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obligate pathogen aeorbic sporulating associated with animals and livestock spores found in pastures and soils develop after organism is shed very robust against UV, chemical disinfectants can survive for centuries weaponised anthrax injection anthrax - heroin users w contaminated cutting agent |
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non motile grows readily on blood agar gamma haemolytic forms large colonies indian ink stain |
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95% of cases mildest contact transmission spores enter cuts spores germinate local ulceration 2-5 days lesions form vesicle necrosis can be self limiting treated to prevent sepsis 5-20% mortality if not treated |
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oral or abdominal abdominal more common from eating contaminated products rare nausea, fever, abdo pain, bloody stools/vomit, ulceration and inflammation of GI tract >50%mortality |
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flu like fever, malaise shortness of breath, cough, chills, pleural effusions, sepsis can cause meningitis when organism spreads to CNS meningitis almost always fatal, gives bloody spinal taps and cardinals cap - needing throughout brain |
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anthrax virulence factors |
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toxin capsule encoded on 2 virulence plasmids protective agent, lethal factor, oedema factor pa has pore forming abilities spores germinate in macrophages lf and ef can attach to pores |
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60 day course of antibiotics ciprofloxacin doxycycline inhilation anthrax requires 3 antibiotics cutaneous only treated for 7-10 days |
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who to vaccinate against anthrax |
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lab workers people working directly with imported hides military personnel potentially infected animal handlers |
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anaerobic sporulating only a few pathogenic |
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gas gangrene necrosis wounds may become infected with clostridia cause life threatening spread of infection organism found in faeces buttocks, perineum most common infection sites multiply in tissue producing gas and cellulitis rapid progression and acute pain cell lysis and death usually surgically removed long cycle of cell death, anaerobiasis, germination, toxin production, cell death penicillin + clindamycin |
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tetanus toxin mediated spores in soil originate from faeces organism gets in via wounds powerful neurotoxin spread to CNS inhibition of neurotransmitter release exaggerated reflexes muscle rigidity lock jaw respiratory failure have vaccines give penicillin |
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botulism spores in soil and contaminated food when food is canned without proper sterilisation, spores grow and produce gas - swollen cans 8 toxin types A,B,E effect humans usually destroyed at 60-90 degrees rare food poisoning neurological symptoms prevents release of acetylcholine at motor nerve endings weakness, paralysis, vomiting, respiratory failure give penicillin and ventilation or failure |
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