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Hemorrhagic necrotizing enterocolitis associated with Clostridium difficile infection in four foals.

Abstract: Severe hemorrhagic necrotizing enterocolitis was determined to be the cause of death for 4 foals. Toxigenic Clostridium difficile was isolated form the intestine of each foal, and large, gram-positive, rod-shaped bacteria lined the surface of necrotic villi. This finding of toxigenic C difficile associated with enteritis in foals adds another possible cause to the list of infectious agents that should be considered when evaluating foals with enteritis. Definitive diagnosis requires a thorough diagnostic evaluation, including procedures that will identify the organism and demonstrate its toxigenicity.
Publication Date: 1988-07-01 PubMed ID: 3262102
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Summary

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The research article has focused on unearthing the association of severe intestinal disease known as hemorrhagic necrotizing enterocolitis with the infection caused by toxigenic bacteria called Clostridium difficile in four foals which led to their death. This finding aids in the expansion of the list of causes that need to be considered when examining foals with intestinal inflammation.

Objective of the Research

  • The main objective of this research was to determine the cause of death in these four foals. Specifically, the researchers wanted to understand the relationship between a severe form of intestinal disease, hemorrhagic necrotizing enterocolitis, and the infection caused by Clostridium difficile. A toxigenic form of this bacteria was found in the intestines of all four deceased foals.

Research Findings

  • The research findings pointed to severe hemorrhagic necrotizing enterocolitis as the cause of death in these foals.
  • The researchers found toxigenic Clostridium difficile in the intestines of all the foals. These were large, gram-positive, rod-shaped bacteria that were seen lining the surface of the necrotic villi.
  • Thus, this research makes it clear that the presence of this toxigenic bacteria in the intestines could cause severe intestinal disease leading to death.

Significance of the Research

  • From the results of this study, it is evident that toxigenic C. difficile could be a causal factor in hemorrhagic necrotizing enterocolitis. Hence, this bacteria should be included in the possible agents when evaluating gastrointestinal issues in foals.
  • The researchers emphasize that a definitive diagnosis requires an extensive diagnostic evaluation to identify the organism and validate its ability to produce toxins.

Conclusion

  • In conclusion, the researchers have identified Clostridium difficile infection as a possible factor contributing to fatal cases of hemorrhagic necrotizing enterocolitis in foals. Thus, this research plays a significant role in broadening understanding of infectious causes of enteritis in foals, thereby enhancing the chances of correct diagnosis and appropriate treatment.

Cite This Article

APA
Jones RL, Adney WS, Alexander AF, Shideler RK, Traub-Dargatz JL. (1988). Hemorrhagic necrotizing enterocolitis associated with Clostridium difficile infection in four foals. J Am Vet Med Assoc, 193(1), 76-79.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 193
Issue: 1
Pages: 76-79

Researcher Affiliations

Jones, R L
  • Diagnostic Laboratories, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins 80523.
Adney, W S
    Alexander, A F
      Shideler, R K
        Traub-Dargatz, J L

          MeSH Terms

          • Animals
          • Clostridium / isolation & purification
          • Clostridium Infections / microbiology
          • Clostridium Infections / pathology
          • Clostridium Infections / veterinary
          • Enterocolitis, Pseudomembranous / microbiology
          • Enterocolitis, Pseudomembranous / pathology
          • Enterocolitis, Pseudomembranous / veterinary
          • Female
          • Gastrointestinal Hemorrhage / microbiology
          • Gastrointestinal Hemorrhage / pathology
          • Gastrointestinal Hemorrhage / veterinary
          • Horse Diseases / microbiology
          • Horse Diseases / pathology
          • Horses
          • Jejunum / microbiology
          • Male

          Citations

          This article has been cited 8 times.
          1. Kopper JJ, Willette JA, Kogan CJ, Seguin A, Bolin SR, Schott HC 2nd. Detection of pathogens in blood or feces of adult horses with enteric disease and association with outcome of colitis. J Vet Intern Med 2021 Sep;35(5):2465-2472.
            doi: 10.1111/jvim.16238pubmed: 34382708google scholar: lookup
          2. Kachrimanidou M, Tzika E, Filioussis G. Clostridioides (Clostridium) Difficile in Food-Producing Animals, Horses and Household Pets: A Comprehensive Review. Microorganisms 2019 Dec 9;7(12).
            doi: 10.3390/microorganisms7120667pubmed: 31835413google scholar: lookup
          3. Berry ASF, Kelly BJ, Barnhart D, Kelly DJ, Beiting DP, Baldassano RN, Redding LE. Gut microbiota features associated with Clostridioides difficile colonization in puppies. PLoS One 2019;14(8):e0215497.
            doi: 10.1371/journal.pone.0215497pubmed: 31469837google scholar: lookup
          4. Morgan R, Dyson S. Incomplete longitudinal fractures and fatigue injury of the proximopalmar medial aspect of the third metacarpal bone in 55 horses. Equine Vet J 2012 Jan;44(1):64-70.
          5. Drolet R, Higgins R, Cécyre A. Necrohemorrhagic enterocolitis caused by Clostridium perfringens type C in a foal. Can Vet J 1990 Jun;31(6):449-50.
            pubmed: 17423608
          6. Hathcock TL, Schumacher J, Wright JC, Stringfellow J. The prevalence of Aeromonas species in feces of horses with diarrhea. J Vet Intern Med 1999 Jul-Aug;13(4):357-60.
          7. Songer JG. Clostridial enteric diseases of domestic animals. Clin Microbiol Rev 1996 Apr;9(2):216-34.
            doi: 10.1128/CMR.9.2.216pubmed: 8964036google scholar: lookup
          8. Browning GF, Chalmers RM, Snodgrass DR, Batt RM, Hart CA, Ormarod SE, Leadon D, Stoneham SJ, Rossdale PD. The prevalence of enteric pathogens in diarrhoeic thoroughbred foals in Britain and Ireland. Equine Vet J 1991 Nov;23(6):405-9.