Weldon A D, Rowland P H, Rebhun W C
Department of Clinical Sciences, New York State College of Veterinary Medicine, Ithaca 14853.
Cornell Vet. 1991 Jan;81(1):51-8.
A 12-year-old Morgan gelding was examined for colic of 3 days duration. Signs of depression, colic, diarrhea, and endotoxemia persisted despite aggressive medical therapy and surgical exploration. Culture results from gastric fluid and feces yielded many colonies of Clostridium perfringens. This organism also was recovered from peritoneal fluid 10 days after admission; consequently, the horse was euthanized. At necropsy, a localized gas-filled, necrotic stomach wall was found; many mucosal and submucosal gas blebs were visible. Culture of this tissue yielded Clostridium perfringens. Emphysematous gastritis is a fulminant infection of the stomach wall caused by gas-forming organisms that gain access to the submucosa via mucosal defects such as ulcers. This condition has been reported infrequently in people, and the case reported herein represents the first instance of emphysematous gastritis in the horse.
一匹12岁的摩根种公马因持续3天的腹痛接受检查。尽管进行了积极的药物治疗和手术探查，但抑郁、腹痛、腹泻和内毒素血症的症状仍持续存在。胃液和粪便的培养结果显示产气荚膜梭菌大量繁殖。入院10天后，在腹腔液中也发现了这种细菌；因此，这匹马被实施安乐死。尸检时，发现胃壁局部充气、坏死；可见许多黏膜和黏膜下气泡。对该组织进行培养，结果为产气荚膜梭菌。气肿性胃炎是由产气微生物通过溃疡等黏膜缺损进入黏膜下层引起的胃壁暴发性感染。这种情况在人类中报道较少，本文报道的病例是马气肿性胃炎的首例。
