perfringens research
  • Health Sciences › Veterinary › Equine › Veterinary Equine Medical Research
  • Health Sciences › Veterinary › Small Animals › Veterinary medicine and infectious diseases
Keywords
Clostridium difficile, binary toxin, ribotype 027, colic, typhlocolitis, Quarter Horse, intestinal mucosal injury, Clostridium difficile-associated disease
MeSH terms
Animals, Clostridium Infections, Colitis, Enteritis, Horse Diseases, Horses, Clostridioides difficile

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