Good Luck with the last chance ! 19 : 30-21 : 30 Oct. 19th, Fri.

Slides:



Advertisements
Similar presentations
Host-Pathogen Interactions. Symbiosis Commensual Mutualistic Parasitic.
Advertisements

Created by : Himanshu R Pardeshi S.Y. B-pharm
F1 PRESS F1 FOR GUIDEANCE. Clostridium, Bacteriods & Antibiotics Clostridium3 Station 1: Gram stain of Clostridium perfringens4 Station 2: Spore stain.
1 5/9/2015 Clostridium: Anaerobic Endospore formers Filename: Clostridium.ppt.
Clostridiums Largestraight rounded ends Large, straight or slightly curved roads with rounded ends. Bulging spore Mostly motile (with peritrichous flagella)peritrichous.
病原生物学教研室 Department of pathogenic Biology of Gannan Medical University 医学微生物学 Medical Microbiology 张文平.
Gram positive Cocci Staphylococci Streptococci Enterococci Bacilli Bacillus Clostridia Corynebacteria.
Mechanisms of Pathogenicity Microbiology 2314 Definitions Pathogenicity The ability of a pathogen to produce a disease by overcoming the defenses of.
Bacillus Morphology and Physiology
THE GENUS CLOSTRIDIUM.
Consequences include: –Delay in healing –May result in localized infection (abscess) –Bacteria or their products may migrate to adjacent tissues or bloodstream.
Biology of Toxin Spring 2007 Thu Pham Nghi Tran Hong Nguyen.
Medical bacteriology:
1 ANAEROBES and Pseudomonas Lecture 39 ANAEROBES and Pseudomonas Lecture 39 Faculty: Dr. Alvin Fox.
 Penetration of the skin by micro-organisms is difficult—Part of the innate defense  Wounds provide the most common access through the skin.  Disease.
Bacterial Toxins Chapter 14 Add-on.
Streptococci.
Clostridium Physiology and Structure
ANAEROBIC, SPORE-FORMING GRAM-POSITIVE BACILLI
Anaerobes Michael Yin, MD.
1 Anaerobic Bacteria Fundamentals II Stephen A. Moser, Ph.D. 10/19/2011.
Clostridium botulinum Prepared by: Shiekha AL-Aujan.
Chapter 18 Anaerobic Bacteria Category Spore-forming: Spore-forming: rod, Gram (+)--- Clostridium rod, Gram (+)--- Clostridium Nonspore-forming: G+ or.
Staphylococcus and Streptococcus
Nervous System Infections Chapter 20. Nervous system Central nervous system (CNS) – Brain Encephalitis – Spinal cord Peripheral nervous system (PNS) –
Clostridium is a bacteria that is found in the intestines of both healthy and unhealthy people A very dangerous bacteria Most commonly affects people.
Gram-Positive Bacilli Prof. Dr. Asem Shehabi Faculty of Medicine University of Jordan University of Jordan.
Anaerobic Bacteria Reactive oxygen species (ROS).
Clostridiums Large, straight or slightly curved roads with rounded ends. Bulging spore Usually saprophytic: proteolytic and fermenter (Important in.
By: Brittany Horan Large, aerobic, gram-positive, non- motile, encapsulated, chain forming, rod shaped that form oval spores. It is a bacterium of the.
Plate 50 Toxins. Toxins: poisonous substances produced by organisms (microorganisms, in our case)
Clostridium perfringens The agent of - Gangrene - Food poisoning Bacteria features: GPB, Capsulate, non-motile. Spores: bulging Rapidly growing (doubling.
Pathogenic anaerobes. Anaerobic bacteria are widely distributed in nature in oxygen-free habitats. Many members of the indigenous human flora are anaerobic.
The Gram positive spore-forming anaerobic bacilli:
Anaerobes of Clinical Importance Part Two MLAB 2434 – Microbiology Keri Brophy-Martinez.
بسم الله الرحمن الرحيم NON-SPORING ANAEROBES Prof. Khalifa Sifaw Ghenghesh.
PHT382 Lab. No. 4.
Tetanus “LOCK JAW”. Clostridia: general characteristics Genus Clostridium contains a large number of gram-positive, spore-forming species, several of.
Clinical Microbiology MLCM- 201) Prof. Dr. Ebtisam. F. El Ghazzawi. Medical Research Institute (MRI) Alexandria University.
Lab. No Gram’s Stain: Gram’s +ve Bacilli Spore forming Non spore forming AerobicAnaerobic Bacillus Clostridium Corynebacterium.
厌氧性细菌. Obligate Anaerobes (专性厌氧菌) In the presence of oxygen, anaerobic bacteria produce toxic products such as superoxide and hydrogen peroxide, but.
1 Anaerobic bacteria. 2 spore-forming anaerobes Clostridium G + non-spore-forming anaerobes G +, G - cocci, bacilli Classification.
The Jordan University-Faculty of Medicine Gram-Positive Bacilli
Bacteroides, Tannerella, Porphyromonas and Prevotella
CLOSTRIDIA Obligate anaerobes: Clostridia G+ spore-forming rods Soft tissue and skin infections Antibiotic-associated colitis & diarrhea Toxins: botulism.
Gram Positive Bacilli.
7th Lec. Bacteriology. There are four medically important genera of gram-positive rods: Clostridium, Bacillus, Corynebacterium, and Listeria. Bacillus.
Clostridia Large Gram positive
Endo Spore Gram positive rods
Gram positive spore forming bacilli
<Disease review>
Batch 17 2 March 2012 Dr S Gokul Shankar
Microbial toxin There are several virulence factors which help to establish disease The virulence of some bacteria is thought to be aided by the production.
Infectious diseases of Nervous system
Gram-positive spore forming bacilli 김형진 배상현 이용남 강권모 박기현.
Regarding Enlarged L.N. Answer The Following: Name The Disease Name Causative Agent.
Medical Bacteriology MBIO 460 Lecture 12 Dr. Turki Dawoud 2 nd Semester 1436/1437 H.
Chapter 18 Anaerobic bacteria
Gram Positive Bacilli THE GENUS CLOSTRIDIUM.
Tetanus.
SMLS LECTURE SERIES GENUS: CLOSTRIDIUM
Lec. No. 9 Dr. Manahil Genus Clostridium
Gram-Positive Bacilli
Anaerobic bacteria Norazli Ghadin.
Chapter 15 Microorganisms and Human Disease
Clostridia Large Gram positive
4th lecture Dr Fitua Al-Saedi
CLOSTRIDIUM ANAEROBIC, G+VE, SPORE FORMING BACILLI
Presentation transcript:

Good Luck with the last chance ! 19 : : 30 Oct. 19th, Fri

Anaerobic Bacteria Anaerobic Bacteria

Obligate Anaerobes In the presence of oxygen, anaerobic bacteria produce toxic products such as superoxide and hydrogen peroxide, but they lack superoxide dismutase (SOD), catalase and peroxidase that detoxify these products:

SOD: O H +  H 2 O 2 Catalase: H 2 O 2  H 2 O + O 2 Peroxidase: H 2 O 2  H 2 O /NAD to NADH

No oxidative phosphorylation Infection caused by anaerobes usually occurs in the sites with low oxidation- reduction potential such as periodontal pocket, intestinal tract and vagina. Anaerobes are co-infected with other facultative anaerobe which use up oxygen to establish a local anaerobic environment.

Source of anaerobic infection Endogenous infection: caused by anaerobes of normal flora which are non- spore formers. Exogenous infection: The pathogens are usually anaerobic spore-formers and come from the environment (e.g., soil). Clostridia is the unique genus of anaerobic spore- formers to cause human diseases.

Clostridia There are at least 118 species, the clinically important species: Clostridia tetani Clostridia perfringens Clostridia botulinum Clostridia difficile

Clostridium tetani spore vegetative

Gram-positive rods that form terminal spores

Culture: clustering growth with hemolysis occurs on blood agar.

Biochemical activity: does not ferment any carbohydrates. Resistance: spores but not its vegetative form can tolerate boiling for 60 min and stay alive for several ten years in soil.

Clostridia tetani is found in soil. It is occasionally found in intestinal flora of humans and animals. Clostridia tetani is the cause of tetanus when the spores enter wounds.

Spore-contaminated soil or other foreign objects Narrow deep wounds with limited blood and oxygen supply co-infection with facultative anaerobe can use up the local oxygen Spores germinate and then produce tetanus toxins. The organism still remains in the local wound. Process to cause tetanus

Clostridia tetani produces two exotoxins called tetanus toxins: Tetanolysin: its virulent role remains unknown. Tetanospasmin: it is a neurotoxin with strong toxicity and the most important virulent factor of the bacterium.

one heavy chain (H chain) C end : binds to the ganglioside receptors of inhibitory neurones N end : helps in entrance to the cells one light chain (L chain) It contains a zinc endopeptidase Blocks the release of inhibitory neuronal mediators  -GABA (  - 氨基丁酸 ) and glycin ( 甘氨酸 ) Stops inhibitory nerve impulse to skeletal muscles, resulting in persistent muscle contraction. Pathogenesis of tetanospasmin

Typical symptoms include sardonic smile, lockjaw, neck rigidity, opisthotonos and dyspnea

This baby has tetanus. The infection is usually caused by exposing to Clostridia tetani when cutting umbilical cord.

This the neonatal tetanus patient displays sardonic smile, lockjaw and dyspnea

The adult tetanus patient shows The adult tetanus patient shows opisthotonos

Among all animal species, horses and humans, are most susceptible to tetanospasmin If not treated in time, about 20% of the patients are died of suffocation and respiratory failure

The wound is treated by debridement ( 清创术 ) to destroy anaerobic environment.

Although antibiotics (streptomycin and erythromycin) are used as part of the treatment, tetanus patients must be promptly treated with tetanus antitoxin (TAT) to neutralize free tetanospasmin ~ 3000 U for prevention ~ U for therapy

Tetanus toxoid is a component of DPT vaccine (diphtheria toxoid, killed whole cell pertussis, tetanus toxoid).

Clostridia There are at least 118 species, the clinically important species: Clostridia tetani Clostridia perfringens Clostridia botulinum Clostridia difficile

Gram-positive rods, have capsule, can form terminal spores

Form double hemolysis circles on blood agar plates. The α-hemolysis is caused byα-toxin while the β-hemolysis byθ-toxin.

Stormy fermentation Clostridium perfringens shows “ stormy fermentation ” in litmus milk. Acid turns the pH indicator litmus from blue to pink. The acid and enzymes coagulate proteins to curd. The gas generated in the milk breaks the coagulated proteins.

Diseases Wound contaminated by soil (main source) and mammalian feces Gas gangrene refers to serious tissue swelling due to release of gas (fermentation product of the bacterium) and tissue necrosis

The death can occur within 2 days if untreated. Treatment includes debridement, antitoxin and antibiotic therapy.

Common diseases: Gas gangrene Food poisoning Other diseases: Necrotizing Enteritis Cellulitis ( 蜂窝织炎 ) Septicemia Diseases

Food poisoning Marked hypersecretion in jejunum and ileum with loss of fluids and electrolytes in diarrhea.

Necrotizing enteritis an acute necrotizing process in the jejunum with symptoms of abdominal pain, bloody diarrhea and peritonitis. The death rate of this disease is as high as approximately 50%.

Virulent factors Clostridium perfringens produces over 10 types of toxins. Some toxins are hemolytic, proteolytic, saccharolytic enzymes. Some are lethal and necrotic. alpha-toxin is the most important, it lyses erythrocytes, platelets, leukocytes and endothelial cells.

According to antigenic differences of 4 major toxins, the bacterial strains can be divided into A~E toxic types. Type A is clinically the most important. Type A can also produce enterotoxin to cause food poisoning.

Morphology Stormy fermentation alpha-toxin (lecithinase)

Debridement (Gas gangrene) A large dose of antibiotics (penicillin) Antitoxin against alpha-toxin and hyperbaric oxygenation ( 高压氧疗法 ) No vaccine is available

Clostridia There are at least 118 species, the clinically important species: Clostridia tetani Clostridia perfringens Clostridia botulinum Clostridia difficile

Clostridium botulinum

Clostridium botulinum is a Gram-positive, anaerobic, spore-forming bacillus. It produces an enterotoxin (botulinum toxin) that causes food poisoning (botulism). According to the antigenicity of botulinum toxin, The microbe can be divided into A~G types. Among the 7 types, type A and then type B strains cause most disease.

The foods that are easily contaminated by the toxins or spores are sausage and canned foods abroad, and fermented-bean preparations in China. In adult, the toxin or spore causes botulism (death rate 50-70%). In infant (especially younger than 6 months), the toxin or spore causes infant botulism (death rate 1- 2%).

Pathogenesis of botulinum toxin Botulinum toxin is a nuerotoxin. It binds to other non-toxic proteins to form a complex. It is released, when the bacteria are dead and broken. When the complex enters intestines, the alkaline condition makes botulinum toxin released.

Botulinum toxin binds the cellular receptor of neuromuscular junction and then enters the cells to block the release of acetylcholine ( 乙酰胆碱 ). Acetylcholine is a neurotransmitter, which mediates nerve impulses. Therefore, flaccid paralysis occurs.

The typical symptoms are double vision and squint (eye), dyscatabrosis (throat), and dyspnea. The patients are usually died of respiratory failure. 10 ng of Botulinum toxin can kill an adult.

Sample collection: foods and patients’ feces. Identification of botulinum toxin in the samples

The patients must be promptly treated with A, B, E multi-valent antitoxin to neutralize the free toxins. Sometimes antibiotic therapy is needed. Vaccination does not protect hosts from botulism.

Non-spore-forming anaerobes are strict anaerobes and present in large numbers in intestine (95-99% of the total bacterial mass), mouth and genitourinary tract as normal flora. These anaerobes can be divided into anaerobic Gram- positive or negative cocci or rods belonging to 23 genera. 11 genera are associated with human diseases.

Non-Spore-forming Anaerobes of medical Importance Gram-negative rods Bacteroides, Prevotella, Porphyromonas, Fusobacterium Gram-positive rods Propionibacterium, Actinomyces, Eubacterium, Bifidobacterium Gram-positive cocci Peptostreptococcus, Peptococcus Gram-negative cocci Veillonella

Most non-spore-forming anaerobes are opportunistic pathogens, and a few of them show relatively stronger pathogenicity. Co-infection with facultative bacteria. Adhesion to host cells by pili. Production of various virulent factors such as enterotoxin, collagenase, hyaluronidas, protease, hemolysin, DNase. Oral, genitourinary, abdominal and perineal infections are most common.

Most infections cause chronic pyogenic inflammation, local abscess or tissue necrosis. The secretion or pus in foci are usually colored (black, brown, bloody, pink), putrid and gas-producing.

Direct microscopy examination: to observe the bacteria in the smear of secretion. Typical bacteriological examination: to isolate and identify the anaerobes from samples. In smear of secretion, bacteria can be seen, whereas the results of common cultivations are negative.

1.Aminoglycoside antibiotics (e.g., streptomicin) and some β-lactam antibiotics are ineffective. 2.Antibiotics such as nitrominazole (metronidazole) are used for treatment. 2.No vaccines are available.