Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.

Enteritis necroticans (EN) in humans caused by infection with Clostridium perfringens type C, once thought limited to the highlands of Papua New Guinea has been identified sporadically worldwide. Outbreaks still occur among children in low-income countries and isolated cases occur among children and...

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Main Authors: Stuart Johnson, Andrew M Skinner, Calob Lostutter, Trevor Duke, Horst Posthaus
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-02-01
Series:PLoS Neglected Tropical Diseases
Online Access:https://doi.org/10.1371/journal.pntd.0012836
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author Stuart Johnson
Andrew M Skinner
Calob Lostutter
Trevor Duke
Horst Posthaus
author_facet Stuart Johnson
Andrew M Skinner
Calob Lostutter
Trevor Duke
Horst Posthaus
author_sort Stuart Johnson
collection DOAJ
description Enteritis necroticans (EN) in humans caused by infection with Clostridium perfringens type C, once thought limited to the highlands of Papua New Guinea has been identified sporadically worldwide. Outbreaks still occur among children in low-income countries and isolated cases occur among children and adults in other countries. Here the disease seems to be associated with diabetes mellitus and other risk factors. C. perfringens type C is also an important cause of necrotizing enteritis among animals, particularly pigs. Research into the pathogenesis of this disease has confirmed the central role of beta toxin and its target, the endothelial cell. Unlike most bacterial enteric infections, the primary anatomic location of EN is the proximal small intestine, reasons for which are not completely understood. Ongoing surveillance for C. perfringens type C infection is warranted as well as public health measures of prevention in locations where environmental and food hygiene is poor.
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series PLoS Neglected Tropical Diseases
spelling doaj-art-45596c1964ff4739b4a3bbc16859b77b2025-02-12T05:31:21ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352025-02-01192e001283610.1371/journal.pntd.0012836Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.Stuart JohnsonAndrew M SkinnerCalob LostutterTrevor DukeHorst PosthausEnteritis necroticans (EN) in humans caused by infection with Clostridium perfringens type C, once thought limited to the highlands of Papua New Guinea has been identified sporadically worldwide. Outbreaks still occur among children in low-income countries and isolated cases occur among children and adults in other countries. Here the disease seems to be associated with diabetes mellitus and other risk factors. C. perfringens type C is also an important cause of necrotizing enteritis among animals, particularly pigs. Research into the pathogenesis of this disease has confirmed the central role of beta toxin and its target, the endothelial cell. Unlike most bacterial enteric infections, the primary anatomic location of EN is the proximal small intestine, reasons for which are not completely understood. Ongoing surveillance for C. perfringens type C infection is warranted as well as public health measures of prevention in locations where environmental and food hygiene is poor.https://doi.org/10.1371/journal.pntd.0012836
spellingShingle Stuart Johnson
Andrew M Skinner
Calob Lostutter
Trevor Duke
Horst Posthaus
Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.
PLoS Neglected Tropical Diseases
title Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.
title_full Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.
title_fullStr Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.
title_full_unstemmed Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.
title_short Enteritis necroticans and Clostridium perfringens type C; Epidemiological and pathological findings over the past 20 years.
title_sort enteritis necroticans and clostridium perfringens type c epidemiological and pathological findings over the past 20 years
url https://doi.org/10.1371/journal.pntd.0012836
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