Medicine
Volume 37, Issue 12 , Pages 638-640, December 2009

Tetanus and other clostridial diseases

Brian I Duerden MD FRCPath CBE is the Inspector of Microbiology and Infection Control for the Department of Health, London, UK. Conflicts of interest: none declared

Jon S Brazier MSc PhD CBiol MIBiol is a Consultant Clinical Scientist and Head of the Anaerobe Reference Laboratory at the University Hospital of Wales, Cardiff, UK. Conflicts of interest: none declared

Abstract 

The bacterial genus Clostridium consists of species that are pathogenic to animals and man by the production of exotoxins that may have proteolytic, neuropathic, cytotoxic or enterotoxic properties. Although obligate anaerobes, through the production of spores they can survive in the general environment in a dormant state for long periods until they experience conditions conducive to germination and growth that may be associated with a variety of human tissues by way of ingestion or wound contamination. As such, they are great opportunists and find many ways of plaguing mankind, causing diseases such as tetanus, gas-gangrene, botulism, food poisoning and antibiotic-associated diarrhoea or colitis.

Keywords: Clostridium, gas gangrene, injecting drug users, tetanus, wound botulism

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PII: S1357-3039(09)00257-6

doi:10.1016/j.mpmed.2009.09.008

Medicine
Volume 37, Issue 12 , Pages 638-640, December 2009