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Questions and Answers
What allows some anaerobes to tolerate oxygen?
What allows some anaerobes to tolerate oxygen?
Why are obligate anaerobes usually susceptible to the effects of oxygen?
Why are obligate anaerobes usually susceptible to the effects of oxygen?
What characterizes Bacteroides fragilis as an opportunistic pathogen?
What characterizes Bacteroides fragilis as an opportunistic pathogen?
What is Bacteroides fragilis most commonly implicated in?
What is Bacteroides fragilis most commonly implicated in?
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What differentiates Bacteroides fragilis from strict obligate anaerobes?
What differentiates Bacteroides fragilis from strict obligate anaerobes?
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Which condition is associated with high mortality rates when infected by Bacteroides species?
Which condition is associated with high mortality rates when infected by Bacteroides species?
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Which of the following is NOT a member of the Bacteroides fragilis group?
Which of the following is NOT a member of the Bacteroides fragilis group?
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What type of infections are most commonly caused by Bacteroides fragilis after abdominal surgery?
What type of infections are most commonly caused by Bacteroides fragilis after abdominal surgery?
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What is a significant characteristic of Bacteroides fragilis regarding its structure?
What is a significant characteristic of Bacteroides fragilis regarding its structure?
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What can be inferred about the transmission of Bacteroides fragilis infections?
What can be inferred about the transmission of Bacteroides fragilis infections?
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What is a common characteristic of Clostridia species such as C.tetani and C.perfringens?
What is a common characteristic of Clostridia species such as C.tetani and C.perfringens?
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Which statement accurately describes anaerobic bacteria?
Which statement accurately describes anaerobic bacteria?
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What is one reason that most anaerobes are susceptible to oxygen?
What is one reason that most anaerobes are susceptible to oxygen?
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What distinguishes non-spore forming anaerobes from spore-forming ones?
What distinguishes non-spore forming anaerobes from spore-forming ones?
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Which of the following genera includes pathogenic anaerobes that can contribute to human disease?
Which of the following genera includes pathogenic anaerobes that can contribute to human disease?
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Which toxin is produced by C.botulinum?
Which toxin is produced by C.botulinum?
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What is a characteristic of Bacteroides fragilis group bacteria?
What is a characteristic of Bacteroides fragilis group bacteria?
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Which of the following is NOT a non-spore forming anaerobe?
Which of the following is NOT a non-spore forming anaerobe?
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Why do anaerobes often fail to grow on solid media under normal atmospheric conditions?
Why do anaerobes often fail to grow on solid media under normal atmospheric conditions?
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Which of the following statements about anaerobes is accurate?
Which of the following statements about anaerobes is accurate?
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What is the primary reason fragilis cells can withstand exposure to atmospheric levels of oxygen for up to 3 days?
What is the primary reason fragilis cells can withstand exposure to atmospheric levels of oxygen for up to 3 days?
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Which Prevotella species is most commonly isolated in infections associated with the female genital tract?
Which Prevotella species is most commonly isolated in infections associated with the female genital tract?
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In which type of infections are Prevotella species most likely found?
In which type of infections are Prevotella species most likely found?
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What is a characteristic of Fusobacterium necrophorum?
What is a characteristic of Fusobacterium necrophorum?
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Lemierre’s disease is most commonly associated with which demographic?
Lemierre’s disease is most commonly associated with which demographic?
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Which treatment is effective against infections caused by fragilis cells?
Which treatment is effective against infections caused by fragilis cells?
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Fusobacterium necrophorum infections can progress to which serious condition?
Fusobacterium necrophorum infections can progress to which serious condition?
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Which of the following organisms is not typically a part of the healthy oral cavity microbiota?
Which of the following organisms is not typically a part of the healthy oral cavity microbiota?
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Which of the following is a common manifestation of infections caused by Prevotella species?
Which of the following is a common manifestation of infections caused by Prevotella species?
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What characteristic do Porphyromonas species exhibit regarding their habitat?
What characteristic do Porphyromonas species exhibit regarding their habitat?
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Study Notes
Anaerobic Bacteria
- Anaerobic bacteria do not use oxygen for growth and metabolism, obtaining energy from fermentation reactions
- They require reduced oxygen tension for growth and do not grow on solid medium with 10% CO2 in ambient air
- Examples include Bacteroides and Clostridium species
- They lack enzymes catalase and superoxide dismutase, making them susceptible to oxygen
- Anaerobes lack cytochromes needed to use oxygen as a terminal electron acceptor
Clostridia
- Clostridia are opportunistic pathogens, responsible for deadly diseases like gas gangrene, tetanus, and botulism
- Also cause less severe diseases like pseudomembranous colitis and food poisoning
- Clostridia cause disease primarily by producing numerous exotoxins
- Examples of Clostridium species: C. perfringens, C. tetani, C. botulinum, C. difficile
Clostridium Species
- Morphology: Highly pleomorphic, rods with slightly curved ends, Gram-positive, motile (except C. tetani Type VI & C. perfringens), and often capsulated
- Spores: Central or subterminal, sometimes oval or terminal
- Cultural characteristics: Anaerobic, optimal growth temperature 37°C, pH 7-7.4, use Robertson's cooked meat broth as a medium
- Resistance: Spores survive autoclaving, but boiling destroys vegetative cells rapidly, halogens can eradicate spores
C. perfringens
- Morphology: Non-motile rods with square ends, large Gram-positive bacilli, occurring singly or in chains
- Spores: Central or subterminal
- Reactions: Produce large amounts of hydrogen and CO2
- Toxin production: Produces several toxinotypes (A-E), based on toxins α, β, ε, ι ; Toxin A is most important for humans
C. botulinum
- Characteristics: Anaerobic, gram-positive, rod shaped, spore forming, neurotoxic
- Toxin Production: Neurotoxin production in food, destroyed by boiling
- Classification: Divided into classes based on antigenic specificity of neurotoxins
- Mechanism: Cleaves attachment protein, blocking the release of acetylcholine at presynaptic membrane of synapse
C. tetani
- Characteristics: Anaerobic, gram-positive, rod shaped and spore forming
- Toxin: Neurotoxic exotoxin, tetanospasmin, that degrades a protein required for neurotransmitter release
- Mechanism: Tetanospasmin affects inhibitory neurotransmitters, causing uncontrolled activation of motor neurons, yielding spastic paralysis
- Epidemiology: Found in soil, occasionally in human intestinal flora
- Manifestations: Causes tetanus or lockjaw following wounds, contaminated soil, nails or glass splinters.
C. difficile
- Associated with antibiotic use, decreasing normal intestinal flora
- Secretes enterotoxins triggering pseudomembranous colitis (PMC), a serious disease
- Pathogenesis: Antimicrobial effect on the microbiota selects C. difficile, spore germination triggered by bile salts increases toxin injury, and hypervirulent strains create 3 toxins
- Diagnosis: Stool toxin detection is the primary diagnostic tool
- Manifestation: Diarrhoea ranges from mild to toxic megacolon
Miscellaneous Diseases and Concepts
- Anaerobes: Important in intra-abdominal infections, usually under circumstances of disruption of the intestinal wall.
- Bacteroides: Normal inhabitants of the bowel, implicated in intra-abdominal infections
- Prevotella: Gram-negative bacilli, found in various infections
- Porphyromonas: Gram-negative bacilli, often part of the oral microbiota
- Fusobacteria: Morphological and species variation, cause of severe infections (such as Lemierre’s disease)
- Treatment: Metronidazole, surgical removal of contaminated tissue, antitoxins
- Prevention: Proper food handling, sterilization, vaccination, and antibiotic use in needed dosages & concentrations
Other Anaerobic Infections
- Food poisoning
- Gangrenous appendicitis
- Necrotizing enteritis
- Brain abscess & meningitis
- Thoracic infections
- Urogenital infections (often following UT surgery)
- Wound botulism
Epidemiology
- Source is endogenous or environmental (hospital outbreaks)
- Frequent cause of antibiotic-associated diarrhea (ADD)
Pathogenesis (general)
- Spores germinate in appropriate conditions
- Toxins are produced locally
Manifestation
- Symptoms vary by pathogen and type of disease
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Description
Test your knowledge on anaerobic bacteria and the Clostridia group. This quiz covers their growth conditions, pathogenicity, and examples of various species. Understand the implications of their exotoxin production and clinical significance in human diseases.