Gas Gangrene & Other Clostridial Infections

Definition

  • Diseases caused by bacteria of the genus Clostridium
    • Gram-positive, spore-forming obligate anaerobes that are ubiquitous in nature
    • More than 60 recognized species, many of which are generally considered saprophytic
    • Some species are pathogenic for humans and animals, particularly under conditions of lowered oxidation-reduction potential.
  • Infections associated with clostridia range from localized wound contamination to overwhelming systemic disease.
  • The four major disease categories for which clostridia are responsible are:
    • Intestinal disorders
    • Suppurative deep tissue infections
    • Skin and soft tissue infections
    • Bacteremia
  • Toxins play a major role in some of these syndromes.
    • Clostridia produce many different toxins that can cause potentially fatal syndromes.
    • In addition, they cause:
      • Tissue death (necrosis)
      • Destruction of blood (hemolysis)
      • Local decrease in circulation (vasoconstriction)
      • Leaking of the blood vessels (increased vascular permeability)

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