Clostridium tertium | |
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Magnified 956X, this Gram-stained photomicrograph depicted numbers of the Gram-positive Clostridium tertium bacteria, which had been cultivated on a blood agar plate (BAP), over a time period of 48 hours. | |
Scientific classification | |
Domain: | Bacteria |
Phylum: | Bacillota |
Class: | Clostridia |
Order: | Eubacteriales |
Family: | Clostridiaceae |
Genus: | Clostridium |
Species: | C. tertium |
Binomial name | |
Clostridium tertium (Henry 1917) Bergey et al. 1923 | |
Clostridium tertium is an anaerobic, motile, gram-positive bacterium. Although it can be considered an uncommon pathogen in humans, there has been substantial evidence of septic episodes in human beings. [1] C. tertium is easily decolorized in Gram-stained smears and can be mistaken for a Gram-negative organism. [2] However, C.tertium does not grow on selective media for Gram-negative organisms. [2]
Clostridium tertium was initially isolated from war wounds by Captain Herbert Henry (RAMC) in 1917, but it was not until the first human cases of C.tertium bacteremia were reported in 1963 that it was recognized as a human pathogen. [3] C.tertium has been isolated in neutropenic and nonneutropenic patients, and in cases of necrotizing fasciitis and gangrene. [4] It has also been recognized as a causative agent of enteritis in cattle, but it is an uncommon human pathogen. [4] C.tertium has also been isolated from soil and from faeces of healthy neonates and infants. [4]
Clostridium tertium is a Gram-positive, spore forming, anaerobic bacillus found in the soil and the gut of many animal species, including humans. [3] C.tertium distinguishes itself from other clostridia as a non-toxin producing, aerotolerant, non-histotoxic and non-lipolytic species. [3] Aerotolerant strains of anaerobic bacteria can tolerate oxygen and exhibit growth to some extent in the presence of oxygen. [5] The aerotolerance of C.tertium can lead to its misidentification as Bacillus spp. or Lactobacillus spp. [2] A negative catalase test is an easy tool to differentiate C.tertium from Bacillus spp., which are catalase positive. [2] Also, C.tertium only forms spores anaerobically, as opposed to Bacillus spp., which sporulates aerobically. [2] Other distinct characteristics are its large size (1.5 x 10 micrometers) and its unusual "square" morphology on Gram stained smear. [6]
Clostridium tertium has traditionally been considered nonpathogenic, but increasingly it is being reported as a human pathogen. [7] The organism has been associated with bacteremia, meningitis, septic arthritis, enterocolitis, spontaneous bacterial peritonitis, post-traumatic brain abscess, and pneumonia. [7] It has also been increasingly recognized as an important cause of sepsis in immunocompromised patients. [5] C. tertium has also been implicated with osteomyelitis, and miscellaneous soft tissue infections in humans. [8]
Clostridium tertium does not appear to secrete any toxin; instead, it damages gastrointestinal mucosa by direct colonization. [8] Three major factors have been associated with C.tertium bacteremia: intestinal mucosal injury, neutropenia, and history of exposure to β-lactam antibiotics (particularly third generation cephalosporins). [3] Almost all reported cases of C.tertium bacteremia have been in neutropenic patients without any obvious source of infection. [9]
It has been established that C.tertium elaborates enzymes directed against blood group A antigen in the presence of glucosamine, N-acetylglucosamine, intact blood group substance with suboptimal glucose, or completely hydrolyzed blood group substance. [10] The blood group A-splitting activity of C.tertium enzymes was inhibited by copper, zinc and nickel ions. [10]
Clostridium tertium bacteremia can cause fever, and directed antibiotic therapy is indicated. [3] C.tertium is commonly (but not universally) resistant to many β-lactam antibiotics such as penicillin and cephalosporin; clindamycin; and metronidazole; but it is susceptible to vancomycin, trimethoprim-sulfamethoxazole, and ciprofloxacin. [3] Mortality related to C.tertium bacteremia treated appropriately appears to be quite low. [3] The selection effect of antibiotics on C.tertium may occur in cases where patients have had prior exposure to β-lactam antibiotics. [3]
Clostridium is a genus of anaerobic, Gram-positive bacteria. Species of Clostridium inhabit soils and the intestinal tracts of animals, including humans. This genus includes several significant human pathogens, including the causative agents of botulism and tetanus. It also formerly included an important cause of diarrhea, Clostridioides difficile, which was reclassified into the Clostridioides genus in 2016.
Clostridium perfringens is a Gram-positive, bacillus (rod-shaped), anaerobic, spore-forming pathogenic bacterium of the genus Clostridium. C. perfringens is ever-present in nature and can be found as a normal component of decaying vegetation, marine sediment, the intestinal tract of humans and other vertebrates, insects, and soil. It has the shortest reported generation time of any organism at 6.3 minutes in thioglycolate medium.
Enterobacter is a genus of common Gram-negative, facultatively anaerobic, rod-shaped, non-spore-forming bacteria of the family Enterobacteriaceae. Cultures are found in soil, water, sewage, feces and gut environments. It is the type genus of the order Enterobacterales. Several strains of these bacteria are pathogenic and cause opportunistic infections in immunocompromised hosts and in those who are on mechanical ventilation. The urinary and respiratory tracts are the most common sites of infection. The genus Enterobacter is a member of the coliform group of bacteria. It does not belong to the fecal coliforms group of bacteria, unlike Escherichia coli, because it is incapable of growth at 44.5 °C in the presence of bile salts. Some of them show quorum sensing properties.
Piperacillin is a broad-spectrum β-lactam antibiotic of the ureidopenicillin class. The chemical structure of piperacillin and other ureidopenicillins incorporates a polar side chain that enhances penetration into Gram-negative bacteria and reduces susceptibility to cleavage by Gram-negative beta lactamase enzymes. These properties confer activity against the important hospital pathogen Pseudomonas aeruginosa. Thus piperacillin is sometimes referred to as an "anti-pseudomonal penicillin".
Moraxella catarrhalis is a fastidious, nonmotile, Gram-negative, aerobic, oxidase-positive diplococcus that can cause infections of the respiratory system, middle ear, eye, central nervous system, and joints of humans. It causes the infection of the host cell by sticking to the host cell using trimeric autotransporter adhesins.
Carbapenems are a class of very effective antibiotic agents most commonly used for treatment of severe bacterial infections. This class of antibiotics is usually reserved for known or suspected multidrug-resistant (MDR) bacterial infections. Similar to penicillins and cephalosporins, carbapenems are members of the beta-lactam antibiotics drug class, which kill bacteria by binding to penicillin-binding proteins, thus inhibiting bacterial cell wall synthesis. However, these agents individually exhibit a broader spectrum of activity compared to most cephalosporins and penicillins. Furthermore, carbapenems are typically unaffected by emerging antibiotic resistance, even to other beta-lactams.
Cefotaxime is an antibiotic used to treat several bacterial infections in humans, other animals, and plant tissue culture. Specifically in humans it is used to treat joint infections, pelvic inflammatory disease, meningitis, pneumonia, urinary tract infections, sepsis, gonorrhea, and cellulitis. It is given either by injection into a vein or muscle.
Peptostreptococcus is a genus of anaerobic, Gram-positive, non-spore forming bacteria. The cells are small, spherical, and can occur in short chains, in pairs or individually. They typically move using cilia. Peptostreptococcus are slow-growing bacteria with increasing resistance to antimicrobial drugs. Peptostreptococcus is a normal inhabitant of the healthy lower reproductive tract of women.
Elizabethkingia meningoseptica is a Gram-negative, rod-shaped bacterium widely distributed in nature. It may be normally present in fish and frogs; it may be isolated from chronic infectious states, as in the sputum of cystic fibrosis patients. In 1959, American bacteriologist Elizabeth O. King was studying unclassified bacteria associated with pediatric meningitis at the Centers for Disease Control and Prevention in Atlanta, when she isolated an organism that she named Flavobacterium meningosepticum. In 1994, it was reclassified in the genus Chryseobacterium and renamed Chryseobacterium meningosepticum(chryseos = "golden" in Greek, so Chryseobacterium means a golden/yellow rod similar to Flavobacterium). In 2005, a 16S rRNA phylogenetic tree of Chryseobacteria showed that C. meningosepticum along with C. miricola were close to each other but outside the tree of the rest of the Chryseobacteria and were then placed in a new genus Elizabethkingia named after the original discoverer of F. meningosepticum.
Capnocytophaga canimorsus is a fastidious, slow-growing, Gram-negative rod of the genus Capnocytophaga. It is a commensal bacterium in the normal gingival microbiota of canine and feline species, but can cause illness in humans. Transmission may occur through bites, licks, or even close proximity with animals. C. canimorsus generally has low virulence in healthy individuals, but has been observed to cause severe, even grave, illness in persons with pre-existing conditions. The pathogenesis of C. canimorsus is still largely unknown, but increased clinical diagnoses have fostered an interest in the bacillus. Treatment with antibiotics is effective in most cases, but the most important yet basic diagnostic tool available to clinicians remains the knowledge of recent exposure to canines or felines.
Capnocytophaga is a genus of Gram-negative bacteria. Normally found in the oropharyngeal tract of mammals and are involved in the pathogenesis of some animal bite wounds and periodontal diseases.
Clostridium septicum is a gram positive, spore forming, obligate anaerobic bacterium.
Morganella morganii is a species of Gram-negative bacteria. It has a commensal relationship within the intestinal tracts of humans, mammals, and reptiles as normal flora. Although M. morganii has a wide distribution, it is considered an uncommon cause of community-acquired infection, and it is most often encountered in postoperative and other nosocomial infections, such as urinary tract infections.
Veillonella parvula is a strictly anaerobic, Gram-negative, coccus-shaped bacterium in the genus Veillonella. It is a normal part of the oral flora but can be associated with diseases such as periodontitis and dental caries as well as various systemic infections, including meningitis and osteomyelitis. It has also been isolated from women with bacterial vaginosis and has been associated with hypertension together with Campylobacter rectus and Prevotella melaninogenica.
Hathewaya histolytica is a species of bacteria found in feces and the soil. It is a motile, gram-positive, aerotolerant anaerobe. H. histolytica is pathogenic in many species, including guinea pigs, mice, and rabbits, and humans. H. histolytica has been shown to cause gas gangrene, often in association with other bacteria species.
Clostridium innocuum is an anaerobic, non-motile, gram-positive bacterium that reproduces by sporulation. While there are over 130 species of Clostridium, C. innocuum is the third most commonly isolated. Although it is not normally considered an aggressive human pathogen, it has been isolated in some disease processes. C. innocuum and other Clostridium line the oropharynx and gastrointestinal tract, and are considered normal gut flora.
Clostridium cadaveris is an enteric, gas-forming, motile, strictly anaerobic gram-positive bacterium of the genus Clostridium. First described by Klein in 1899, it was noted to be the most prominent bacteria during human decomposition; historically it was described as "putrefying flora".
Clostridium chauvoei is an anaerobic, motile, Gram-positive bacterium. It is a soil-borne pathogen that can cause blackleg in cattle and sheep. It is named after Auguste Chauveau, a French bacteriologist and veterinarian.
Anaerobic infections are caused by anaerobic bacteria. Obligately anaerobic bacteria do not grow on solid media in room air ; facultatively anaerobic bacteria can grow in the presence or absence of air. Microaerophilic bacteria do not grow at all aerobically or grow poorly, but grow better under 10% carbon dioxide or anaerobically. Anaerobic bacteria can be divided into strict anaerobes that can not grow in the presence of more than 0.5% oxygen and moderate anaerobic bacteria that are able of growing between 2 and 8% oxygen. Anaerobic bacteria usually do not possess catalase, but some can generate superoxide dismutase which protects them from oxygen.
Infections caused by exposure to ionizing radiation can be extremely dangerous, and are of public and government concern. Numerous studies have demonstrated that the susceptibility of organisms to systemic infection increased following exposure to ionizing radiation. The risk of systemic infection is higher when the organism has a combined injury, such as a conventional blast, thermal burn, or radiation burn. There is a direct quantitative relationship between the magnitude of the neutropenia that develops after exposure to radiation and the increased risk of developing infection. Because no controlled studies of therapeutic intervention in humans are available, almost all of the current information is based on animal research.