Module 5.4 Gram Positive Spore forming Anaerobic Rods Flashcards
List some key characteristics of the Clostridium species.
- large spore-forming rods
- widespread in env. (soil)
- commensals of the large bowel
- rapid multiplication
- simple growth requirements
- similar to bacillus anthracis but anaerobic
Case Report:
- 3 days old beef calf
- hemorrhagic diarrhea, affecting multiple calves
- dehydrated, off feed, unresponsive to treatment
- died 1-2 days after onset of clinical signs
- PCR for toxin type, gram stains, ELISA
- small intestine had enteritis, necrotizing, acute
What is a common cause of death relayed to these signs?
Clostridium perfringens type C
Clostridium perfringens 1-PR/OPP
- fecal contamination
- fastest growing bacterium
- PCR divides into 7 types (A-G)
- most strains are intestinal commensals
Clostridium perfringens type A
- intestinal commensals
- two commonly seen diseases: hemorrhagic necrotizing enteritis in dogs and foals (NetF toxin), abomastitis in calves
Clostridium perfringens type B and C
Type B:
- never reported in Canada
- lamb dysentery
Type C:
- neonatal hemorrhagic enterotoxemia
- hemorrhagic enteritis
- rare in Canada
- B-toxin
- affects farm species
Clostridium perfringens type D and E
Type D:
- pulpy kidney
epsilon toxin which liquifies kidney
- no enteritis
Type E:
- hemorrhagic enteritis
- iota toxin
Clostridium perfringens type F and G
Type F:
- most common
- food poisoning in humans
- protein rich food
- Cpe enterotoxin
Type G:
- necrotic enteritis in broiler chickens (NetB toxin)
Treatment and control of Clostridium perfringens
- antimicrobial prophylaxis in broilers
- hygiene
- debriding wound
- antibiotics
Clostridioides difficile 1-PR-Z
- severe colitis in humans and horses
- fatal Typhlocolitis (cecum and colon) in horse
- antibiotics disrupt anaerobic large bowel flora and Clostridioides difficile loses competitive exclusion, causing uncontrolled proliferation of C difficile which survives as a spore
What is the pathogenicity of Clostridioides difficile?
- transmission via spores
- pass through the stomach and induce germination
- vegetative cells produce 2 toxins: Toxin A which is enterotoxin/cytotoxin and Toxin B a cytotoxin
- major hospital acquired infections
Diagnosis/treatment/control of Clostridioides difficile?
- glutamate dehydrogenase (GDH) ELISA (toxin ELISA)
- fecal flora transplant
- beware of antibiotic use
What are the three toxin types of clostridia?
- enterotoxin = toxins formed in the intestines and absorbed into the blood stream producing a generalized toxemia
- histotoxic clostridia = gas gangrene (wound infections) producing clostridia which are invasive, species that cause tissue damage
- neurotoxic clostridia = non-invasive and colonize the host to a very limited extent
Clostridium chauvoei 1-PR
- Blackleg
- acute, infectious, necrotizing myositis in young calves in summer
Pathogenesis of Clostridium chauvoei
- transmission by ingestion of spores
- they reach the blood from intestine via the liver, then liver to muscle
- activation of latent spores by anoxia
- locally necrotizing myositis, systemic toxemia
- rapid death
Clostridium chauvoei (Blackleg) diagnosis?
- swollen legs, gas under the skin
- anaerobic culture
- fluorescent antibody stain
- PCR