Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six cases

ABSTRACT: Clostridioides (Clostridium) difficile is the main causative agent of antimicrobial-related diarrhea in humans and a major pathogen-associated enteric disorder in foals and adult horses. Moreover, studies have suggested that animals are a possible reservoir of toxigenic C. difficile strain...

Full description

Bibliographic Details
Main Authors: Amanda Nádia Diniz, Diogo Soares Gonçalves Cruz, Carolina Pantuzza Ramos, Carlos Augusto Oliveira Júnior, Isabella Caixeta Winter, Jorge Tibúrcio Barbosa de Lima, Armando de Mattos Carvalho, Francisco Carlos Faria Lobato, Rodrigo Otávio Silveira Silva
Format: Article
Language:English
Published: Universidade Federal de Santa Maria 2021-05-01
Series:Ciência Rural
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782021000800452&tlng=en
_version_ 1818955593852911616
author Amanda Nádia Diniz
Diogo Soares Gonçalves Cruz
Carolina Pantuzza Ramos
Carlos Augusto Oliveira Júnior
Isabella Caixeta Winter
Jorge Tibúrcio Barbosa de Lima
Armando de Mattos Carvalho
Francisco Carlos Faria Lobato
Rodrigo Otávio Silveira Silva
author_facet Amanda Nádia Diniz
Diogo Soares Gonçalves Cruz
Carolina Pantuzza Ramos
Carlos Augusto Oliveira Júnior
Isabella Caixeta Winter
Jorge Tibúrcio Barbosa de Lima
Armando de Mattos Carvalho
Francisco Carlos Faria Lobato
Rodrigo Otávio Silveira Silva
author_sort Amanda Nádia Diniz
collection DOAJ
description ABSTRACT: Clostridioides (Clostridium) difficile is the main causative agent of antimicrobial-related diarrhea in humans and a major pathogen-associated enteric disorder in foals and adult horses. Moreover, studies have suggested that animals are a possible reservoir of toxigenic C. difficile strains for humans. Despite this known importance, the epidemiology of C. difficile infection (CDI) in equine is still largely unknown. Therefore, this study described six cases of equine CDI occurring in Minas Gerais, Brazil, including the characterization of the isolates. All but one equine included in this research developed CDI after antimicrobial therapy, three of which occurred during hospitalization. Coinfection with Salmonella Heidelberg and S. Infantis was detected in three cases, making the antimicrobial treatment challenging. All animals recovered after metronidazole administration. All C. difficile isolates were susceptible to metronidazole and vancomycin, while three were resistant to moxifloxacin and two were resistant to clindamycin. The isolates were classified as RT126 (n = 4), RT078 (n = 1), and RT014/020 (n = 1), all previously reported infecting humans and animals worldwide.
first_indexed 2024-12-20T10:40:32Z
format Article
id doaj.art-a758ceeab98d467aa7fd4fb0fece4fe0
institution Directory Open Access Journal
issn 1678-4596
language English
last_indexed 2024-12-20T10:40:32Z
publishDate 2021-05-01
publisher Universidade Federal de Santa Maria
record_format Article
series Ciência Rural
spelling doaj.art-a758ceeab98d467aa7fd4fb0fece4fe02022-12-21T19:43:33ZengUniversidade Federal de Santa MariaCiência Rural1678-45962021-05-0151810.1590/0103-8478cr20200878Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six casesAmanda Nádia Dinizhttps://orcid.org/0000-0002-5287-5779Diogo Soares Gonçalves Cruzhttps://orcid.org/0000-0002-8577-6849Carolina Pantuzza Ramoshttps://orcid.org/0000-0003-2792-058XCarlos Augusto Oliveira Júniorhttps://orcid.org/0000-0002-9609-0746Isabella Caixeta Winterhttps://orcid.org/0000-0001-9002-5532Jorge Tibúrcio Barbosa de Limahttps://orcid.org/0000-0003-3866-9247Armando de Mattos Carvalhohttps://orcid.org/0000-0003-3007-1144Francisco Carlos Faria Lobatohttps://orcid.org/0000-0002-0656-1285Rodrigo Otávio Silveira Silvahttps://orcid.org/0000-0003-0074-2488ABSTRACT: Clostridioides (Clostridium) difficile is the main causative agent of antimicrobial-related diarrhea in humans and a major pathogen-associated enteric disorder in foals and adult horses. Moreover, studies have suggested that animals are a possible reservoir of toxigenic C. difficile strains for humans. Despite this known importance, the epidemiology of C. difficile infection (CDI) in equine is still largely unknown. Therefore, this study described six cases of equine CDI occurring in Minas Gerais, Brazil, including the characterization of the isolates. All but one equine included in this research developed CDI after antimicrobial therapy, three of which occurred during hospitalization. Coinfection with Salmonella Heidelberg and S. Infantis was detected in three cases, making the antimicrobial treatment challenging. All animals recovered after metronidazole administration. All C. difficile isolates were susceptible to metronidazole and vancomycin, while three were resistant to moxifloxacin and two were resistant to clindamycin. The isolates were classified as RT126 (n = 4), RT078 (n = 1), and RT014/020 (n = 1), all previously reported infecting humans and animals worldwide.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782021000800452&tlng=enfoalshorsesnosocomialzoonosiscolitis
spellingShingle Amanda Nádia Diniz
Diogo Soares Gonçalves Cruz
Carolina Pantuzza Ramos
Carlos Augusto Oliveira Júnior
Isabella Caixeta Winter
Jorge Tibúrcio Barbosa de Lima
Armando de Mattos Carvalho
Francisco Carlos Faria Lobato
Rodrigo Otávio Silveira Silva
Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six cases
Ciência Rural
foals
horses
nosocomial
zoonosis
colitis
title Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six cases
title_full Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six cases
title_fullStr Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six cases
title_full_unstemmed Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six cases
title_short Clostridioides (Clostridium) difficile-associated diarrhea in equine in Minas Gerais, Brazil: clinical and microbiological characterization of six cases
title_sort clostridioides clostridium difficile associated diarrhea in equine in minas gerais brazil clinical and microbiological characterization of six cases
topic foals
horses
nosocomial
zoonosis
colitis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-84782021000800452&tlng=en
work_keys_str_mv AT amandanadiadiniz clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT diogosoaresgoncalvescruz clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT carolinapantuzzaramos clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT carlosaugustooliveirajunior clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT isabellacaixetawinter clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT jorgetiburciobarbosadelima clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT armandodemattoscarvalho clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT franciscocarlosfarialobato clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases
AT rodrigootaviosilveirasilva clostridioidesclostridiumdifficileassociateddiarrheainequineinminasgeraisbrazilclinicalandmicrobiologicalcharacterizationofsixcases