GI BLOCK Bacteria Summary1
Bacterial Infections:
Inegestion of bacteria can cause many infections, summarised as the following:1.
Escherichia Coli:
O157:H7
o
Contaminated beef, and fruit juices.
o
Cytotoxin causes crampy abdominal pain
o
Causes hemorrhagic colitis, haemolytic uremic syndrome(HUS) and thrombotic thrombocytopenic purpura (TTP)
Enteroinvasive:
o
Contaminated foods and water
o
Invasive and causes inflammation like colitis
Enterotoxigenic:
o
Contaminated food, and water
o
Enterotoxin causes watery diarrhoea
Enterphatogenic & Enteroadherent:
o
Contaminated food, and water
o
Contact with brush borders causing watery diarrhoea2.
Clostridium difficile
Associated with pseudomembranous colitis
Due to anti-biotic associated infections
Toxin assay is best way to confirm
Treatment: Metronizazole; oral vancomycin may produce resistantrestrains3.
Clostridium botulinum
Food poisoning bacteria with toxins
Causes paralysis and mydriasis
In infants, it is usually contracted by eating spores in honey4.
Closteridium prefengis:
Contaminated meat & poulty
Performed exotoxin
Causes acute gastroenteritis5.
Vibrio Cholera:
Contaminated water or contaminated seafood.
Treatment: Fluid+ glucose + electrolyte replacement.
Two types:
o
01 & 1039 stereotypes
Epidemic
Causes rice water stool
Vomiting
Dehydration with shock
o
Non-01 stereotypes:
Fever nausea blood in stool
Mainly related with eating sea food