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問題一覧
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infant botulism
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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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Flaccid paralysis
c. botulinum
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c. tetani
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classical (food borne) botulism
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Pulmonary woolsorter's disease Necrotic ulcer with eschar ingestion upper intestinal tract
c. Anthrax
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lysed by botulinum toxin to cause inhibition of the release of acetylcholine
snare proteins
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Beta hemolysis
C. Perfringens
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cc. sordelii
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Produce spores Obligate anaerobes Gram (+) cell wall
Clostridium
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aerobic sporeforming
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low virulence Opportunistic pathogen
b. Cereus
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C. difficile
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Mechanism of tetanospasmin
Inhibits the release of inhibitory transmitters
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tetanospasmin
Neurotoxin
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c. septicum
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inhalation botulism
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c. Botulinum food poisoning is due to
Ingestion of preformed toxin
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Umbilical stump
Neonatal tetanus
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Cephalic tetanus
Localized tetanus
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Food poisoning associated with Chinese fried rice cause by
B. Cereus
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wound botulism
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3 aerobic sporeforming
b. Anthracis, b. Cereus, b. Subtilis
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cutaneous anthrax
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anthrax
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c. botulinum
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gastrointestinal anthrax
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Most common and invasive
c. Perfringens
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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
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Metabolic activity of rapidly dividing c. perfringens results to
Gas in tissues
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Anaerobic spore forming 4
c. Perfringens, c. tetani , c. Botulinum, c. Difficile
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b. Anthracis most immunogenic
Protective antigen
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Wound dibridement Metronidazole passive/active immunization
c. tetani
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Passive immunization with human tetanus lg
Short term
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Persistent back spasm
Opisthotonus
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Active immunization with tetanus toxoid
Long term
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b. anthracis
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b. anthracis
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Woolsorters disease
pulmonary anthrax
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c. perfringens
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b. cereus
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b. subtilis
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Food poisoning Eye infection Sepsis
B- cereus