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| **Survive in soil as spores | | **Survive in soil as spores |
| **Husbandry, changes in diet and environment predispose to proliferation in the intestine | | **Husbandry, changes in diet and environment predispose to proliferation in the intestine |
| + | **Abrupt changes to rich diets and intestinal hypomotility due to overeating |
| *Pathogenesis and pathogenicity: | | *Pathogenesis and pathogenicity: |
| **Clostridial replication and overgrowth in the interstinal tract of sheep | | **Clostridial replication and overgrowth in the interstinal tract of sheep |
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| ===''C. perfringens'' type A=== | | ===''C. perfringens'' type A=== |
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− | *Necrotising enterocolitis in pigs and necrotic enteritis in chickens | + | *Necrotising enterocolitis in pigs and necrotic enteritis in chickens (alpha toxin with lecithinase activity) |
− | *Canine haemorrhagic gastroenteritis | + | *Canine haemorrhagic gastroenteritis (cytotoxic enterotoxin) |
| *Typhlocolotis in horses, possibly associated with [[Intestines - Fibrinous/ Haemorrhagic Enteritis#Colitis X|Colitis X]] | | *Typhlocolotis in horses, possibly associated with [[Intestines - Fibrinous/ Haemorrhagic Enteritis#Colitis X|Colitis X]] |
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| *Bacterial overgrowth in the intestine of the lamb due to immature bacterial flora | | *Bacterial overgrowth in the intestine of the lamb due to immature bacterial flora |
| *Lack of proteases in the immature gut prevents cleavage of the beta toxin, allowing it to cause disease | | *Lack of proteases in the immature gut prevents cleavage of the beta toxin, allowing it to cause disease |
| + | *Also alpha and epsilon toxins |
| *Haemorrhagic enteritis and ulceration in the small intestine | | *Haemorrhagic enteritis and ulceration in the small intestine |
− | *Fluid in the peritoneal cavity and pericardial sac due to increased capillary permeability | + | *Fluid in the peritoneal cavity and pericardial sac due to increased capillary permeability (beta toxin) |
| *Fatal haemorrhagic enteritis in newborn foals, calves and adult goats | | *Fatal haemorrhagic enteritis in newborn foals, calves and adult goats |
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| *Acute enterotoxaemia in adult sheep, 'struck' | | *Acute enterotoxaemia in adult sheep, 'struck' |
| *Sudden death or terminal convulsions in sheep at pasture | | *Sudden death or terminal convulsions in sheep at pasture |
− | *Beta toxin plays major role in pathogenesis of the disease | + | *Beta toxin (lethal, necrotising) plays major role in pathogenesis of the disease - increases intestinal and capillary permeability |
| + | *Also alpha toxin (lecithinase) |
| *Post mortem: jejunal ulceration; hyperaemia in small intestine; fluid accumulation in peritoneal cavity; congestion of peritoneal vessels; petechial haemorrhages | | *Post mortem: jejunal ulceration; hyperaemia in small intestine; fluid accumulation in peritoneal cavity; congestion of peritoneal vessels; petechial haemorrhages |
| *Haemorrhagic enteritis in piglets | | *Haemorrhagic enteritis in piglets |
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| **Necrosis of small intestine | | **Necrosis of small intestine |
| **Predisposing factors include diet changes, coccidial infection and intestinal hypomotility | | **Predisposing factors include diet changes, coccidial infection and intestinal hypomotility |
− | *Acute enterotoxaemia with haemorrhagic enteritis in calves, lambs, foals | + | *Acute enterotoxaemia with haemorrhagic enteritis in calves, lambs, foals, goats |
− | *[[Peritoneal cavity - inflammatory#In cattle|Peritonitis in cattle]] | + | *[[Peritoneal cavity - inflammatory#In cattle|Peritonitis in cattle]] - sudden death in feedlot cattle |
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| *Starch from partially digested food enterering the intestine from the rumen allows rapid clostridial proliferation | | *Starch from partially digested food enterering the intestine from the rumen allows rapid clostridial proliferation |
| *Epsilon toxin activated by proteolytic enzymes causes toxaemia | | *Epsilon toxin activated by proteolytic enzymes causes toxaemia |
| + | *Epsilon toxin increases intestinal and capillary permeability; also alpha toxin |
| *Lambs found dead or with opisthotonos, convulsions, coma in acute phases | | *Lambs found dead or with opisthotonos, convulsions, coma in acute phases |
| *Blindness and head pressing in subacute disease; bloat in later stages | | *Blindness and head pressing in subacute disease; bloat in later stages |
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| *Enteritis in rabbits, haemorrhagic enteritis in calves | | *Enteritis in rabbits, haemorrhagic enteritis in calves |
| + | *ALpha and iota toxins |
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