Clostridial Diseases of Horses: A Review
Francisco A Uzal1, Mauricio A Navarro2, Javier Asin1
1California Animal Health and Food Safety Laboratory, San Bernardino Lab, University of California-Davis, San Bwernardino, CA 92408, USA.
Insights
Clostridial diseases in horses are categorized into enteric, histotoxic, and neurotoxic groups, primarily caused by toxin-producing bacteria like Clostridium species. Diagnosis can be challenging due to the presence of these bacteria in healthy animals.
Area of Science:
- Veterinary Medicine
- Microbiology
- Equine Health
Background:
- Clostridial diseases represent a significant threat to equine health.
- These diseases are classified into enteric/enterotoxic, histotoxic, and neurotoxic categories.
- Toxin production is a key factor in the pathogenesis of clostridial infections.
Purpose of the Study:
- To review the major clostridial diseases affecting horses.
- To provide an overview of the causative agents and clinical characteristics.
- To highlight diagnostic challenges associated with these diseases.
Main Methods:
- Literature review of clostridial diseases in horses.
- Categorization of diseases based on affected systems and pathogenicity.
- Summary of key clinical signs and etiological agents.
Main Results:
- Enteric/enterotoxic diseases include Clostridium perfringens type C and Clostridioides difficile infections.
- Histotoxic diseases encompass gas gangrene, Tyzzer disease, and infectious necrotic hepatitis.
- Neurotoxic diseases include tetanus (Clostridium tetani) and botulism (Clostridium botulinum).
Conclusions:
- Clostridial diseases in horses are diverse, with distinct clinical presentations and causative agents.
- Accurate diagnosis can be complicated by the presence of some clostridial species in healthy horses.
- Understanding these diseases is crucial for effective equine veterinary care.
Abstract:
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 necrotizing cellulitis and/or myositis. Tyzzer disease is produced by Clostridium piliforme and is mainly characterized by multifocal necrotizing hepatitis. Infectious necrotic hepatitis is produced by Clostridium novyi type B and is characterized by focal necrotizing hepatitis. The main neurotoxic clostridial diseases are tetanus and botulism, which are produced by Clostridium tetani and Clostridium botulinum, respectively. Tetanus is characterized by spastic paralysis and botulism by flaccid paralysis. Neither disease present with specific gross or microscopic lesions. The pathogenesis of clostridial diseases involves the production of toxins. Confirming a diagnosis of some of the clostridial diseases of horses is sometimes difficult, mainly because some agents can be present in tissues of normal animals. This paper reviews the main clostridial diseases of horses.
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