PMID- 35158672 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220219 IS - 2076-2615 (Print) IS - 2076-2615 (Electronic) IS - 2076-2615 (Linking) VI - 12 IP - 3 DP - 2022 Jan 31 TI - Elephant Endotheliotropic Herpesvirus 4 and Clostridium perfringens Type C Fatal Co-Infection in an Adult Asian Elephant (Elephas maximus). LID - 10.3390/ani12030349 [doi] LID - 349 AB - Elephant endotheliotropic herpesvirus hemorrhagic disease (EEHV-HD) is an acute, often fatal, multisystemic hemorrhagic disease and one of the most significant causes of mortality of Asian elephants in captivity. Most fatal cases of EEHV-HD are associated with EEHV1A and EEHV1B in juveniles. This case report describes the clinical and pathological features of a fatal co-infection of Clostridium perfringens type C and EEHV-HD, caused by EEHV4, in an adult female Asian elephant. Although fatal clostridial enterotoxemia has been occasionally reported in elephants, this report highlights the importance of having both EEHV-HD and clostridial enterotoxemia as potential differential diagnoses in cases of widespread tissue necrosis and internal hemorrhage in elephants, regardless of the animal age group, due to their macroscopic similarities, frequent co-occurrence and cumulative morbid potential. FAU - Costa, Taiana AU - Costa T AD - Department of Veterinary Anatomy, Physiology and Pathology, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Chester High Road, Neston CH64 7TE, UK. FAU - Rocchigiani, Guido AU - Rocchigiani G AUID- ORCID: 0000-0002-3742-7636 AD - Department of Veterinary Anatomy, Physiology and Pathology, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Chester High Road, Neston CH64 7TE, UK. FAU - Zendri, Flavia AU - Zendri F AD - Department of Veterinary Anatomy, Physiology and Pathology, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Chester High Road, Neston CH64 7TE, UK. FAU - Drake, Gabby AU - Drake G AD - Chester Zoo, Upton-by-Chester, Cheshire CH2 1LH, UK. FAU - Lopez, Javier AU - Lopez J AD - Chester Zoo, Upton-by-Chester, Cheshire CH2 1LH, UK. FAU - Chantrey, Julian AU - Chantrey J AD - Department of Veterinary Anatomy, Physiology and Pathology, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Chester High Road, Neston CH64 7TE, UK. FAU - Ricci, Emanuele AU - Ricci E AD - Department of Veterinary Anatomy, Physiology and Pathology, Institute of Infection, Veterinary and Ecological Sciences, Leahurst Campus, University of Liverpool, Chester High Road, Neston CH64 7TE, UK. LA - eng PT - Case Reports DEP - 20220131 PL - Switzerland TA - Animals (Basel) JT - Animals : an open access journal from MDPI JID - 101635614 PMC - PMC8833544 OTO - NOTNLM OT - Clostridium perfringens type C OT - Clostridium spp. OT - EEHV OT - Elephas maximus OT - clostridial enterotoxemia OT - elephant endotheliotropic herpesvirus OT - elephant endotheliotropic herpesvirus hemorrhagic disease COIS- The authors declare no conflict of interest. EDAT- 2022/02/16 06:00 MHDA- 2022/02/16 06:01 PMCR- 2022/01/31 CRDT- 2022/02/15 01:03 PHST- 2021/11/03 00:00 [received] PHST- 2022/01/24 00:00 [revised] PHST- 2022/01/28 00:00 [accepted] PHST- 2022/02/15 01:03 [entrez] PHST- 2022/02/16 06:00 [pubmed] PHST- 2022/02/16 06:01 [medline] PHST- 2022/01/31 00:00 [pmc-release] AID - ani12030349 [pii] AID - animals-12-00349 [pii] AID - 10.3390/ani12030349 [doi] PST - epublish SO - Animals (Basel). 2022 Jan 31;12(3):349. doi: 10.3390/ani12030349.