Clostridium Flashcards
species of Clsotridium ??
C tetani
C perfringes
C botulinum
C difficile
Disease caused by Clostridium ??
C tetani - tetanus
C perfringes - Gas gangrene + food poisoning
C botulinum - botulism
C difficile - Pseudomembranous colitis
appearance of C tetani ?/
drumstick
/
tennis racket
toxin produced by it ??
T toxin
/
Tetanospasmin
/
neurotoxin
NON- characteristics of C t ??
NON-acid fast
NON-capsulated
201
Transmission of C t ??
Widespread in soil
201
Tetanus toxin to toxoid formation ??
lacks toxigenicity
but retain antigenecity of toxin and thus stimulates production of Anti-toxin
201
toxin name of C t ??
Tetanospasmin
Tetanolysin
202
M/A of tetanus ??
202
M/A of tetanus toxin ??
Bind with ganglioside receptor
block release of inhibitory NT - glycine & GABA
No inhibition of LMN by UMN
Exaggerated action of LMN
Result of Tetanus ??
Inc muscle tone
spastic paralysis
hyper-excitability of voluntary muscles
202
Can Dx of tetanus made from Culture/media ?/
No
its clinical
Clinical Dx of tetanus ??
lockJaw- trismus
risus sardonicus
OpisthoTones
exaggerated reflexs
203
Pre-exposure prevention / immunization of T ?
TT
EPI schedule
6-10-14 weeks
booster - every 10 years
Pregnant women vaccine for tetanus ?/
5 doses of TT vaccine
Post-exposure prophylaxis ?/
passive immunization
TIG
250-500 units in IM
Which Antibiotics for tetanus ??
Benzodiazepine
to prevent spasm
Benzyl Penicillin - 600mg IV 6hourly
Metronidazole
what type of immunity in tetanus ??
active-passive immunity
204
Canned food / vacuum packed food contamination in which C ??
C botulinum
which type of paralysis by C botulinum ??
flaccid paralysis
Mechanism of Toxicity ??
Botulinum toxin = block release of Ach = Blockage of synaptic Ach release = Flaccid paralysis
206
Commercial preparation of exotoxin A of C botulinum ??
BOTOX
uses of Botox ??
- removal wrinkles of face - osmotic reduction
- Tx of - torticollis + writers cramp + blepharospasm
206
clinical features of Botulism ??
- Descending paralysis
visual disturbance - double vision
speech dificulty
types of Botulism ??
- food borne
wound
infant
unclassifies
Infant botulism complication ??
Floppy baby syndrome
why Botulism not a classical example of food poisoning ??
NO V -D
no action on GIT
207
Bacteria causing Food poisoning ??
208
Escherichia coli
13-2-2025
6.03
Feature of botulism - 5D ??
Diplopia
dysarthria
dysphagia
dyspnea
dysending flaccid paralysis
207
Culture for food poisoning ??
208
Disease caused by C perfringens ??
Gas gangrene
Anaerobic cellulitis
Food poisoning
Gas gangrene other name ??
Myonecrosis
Toxins type in myonecrosis ??
alpha / lecithinase
theta
theta toxin effect - hemolytic & necrotizing effects
done
alpha toxin effects ??
degrade lecithin
How to identify alpha toxin by cultire ?/
egg yolk agar
Culutre media for C perfringes ?/
Robertsons cooked meat media
thioglycolate media
egg yolk media
Pathogenesis of gas gangrene / myonecrosis ??
210
Prevention & control of GG ??
211
Predisposing fators of Pseudomembranous colitis by C difficile ??
clindamycin
ampicillin
2 & 3 Generation of cephalosporins
fluroquinolones
cancer chemotherapy
212
50 years male + severe diarrhea + UTI
??/
C difficile
nosocomial cause of diarhea ??
C difficile
212
14-2-2025
2.51PM