S6 Anaerobic bacterial infections

C237 Botulism (Clostridium botulinum)

  • Infant botulism
    • Ingestion of C.botulinum spores from environmental dust
    • Treat with human-derived botulism immunoglobulin.
  • Foodborne botulism
    • Ingestion of preformed C.botulinum toxin
    • Treat with equine-derived botulism antitoxin.

Clinical manifestations

Bilateral bulbar palsies
Followed by symmetric descending flaccid paralysis
Constipation and drooling d/t autonomic dysfunction.

C238 Tetanus (Clostridium tetani)

Etiology

Epidemiology

Pathogenesis

Clinical manifestations

Difficult feeding, trismus
Spasms & hypertonicity: clenched hands, dorsiflexed feet, opisthotonus

Diagnosis

Treatment

Supportive care (eg, nutrition and respiratory support)
Antibiotics & tetanus immune globulin

Supportive care

Complications

Life-threatening stridor and respiratory failure

Prognosis

Prevention

Immunization
Hygienic delivery & cord care

Wound management

C239 Clostridium difficile infection

C240 Other Anaerobic Infections

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