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Updated: Jun 23, 2026

Equine Enteric Glial Culture and Application to the Study of a Neural Inflammatory Mechanism in Equine Colic
Published on: October 4, 2024
Equine colitis X associated with infection by Clostridium difficile NAP1/027
J Glenn Songer1, H T Trinh, Sharon M Dial
1Department of Veterinary Science and Microbiology, 1117 East Lowell Street, The University of Arizona, Tucson, AZ 85721, USA. gsonger@u.arizona.edu
A severe equine colic case was linked to Clostridium difficile ribotype 027, an epidemic strain in humans. This finding highlights potential zoonotic risks and the severity of C. difficile-associated disease in horses.
Area of Science:
- Veterinary Pathology
- Equine Medicine
- Microbiology
Background:
- Colic is a common and serious condition in horses.
- Clostridium difficile is an opportunistic pathogen known to cause gastrointestinal disease in various species.
Observation:
- A 14-year-old Quarter Horse presented with acute colic and was euthanized due to lack of treatment response.
- Necropsy revealed severe congestion, edema, and thickening of the cecal and colonic walls, with extensive submucosal hemorrhage.
- Mononuclear cell infiltration was noted in the mucosal lamina propria.
Findings:
- Clostridium difficile toxins A and B were detected in the affected equine intestines.
- The isolated C. difficile strains were identified as North American pulsed-field gel electrophoresis type 1, polymerase chain reaction ribotype 027, and toxinotype III.
- Genetic analysis confirmed the presence of binary toxin genes and an 18-bp deletion in the tcdC gene, characteristic of the hypervirulent human epidemic strain.
Implications:
- This case suggests that the hypervirulent C. difficile ribotype 027, typically associated with severe human infections, can cause peracute typhlocolitis in horses.
- The findings raise concerns about potential zoonotic transmission and the need for enhanced surveillance of this specific C. difficile strain in equine populations.
- This diagnosis, termed typhlocolitis, mirrors lesions seen in colitis X, suggesting C. difficile 027 as a potential causative agent.
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