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Journal of medical microbiology2006; 55(Pt 5); 605-608; doi: 10.1099/jmm.0.46334-0

Potential role of Clostridium difficile as a cause of duodenitis-proximal jejunitis in horses.

Abstract: Duodenitis-proximal jejunitis (DPJ) is an idiopathic condition in the horse characterized by inflammation and oedema of the duodenum and proximal jejunum. Clinical signs include colic, ileus, depression, fluid accumulation in the small intestine and stomach, and endotoxaemia. The objective of this study was to investigate prospectively the role of Clostridium difficile in this idiopathic disease. Nasogastric reflux from 10 consecutive cases with DPJ and 16 consecutive horses with other causes of nasogastric reflux was cultured for C. difficile, other Clostridium spp., and Salmonella. Toxigenic strains of C. difficile were isolated from 10/10 (100%) of horses with DPJ and 1/16 controls (P<0.0001). No other known pathogenic clostridia were isolated from either group. Results of this study suggest that C. difficile might be an important cause of this syndrome.
Publication Date: 2006-04-06 PubMed ID: 16585649DOI: 10.1099/jmm.0.46334-0Google Scholar: Lookup
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  • Journal Article

Summary

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The research article investigates the potential role of Clostridium difficile bacteria in causing an inflammation and swelling condition in horses called duodenitis-proximal jejunitis (DPJ).

Objective of the Study

  • The goal of the study was to prospectively examine the potential association of Clostridium difficile, a type of bacteria, with duodenitis-proximal jejunitis, an unknown disease in horses that causes inflammation and swelling in certain parts of the digestive system.

Methods Used in the Study

  • Researchers used nasogastric reflux samples from 10 consecutive horses suffering from DPJ and 16 additional ones with other nasogastric reflux causes for their study.
  • The samples were cultured for C. difficile, other Clostridium species, and Salmonella to identify any potential connections with the conditions observed in the horses.

Results of the Study

  • The toxigenic strains of C. difficile were found in all 10 horses suffering from DPJ.
  • On the other hand, the same strains were found only in 1 out of the 16 horses that were part of the control group.
  • No other pathogenic species from the Clostridium genus were isolated from either group, implying that the rest of the species of this genus were likely not involved in the development of DPJ in horses.

Conclusion of the Study

  • Based on the study’s findings, the researchers suggested that the Clostridium difficile bacteria could be a significant cause of the DPJ syndrome in horses.
  • However, this association is currently theoretical and would need further investigation to be confirmed.

Cite This Article

APA
Arroyo LG, Stämpfli HR, Weese JS. (2006). Potential role of Clostridium difficile as a cause of duodenitis-proximal jejunitis in horses. J Med Microbiol, 55(Pt 5), 605-608. https://doi.org/10.1099/jmm.0.46334-0

Publication

ISSN: 0022-2615
NlmUniqueID: 0224131
Country: England
Language: English
Volume: 55
Issue: Pt 5
Pages: 605-608

Researcher Affiliations

Arroyo, Luis G
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Canada, N1G 2WI.
Stämpfli, Henry R
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Canada, N1G 2WI.
Weese, J Scott
  • Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, Canada, N1G 2WI.

MeSH Terms

  • Animals
  • Clostridioides difficile / isolation & purification
  • Clostridioides difficile / pathogenicity
  • Clostridium Infections / microbiology
  • Clostridium Infections / veterinary
  • Duodenitis / microbiology
  • Duodenitis / veterinary
  • Gastroesophageal Reflux / microbiology
  • Horse Diseases / microbiology
  • Horses
  • Jejunal Diseases / microbiology
  • Jejunal Diseases / veterinary
  • Salmonella / isolation & purification

Citations

This article has been cited 9 times.
  1. Mahjoub FE, Yousefi A, Mirahmad M, Asili P. Previously Unreported Pseudomembranous Duodenitis: A Case Report With Histopathology.. JPGN Rep 2022 Nov;3(4):e260.
    doi: 10.1097/PG9.0000000000000260pubmed: 37168466google scholar: lookup
  2. Nyaoke AC, Navarro MA, Fresneda K, Diab SS, Moore J, Lyras D, Awad M, Uzal FA. Paeniclostridium (Clostridium) sordellii-associated enterocolitis in 7 horses.. J Vet Diagn Invest 2020 Mar;32(2):239-245.
    doi: 10.1177/1040638720903738pubmed: 32052697google scholar: lookup
  3. Weese JS. Clostridium (Clostridioides) difficile in animals.. J Vet Diagn Invest 2020 Mar;32(2):213-221.
    doi: 10.1177/1040638719899081pubmed: 31904312google scholar: lookup
  4. Arroyo LG, Gomez DE, Martins C. Equine duodenitis-proximal jejunitis: A review.. Can Vet J 2018 May;59(5):510-517.
    pubmed: 29904204
  5. Arroyo LG, Costa MC, Guest BB, Plattner BL, Lillie BN, Weese JS. Duodenitis-Proximal Jejunitis in Horses After Experimental Administration of Clostridium difficile Toxins.. J Vet Intern Med 2017 Jan;31(1):158-163.
    doi: 10.1111/jvim.14624pubmed: 27906466google scholar: lookup
  6. Rodriguez C, Taminiau B, Van Broeck J, Delmée M, Daube G. Clostridium difficile in Food and Animals: A Comprehensive Review.. Adv Exp Med Biol 2016;932:65-92.
    doi: 10.1007/5584_2016_27pubmed: 27350639google scholar: lookup
  7. Rodriguez C, Taminiau B, Brévers B, Avesani V, Van Broeck J, Leroux A, Gallot M, Bruwier A, Amory H, Delmée M, Daube G. Faecal microbiota characterisation of horses using 16 rdna barcoded pyrosequencing, and carriage rate of clostridium difficile at hospital admission.. BMC Microbiol 2015 Sep 16;15:181.
    doi: 10.1186/s12866-015-0514-5pubmed: 26377067google scholar: lookup
  8. Pihl TH, Scheepers E, Sanz M, Goddard A, Page P, Toft N, Andersen PH, Jacobsen S. Influence of disease process and duration on acute phase proteins in serum and peritoneal fluid of horses with colic.. J Vet Intern Med 2015 Mar-Apr;29(2):651-8.
    doi: 10.1111/jvim.12542pubmed: 25644457google scholar: lookup
  9. Schoster A, Arroyo LG, Staempfli HR, Shewen PE, Weese JS. Presence and molecular characterization of Clostridium difficile and Clostridium perfringens in intestinal compartments of healthy horses.. BMC Vet Res 2012 Jun 29;8:94.
    doi: 10.1186/1746-6148-8-94pubmed: 22748233google scholar: lookup