Toxinotype V Clostridium difficile in Humans and Food Animals

Clostridium difficile is a recognized pathogen in neonatal pigs and may contribute to enteritis in calves. Toxinotype V strains have been rare causes of human C. difficile–associated disease (CDAD). We examined toxinotype V in human disease, the genetic relationship of animal and human toxinotype V...

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Main Authors: Michael A. Jhung, Angela D. Thompson, George E. Killgore, Walter E. Zukowski, Glenn Songer, Michael Warny, Stuart Johnson, Dale N. Gerding, L. Clifford McDonald, Brandi M. Limbago
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2008-07-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/14/7/07-1641_article
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author Michael A. Jhung
Angela D. Thompson
George E. Killgore
Walter E. Zukowski
Glenn Songer
Michael Warny
Stuart Johnson
Dale N. Gerding
L. Clifford McDonald
Brandi M. Limbago
author_facet Michael A. Jhung
Angela D. Thompson
George E. Killgore
Walter E. Zukowski
Glenn Songer
Michael Warny
Stuart Johnson
Dale N. Gerding
L. Clifford McDonald
Brandi M. Limbago
author_sort Michael A. Jhung
collection DOAJ
description Clostridium difficile is a recognized pathogen in neonatal pigs and may contribute to enteritis in calves. Toxinotype V strains have been rare causes of human C. difficile–associated disease (CDAD). We examined toxinotype V in human disease, the genetic relationship of animal and human toxinotype V strains, and in vitro toxin production of these strains. From 2001 through 2006, 8 (1.3%) of 620 patient isolates were identified as toxinotype V; before 2001, 7 (<0.02%) of ≈6,000 isolates were identified as toxinotype V. Six (46.2%) of 13 case-patients for whom information was available had community-associated CDAD. Molecular characterization showed a high degree of similarity between human and animal toxinotype V isolates; all contained a 39-bp tcdC deletion and most produced binary toxin. Further study is needed to understand the epidemiology of CDAD caused by toxinotype V C. difficile, including the potential of foodborne transmission to humans.
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spelling doaj.art-e630cb84c5c74a00ab2230c702f87c4a2022-12-21T18:44:01ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592008-07-011471039104510.3201/eid1407.071641Toxinotype V Clostridium difficile in Humans and Food AnimalsMichael A. JhungAngela D. ThompsonGeorge E. KillgoreWalter E. ZukowskiGlenn SongerMichael WarnyStuart JohnsonDale N. GerdingL. Clifford McDonaldBrandi M. LimbagoClostridium difficile is a recognized pathogen in neonatal pigs and may contribute to enteritis in calves. Toxinotype V strains have been rare causes of human C. difficile–associated disease (CDAD). We examined toxinotype V in human disease, the genetic relationship of animal and human toxinotype V strains, and in vitro toxin production of these strains. From 2001 through 2006, 8 (1.3%) of 620 patient isolates were identified as toxinotype V; before 2001, 7 (<0.02%) of ≈6,000 isolates were identified as toxinotype V. Six (46.2%) of 13 case-patients for whom information was available had community-associated CDAD. Molecular characterization showed a high degree of similarity between human and animal toxinotype V isolates; all contained a 39-bp tcdC deletion and most produced binary toxin. Further study is needed to understand the epidemiology of CDAD caused by toxinotype V C. difficile, including the potential of foodborne transmission to humans.https://wwwnc.cdc.gov/eid/article/14/7/07-1641_articleClostridium difficileinterspecies transmissionmolecular epidemiologyresearchUnited States
spellingShingle Michael A. Jhung
Angela D. Thompson
George E. Killgore
Walter E. Zukowski
Glenn Songer
Michael Warny
Stuart Johnson
Dale N. Gerding
L. Clifford McDonald
Brandi M. Limbago
Toxinotype V Clostridium difficile in Humans and Food Animals
Emerging Infectious Diseases
Clostridium difficile
interspecies transmission
molecular epidemiology
research
United States
title Toxinotype V Clostridium difficile in Humans and Food Animals
title_full Toxinotype V Clostridium difficile in Humans and Food Animals
title_fullStr Toxinotype V Clostridium difficile in Humans and Food Animals
title_full_unstemmed Toxinotype V Clostridium difficile in Humans and Food Animals
title_short Toxinotype V Clostridium difficile in Humans and Food Animals
title_sort toxinotype v clostridium difficile in humans and food animals
topic Clostridium difficile
interspecies transmission
molecular epidemiology
research
United States
url https://wwwnc.cdc.gov/eid/article/14/7/07-1641_article
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