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Topic:Toxins

Toxins in horses refer to a variety of substances that can cause adverse health effects when ingested, inhaled, or absorbed through the skin. These substances can originate from plants, chemicals, feed contaminants, or environmental sources. Common toxins affecting horses include mycotoxins, heavy metals, and certain plants like ragwort and oleander. Exposure to these toxins can lead to a range of clinical symptoms, from mild discomfort to severe illness or death. Research in this area focuses on identifying toxic agents, understanding their mechanisms of action, and developing strategies for prevention and treatment. This page compiles peer-reviewed research studies and scholarly articles that explore the sources, effects, and management of toxins in equine health.
A review on mycotoxins and mycotoxicoses in ruminants and Equidae in South America.
Toxicon : official journal of the International Society on Toxinology    June 22, 2024   Volume 247 107827 doi: 10.1016/j.toxicon.2024.107827
Of the mycotoxicoses caused by molds contaminating grains or their byproducts, leukoencephalomalacia of horses and less frequently aflatoxicosis in cattle have been reported in South America. However, the most important group of mycotoxins in the region are those caused by fungi that infect forages and other types of plants and have regional distribution. In this group, ergotism is important, both caused by Claviceps purpurea infecting grains or by Epichloë coenophiala infecting Schedonorus arundinaceus. Other important mycotoxicoses are those caused by indole-diterpenes produced by Clavicipi...
Chemical characterization of volatile organic compounds emitted by animal manure.
Journal of environmental management    June 13, 2024   Volume 364 121453 doi: 10.1016/j.jenvman.2024.121453
Haider KM, Focsa C, Decuq C, Esnault B, Lafouge F, Loubet B, Petitprez D, Ciuraru R.Animal manure is considered a valuable organic fertilizer due to its important nutrient content enhancing soil fertility and plant growth in agriculture. Besides its beneficial role as fertilizer, animal manure represents a significant source of volatile organic compounds (VOCs), playing a significant role in atmospheric chemistry. Understanding the composition of VOCs Understanding VOCs from animal manure is crucial for assessing their environmental impact, as they can cause air pollution, odors, and harm to human health and ecosystems. Laboratory studies enhance field measurements by providi...
Comparison of the intrageneric neutralization scope of monospecific, bispecific/monogeneric and polyspecific/monogeneric antisera raised in horses immunized with sub-Saharan African snake venoms.
PLoS neglected tropical diseases    May 29, 2024   Volume 18, Issue 5 e0012187 doi: 10.1371/journal.pntd.0012187
Sánchez A, Durán G, Segura Á, Herrera M, Vargas M, Villalta M, Arguedas M, Moscoso E, Umaña D, Gómez A, Gutiérrez JM, León G.Snakebite envenomation inflicts a high burden of mortality and morbidity in sub-Saharan Africa. Antivenoms are the mainstay in the therapy of envenomation, and there is an urgent need to develop antivenoms of broad neutralizing efficacy for this region. The venoms used as immunogens to manufacture snake antivenoms are normally selected considering their medical importance and availability. Additionally, their ability to induce antibody responses with high neutralizing capability should be considered, an issue that involves the immunization scheme and the animal species being immunized. Results...
The Management of Xylazine Overdose With Naloxone.
Cureus    April 5, 2024   Volume 16, Issue 4 e57638 doi: 10.7759/cureus.57638
Morris J, Hoang D.This article discusses a rare case of isolated xylazine overdose in a human, treated successfully with naloxone. Xylazine, typically used as a veterinary tranquilizer, acts as a potent α2 adrenergic agonist, leading to sedation, muscle relaxation, and potential respiratory depression. In this case, a female mistakenly injected herself with xylazine mistaking it for a different medication. The report discusses naloxone's role beyond opioid overdose, especially regarding substances causing central nervous system (CNS) depression via mechanisms similar to those of opioids. While naloxone is trad...
New Pathophysiological Insights from Serum Proteome Profiling in Equine Atypical Myopathy.
ACS omega    January 29, 2024   Volume 9, Issue 6 6505-6526 doi: 10.1021/acsomega.3c06647
Kruse CJ, Dieu M, Renaud B, François AC, Stern D, Demazy C, Burteau S, Boemer F, Art T, Renard P, Votion DM.Equine atypical myopathy (AM) is a severe environmental intoxication linked to the ingestion of protoxins contained in seeds and seedlings of the sycamore maple (Acer pseudoplatanus) in Europe. The toxic metabolites cause a frequently fatal rhabdomyolysis syndrome in grazing horses. Since these toxic metabolites can also be present in cograzing horses, it is still unclear as to why, in a similar environmental context, some horses show signs of AM, whereas others remain clinically healthy. Label-free proteomic analyses on the serum of 26 diseased AM, 23 cograzers, and 11 control horses were per...
Standardized guidelines for Africanized honeybee venom production needed for development of new apilic antivenom.
Journal of toxicology and environmental health. Part B, Critical reviews    January 26, 2024   Volume 27, Issue 2 73-90 doi: 10.1080/10937404.2023.2300786
Oliveira Orsi R, Zaluski R, de Barros LC, Barraviera B, Pimenta DC, Ferreira Junior RS.Africanized bees have spread across the Americas since 1956 and consequently resulted in human and animal deaths attributed to massive attacks related to exposure from Argentina to the USA. In Brazil, more than 100,000 accidents were registered in the last 5 years with a total of 303 deaths. To treat such massive attacks, Brazilian researchers developed the first specific antivenom against Africanized honey bee sting exposure. This unique product, the first of its kind in the world, has been safely tested in 20 patients during a Phase 2 clinical trial. To develop the antivenom, a standardize...
Plants Causing Toxic Myopathies.
The Veterinary clinics of North America. Equine practice    December 26, 2023   Volume 40, Issue 1 45-59 doi: 10.1016/j.cveq.2023.11.001
Sponseller B, Evans T.Boxelder and sycamore maple contain hypoglycin A (HGA), the toxic metabolite of which, MCPA-CoA, inhibits fatty acid β-oxidation, causing seasonal pasture myopathy (SPM) or atypical myopathy (AM), respectively. White snakeroot and rayless goldenrod contain multiple benzofuran ketones (BFKs). The identity/toxicity of BFKs appear variable, possibly involving interactions between toxins/toxic metabolites, but ultimately inhibit cellular energy metabolism. Unthrifty horses grazing sparse pastures during the fall appear predisposed to these plant-associated, frequently fatal, toxic myopathies. Tox...
Do Poisonous Plants in Pastures Communicate Their Toxicity? Meta-Study and Evaluation of Poisoning Cases in Central Europe.
Animals : an open access journal from MDPI    December 8, 2023   Volume 13, Issue 24 3795 doi: 10.3390/ani13243795
Aboling S.One of the possible roles of secondary plant metabolites, including toxins, is facilitating plant-animal communication. Lethal cases of pasture poisoning show that the message is not always successfully conveyed. As the focus of poisoning lies in the clinical aspects, the external circumstances of pasture poisoning are widely unknown. To document poisoning conditions in cattle, sheep, goats, and horses on pastures and to compile a checklist of plants involved in either poisoning or co-existence (zero poisoning), published case reports were evaluated as primary sources. The number of affected a...
Plants that Contaminate Feed and Forage and Poison Horses: Equine Ttxicology.
The Veterinary clinics of North America. Equine practice    December 6, 2023   S0749-0739(23)00075-5 doi: 10.1016/j.cveq.2023.11.003
Stegelmeier BL, Davis TZ.Many toxic plants are unpalatable to horses and are not eaten when alternative forage is available. However, when such plants contaminate prepared or baled feed and forage, herd competition and improved palatability can alter acceptance and thereby cause equine plant poisonings. Dehydropyrrolizidine alkaloid-containing plants; cocklebur; Salvia reflexa; kleingrass, switchgrass, and other saponin-containing grasses; jimson weed, black henbane, and other tropane alkaloid-containing plants; lantana; Cassia spp and other myotoxic plants; castor bean; cyanogenic glycoside-containing plants; thiamin...
Blue Green Algae.
The Veterinary clinics of North America. Equine practice    November 23, 2023   Volume 40, Issue 1 121-132 doi: 10.1016/j.cveq.2023.10.006
Fritz SA, Charnas S, Ensley S.Blue green algae cyanotoxins have become increasingly more prevalent due to environmental, industrial, and agricultural changes that promote their growth into harmful algal blooms. Animals are usually exposed via water used for drinking or bathing, though specific cases related to equines are very limited. The toxic dose for horses has not been determined, and currently only experimental data in other animals can be relied upon to aid in case interpretation and treatment. Treatment is mostly limited to supportive care, and preventative control methods to limit exposures are more likely to aid ...
Industrial and Agricultural Toxicants.
The Veterinary clinics of North America. Equine practice    November 13, 2023   Volume 40, Issue 1 167-178 doi: 10.1016/j.cveq.2023.10.004
Radke S, Finley E.This article provides an overview of several agricultural and industrial toxicants that are most likely to be encountered by horses. Overviews include brief backgrounds of the agents in question, potential sources of intoxication, mechanisms of action, clinical signs, lesions, diagnostic considerations, and treatment options.
Snake Envenomation.
The Veterinary clinics of North America. Equine practice    September 15, 2023   Volume 40, Issue 1 133-150 doi: 10.1016/j.cveq.2023.08.003
Gilliam LL.Snakebite envenomation (SBE) in horses can have devastating outcomes. Tissue damage, cardiotoxicity, coagulopathy, and neurotoxicity can be concerns with SBE. Understanding the actions of venom components is important in developing a successful treatment plan. Antivenom is the mainstay of treatment. Long-term deleterious effects can occur including cardiac dysfunction and lameness.
Tissue Specific Distribution and Activation of Sapindaceae Toxins in Horses Suffering from Atypical Myopathy.
Animals : an open access journal from MDPI    July 26, 2023   Volume 13, Issue 15 doi: 10.3390/ani13152410
Sander J, Terhardt M, Janzen N, Renaud B, Kruse CJ, François AC, Wouters CP, Boemer F, Votion DM.Equine atypical myopathy is caused by hypoglycin A (HGA) and methylenecyclopropylglycine (MCPrG), the known protoxins of sycamore maple (Acer pseudoplatanus). Various tissues from five atypical myopathy cases were analyzed but only HGA was found. Whether deamination of MCPrG has already occurred in the intestine as the first stage of metabolization has not been investigated. Activation of the protoxins to methylenecyclopropylacetyl (MCPA)-CoA and methylenecyclopropylformyl (MCPF)-CoA, respectively, occurred mainly in the skeletal muscles, as evidenced by very high concentrations of MCPA-carnit...
Botulinum neurotoxin type A does not exert concentration-dependent effects on equine articular cartilage in vitro.
American journal of veterinary research    July 18, 2023   1-6 doi: 10.2460/ajvr.23.04.0076
McCarthy MB, Duesterdieck-Zellmer KF, Larson MK.To determine whether Botulinum neurotoxin type A (BoNT-A) ameliorates the effects of interleukin 1 (IL-1) on equine articular cartilage, or exerts negative effects on normal equine articular cartilage homeostasis in vitro. Methods: Articular cartilage explants from 6 healthy femoropatellar joints of 3 adult horses. Methods: Explants were allocated to the IL-1 challenged or unchallenged group, then exposed to 1 of 6 concentrations of BoNT-A (0, 1, 10, 50, 100, or 500 pg/mL) for 96 hours. To assess BoNT-A's effects on inflammation, prostaglandin E2 (PGE2) was measured in media via ELISA. Matrix ...
Equine Crofton Weed (Ageratina spp.) Pneumotoxicity: What Do We Know and What Do We Need to Know?
Animals : an open access journal from MDPI    June 23, 2023   Volume 13, Issue 13 doi: 10.3390/ani13132082
Shapter FM, Granados-Soler JL, Stewart AJ, Bertin FR, Allavena R.Crofton weed (Ageratina adenophora) is a global and highly invasive weed, with ingestion causing severe respiratory disease in horses, leading to irreversible and untreatable pulmonary fibrosis and oedema. While reports of equine pneumotoxicity remain common in Australia and New Zealand, equine pneumotoxicity may be underdiagnosed in other countries where Crofton weed is endemic but poorly differentiated. The pathogenesis of Crofton weed toxicity following ingestion has been well described in a number of different animal models, including rodents, rabbits, and goats. However, induced toxicity ...
A Three-Monoclonal Antibody Combination Potently Neutralizes BoNT/G Toxin in Mice.
Toxins    April 30, 2023   Volume 15, Issue 5 316 doi: 10.3390/toxins15050316
Fan Y, Lou J, Tam CC, Wen W, Conrad F, Leal da Silva Alves P, Cheng LW, Garcia-Rodriguez C, Farr-Jones S, Marks JD.Equine-derived antitoxin (BAT) is the only treatment for botulism from botulinum neurotoxin serotype G (BoNT/G). BAT is a foreign protein with potentially severe adverse effects and is not renewable. To develop a safe, more potent, and renewable antitoxin, humanized monoclonal antibodies (mAbs) were generated. Yeast displayed single chain Fv (scFv) libraries were prepared from mice immunized with BoNT/G and BoNT/G domains and screened with BoNT/G using fluorescence-activated cell sorting (FACS). Fourteen scFv-binding BoNT/G were isolated with K values ranging from 3.86 nM to 103 nM (median K 2...
Evidence of intrathecally-derived antibodies against Toxoplasma gondii in horses suspected of neurological disease consistent with equine protozoal myeloencephalitis.
Veterinary parasitology    March 29, 2023   Volume 318 109919 doi: 10.1016/j.vetpar.2023.109919
Bernardino PN, Pusterla N, Conrad PA, Packham AE, Tamez-Trevino E, Aleman M, James K, Smith WA.Among the recognized neurologic diseases in horses, equine protozoal myeloencephalitis (EPM) has been reported around the world and still presents challenges in diagnosis and treatment. Horses can present with clinical neurologic signs consistent with EPM while testing negative for the two main causative agents, Sarcocystis neurona or Neospora hughesi, and may still be clinically responsive to anti-parasitic drug therapy. This context led to our hypothesis that another protozoal parasite, Toxoplasma gondii, which is known to cause toxoplasmosis in other mammalian species, is a potential pathog...
Assessment of information as regards the toxicity of deoxynivalenol for horses and poultry.
EFSA journal. European Food Safety Authority    February 2, 2023   Volume 21, Issue 2 e07806 doi: 10.2903/j.efsa.2023.7806
Schrenk D, Bignami M, Bodin L, Del Mazo JKCJ, Grasl-Kraupp B, Hogstrand C, Leblanc JC, Nielsen E, Ntzani E, Petersen A, Sand S, Schwerdtle T....In 2017, the EFSA Panel on Contaminants in the Food Chain (CONTAM) adopted a Scientific Opinion on the risks for animal health related to the presence of deoxynivalenol (DON) and its acetylated and modified forms in food and feed. No observed adverse effect levels (NOAELs) and lowest observed adverse effect levels (LOAELs) were derived for different animal species. For horses, an NOAEL of 36 mg DON/kg feed was established, the highest concentration tested and not showing adverse effects. For poultry, an NOAEL of 5 mg DON/kg feed for broiler chickens and laying hens, and an NOAEL of 7 mg DO...
Seroepidemiological study of Toxoplasma gondii in equids in different European countries.
Zoonoses and public health    January 23, 2023   Volume 70, Issue 3 276-283 doi: 10.1111/zph.13026
Cano-Terriza D, Franco JJ, Jose-Cunilleras E, Buono F, Almería S, Veneziano V, Alguacil E, García J, Villena I, Dubey JP, Jiménez-Martín D....Toxoplasmosis, caused by the obligate intracellular protozoan Toxoplasma gondii, is a worldwide parasitic zoonosis. A cross-sectional study was carried out to determine the exposure to T. gondii in equids in Europe. Serum samples from 1399 equids (1085 horses, 238 donkeys, and 76 mules/hinnies) bred in four European countries (Italy, Spain, United Kingdom [UK], and Ireland) were collected during the period of 2013-2021. The overall seroprevalence of T. gondii was 18.9% (95% Confidence Interval [CI]: 16.9-21.0) by using the modified agglutination test (MAT) at a cut-off of 1:25. Seropositivity ...
Application of Toxoplasma gondii-specific SAG1, GRA7 and BAG1 proteins in serodiagnosis of animal toxoplasmosis.
Frontiers in cellular and infection microbiology    December 15, 2022   Volume 12 1029768 doi: 10.3389/fcimb.2022.1029768
Qi T, Ai J, Sun Y, Ma H, Kang M, You X, Li J.Toxoplasmosis is a zoonotic disease caused by the obligate intracellular protozoan parasite which is widely prevalent in humans and animals worldwide. The diagnosis of toxoplasmosis and distinguishing acute or chronic infections have utmost importance for humans and animals. The SAG1, GRA7, and BAG1 proteins were used in the present study to develop the serological rSAG1-ELISA, rGRA7-ELISA and rBAG1-ELISA methods for the testing of specific IgG and IgM antibodies and differentiating acute or chronic toxoplasmosis in 3733 animals, including Tibetan sheep, yaks, pigs, cows, cattle, horses, ch...
Dynamics of acylcarnitines, hypoglycin A, méthylènecyclopropylglycine and their metabolites in a Kladruber stallion with atypical myopathy.
The veterinary quarterly    September 18, 2022   Volume 42, Issue 1 183-191 doi: 10.1080/01652176.2022.2126537
Jahn P, Dobešová D, Brumarová R, Tóthová K, Kopecká A, Friedecký D.Equine atypical myopathy (AM also referred to as multiple acyl-CoA dehydrogenases deficiency [MADD]) is thought to be caused by toxins metabolized from hypoglycin A (HGA) and méthylènecyclopropylglycine (MCPrG). HGA is contained in the seeds and seedlings of the sycamore tree (Acer pseudoplatanus); MCPrG has so far only been confirmed in seeds. Among other things, these substances can disrupt the fatty acids β-oxidation pathway with the subsequent accumulation of certain acylcarnitines. The tentative diagnosis is based on anamnesis and clinical signs and can be verified by the detection of ...
Immunologic and Protective Properties of Subunit- vs. Whole Toxoid-Derived Anti-Botulinum Equine Antitoxin.
Vaccines    September 14, 2022   Volume 10, Issue 9 1522 doi: 10.3390/vaccines10091522
Ben David A, Barnea A, Torgeman A, Diamant E, Dor E, Schwartz A, Rosen O, Caspi N, Saraf M, Lerer E, Adar Y, Lupo E, Toister E, Zichel R.Botulism is a paralytic disease caused by botulinum neurotoxins (BoNTs). Equine antitoxin is currently the standard therapy for botulism in human. The preparation of equine antitoxin relies on the immunization of horses with botulinum toxoid, which suffers from low yield and safety limitations. The Hc fragment of BoNTs was suggested to be a potent antibotulinum subunit vaccine. The current study presents a comparative evaluation of equine-based toxoid-derived antitoxin (TDA) and subunit-derived antitoxin (SDA). The potency of recombinant Hc/A, Hc/B, and Hc/E in mice was similar to that of toxo...
Assessment of information as regards the toxicity of fumonisins for pigs, poultry and horses.
EFSA journal. European Food Safety Authority    August 24, 2022   Volume 20, Issue 8 e07534 doi: 10.2903/j.efsa.2022.7534
Schrenk D, Bignami M, Bodin L, Chipman JK, Del Mazo J, Grasl-Kraupp B, Hogstrand C, Leblanc JC, Nielsen E, Ntzani E, Petersen A, Sand S, Schwerdtle T....In 2018, the EFSA Panel on Contaminants in the Food Chain (CONTAM) adopted a Scientific Opinion on the risks for animal health related to the presence of fumonisins, their modified forms and hidden forms in feed. A no observed adverse effect level (NOAEL) of 1 mg/kg feed was established for pigs. In poultry a NOAEL of 20 mg/kg feed and in horses a reference point for adverse animal health effect of 8.8 mg/kg feed was established, referred to as NOAEL. The European Commission (EC) requested EFSA to review the information regarding the toxicity of fumonisins for pigs, poultry and horses an...
Deoxynivalenol Degradation by Various Microbial Communities and Its Impacts on Different Bacterial Flora.
Toxins    August 5, 2022   Volume 14, Issue 8 537 doi: 10.3390/toxins14080537
Cai C, Zhao M, Yao F, Zhu R, Cai H, Shao S, Li XZ, Zhou T.Deoxynivalenol, a mycotoxin that may present in almost all cereal products, can cause huge economic losses in the agriculture industry and seriously endanger food safety and human health. Microbial detoxifications using microbial consortia may provide a safe and effective strategy for DON mitigation. In order to study the interactions involving DON degradation and change in microbial flora, four samples from different natural niches, including a chicken stable (expJ), a sheep stable (expY), a wheat field (expT) and a horse stable (expM) were collected and reacted with purified DON. After being...
Molecular occurrence and risk factors for Toxoplasma gondii infection in equids in Jilin, China.
Scientific reports    July 30, 2022   Volume 12, Issue 1 13121 doi: 10.1038/s41598-022-16658-6
Liang W, Zhao S, Wang N, Tang Z, Zhao F, Liu M, Jin W, Meng Y, Jia L.Toxoplasma gondii, one of the important zoonotic parasites, has been detected in lots of hosts including humans, with a widespread prevalence. The products of equids, such as meat and milk, have been closely related to humans' life. As the intermediate hosts, little is known about equids toxoplasmosis in Jilin province. Therefore, the present study aimed to evaluate the occurrence and risk factors of Toxoplasma gondii infections in equids from Jilin, northeastern China. In this study, a total of 245 blood samples of equids (192 horses, 25 donkeys and 28 mules) were collected from six localitie...
Association between forage mycotoxins and liver disease in horses.
Journal of veterinary internal medicine    July 6, 2022   Volume 36, Issue 4 1502-1507 doi: 10.1111/jvim.16486
Durham AE.Outbreaks of liver disease in horses are common but the etiology of most remains unknown. Forage mycotoxins have been suspected to be a cause. Objective: To examine the association between outbreaks of liver disease and the presence of mycotoxins in forage stored on the same premises. Methods: Premises were identified where ≥4 horses were contemporaneously affected by liver disease, and a control group was formed from premises where ≥4 horses had been examined and found to have no evidence of liver disease. Methods: Forage was collected from 29 case and 12 control premises. The forage was ...
The chemistry of snake venom and its medicinal potential.
Nature reviews. Chemistry    June 10, 2022   Volume 6, Issue 7 451-469 doi: 10.1038/s41570-022-00393-7
Oliveira AL, Viegas MF, da Silva SL, Soares AM, Ramos MJ, Fernandes PA.The fascination and fear of snakes dates back to time immemorial, with the first scientific treatise on snakebite envenoming, the Brooklyn Medical Papyrus, dating from ancient Egypt. Owing to their lethality, snakes have often been associated with images of perfidy, treachery and death. However, snakes did not always have such negative connotations. The curative capacity of venom has been known since antiquity, also making the snake a symbol of pharmacy and medicine. Today, there is renewed interest in pursuing snake-venom-based therapies. This Review focuses on the chemistry of snake venom an...
Environmental influences on mare reproductive loss syndrome: Do they fit with a toxin as the causative agent?
Journal of equine veterinary science    April 28, 2022   Volume 114 104001 doi: 10.1016/j.jevs.2022.104001
Burns SJ, Westerman AG, Harrison LR.Mare Reproductive Loss Syndrome (MRLS) is the term given to abortions in mares associated with Eastern Tent caterpillars (ETC; Malacosoma americanum). This paper aims to examine if the hypothesis for a toxin as the cause of MRLS holds up to testing using Westerman's Correlates of Causal Strength of Evidence (WCCSE) and fits with known environmental factors that influence the occurrence of MRLS. Using WCCSE all correlates fit with a toxin as a potential causative agent. Environmental factors also fitted with this hypothesis. MRLS events were associated with higher than normal ambient temperatur...
Analytical documentation of an Arabian horse fatality related to Oenanthe crocata poisoning.
Toxicon : official journal of the International Society on Toxinology    February 18, 2022   Volume 210 39-43 doi: 10.1016/j.toxicon.2022.02.009
Gish A, Robveille C, Gicquel T, Allorge D, Gault G, Gaulier JM.Analytical detection of Oenanthe crocata toxins in biological samples is challenging because of their instability, the lack of commercially available standards and the exceptionally low detection of these molecules using mass spectrometry. This work aims to report the used analytical methods that allowed identification of the main plant toxins in biological samples from an equid (an Arabian horse) fatality related to hemlock water dropwort (Oenanthe crocata Linnaeus) intake. Using both LC-DAD and LC-HRMS methods allowed identification (i) of oenanthotoxin in roots found on the site, root fragm...
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 ...