Chapter 41 Enteric Clostridial Infections
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- Weese JS, Staempfli HR, Prescott JF: A prospective study of the roles of Clostridium difficile and enterotoxigenic Clostridium perfringens in equine diarrhoea. Equine Vet J 33(4):403409, 2001. PUBMED Abstract
- Weese J, Staempfli H, Prescott J: Survival of Clostridium difficile and its toxins in equine feces: implications for diagnostic test selection and interpretation. J Vet Diagn Invest 12(4):332336, 2000. PUBMED Abstract
- Schoster A, Arroyo LG, Staempfli HR, et al: Longitudinal study of Clostridium difficile, Clostridium perfringens, Salmonella and Escherichia coli in healthy horses. In Annual Forum of the American College of Veterinary Internal Medicine, Denver, 2011.
- Alfa MJ, Kabani A, Lyerly D, et al: Characterization of a toxin A-negative, toxin B-positive strain of Clostridium difficile responsible for a nosocomial outbreak of Clostridium difficile-associated diarrhea. J Clin Microbiol 38(7):27062714, 2000. PUBMED Abstract
- Arroyo L, Staempfli H, Weese J: Molecular analysis of Clostridium difficile isolates recovered from horses with diarrhea. Vet Microbiol 120(1-2):179183, 2007. PUBMED Abstract
- Barbut F, Decré D, Lalande V, et al: Clinical features of Clostridium difficile-associated diarrhoea due to binary toxin (actin-specific ADP-ribosyltransferase)-producing strains. J Med Microbiol 54(Pt 2):181185, 2005. PUBMED Abstract
- Braun M, Herholz C, Straub R, et al: Detection of the ADP-ribosyltransferase toxin gene (cdtA) and its activity in Clostridium difficile isolates from Equidae. FEMS Microbiol Lett 184(1):2933, 2000. PUBMED Abstract
- Geric B, Carman RJ, Rupnik M, et al: Binary toxin-producing, large clostridial toxin-negative Clostridium difficile strains are enterotoxic but do not cause disease in hamsters. J Infect Dis 193(8):11431150, 2006. PUBMED Abstract
- Knetsch CW, Hensgens MPM, Harmanus C, et al: Genetic markers for Clostridium difficile lineages linked to hypervirulence. Microbiology (Reading, Engl) 2011. PUBMED Abstract
- Merrigan M, Venugopal A, Mallozzi M, et al: Human hypervirulent Clostridium difficile strains exhibit increased sporulation as well as robust toxin production. J Bacteriol 192(19):49044911, 2010. PUBMED Abstract
- Mulvey MR, Boyd DA, Gravel D, et al: Hypervirulent Clostridium difficile strains in hospitalized patients, Canada. Emerging Infect Dis 16(4):678681, 2010. PUBMED Abstract
- Valiquette L, Cossette B, Garant M-P, et al: Impact of a reduction in the use of high-risk antibiotics on the course of an epidemic of Clostridium difficile-associated disease caused by the hypervirulent NAP1/027 strain. Clin Infect Dis 45(suppl 2):S112S121, 2007. PUBMED Abstract
- Songer JG, Trinh HT, Dial SM, et al: Equine colitis X associated with infection by Clostridium difficile NAP1/027. J Vet Diagn Invest 21(3):377380, 2009. PUBMED Abstract
- Bakker D, Corver J, Harmanus C, et al: Relatedness of human and animal Clostridium difficile PCR ribotype 078 isolates based on multilocus variable-number of tandem-repeat analysis and tetracycline resistance. J Clin Microbiol 48(10):37443749, 2010. PUBMED Abstract
- Debast SB, van Leengoed LA, Goorhuis A, et al: Clostridium difficile PCR ribotype 078 toxinotype V found in diarrhoeal pigs identical to isolates from affected humans. Environ Microbiol 11(2):505511, 2009. PUBMED Abstract
- Goorhuis A, Bakker D, Corver J, et al: Emergence of Clostridium difficile infection due to a new hypervirulent strain, polymerase chain reaction ribotype 078. Clin Infect Dis 47(9):11621170, 2008. PUBMED Abstract
- Goorhuis A, Debast SB, van Leengoed LA, et al: Clostridium difficile PCR ribotype 078: an emerging strain in humans and in pigs? J Clin Microbiol 46(3):1157, 2008. PUBMED Abstract
- Keel K, Brazier JS, Post KW, et al: Prevalence of PCR ribotypes among Clostridium difficile isolates from pigs, calves, and other species. J Clin Microbiol 45(6):19631964, 2007. PUBMED Abstract
- Weese JS, Wakeford T, Reid-Smith R, et al: Longitudinal investigation of Clostridium difficile shedding in piglets. Anaerobe 16(5):501504, 2010. PUBMED Abstract
- Medina-Torres CE, Weese JS, Staempfli HR: Prevalence of Clostridium difficile in horses. Vet Microbiol 152(1-2):212215, 2011. PUBMED Abstract
- Arroyo L, Kruth S, Willey B, et al: PCR ribotyping of Clostridium difficile isolates originating from human and animal sources. J Med Microbiol 54(Pt 2):163166, 2005. PUBMED Abstract
- Arroyo LG, Staempfli H, Weese JS: Molecular analysis of Clostridium difficile isolates recovered from horses with diarrhea. Vet Microbiol 120(1-2):179183, 2007. PUBMED Abstract
- Thean S, Elliott B, Riley TV: Clostridium difficile in horses in Australiaa preliminary study. J Med Microbiol 60(Pt 8):11881192, 2011. PUBMED Abstract
- Dhalla IA, Mamdani MM, Simor AE, et al: Are broad-spectrum fluoroquinolones more likely to cause Clostridium difficile-associated disease? Antimicrob Agents Chemother 50(9):32163219, 2006. PUBMED Abstract
- Gerding DN: Clindamycin, cephalosporins, fluoroquinolones, and Clostridium difficile-associated diarrhea: this is an antimicrobial resistance problem. Clin Infect Dis 38(5):646648, 2004. PUBMED Abstract
- Kallen AJ, Thompson A, Ristaino P, et al: Complete restriction of fluoroquinolone use to control an outbreak of Clostridium difficile infection at a community hospital. Infect Control Hosp Epidemiol 30(3):264272, 2009. PUBMED Abstract
- Goorhuis A, Debast SB, Dutilh JC, et al: Type-specific risk factors and outcome in an outbreak with 2 different Clostridium difficile types simultaneously in 1 hospital. Clin Infect Dis 53(9):860869, 2011. PUBMED Abstract
- Jamal W, Rotimi VO, Brazier J, et al: Analysis of prevalence, risk factors and molecular epidemiology of Clostridium difficile infection in Kuwait over a 3-year period. Anaerobe 16(6):560565, 2010. PUBMED Abstract
- Sandora TJ, Fung M, Flaherty K, et al: Epidemiology and risk factors for Clostridium difficile infection in children. Ped Infect Dis J 30(7):580584, 2011. PUBMED Abstract
- Cunningham R: Proton pump inhibitors and the risk of Clostridium difficile-associated disease: further evidence from the community. CMAJ 175(7):757, 2006. PUBMED Abstract
- Dial S, Alrasadi K, Manoukian C, et al: Risk of Clostridium difficile diarrhea among hospital inpatients prescribed proton pump inhibitors: cohort and case-control studies. CMAJ 171:3338, 2004. PUBMED Abstract
- Dial S, Delaney J, Schneider V, et al: Proton pump inhibitor use and risk of community-acquired Clostridium difficile-associated disease defined by prescription for oral vancomycin therapy. CMAJ 175(7):745748, 2006. PUBMED Abstract
- Kim JW, Lee KL, Jeong JB, et al: Proton pump inhibitors as a risk factor for recurrence of Clostridium-difficile-associated diarrhea. World J Gastroenterol 16(28):35733577, 2010. PUBMED Abstract
- Lowe DO, Mamdani MM, Kopp A, et al: Proton pump inhibitors and hospitalization for Clostridium difficile-associated disease: a population-based study. Clin Infect Dis 43(10):12721276, 2006. PUBMED Abstract
- Naggie S, Miller BA, Zuzak KB, et al: A Case-control Study of Community-associated Clostridium difficile Infection: No Role for Proton Pump Inhibitors. Am J Med 124(3):276.e271277, 2011. PUBMED Abstract
- Centers for Disease C, Prevention: Severe Clostridium difficile-associated disease in populations previously at low riskfour states, 2005. MMWR Morb Mortal Wkly Rep 54(47):12011205, 2005.
- Centers for Disease C, Prevention: Surveillance for community-associated Clostridium difficileConnecticut, 2006. MMWR Morb Mortal Wkly Rep 57(13):340343, 2008.
- Freeman J, Bauer MP, Baines SD, et al: The changing epidemiology of Clostridium difficile infections. Clin Microbiol Rev 23(3):529549, 2010. PUBMED Abstract
- Weese J, Toxopeus L, Arroyo L: Clostridium difficile associated diarrhoea in horses within the community: predictors, clinical presentation and outcome. Equine Vet J 38(2):185188, 2006. PUBMED Abstract
- Båverud V, Franklin A, Gunnarsson A, et al: Clostridium difficile associated with acute colitis in mares when their foals are treated with erythromycin and rifampicin for Rhodococcus equi pneumonia. Equine Vet J 30(6):482488, 1998. PUBMED Abstract
- Gustafsson A, Båverud V, Gunnarsson A, et al: The association of erythromycin ethylsuccinate with acute colitis in horses in Sweden. Equine Vet J 29(4):314318, 1997. PUBMED Abstract
- Arroyo L, Stämpfli H, Weese J: Potential role of Clostridium difficile as a cause of duodenitis-proximal jejunitis in horses. J Med Microbiol 55(Pt 5):605608, 2006. PUBMED Abstract
- Browning GF, Chalmers RM, Snodgrass DR, et al: The prevalence of enteric pathogens in diarrhoeic thoroughbred foals in Britain and Ireland. Equine Veterinary Journal 23(6):405409, 1991. PUBMED Abstract
- Bueschel D, Walker R, Woods L, et al: Enterotoxigenic Clostridium difficile type A necrotic enteritis in a foal. J Am Vet Med Assoc 213(9):1280, 13051307, 1998. PUBMED Abstract
- Donaldson MT, Palmer JE: Prevalence of Clostridium perfringens enterotoxin and Clostridium difficile toxin A in feces of horses with diarrhea and colic. J Am Vet Med Assoc 215:358361, 1999. PUBMED Abstract
- East LM, Dargatz DA, Traub-Dargatz JL, et al: Foaling-management practices associated with the occurrence of enterocolitis attributed to Clostridium difficile infection in the equine neonate. Prev Vet Med 46(1):6174, 2000. PUBMED Abstract
- East LM, Savage CJ, Traub-Dargatz JL, et al: Enterocolitis associated with Clostridium difficile infection in neonatal foals: 54 cases (1988-1997). J Am Vet Med Assoc 212(11):17511756, 1998. PUBMED Abstract
- Herholz C, Miserez R, Nicolet J, et al: Prevalence of b2-toxigenic Clostridium perfringens in horses with intestinal disorders. J Clin Microbiol 37:358361, 1999. PUBMED Abstract
- Pearson EG, Hedstrom OR, Sonn R, et al: Hemorrhagic enteritis caused by Clostridium difficile type C in a foal. J Am Vet Med Assoc 188(11):13091310, 1986. PUBMED Abstract
- White G, Prior SD: Comparative effects of oral administration of trimethoprim/sulphadiazine or oxytetracycline on the faecal flora of horses. Vet Rec 111(14):316318, 1982. PUBMED Abstract
- Garmory HS, Chanter N, French NP, et al: Occurrence of Clostridium difficile beta2-toxin amongst animals, determined using genotyping and subtyping PCR assays. Epidemiol Infect 124(1):6167, 2000. PUBMED Abstract
- Herholz C, Miserez R, Nicolet J, et al: Prevalence of beta2-toxigenic Clostridium difficile in horses with intestinal disorders. J Clin Microbiol 37(2):358361, 1999. PUBMED Abstract
- Netherwood T, Binns M, Townsend H, et al: The Clostridium difficile enterotoxin from equine isolates; its characterization, sequence and role in foal diarrhoea. Epidemiol Infect 120(2):193200, 1998. PUBMED Abstract
- Waters M, Raju D, Garmory HS, et al: Regulated expression of the beta2-toxin gene (cpb2) in Clostridium difficile type a isolates from horses with gastrointestinal diseases. J Clin Microbiol 43(8):40024009, 2005. PUBMED Abstract
- Tillotson K, Traub-Dargatz JL, Dickinson CE, et al: Population-based study of fecal shedding of Clostridium difficile in broodmares and foals. J Am Vet Med Assoc 220(3):342348, 2002. PUBMED Abstract
- Netherwood T, Wood JL, Mumford JA, et al: Molecular analysis of the virulence determinants of Clostridium difficile associated with foal diarrhoea. Vet J 155(3):289294, 1998. PUBMED Abstract
- Howard-Martin M, Morton RJ, Qualls CW, et al: Clostridium difficile type C enterotoxemia in a newborn foal. J Am Vet Med Assoc 189(5):564565, 1986. PUBMED Abstract
- Diab SS, Kinde H, Moore J, et al: Pathology of Clostridium difficile type C enterotoxemia in horses. Vet Pathol 49(2):255263, 2011. PUBMED Abstract
- Uzal FA, Diab SS, Blanchard P, et al: Clostridium difficile type C and Clostridium difficile co-infection in foals. Vet Microbiol 156(3-4):395402, 2011. PUBMED Abstract
- Jones SL, Wilson WD: Clostridium septicum septicemia in a neonatal foal with hemorrhagic enteritis. Cornell Vet 83(2):143151, 1993. PUBMED Abstract
- Ruby R, Magdesian KG, Kass PH: Comparison of clinical, microbiologic, and clinicopathologic findings in horses positive and negative for Clostridium difficile infection. J Am Vet Med Assoc 234(6):777784, 2009. PUBMED Abstract
- Medina-Torres CE, Weese JS, Staempfli HR: Validation of a commercial enzyme immunoassay for detection of Clostridium difficile toxins in feces of horses with acute diarrhea. J Vet Intern Med 24(3):628632, 2010. PUBMED Abstract
- Chouicha N, Marks SL: Evaluation of five enzyme immunoassays compared with the cytotoxicity assay for diagnosis of Clostridium difficile-associated diarrhea in dogs. J Vet Diagn Invest 18(2):182188, 2006. PUBMED Abstract
- Lee SD, Turgeon DK, Ko CW, et al: Clinical correlation of toxin and common antigen enzyme immunoassay testing in patients with Clostridium difficile disease. Am J Gastroenterol 98(7):15691572, 2003. PUBMED Abstract
- Arroyo L, Rousseau J, Willey B, et al: Use of a selective enrichment broth to recover Clostridium difficile from stool swabs stored under different conditions. J Clin Microbiol 43(10):53415343, 2005. PUBMED Abstract
- Peterson LR, Manson RU, Paule SM, et al: Detection of toxigenic Clostridium difficile in stool samples by real-time polymerase chain reaction for the diagnosis of C. difficile-associated diarrhea. Clin Infect Dis 45(9):11521160, 2007. PUBMED Abstract
- van den Berg RJ, Kuijper EJ, van Coppenraet LE, et al: Rapid diagnosis of toxinogenic Clostridium difficile in faecal samples with internally controlled real-time PCR. Clin Microbiol Infect 12(2):184186, 2006. PUBMED Abstract
- van den Berg RJ, Vaessen N, Endtz HP, et al: Evaluation of real-time PCR and conventional diagnostic methods for the detection of Clostridium difficile-associated diarrhoea in a prospective multicentre study. J Med Microbiol 56(Pt 1):3642, 2007. PUBMED Abstract
- Prescott JF, Staempfli HR, Barker IK, et al: A method for reproducing fatal idiopathic colitis (colitis X) in ponies and isolation of a Clostridium as a possible agent. Equine Vet J 20(6):417420, 1988. PUBMED Abstract
- Staempfli HR, Prescott JF, Carman RJ, et al: Use of bacitracin in the prevention and treatment of experimentally-induced idiopathic colitis in horses. Can J Vet Res 56(3):233236, 1992. PUBMED Abstract
- McGorum BC, Dixon PM, Smith DG: Use of metronidazole in equine acute idiopathic toxaemic colitis. Vet Rec 142(23):635638, 1998. PUBMED Abstract
- Pépin J, Valiquette L, Gagnon S, et al: Outcomes of Clostridium difficile-associated disease treated with metronidazole or vancomycin before and after the emergence of NAP1/027. Am J Gastroenterol 102(12):27812788, 2007. PUBMED Abstract
- Belmares J, Gerding DN, Parada JP, et al: Outcome of metronidazole therapy for Clostridium difficile disease and correlation with a scoring system. J Infect 55(6):495501, 2007. PUBMED Abstract
- Musher DM, Aslam S, Logan N, et al: Relatively poor outcome after treatment of Clostridium difficile colitis with metronidazole. Clin Infect Dis 40(11):15861590, 2005. PUBMED Abstract
- Poutanen S, Simor A: Clostridium difficile-associated diarrhea in adults. CMAJ 171(1):5158, 2004. PUBMED Abstract
- Louie TJ, Miller MA, Mullane KM, et al: Fidaxomicin versus vancomycin for Clostridium difficile infection. N Engl J Med 364(5):422431, 2011. PUBMED Abstract
- Cheng AC, Ferguson JK, Richards MJ, et al: Australasian Society for Infectious Diseases guidelines for the diagnosis and treatment of Clostridium difficile infection. Med J Aust 194(7):353358, 2011. PUBMED Abstract
- Johnson S, Sanchez JL, Gerding DN: Metronidazole resistance in Clostridium difficile. Clin Infect Dis 31(2):625626, 2000. PUBMED Abstract
- Martin H, Willey B, Low DE, et al: Characterization of Clostridium difficile strains isolated from patients in Ontario, Canada, from 2004 to 2006. J Clin Microbiol 46(9):29993004, 2008. PUBMED Abstract
- Peláez T, Alcalá L, Alonso R, et al: In vitro activity of ramoplanin against Clostridium difficile, including strains with reduced susceptibility to vancomycin or with resistance to metronidazole. Antimicrob Agents Chemother 49(3):11571159, 2005. PUBMED Abstract
- Peláez T, Alcalá L, Alonso R, et al: Reassessment of Clostridium difficile susceptibility to metronidazole and vancomycin. Antimicrob Agents Chemother 46(6):16471650, 2002. PUBMED Abstract
- Jang SS, Hansen LM, Breher JE, et al: Antimicrobial susceptibilities of equine isolates of Clostridium difficile and molecular characterization of metronidazole-resistant strains. Clin Infect Dis 25(Suppl 2):S266S267, 1997. PUBMED Abstract
- Britzi M, Gross M, Lavy E, et al: Bioavailability and pharmacokinetics of metronidazole in fed and fasted horses. J Vet Pharmacol Ther 33(5):511514, 2010. PUBMED Abstract
- Bolton RP, Culshaw MA: Faecal metronidazole concentrations during oral and intravenous therapy for antibiotic associated colitis due to Clostridium difficile. Gut 27(10):11691172, 1986. PUBMED Abstract
- Staempfli HR, Prescott JF, Carman RJ, et al: Use of bacitracin in the prevention and treatment of experimentally-induced idiopathic colitis in horses. Can J Vet Res 56:233236, 1992. PUBMED Abstract
- Post KW, Songer JG: Antimicrobial susceptibility of Clostridium difficile isolated from neonatal pigs with enteritis. Anaerobe 10(1):4750, 2004. PUBMED Abstract
- Lawler JB, Hassel DM, Magnuson RJ, et al: Adsorptive effects of di-tri-octahedral smectite on Clostridium difficile alpha, beta, and beta-2 exotoxins and equine colostral antibodies. Am J Vet Res 69(2):233239, 2008. PUBMED Abstract
- Weese JS, Cote NM, deGannes RV: Evaluation of in vitro properties of di-tri-octahedral smectite on clostridial toxins and growth. Equine Vet J 35(7):638641, 2003. PUBMED Abstract
- Hassel DM, Smith PA, Nieto JE, et al: Di-tri-octahedral smectite for the prevention of post-operative diarrhea in equids with surgical disease of the large intestine: results of a randomized clinical trial. Vet J 182(2):210214, 2009. PUBMED Abstract
- McFarland LV: Systematic review and meta-analysis of Saccharomyces boulardii in adult patients. World J Gastroenterol 16(18):22022222, 2010. PUBMED Abstract
- Miller M: The fascination with probiotics for Clostridium difficile infection: lack of evidence for prophylactic or therapeutic efficacy. Anaerobe 15(6):281284, 2009. PUBMED Abstract
- Desrochers AM, Dolente BA, Roy M-F, et al: Efficacy of Saccharomyces boulardii for treatment of horses with acute enterocolitis. J Am Vet Med Assoc 227(6):954959, 2005. PUBMED Abstract
- Weese JS: Microbiologic evaluation of commercial probiotics. J Am Vet Med Assoc 220(6):794797, 2002. PUBMED Abstract
- Weese JS, Martin H: Assessment of commercial probiotic bacterial contents and label accuracy. Can Vet J 52(1):4346, 2011. PUBMED Abstract
- Weese JS, Rousseau J: Evaluation of Lactobacillus pentosus WE7 for prevention of diarrhea in neonatal foals. J Am Vet Med Assoc 226(12):20312034, 2005. PUBMED Abstract
- Gough E, Shaikh H, Manges AR: Systematic review of intestinal microbiota transplantation (fecal bacteriotherapy) for recurrent Clostridium difficile infection. Clin Infect Dis 53(10):9941002, 2011. PUBMED Abstract
- Khoruts A, Sadowsky MJ: Therapeutic transplantation of the distal gut microbiota. Mucosal Immunol 4(1):47, 2011. PUBMED Abstract
- Russell G, Kaplan J, Ferraro M, et al: Fecal bacteriotherapy for relapsing Clostridium difficile infection in a child: a proposed treatment protocol. Pediatrics 126(1):e239e242, 2010. PUBMED Abstract
- Silverman MS, Davis I, Pillai DR: Success of self-administered home fecal transplantation for chronic Clostridium difficile infection. Clin Gastroenterol Hepatol 8(5):471473, 2010. PUBMED Abstract
- Yoon SS, Brandt LJ: Treatment of refractory/recurrent C. difficile-associated disease by donated stool transplanted via colonoscopy: a case series of 12 patients. J Clin Gastroenterol 44(8):562566, 2010. PUBMED Abstract
- Alfa MJ, Lo E, Wald A, et al: Improved eradication of Clostridium difficile spores from toilets of hospitalized patients using an accelerated hydrogen peroxide as the cleaning agent. BMC Infect Dis 10:268, 2010. PUBMED Abstract
- Ali S, Moore G, Wilson APR: Spread and persistence of Clostridium difficile spores during and after cleaning with sporicidal disinfectants. J Hosp Infect 79(1):9798, 2011. PUBMED Abstract
- Fraise A: Currently available sporicides for use in healthcare, and their limitations. J Hosp Infect 77(3):210212, 2011. PUBMED Abstract
- Perez J, Springthorpe VS, Sattar SA: Activity of selected oxidizing microbicides against the spores of Clostridium difficile: relevance to environmental control. Am J Infect Control 33(6):320325, 2005. PUBMED Abstract
- Madewell BR, Tang YJ, Jang S, et al: Apparent outbreaks of Clostridium difficile-associated diarrhea in horses in a veterinary medical teaching hospital. J Vet Diagn Invest 7(3):343346, 1995. PUBMED Abstract
- Timoney JF, Hartmann M, Fallon L, et al: Antibody responses of mares to prepartum vaccination with Clostridium difficile bacterin and beta2 toxin. Vet Rec 157(25):810812, 2005. PUBMED Abstract
- Baverud V, Gustafsson A, Franklin A, et al: Clostridium difficile associated with acute colitis in mature horses treated with antibiotics. Equine Vet J 29(4):279284, 1997. PUBMED Abstract
- Baverud V, Gustafsson A, Franklin A, et al: Clostridium difficile: prevalence in horses and environment, and antimicrobial susceptibility. Equine Vet J 35:465471, 2003. PUBMED Abstract
- Ossiprandi MC, Buttrini M, Bottarelli E, et al: Preliminary molecular analysis of Clostridium difficile isolates from healthy horses in northern Italy. Comp Immunol Microbiol Infect Dis 33(6):e25e29, 2009. PUBMED Abstract
- McNamara SE, Abdujamilova N, Somsel P, et al: Carriage of Clostridium difficile and other enteric pathogens among a 4-H avocational cohort. Zoonoses Public Health 58(3):192199, 2010.
- Avbersek J, Janezic S, Pate M, et al: Diversity of Clostridium difficile in pigs and other animals in Slovenia. Anaerobe 15(6):252255, 2009. PUBMED Abstract
- Waggett BE, McGorum BC, Wernery U, et al: Prevalence of Clostridium difficile in faeces and ileal contents from grass sickness affected horses: comparisons with 3 control populations. Equine Vet J 42(6):494499, 2010. PUBMED Abstract
- Netherwood T, Wood JL, Townsend HG, et al: Foal diarrhoea between 1991 and 1994 in the United Kingdom associated with Clostridium difficile, rotavirus, Strongyloides westeri and Cryptosporidium spp. Epidemiol Infect 117(2):375383, 1996. PUBMED Abstract
- Kanoe M, Inoue S, Abe T, et al: Isolation of Clostridium difficile from foals. Microbios 64(260-261):153158, 1990. PUBMED Abstract