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Journal of Veterinary Diagnostic Investigation, Vol 7, Issue 3, 343-346
Copyright © 1995 by American Association of Veterinary Laboratory Diagnosticians

Articles

Apparent outbreaks of Clostridium difficile-associated diarrhea in horses in a veterinary medical teaching hospital

BR Madewell, YJ Tang, S Jang, JE Madigan, DC Hirsh, PH Gumerlock, and J Silva Jr

Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis 95616, USA.

Intestinal colonization with toxigenic strains of Clostridium difficile was documented in 9 of 10 horses with acute onset diarrhea in a veterinary medical teaching hospital, whereas a similar isolate was detected in only 1 of 23 other horses without diarrhea in the hospital. One horse with diarrhea was infected simultaneously with both C. difficile and Salmonella krefeld. Clostridium difficile was detected by fecal culture on selective medium, confirmed with a latex particle agglutination test, and identified as toxigenic by polymerase chain reaction amplification of toxin A and toxin B gene sequences. Using an arbitrarily-primed polymerase chain reaction, 6 distinct C. difficile isolates were detected in the feces of the 9 affected horses at the time of the outbreak of diarrhea.


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