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This bacterium produces two toxins, Clostridium difficile toxin A (TcdA) and Clostridium difficile toxin B (TcdB). These toxins inactivate small GTP-binding proteins, resulting in actin condensation and cell rounding, followed by cell death. Infections begin with focal necrosis, then ulceration with exudate, and can progress to pseudomembranous colitis , which involves inflammation of the colon and the development of a pseudomembrane of fibrin containing dead epithelial cells and leukocytes ( [link] ). Watery diarrhea, dehydration, fever, loss of appetite, and abdominal pain can result. Perforation of the colon can occur, leading to septicemia, shock, and death. C. difficile is also associated with necrotizing enterocolitis in premature babies and neutropenic enterocolitis associated with cancer therapies.

A diagram showing the lining of the stomach. At the very bottom is a blood vessel with red blood cells, neutrophils, and monocytes. At the top is a wavy layer of epithelial cells covered in mucous. A variety of bacteria (different shapes and colors to indicate different species) are seen on the mucus. In one region is a cluster of rod shaped cells labeled Clostridium difficile that release small dots labeled TcdA and TcdB. These create a pseudomembrane that is a swelling above destroyed epithelial cells. In response neutrophils and monocytes released.
Clostridium difficile is able to colonize the mucous membrane of the colon when the normal microbiota is disrupted. The toxins TcdA and TcdB trigger an immune response, with neutrophils and monocytes migrating from the bloodstream to the site of infection. Over time, inflammation and dead cells contribute to the development of a pseudomembrane. (credit micrograph: modification of work by Janice Carr, Centers for Disease Control and Prevention)

Diagnosis is made by considering the patient history (such as exposure to antibiotics), clinical presentation, imaging, endoscopy, lab tests, and other available data. Detecting the toxin in stool samples is used to confirm diagnosis. Although culture is preferred, it is rarely practical in clinical practice because the bacterium is an obligate anaerobe. Nucleic acid amplification tests, including PCR, are considered preferable to ELISA testing for molecular analysis.

The first step of conventional treatment is to stop antibiotic use, and then to provide supportive therapy with electrolyte replacement and fluids. Metronidazole is the preferred treatment if the C. difficile diagnosis has been confirmed. Vancomycin can also be used, but it should be reserved for patients for whom metronidazole was ineffective or who meet other criteria (e.g., under 10 years of age, pregnant, or allergic to metronidazole).

A newer approach to treatment, known as a fecal transplant , focuses on restoring the microbiota of the gut in order to combat the infection. In this procedure, a healthy individual donates a stool sample, which is mixed with saline and transplanted to the recipient via colonoscopy, endoscopy, sigmoidoscopy, or enema. It has been reported that this procedure has greater than 90% success in resolving C. difficile infections. Faith Rohlke and Neil Stollman. “Fecal Microbiota Transplantation in Relapsing Clostridium difficile Infection,” Therapeutic Advances in Gastroenterology 5 (2012) 6: 403–420. doi: 10.1177/1756283X12453637.

  • How does antibiotic use lead to C. difficile infections?

Foodborne illness due to Bacillus cereus

Bacillus cereus , commonly found in soil, is a gram-positive endospore-forming bacterium that can sometimes cause foodborne illness. B. cereus endospores can survive cooking and produce enterotoxins in food after it has been heated; illnesses often occur after eating rice and other prepared foods left at room temperature for too long. The signs and symptoms appear within a few hours of ingestion and include nausea, pain, and abdominal cramps. B. cereus produces two toxins: one causing diarrhea, and the other causing vomiting. More severe signs and symptoms can sometimes develop.

Questions & Answers

Who invented microbes?
manor Reply
Which year did Robert koch invented the microbes?
manor
Robert Koch
Matilda
Antony Van Leeuwenhoek invented microbes through a designed single lensed microscope.
Mohamed
what is microbiology
Nyoik Reply
microbiology is the study of micro organisms. this can be multicellular,unicellular & acellular
Janet
what is the difference between DNA/RNA
kanaaLka
DNA is a double stranded molecule while RNA is a single stranded molecule
Lovely
who is the inventor of microscope
Alberta
What are antibodies?
Happy Reply
they are immune cells that are released by immune system to fight strangers like microbes
Ahmed
a blood protien produce in response to an counteracting a specific antigen
Pooja
Why salmonella typhi is harmful protozoan?
Saily Reply
because make typhoid that is considered as a food born illness
Ahmed
Name any five modes of transmission.
Happy
what are the scientific names and common names of some microbes
Rich Reply
Staphylococcus aureus - staph Streptococcus pyogenes - strep Botulism - Clostridium botulinum Rocky Mountain spotted fever - Rickettsia rickettsii Diphtheria - Corynebacterium diphtheriae Gonorrhea - Neisseria gonorrhoeae
Tammy
what are the limitations of the Koch's postulate
Naa
how a microorganism growth.
Zubair Reply
Is foetus a parasite to his or her mother? if yes and if no ho
Mashauri Reply
y
Yusri
yes
Yashkin
yes
Zubair
yes it a parasite to the mother because it feeds on the mother for survival
Beatrice
yes
Redwan
no
Elasha
definition of a parasite: an organism that lives in or on an organism of ANOTHER species (its host) and benefits by deriving nutrients at the other's expense
Elasha
no because an organism can inky be a parasite if it causes harm to its HOST. And the fetus does not cause harm to its mother under normal conditions
aliyu
yes
Naa
what is biosensor in microbiology
Raja Reply
What are biosensor
Raja
what's are biosensor
Raja
what is microbiology defination
Rinku Reply
microbiology is the study of small or manuit organisms which cannot be seen with our nacked eyes unless with the aid of the microscope
Brandina
is the study of living organisms which are not directly visible to a direct eye but can only be seen under a microscope
Ipa
ok
Ipa
microbiology is the study of living organisms of microscopic size it is also the study of micro organisms with their form structure reproduction psychology metabolism and classification
Priyanka
ok
Aminu
Microbiology are the study of microorganisms either microscopic or sub microscopic creaters mainly unicellulars, multicellulars and subcellulars. Such as protozoa,bacteria and viruses.
Rana
it is the biological study of viruses, fungi, protozoa, bacteria which in collective name are called micro organisms, unlike microscopic organisms being invisible, that requires a magnifications with the help of a microscope.
Mohamed
what are the importances of Microbiology?
Erick Reply
don't know
SINGLE
we obtained the insulin from the bacteria. and some microorganisms are decomposer in ecosystems.
Zubair
nitrogen in the air is fixed into the soil by microbes example is nitrobactor
Matilda
yes
Zubair
how a weak immune region where microorganisms attack easily?
Zubair Reply
with examples differentiate gram positive from gram negative bacteria
Mary Reply
Differentiate gram positive from gram negative
Mary
I have no idea
Zubair
hello
Kuonain
and example of gram negative is E. coli
Pooja
gram positive stain purple when subjected to gram stain whilst gram positive bacterial has thick wall composed of peptidoglycan
Matilda
ok
Zubair
what is a process of gene expression in eukaryotes ?
Nayyab Reply
pls help us with the answer
Abdussalam
spontaneous generation means
Siddhi Reply
hiii
Siddhi
Hello
eman
So, what's next 😂
eman
I have a problem with Micro
eman
I studying things and see question Some thing else
eman
Can u help me, please
eman
What i havta do
eman
firsfall when you studying understand things...
Siddhi
good afternoon dear Friends
yaya
Greeting to everyone in here.
Manka
There is a problem. I need a diagram of a virus with it functions.
Manka
structure of bacterial
Kuyiba
gghhhh
Zubair
group plz i need help in microbio
Kuonain
it really difficult fr me
Kuonain
kashur cha kah
suhail
sorry now I read in class 8th but I can help u
Zubair
Me too. It's very difficult for me
Angela
rod shape
Priyanka
helical
Priyanka
Hello
esike
spherical
Priyanka
peomorphic
Priyanka
I am ryt or not
Priyanka
hi
suhail
hello
DIPTI
Are we together pls what's the topic for the day?
esike
what is innate
Lizzy
innate means natural
Pooja
the genetic makeup of an individual
Matilda
pls i need the common names for the following parasites..ENTEROBIUS VERMICULARIS,NECATOR AMERICANUS,ASCARIES LUMBRICOIDES,TRICHURIS TRICHIURA,TRICHOMONAS VAGINALIS,GIARDIA LAMBLIA,ENTAMOEBA HISTOLYTICA,SCHISTOSOMA MANSONI,SCHISTOSOMAHEMATOBIUM,STROGYLOIDES STERCORALIS,AND TRAPANOSOMA BRUCI GAMBIENSE
timothy
ENTEROBIUS VERMICULARIS and STROGYLOIDES STERCORALIS have the same common name which is pin worm and thread worm
Chinedu
I didn't find the common names for TRICHOMONAS VAGINALIS, GIARDIA LAMBLIA, ENTAMOEBA HISTOLYTICA, TRYPANOSOMA BRUCEI GAMBIENSE
Chinedu
NECATOR AMERICANUS - New world hookworm ASCARIS LUMBRICOIDES- Ascarid TRICHURIS TRICHIURA- Whip worm
Chinedu
Hi guys
Chinedu
Why are myeloblasts not present in the bloodstream?
Chinedu
thank u
Dasaah
is blood from capillary puncture suitable for hormonal assays
NANCY Reply
Direct this question to a hematologist for a better answer please.
LAFIA
In most cases the blood is necessary but it's limited from my own Analysis
Lee
u can do but it depends on your sampling blood its enev or not
Ali

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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