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Gram Positive Rods: Anaerobic (NON-SPORING ANAEROBES (NSA) (Fusobacterium…
Gram Positive Rods:
Anaerobic
SPORING
CLOSTRIDIUM
Clostridium Difficile
Diarrhoea due to excessive antibiotics consumption
Ceftriaxone, Clindamycin increase CDAD infections
Treatment: Stop antibiotics if possible.
Oral Metronidazole
If it does not work, give ORAL vancomycin (only time you give oral vancomycin)
Clostridium Perfringens
Gas gangrene
Blebs can be seen
Give Benzylpenicillin and Clindamycin.
Removal of dead tissue until you get tissue that bleeds: Fresh, healthy, perfused tissue.
Food poisoning: Rehydration therapy
Clostridium Tetani
Spastic Paralysis
Risus Sardonicus (Retarded, spastic smile due to paralysis of face muscles)
Lockjaw
Treatment: HTIG (Human Tetanus Immunoglobulin) to neutralise the free toxin
Clostridium Botulinum
Flaccid Paralysis
Double vision
NON-SPORING ANAEROBES (NSA)
Actinomyces Israelii
Pus
TREATMENT: Amoxicillin/Penicillin. IV Benzylpenicillin if required.
Fusobacterium Necrophorum
Severe sore throat, progressing to septicaemia
Multiple abscess
TREATMENT: Benzylpenicillin, Abscess drainage