Unit 1- Clostridiums Flashcards
Clostridiums
Rods, produce identifying endospores, cultures emit putrid odor due to peptide catabolism, anaerobic, catalase negative, oxidase negative, motile, fastidious
Saprophytes
Part of normal flora
Neurotoxic Clostridia
Clostridium tetani and botulinum
Clostridium tetani
TeNT antigenically uniform for vaccine, serology based on flagellar antigens, present in soil, terminal drumstick shaped spores
Tetanus Cause
Clostridium tetani introduced into traumatized tissue
Tetanus
Neuroparalytic intoxication and tonic-clonic convulsions due to a protein neurotoxins
Tetanus Toxin
Tetanospasmin binds to neurons, releasing GABA and glycine, also hydrolyzes docking proteins and prevents vesicles to fuse with the synapse and release neurotransmitters
Tetanus Pathogenesis
Spores germinate in anaerobic environment, toxins diffuse, toxins attach to cholinergic receptors and are internalized, vesicles travel to the ventral horns of the spinal cord and cause sustained spasm in affected muscles
Spastic Paralysis
Continuous excitatory stimulation from ACH release causes continuous spasm
Tetanus Clinical Signs
Retraction of third eyelid, erect ears, grinding teeth, stiff tail, bloat, lockjaw, sawhorse
Tetanus Immunology
Acquired resistance depends on circulating antitoxin, reinfection possible, vaccination with toxin possible
Tetanus Diagnosis
Gram stain, blood agar in anaerobic culture, injection into antitoxin dosed mouse, PCR
Clostridium botulinum
Neuroparalytic intoxication and flaccid paralysis, 7 protein neurotoxins, affects ruminants, horses, mink, and fowl
Botulinum Neurotoxins
Act in the neuromuscular junction, binds cholinergic nerve cells and decreases the release of acetylcholine
Botulism Pathogenesis
Ingested and toxins absorbed in GI, circulates in blood stream, attaches to neuro-muscular junction of cholinergic nerves, hydrolyzes a SNARE protein, synapse degenerates
Botulism Clinical Signs
Muscular incoordination, no changes in consciousness, normal temperature, recumbency, flaccid paralysis
Limberneck
Initial clinical sign of botulism
Botulism Diagnosis
Demonstration in toxin by injecting into a mouse
Botulism Prevention
Stomach purging, antitoxin, vaccination with toxoids, antiserum
Histotoxic Clostridia
Enteropathogenic, exotoxins induce necrosis and lethal systemic effects, present as latent spores