149 - Gas gangrene and other Clostridial Infections Flashcards
Clostridium is G(_), obligatory __.
+
anaerobic
Clostridium can cause infections in the __, __, __. Other damage could be __ and __
GI myonecrosis (deep tissues) skin bacteremia TTS
Clostridium produce 2 virulent toxins:
alpha- __ and blood __
theta- __ and __ activation
gas gangrene
stasis
lysis
phagocyte
Gas in the biliary system can cause- ___ in diabetic patients.
emphysematous cholecystitis
Skin infection can lead to -__ and __ (mainly __)
necrotizing fasciitis
Fournier’s gangrene
C. perfringens
Treating polymicrobial CD is done according to sensitivity: __ + __/__. If further treatment is needed, replace __ with __/__ or add __/__
ampicillin + clindamycin/metronidazole
ampicillin
piperacillin/carbapenem
fluoroquinolone/aminoglycoside
Food poising occur - h post digestion. Causes severe __ and __ pain
7-30
diarrhea
epigastric
Which strain causes clostridial bacteremia?
C. septicum
C. septicum is more common in __/__/__
chronic
oncologic (colon)
immunocompromised
C. septicum can create __ in the __/__/__. It can also form lung __
abscess brain abdomen conjunctiva empyema
C. septicum should be treated quickly with __ +__
penicillin
clindamycin