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Topic:Enterocolitis

Enterocolitis in horses is an inflammatory condition affecting the small intestine and colon, often resulting from various infectious, toxic, or idiopathic causes. This condition is characterized by symptoms such as diarrhea, abdominal pain, and colic, and can lead to dehydration and electrolyte imbalances. The etiology of enterocolitis in horses can include bacterial infections like Salmonella and Clostridium difficile, as well as non-infectious factors such as dietary changes or stress. Diagnosis typically involves clinical examination, laboratory testing, and sometimes imaging. This page aggregates peer-reviewed research studies and scholarly articles focused on the pathophysiology, diagnosis, and management of enterocolitis in equine patients.
Systemic aspergillosis associated with acute enterocolitis in foals.
Journal de mycologie medicale    September 2, 2023   Volume 33, Issue 4 101433 doi: 10.1016/j.mycmed.2023.101433
Trápaga MR, Poester VR, Mousquer MA, de Souza RP, Rafael LA, Bonel J, Melo AM, Reis AG, de Faria RO, Stevens DA, Nogueira CEW, Xavier MO.Aspergillosis is an uncommon disease in horses, but it can be fatal. We report two cases of systemic aspergillosis in foals that occurred in a short period in the same region of southern Brazil. In addition, a literature review of similar cases was also performed. Risk factors were attributed to an immunodepression by primary enterocolitis and corticosteroid treatment, the damage in the epithelium, and multiple antibacterial treatments, which allowed local fungal proliferation, tissue invasion and spread of infection, leading to death. Since the antemortem diagnosis of aspergillosis in foals i...
Clostridial Diseases of Horses: A Review.
Vaccines    February 17, 2022   Volume 10, Issue 2 doi: 10.3390/vaccines10020318
Uzal FA, Navarro MA, Asin J, Henderson EE.The clostridial diseases of horses can be divided into three major groups: enteric/enterotoxic, histotoxic, and neurotoxic. The main enteric/enterotoxic diseases include those produced by Clostridium perfringens type C and Clostridioides difficile, both of which are characterized by enterocolitis. The main histotoxic diseases are gas gangrene, Tyzzer disease, and infectious necrotic hepatitis. Gas gangrene is produced by one or more of the following microorganisms: C. perfringens type A, Clostridium septicum, Paeniclostridium sordellii, and Clostridium novyi type A, and it is characterized by ...
Bacterial and viral enterocolitis in horses: a review. Uzal FA, Arroyo LG, Navarro MA, Gomez DE, Asín J, Henderson E.Enteritis, colitis, and enterocolitis are considered some of the most common causes of disease and death in horses. Determining the etiology of these conditions is challenging, among other reasons because different causes produce similar clinical signs and lesions, and also because some agents of colitis can be present in the intestine of normal animals. We review here the main bacterial and viral causes of enterocolitis of horses, including Salmonella spp., Clostridium perfringens type A NetF-positive, C. perfringens type C, Clostridioides difficile, Clostridium piliforme, Paeniclostridium so...
Changes in blood biomarkers in Arabian horses with Clostridium difficile-induced enterocolitis.
Comparative immunology, microbiology and infectious diseases    August 7, 2020   Volume 73 101525 doi: 10.1016/j.cimid.2020.101525
El-Deeb W, Fayez M, Elsohaby I, Mkrtchyan HV, Alhaider A.Clostridium difficile (CD) is considered a major health care problem both in developing and developed countries; frequently reported to be associated with enterocolitis and diarrhea in horses and other animals. In this study, we examined acute phase response (APR), cytokines response, neopterin (NP) procalcitonin (PCT) production and oxidative stress condition in horses and foals with C. difficile-induced enterocolitis (CDIE) and evaluated the effectiveness of these parameters as biomarkers for the disease. A total of 407 Arabian horses in 35 stables were examined between January 2017 to Decem...
Outcome of horses with enterocolitis receiving oncotic fluid support with either plasma or hetastarch.
The Canadian veterinary journal = La revue veterinaire canadienne    November 7, 2019   Volume 60, Issue 11 1207-1212 
Kopper JJ, Kogan CJ, Cook VL, Schott HC.The objective of this study was to determine whether there was an association between type of colloid administered and survival of horses with enterocolitis (N = 92). A retrospective review of medical records of horses with enterocolitis treated with plasma or hetastarch (HES) between January 1, 2005 and December 31, 2011 was performed. Data collected included signalment, outcome, physical and clinicopathologic findings, and volume and type of colloid administered. Sixty-nine horses (75%) were treated with plasma and 23 horses (25%) were treated with HES. After accounting for confounding varia...
Severe hyponatraemia in foals: clinical findings, primary diagnosis and outcome.
Australian veterinary journal    May 31, 2016   Volume 94, Issue 6 186-191 doi: 10.1111/avj.12446
Collins NM, Axon JE, Carrick JB, Russell CM, Palmer JE.To evaluate severe hyponatraemia in foals presenting as medical emergencies to an intensive care unit (ICU) in order to determine the prevalence, clinical findings, primary diagnosis and outcome. Methods: Retrospective case study of records from Thoroughbred foals aged less than 3 months presenting to an ICU as medical emergencies in 2002-12; foals with severe hyponatraemia (serum sodium <122 mmol/L) on admission laboratory data were identified. Data retrieved included signalment, clinical findings, laboratory results, primary diagnosis, treatment and outcome. Results: Severe hyponatraemia w...
Mycobacterium bovis infection in a horse with granulomatous enterocolitis. Sarradell JE, Alvarez J, Biscia M, Zumarraga M, Wunschmann A, Armien AG, Perez AM.A 2-year-old dappled Percheron horse had a wasting condition that did not respond to antibiotic treatments and ultimately resulted in death. Thickening of the wall of the large colon and enlargement of the mesenteric lymph nodes were observed at postmortem examination, along with the presence of pinpoint whitish foci in the liver. Microscopic examination of affected tissues revealed diffuse chronic granulomatous enterocolitis, granulomatous mesenteric lymphadenitis, and multifocal granulomatous hepatitis. The DNA extracted from paraffin-embedded intestinal and lymph node samples was analyzed u...
A review of foal diarrhoea from birth to weaning.
Equine veterinary education    January 18, 2012   Volume 24, Issue 4 206-214 doi: 10.1111/j.2042-3292.2011.00358.x
Mallicote M, House AM, Sanchez LC.Diarrhoea is among the most common clinical complaints in foals. Aetiologies, diagnostic testing and recommended interventions for specific causes of enterocolitis are summarised. Many mild to moderately affected foals can be managed in an ambulatory setting, while others will benefit from more intensive care at a referral centre.
Clostridium perfringens type C and Clostridium difficile co-infection in foals.
Veterinary microbiology    December 1, 2011   Volume 156, Issue 3-4 395-402 doi: 10.1016/j.vetmic.2011.11.023
Uzal FA, Diab SS, Blanchard P, Moore J, Anthenill L, Shahriar F, Garcia JP, Songer JG.Clostridium perfringens type C is one of the most important agents of enteric disease in newborn foals. Clostridium difficile is now recognized as an important cause of enterocolitis in horses of all ages. While infections by C. perfringens type C or C. difficile are frequently seen, we are not aware of any report describing combined infection by these two microorganisms in foals. We present here five cases of foal enterocolitis associated with C. difficile and C. perfringens type C infection. Five foals between one and seven days of age were submitted for necropsy examination to the Californi...
Pathology of Clostridium perfringens type C enterotoxemia in horses.
Veterinary pathology    April 18, 2011   Volume 49, Issue 2 255-263 doi: 10.1177/0300985811404710
Diab SS, Kinde H, Moore J, Shahriar MF, Odani J, Anthenill L, Songer G, Uzal FA.Clostridium perfringens type C is an important cause of enteritis and enterocolitis in foals and occasionally in adult horses. The disease is a classic enterotoxemia, and the enteric lesions and systemic effects are caused primarily by beta toxin, 1 of 2 major toxins produced by C. perfringens type C. Until now, only sporadic cases of C. perfringens type C equine enterotoxemia have been reported. We present a comprehensive description of the lesions in 8 confirmed cases of type C enterotoxemia in foals and adult horses. Grossly, multifocal to segmental hemorrhage and thickening of the intestin...
Rib osteomyelitis in three foals.
Australian veterinary journal    April 21, 2010   Volume 88, Issue 3 96-100 doi: 10.1111/j.1751-0813.2009.00547.x
Neil KM, Charman RE, Vasey JR.Three foals aged between 21 and 44 days were presented for evaluation of pyrexia and lameness. Each had subcutaneous abscessation associated with osteomyelitis of a rib at the costochondral junction and pathological fracture of the affected rib; one foal had more than one rib affected. Other localised sites of infection included other sites of osteomyelitis, omphalophlebitis, uveitis, enterocolitis, and calcaneal bursitis. The subcutaneous abscessation and rib osteomyelitis was treated surgically in two foals. Salmonella typhimurium was isolated from the subcutaneous abscess in one foal and fr...
Life-threatening hemorrhage from enterotomies and anastomoses in 7 horses.
Veterinary surgery : VS    December 3, 2003   Volume 32, Issue 6 553-558 doi: 10.1111/j.1532-950x.2003.00553.x
Doyle AJ, Freeman DE, Rapp H, Murrell JA, Wilkins PA.To report our experience with horses that presumptively had severe intraluminal hemorrhage from enterotomy or anastomosis. Methods: Clinical study. Methods: Six adult horses and 1 adult donkey. Methods: A retrospective study was conducted at the University of Illinois (April 1994 to December 2001) to determine the clinical course and outcome of horses with melena and/or anemia and evidence of life-threatening hemorrhage from intestinal incisions. Medical records of all horses that had colic surgery were reviewed to determine the proportion of horses with this complication. In addition, horses ...
Plasma concentrations of endothelin-like immunoreactivity in healthy horses and horses with naturally acquired gastrointestinal tract disorders.
American journal of veterinary research    March 26, 2002   Volume 63, Issue 3 454-458 doi: 10.2460/ajvr.2002.63.454
Ramaswamy CM, Eades SC, Venugopal CS, Hosgood GL, Garza F, Barker SA, Moore RM.To compare plasma endothelin (ET)- like immunoreactivity between healthy horses and those with naturally acquired gastrointestinal tract disorders. Methods: 29 healthy horses and 142 horses with gastrointestinal tract disorders. Methods: Blood samples were collected from healthy horses and from horses with gastrointestinal tract disorders prior to treatment. Magnitude and duration of abnormal clinical signs were recorded, and clinical variables were assessed via thorough physical examinations. Plasma concentrations of ET-like immunoreactivity were measured by use of a radioimmunoassay for huma...
Comparison of serum parathyroid hormone and ionized calcium and magnesium concentrations and fractional urinary clearance of calcium and phosphorus in healthy horses and horses with enterocolitis.
American journal of veterinary research    June 13, 2001   Volume 62, Issue 6 938-947 doi: 10.2460/ajvr.2001.62.938
Toribio RE, Kohn CW, Chew DJ, Sams RA, Rosol TJ.To evaluate calcium balance and parathyroid gland function in healthy horses and horses with enterocolitis and compare results of an immunochemiluminometric assay (ICMA) with those of an immunoradiometric assay (IRMA) for determination of serum intact parathyroid hormone (PTH) concentrations in horses. Methods: 64 horses with enterocolitis and 62 healthy horses. Methods: Blood and urine samples were collected for determination of serum total calcium, ionized calcium (Ca2+) and magnesium (Mg2+), phosphorus, BUN, total protein, creatinine, albumin, and PTH concentrations, venous blood gases, and...
Survival of Clostridium difficile and its toxins in equine feces: implications for diagnostic test selection and interpretation. Weese JS, Staempfli HR, Prescott JF.Although Clostridium difficile is recognized as a cause of enterocolitis in horses and humans, there has been little work published regarding the lability of C. difficile and its toxins in feces. A significant decrease in recovery of C. difficile from inoculated equine fecal samples occurred during storage. Recovery after storage in air at 4 degrees C decreased from 76% (37/49) after 24 hours to 67% (33/49) at 48 hours and 29% (14/ 49) after 72 hours. In contrast to aerobic storage, 25 of 26 samples stored anaerobically at 4 degrees C yielded growth of C. difficile for 30 days, whereas the org...
Foaling-management practices associated with the occurrence of enterocolitis attributed to Clostridium perfringens infection in the equine neonate.
Preventive veterinary medicine    June 16, 2000   Volume 46, Issue 1 61-74 doi: 10.1016/s0167-5877(00)00131-8
East LM, Dargatz DA, Traub-Dargatz JL, Savage CJ.Enterocolitis associated with Clostridium perfringens (C. perfringens) infection in neonatal foals is often severe and has been associated with a high case-mortality risk. We designed a premises-based survey to evaluate the associations of regional foaling practices, premises environmental management, periparturient foal and brood-mare management, and periparturient brood-mare ration with the occurrence of neonatal enterocolitis attributed to C. perfringens infection. Potential risk factors individually associated with enterocolitis were breed type, housing type at foaling and in the first thr...
Enterocolitis associated with Clostridium perfringens infection in neonatal foals: 54 cases (1988-1997).
Journal of the American Veterinary Medical Association    June 11, 1998   Volume 212, Issue 11 1751-1756 
East LM, Savage CJ, Traub-Dargatz JL, Dickinson CE, Ellis RP.To identify clinical signs, physical examination findings, results of diagnostic tests, treatments administered, and clinical outcome of neonatal foals with enterocolitis associated with Clostridium perfringens infection. Methods: Retrospective study. Methods: 54 neonatal foals. Results: Most foals had acute onset of obtunded mentation, colic, or diarrhea and developed leukopenia, neutropenia, an abnormally high number of band neutrophils, toxic WBC, and hypoproteinemia within 24 hours after admission, despite high serum IgG concentrations (> 800 mg/dl). Abdominocentesis and abdominal radiogra...
Thrombosis resulting in rectal perforation in a horse.
Journal of the American Veterinary Medical Association    September 15, 1996   Volume 209, Issue 6 1125-1127 
Guglick MA, MacAllister CG, Ewing PJ, Confer AW.A 12-year-old Quarter Horse gelding was admitted to the veterinary medical teaching hospital with a 2-day history of signs of abdominal pain. Initial findings on physical examination included signs of lethargy, dehydration, diarrhea, and gastric reflux. Results of laboratory testing indicated that the horse had panleukopenia with neutrophilic toxic changes, was dehydrated, and was hypocalcemic. During the first 48 hours of hospitalization, 1 abdominal palpation per rectum and 3 analyses of peritoneal fluid were performed; abnormalities were not detected. A preliminary diagnosis of enterocoliti...
Hyperlipidemia, hyperlipemia, and hepatic lipidosis in American miniature horses: 23 cases (1990-1994).
Journal of the American Veterinary Medical Association    September 1, 1995   Volume 207, Issue 5 604-607 
Mogg TD, Palmer JE.The medical records of 23 American Miniature Horses with hyperlipidemia, hyperlipemia, or hepatic lipidosis were reviewed. The most common clinical signs were anorexia and lethargy. The mean duration of clinical signs was 2.4 days. A primary disease was identified in 19 cases. Enterocolitis was the most common primary disease (n = 10). Intentional feed restriction, as part of treatment for colic, resulted in hyperlipemia in 2 horses and hyperlipidemia in 1. Four horses had primary hyperlipemia, 3 of which had signs of hepatoencephalopathy secondary to hepatic lipidosis. Dextrose, heparin, and ...
Clostridia-associated enterocolitis in adult horses and foals.
The Veterinary clinics of North America. Equine practice    August 1, 1993   Volume 9, Issue 2 411-421 doi: 10.1016/s0749-0739(17)30407-8
Traub-Dargatz JL, Jones RL.A review of the literature describing clostridia-associated enterocolitis is presented. The bacteria, their toxins, and possible factors that interact to contribute to the pathogenesis of enterocolitis are described. Clinical signs associated with clostridia-associated enterocolitis, methods of diagnosis, treatments, and preventive strategies are discussed.
Diagnostic procedures for isolation and characterization of Clostridium difficile associated with enterocolitis in foals. Jones RL.No abstract available
Invasive pulmonary aspergillosis of horses: an association with acute enteritis.
Veterinary pathology    July 1, 1988   Volume 25, Issue 4 277-281 doi: 10.1177/030098588802500405
Slocombe RF, Slauson DO.Invasive pulmonary aspergillosis was identified in 19 horses. In 16 cases mycotic lesions were associated with enterocolitis; 14 cases appeared to result from Salmonella infection. Pulmonary lesions included multifocal areas of acute necrosis, leukocytoclastic vasculitis, and thrombosis with fibrinosuppurative inflammation surrounding mycelial masses. Thromboemboli with fungi were in the brain and kidneys of three cases. Factors which appeared to predispose to pulmonary aspergillosis included corticosteroid therapy, disseminated neoplasms, hepatitis, pleuritis, and peritonitis. This study sugg...
Eosinophilic enterocolitis and dermatitis in two horses.
Equine veterinary journal    May 1, 1987   Volume 19, Issue 3 247-252 doi: 10.1111/j.2042-3306.1987.tb01397.x
Gibson KT, Alders RG.No abstract available
Corynebacterium equi Infections in Horses, 1958-1984: A Review of 131 Cases.
The Canadian veterinary journal = La revue veterinaire canadienne    May 1, 1986   Volume 27, Issue 5 213-217 
Zink MC, Yager JA, Smart NL.Of 131 cases of Corynebacterium equi infection in horses submitted for necropsy to the Ontario Veterinary College or Veterinary Laboratory Services, OMAF, Guelph, Ontario from 1958 to 1984, 115 were diagnosed as suppurative pneumonia, and of these 55 had associated ulcerative enterocolitis. Only five animals had intestinal involvement without pulmonary lesions. The remaining 11 cases included arthritis/cellulitis, skin abscesses and submandibular lymphadenitis. While the lung, intestine and associated lymph nodes yielded C. equi most frequently, in 21% of cases C. equi was also cultured from p...