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Journal of veterinary internal medicine2021; 35(5); 2465-2472; doi: 10.1111/jvim.16238

Detection of pathogens in blood or feces of adult horses with enteric disease and association with outcome of colitis.

Abstract: Rates of detecting ≥1 potential enteric pathogens (PEP) or toxins (PEP-T) in feces, blood, or both of horses ≥6 months of age with enteric disease and impact of multiple detections on outcome of horses with colitis has not been reported. Objective: To determine detection rates of PEP/PEP-T in feces, blood, or both of horses with enteric disease and effect of detecting multiple agents on outcome of horses with colitis. Methods: Thirty-seven hundred fifty-three fecal samples submitted to IDEXX Laboratories and 239 fecal and blood samples submitted to Michigan State University's Veterinary Diagnostic Laboratory (MSUVDL). Methods: Retrospective evaluation of PEP/PEP-T testing results was performed to determine rates of detection of 1 or more PEP/PEP-T. Impact of detecting multiple agents on outcome was assessed in 239 horses hospitalized for colitis. Results: One or more PEP/PEP-T was detected in 1175/3753 (31.3%) and 145/239 (60.7%) of samples submitted to IDEXX Laboratories and MSUVDL, respectively. In a hospitalized cohort, survival to discharge was lower (76%) in horses with 1 agent, compared to horses with either no (88%) or multiple (89%) agents. There was no difference (P = .78) in days of hospitalization between horses with 0 (1-17), 1 (1-33), and > 1 positive (1-20) result. There was no difference in cost of hospitalization (P = .25) between horses with 0 ($2357, $1110-15 553), 1 ($2742, $788-11 005), and >1 positive ($2560, $1091-10 895) result. Conclusions: Detection rates of PEP/PEP-T in horses with colitis vary with cohorts and tests performed. Detection of more than 1 PEP or PEP-T did not affect outcome.
Publication Date: 2021-08-12 PubMed ID: 34382708PubMed Central: PMC8478065DOI: 10.1111/jvim.16238Google Scholar: Lookup
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  • Journal Article

Summary

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This study examined the rates of detecting potential enteric pathogens or toxins in adult horses showing signs of enteric diseases to ascertain the impact of such detections on the outcomes of diseases such as colitis. The research revealed that there is variability in detection rates, and that detecting more than one pathogen or toxin didn’t affect the outcome of the illness.

Objective and Methodology

The research aimed to identify the rates at which pathogens or toxins were detected in horses with enteric diseases. It was also concerned with discovering the impact, if any, that detecting multiple pathogens had on the outcome of horses suffering from colitis.

  • The study used fecal samples from IDEXX Laboratories and both fecal and blood samples from the Michigan State University’s Veterinary Diagnostic Laboratory.
  • Specifically, they retrospectively evaluated the results of pathogen or toxin testing to identify detection rates.
  • They also analyzed the outcomes in a group of 239 horses that had been hospitalized for colitis.

Results

In the samples analyzed, one or more potential enteric pathogens or toxins were detected in significant numbers.

  • 31.3% of samples from IDEXX Laboratories showed at least one pathogen or toxin.
  • This rose to 60.7% for the combined fecal and blood samples from the Michigan State University lab.
  • Interestingly, among the hospitalized cohort suffering from colitis, survival rates were lower at 76% for horses where only one agent was detected.
  • This compared to higher survival rates of 88% – 89% where either no agents or multiple agents were detected.

It’s worth noting that there was no significant difference in the days of hospitalization or the cost of hospitalization between horses with 0, 1, or more than 1 positive result, indicating that the number of agents detected did not have a major impact on these factors.

Conclusions

The research concluded that detection rates of pathogens or toxins in horses with colitis can vary considerably depending on the cohort and tests performed.

  • Importantly, they also established that the detection of more than one potential enteric pathogen or toxin did not adversely affect the outcome for the horse.
  • This suggests that factors beyond the mere presence of multiple pathogens or toxins may be at play in determining the severity and outcome of colitis in horses.

Cite This Article

APA
Kopper JJ, Willette JA, Kogan CJ, Seguin A, Bolin SR, Schott HC. (2021). Detection of pathogens in blood or feces of adult horses with enteric disease and association with outcome of colitis. J Vet Intern Med, 35(5), 2465-2472. https://doi.org/10.1111/jvim.16238

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 35
Issue: 5
Pages: 2465-2472

Researcher Affiliations

Kopper, Jamie J
  • Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, Michigan, USA.
Willette, Jaclyn A
  • Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, Michigan, USA.
Kogan, Clark J
  • Department of Mathematics and Statistics, Washington State University, Pullman, Washington, USA.
Seguin, Alexis
  • IDEXX Laboratories, Inc, Westbrook, Massachusetts, USA.
Bolin, Steven R
  • Department of Pathobiology and Diagnostic Investigation, Michigan State University, East Lansing, Michigan, USA.
Schott, Harold C
  • Department of Large Animal Clinical Sciences, Michigan State University, East Lansing, Michigan, USA.

MeSH Terms

  • Animals
  • Colitis / diagnosis
  • Colitis / veterinary
  • Feces
  • Horse Diseases / diagnosis
  • Horses
  • Retrospective Studies

References

This article includes 50 references
  1. Kullmann A, Holcombe SJ, Hurcombe SD. Prophylactic digital cryotherapy is associated with decreased incidence of laminitis in horses diagnosed with colitis.. Equine Vet J 2014;46:554‐559.
    pubmed: 23927380
  2. Stewart MC, Hodgson JL, Kim H. Acute febrile diarrhoea in horses: 86 cases (1986‐1991).. Aust Vet J 1995;72:41‐44.
    pubmed: 7779031
  3. Hashimoto‐Hill S, Magdesian KG, Kass PH. Serial measurement of lactate concentration in horses with acute colitis.. J Vet Intern Med 2011;25:1414‐1419.
    pubmed: 22092636
  4. Weese JS, Staempfli HR, Prescott JF. A prospective study of the roles of Clostridium difficile and enterotoxigenic Clostridium perfringens in equine diarrhoea.. Equine Vet J 2001;33:403‐409.
    pubmed: 11469775
  5. Cohen ND, Woods AM. Characteristics and risk factors for failure of horses with acute diarrhea to survive: 122 cases (1990‐1996).. J Am Vet Med Assoc 1999;214:382‐390.
    pubmed: 10023402
  6. Jones RL, Adney WS, Shideler RK. Isolation of Clostridium difficile and detection of cytotoxin in the feces of diarrheic foals in the absence of antimicrobial treatment.. J Clin Microbiol 1987;25:1225‐1227.
    pmc: PMC269181pubmed: 3112178
  7. Jones RL, Adney WS, Alexander AF. Hemorrhagic necrotizing enterocolitis associated with Clostridium difficile infection in four foals.. J Vet Med Assoc 1988;193:76‐79.
    pubmed: 3262102
  8. Traub‐Dargatz JL, Jones RL. Clostridia‐associated enterocolitis in adult horses and foals.. Vet Clin North Am Equine Pract 1993;9:411‐421.
    pubmed: 8358653
  9. Madewell BR, Tang YJ, Jang S. Apparent outbreaks of Clostridium difficile‐associated diarrhea in horses in a veterinary medical teaching hospital.. J Vet Diagn Invest 1995;7:343‐346.
    pubmed: 7578449
  10. Netherwood T, Wood JL, Townsend HG. Foal diarrhoea between 1991 and 1994 in the United Kingdom associated with Clostridium perfringens, rotavirus, Strongyloides westeri and Cryptosporidium spp.. Epidemiol Infect 1996;117:375‐383.
    pmc: PMC2271710pubmed: 8870636
  11. Netherwood T, Wood JL, Mumford JA. Molecular analysis of the virulence determinants of Clostridium perfringens associated with foal diarrhoea.. Vet J 1998;155:289‐294.
    pubmed: 9638075
  12. Baverud V, Franklin A, Gunnarsson A. Clostridium difficile associated with acute colitis in mares when their foals are treated with erythromycin and rifampicin for Rhodococcus equi pneumonia.. Equine Vet J 1998;30:482‐488.
    pubmed: 9844966
  13. Donaldson MT, Palmer JE. Prevalence of Clostridium perfringens enterotoxin and Clostridium difficile toxin A in feces of horses with diarrhea and colic.. J Vet Med Assoc 1999;215:358‐361.
    pubmed: 10434974
  14. Magdesian KG, Hirsh DC, Jang SS, Hansen LM, Madigan JE. Characterization of Clostridium difficile isolates from foals with diarrhea: 28 cases (1993‐1997).. J Vet Med Assoc 2002;220:67‐73.
    pubmed: 12680451
  15. East LM, Savage CJ, Traub‐Dargatz JL. Enterocolitis associated with Clostridium perfringens infection in neonatal foals: 54 cases (1988‐1997).. J Vet Med Assoc 1998;212:1751‐1756.
    pubmed: 9621884
  16. Kanoe M, Inoue S, Abe T. Isolation of Clostridium perfringens from foals.. Microbios 1990;64:153‐158.
    pubmed: 2084493
  17. Giannitti F, Diab S, Mete A. Necrotizing enteritis and hyperammonemic encephalopathy associated with equine coronavirus infection in equids.. Vet Pathol 2015;52:1148‐1156.
    pubmed: 25648965
  18. Fielding CL, Higgins JK, Higgins JC. Disease associated with equine coronavirus infection and high case fatality rate.. J Vet Intern Med 2015;29:307‐310.
    pmc: PMC4858071pubmed: 25319406
  19. Manship AJ, Blikslager AT, Elfenbein JR. Disease features of equine coronavirus and enteric salmonellosis are similar in horses.. J Vet Intern Med 2019;33:912‐917.
    pmc: PMC6430874pubmed: 30632200
  20. Conner ME, Darlington RW. Rotavirus infection in foals.. Am J Vet Res 1980;41:1699‐1703.
    pubmed: 6261616
  21. Arroyo LG, Ter Woort F, Baird JD. Lawsonia intracellularis‐associated ulcerative and necro‐hemorrhagic enteritis in 5 weanling foals.. Can Vet J 2013;54:853‐858.
    pmc: PMC3743569pubmed: 24155489
  22. Frazer ML. Lawsonia intracellularis infection in horses: 2005‐2007.. J Vet Intern Med 2008;22:1243‐1248.
    pubmed: 18681919
  23. Lavoie JP, Drolet R, Parsons D. Equine proliferative enteropathy: a cause of weight loss, colic, diarrhoea and hypoproteinaemia in foals on three breeding farms in Canada.. Equine Vet J 2000;32:418‐425.
    pubmed: 11037264
  24. Takai S, Limori S, Tsubaki S. Quantitative fecal culture for early diagnosis of Corynebacterium (Rhodococcus) equi enteritis in foals.. Can J Vet Res 1986;50:479‐484.
    pmc: PMC1255252pubmed: 3791074
  25. Hathcock TL, Schumacher J, Wright JC, Stringfellow J. The prevalence of Aeromonas species in feces of horses with diarrhea.. J Vet Intern Med 1999;13:357‐360.
    pmc: PMC7166617pubmed: 10449228
  26. Dubey JP, Bauer C. A review of Eimeria infections in horses and other equids.. Vet Parasitol 2018;256:58‐70.
    pubmed: 29887031
  27. Galuppi R, Piva S, Castagnetti C. Epidemiological survey on Cryptosporidium in an equine perinatology unit.. Vet Parasitol 2015;210:10‐18.
    pubmed: 25868850
  28. Grinberg A, Pomroy WE, Carslake HB. A study of neonatal cryptosporidiosis of foals in New Zealand.. N Z Vet J 2009;57:284‐289.
    pubmed: 19802042
  29. Blackwell NJ. Colitis in equines associated with strongyle larvae.. Vet Rec 1973;93:401‐402.
    pubmed: 4772561
  30. Murphy D, Love S. The pathogenic effects of experimental cyathostome infections in ponies.. Vet Parasitol 1997;70:99‐110.
    pubmed: 9195714
  31. Uzal FA, Diab SS, Blanchard P. Clostridium perfringens type C and Clostridium difficile co‐infection in foals.. Vet Microbiol 2012;156:395‐402.
    pubmed: 22177970
  32. Slovis NM, Estrada EM, Leutenegger CM. Infectious agents associated with diarrhoea in neonatal foals in central Kentucky: a comprehensive molecular study.. Equine Vet J 2014;46:311‐316.
    pmc: PMC7163618pubmed: 23773143
  33. Freeman K, Mistry H, Tsertsvadze A. Multiplex tests to identify gastrointestinal bacteria, viruses and parasites in people with suspected infectious gastroenteritis: a systematic review and economic analysis.. Health Technol Assess 2017;21:1‐188.
    pmc: PMC5494512pubmed: 28619124
  34. Mapes S, Leutenegger CM, Pusterla N. Nucleic acid extraction methods for detection of EHV‐1 from blood and nasopharyngeal secretions.. Vet Rec 2008;162:857‐859.
    pubmed: 18587063
  35. Barlough JE, Rikihisa Y, Madigan JE. Nested polymerase chain reaction for detection of Ehrlichia risticii genomic DNA in infected horses.. Vet Parasitol 1997;68:367‐373.
    pubmed: 9106958
  36. R Core Team. R: A Language and Environment for Statistical Computing.. Vienna, Austria: R Foundation for Statistical Computing; 2017.
  37. Parikh R, Mathai A, Parikh S, Chandra Sekhar G, Thomas R. Understanding and using sensitivity, specificity and predictive values.. Indian J Ophthalmol 2008;56:45‐50.
    pmc: PMC2636062pubmed: 18158403
  38. Teymournejad O, Lin M, Bekebrede H. Isolation and molecular analysis of a novel Neotickettsia species that causes Potomac Horse Fever.. mBio 2020;11:e03429‐19.
    pmc: PMC7042704pubmed: 32098825
  39. Olivo G, Lucas TM, Borges AS. Enteric pathogens and coinfections in foals with and without diarrhea.. Biomed Res Int 2016;2016:1512690.
    pmc: PMC5223019pubmed: 28116290
  40. Baverud V, Gustafsson A, Franklin A. Clostridium difficile associated with acute colitis in mature horses treated with antibiotics.. Equine Vet J 1997;29:279‐284.
    pubmed: 15338908
  41. Medina‐Torres CE, Weese JS, Staempfli HR. Prevalence of Clostridium difficile in horses.. Vet Microbiol 2011;152:212‐215.
    pubmed: 21570780
  42. Mathis JN, Pilkinton L, McMillin DE. Detection and transcription of toxin DNA in a nontoxigenic strain of Clostridium difficile .. Curr Microbiol 1999;38:324‐328.
    pubmed: 10341072
  43. Blake JE, Mitsikosta F, Metcalfe MA. Immunological detection and cytotoxic properties of toxins from toxin A‐positive, toxin B‐positive Clostridium difficile variants.. J Med Microbiol 2004;53:197‐205.
    pubmed: 14970244
  44. Weese JS, Staempfli HR, Prescott JF. Survival of Clostridium difficile and its toxins in equine feces: implications for diagnostic test selection and interpretation.. J Vet Diagn Invest 2000;12:332‐336.
    pubmed: 10907862
  45. Diab SS, Songer G, Uzal FA. Clostridium difficile infection in horses: a review.. Vet Microbiol 2013;167:42‐49.
    pubmed: 23642413
  46. Herholz C, Miserez R, Nicolet J. Prevalence of ß2‐toxigenic Clostridium perfringens in horses with intestinal disorders.. J Clin Micro 1999;37:358‐361.
    pmc: PMC84307pubmed: 9889218
  47. Gohari IM, Arroyo L, Macinnes JI, Timoney JF, Parreira VR, Prescott JF. Characterization of Clostridium perfringens in the feces of adult horses and foals with acute enterocolitis.. Can J Vet Res 2014;78:1‐7.
    pmc: PMC3878003pubmed: 24396174
  48. Finley A, Gohari IM, Parreira VR, Abrahams M, Staempfli HR, Prescott JF. Prevalence of netF‐positive Clostridium perfrigens in foals in southwestern Ontario.. Can J Vet Res 2016;80:242‐244.
    pmc: PMC4924560pubmed: 27408339
  49. Palmer JE, Whitlock RH, Benson CE, Becht JL, Morris DD, Acland HM. Comparison of rectal mucosal cultures and fecal cultures in detecting salmonella infection in horses and cattle.. Am J Vet Res 1985;46:697‐698.
    pubmed: 3994137
  50. van Duijkeren E, Flemming C, Sloet van Oldruitenborgh‐Oosterbaan M. Diagnosing salmonellosis in horses. Culturing of multiple versus single faecal samples.. Vet Q 1995;17:63‐66.
    pubmed: 7571282

Citations

This article has been cited 6 times.
  1. Amory H, Cesarini C, De Maré L, Loublier C, Moula N, Detilleux J, Saulmont M, Garigliany MM, Lecoq L. Relationship between the Cycle Threshold Value (Ct) of a Salmonella spp. qPCR Performed on Feces and Clinical Signs and Outcome in Horses. Microorganisms 2023 Jul 30;11(8).
  2. Zakia LS, Arroyo LG, Gomez DE, Boerlin P, Surette MG, Lillie BN. Postmortem examination of equids >1-year-old with enterotyphlocolitis in Ontario: a retrospective descriptive study. J Vet Diagn Invest 2023 Jul;35(4):349-353.
    doi: 10.1177/10406387231176229pubmed: 37204051google scholar: lookup
  3. Hepworth-Warren KL, Erwin SJ, Moore CB, Talbot JR, Young KAS, Neault MJ, Haugland JC, Robertson JB, Blikslager AT. Risk factors associated with an outbreak of equine coronavirus at a large farm in North Carolina. Front Vet Sci 2023;10:1060759.
    doi: 10.3389/fvets.2023.1060759pubmed: 36937023google scholar: lookup
  4. Gomez DE, Leclere M, Arroyo LG, Li L, John E, Afonso T, Payette F, Darby S. Acute diarrhea in horses: A multicenter Canadian retrospective study (2015 to 2019). Can Vet J 2022 Oct;63(10):1033-1042.
    pubmed: 36185796
  5. Wen X, Luo S, Lv D, Jia C, Zhou X, Zhai Q, Xi L, Yang C. Variations in the fecal microbiota and their functions of Thoroughbred, Mongolian, and Hybrid horses. Front Vet Sci 2022;9:920080.
    doi: 10.3389/fvets.2022.920080pubmed: 35968025google scholar: lookup
  6. Willette JA, Kopper JJ, Kogan CJ, Seguin MA, Schott HC. Effect of season and geographic location in the United States on detection of potential enteric pathogens or toxin genes in horses ≥6-mo-old. J Vet Diagn Invest 2022 May;34(3):407-411.
    doi: 10.1177/10406387211056054pubmed: 34763559google scholar: lookup