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問題一覧
1
c. perfringens
2
c. tetani
3
c. botulinum
4
classical (food borne) botulism
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infant botulism
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wound botulism
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inhalation botulism
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aerobic sporeforming
9
TREATMENT Soft tissue infections → Surgical debridement and high dose Penicillin - Hyperbaric oxygen therapy (HBOT)- speed up healing of gas gangrene, carbon monoxide poisoning, infections in which tissues are starved for O2 - For food poisoning → Self-limiting → No need for antibiotics > replace fluids by electrolytes
c. perfringens
10
C. difficile
11
c. septicum
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cc. sordelii
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b. anthracis
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b. anthracis
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anthrax
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cutaneous anthrax
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gastrointestinal anthrax
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Woolsorters disease
pulmonary anthrax
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b. cereus
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b. subtilis
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tetanospasmin
Neurotoxin
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3 aerobic sporeforming
b. Anthracis, b. Cereus, b. Subtilis
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Flaccid paralysis
c. botulinum
24
Anaerobic spore forming 4
c. Perfringens, c. tetani , c. Botulinum, c. Difficile
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Metabolic activity of rapidly dividing c. perfringens results to
Gas in tissues
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Food poisoning associated with Chinese fried rice cause by
B. Cereus
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Food poisoning Eye infection Sepsis
B- cereus
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low virulence Opportunistic pathogen
b. Cereus
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Pulmonary woolsorter's disease Necrotic ulcer with eschar ingestion upper intestinal tract
c. Anthrax
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Antibiotic associated pseudomembranous entercolitis fluroquinolones binary toxin
C. difficile
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Treatment pseudo membranous entercolitis
vancomycin
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b. Anthracis most immunogenic
Protective antigen
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c. Botulinum food poisoning is due to
Ingestion of preformed toxin
34
Mechanism of tetanospasmin
Inhibits the release of inhibitory transmitters
35
lysed by botulinum toxin to cause inhibition of the release of acetylcholine
snare proteins
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Persistent back spasm
Opisthotonus
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Passive immunization with human tetanus lg
Short term
38
Active immunization with tetanus toxoid
Long term
39
Produce spores Obligate anaerobes Gram (+) cell wall
Clostridium
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Beta hemolysis
C. Perfringens
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Most common and invasive
c. Perfringens
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Cephalic tetanus
Localized tetanus
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Umbilical stump
Neonatal tetanus
44
Wound dibridement Metronidazole passive/active immunization
c. tetani