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Corynebacterium
• General properties:
a) Gram positive bacilli
b) Non capsulated
c) Non sporing
d) Non motile
e) Club shaped
f) Diphtheria
g) C.ultricans and pseudotuberculosis
Dr Amit kumar
amitkumarshahi90@gmail.com
Corynebacterium diptheriae
• A) club shaped
• B) gpb
C) Chinese letter or culiform
• D) Metachromatic granules
• a/c polar bodies or babes ernst bodies
• Polymetaphosphate
• Loeffler’s methylene blue stain : bluish purple
• Granules :
History
Virulence factor
• Diptheria toxin
B
A
INHIBIT PROTEIN
SYNTHESIS BY
ADP EF2
INHIBIT
TRANSLATION
HELIP ENTERY: A
BIND RECEPTOR
ENTER INTO
ENDOSOME (ENDOCYTOSIS)
TRYPSIN ENZYME
A
B
FACTORS REGULATION TOXIN PRODUCTION
• 1) PHASE CODE: beta corynephage (tox gene)
• 2) iron concentration : high iron (inhibit toxin)
• 3) DT repressor gene : uptake of iron
Pathogenesis and clinical manifestation
• Pathogenesis exotoxin
• Toxemia never bacteraemia
• Toxin : respiratory and systemic manifestation
(except cutaneous : bacilli)
• Types of diptheria: respiratory , cutaneous ,
systemic
•
• Respiratory diphtheria :
• Tonsil and larynx (faucial) (inflammatory) necrosis of epithelial cells mucosal ulcer (pseudomembrane )
air obstruction: asphyxia (tracheostomy)
bulk neck
3-4
days
Extension :
pseudomembrane
Severe case:
tonsillar swelling
neck edema
Cutaneous diptheria
• m/c sites : extremeties
• Ulcerative with necrosis (rarely
pseudomembrane)
• Organism itself not by toxin
• Nontoxin starins : responsible
• Vaccination : not protected
Systemic diptheria
• Polynephritis and myocarditis
• Others: pneumonia , renal failure , encephalitis , cerebral
infraction and pulmonary embolism
• Neurological manifestation : toxin mediated
noninflammatory demyelination
• Cranial nerve involvement
• Peripheral neuropathy
• Ciliary paralysis
• Myocarditis: arrhythamias and dialated cardiomyopathy
Laboratory diagnosis
• 1) Specimen: throat swab , portion of pseudomembrane , skin
• 2) direct microscopy :
• A) gram stain:
• b) Albert stain :
A
B
3) CULTURE
• BLOOD AGAR : SMALL CIRCULAR , WHITE , HEMOLYTIC
• Loeffler’s serum slope: small , circular , glistering and white
with yellow tinge
• hoyle;’s potassium tellurite agar :
Black colour colony
4) Biochemical identification
• 1) Hiss’s serum sugar media:
• glucose and maltose : all biotype
• starch: gravis
• Acid but no gas
• 2) pyrazinamidase test :
• Ngative : C.diptheriae , c.ultricans and c.pseudotuberculosis
• 3) urease test
• Negative : C.diptheriae
• Positive :c.ultricans and c.pseudotuberculosis
5) Toxin demonstration
In vivo: animal
inoculation
Invitro :Elek’s gel
precipttation
6) Epidemiology
• Source of infection :
• carrier (95%) than case(5%)
• Transmission : aerosol or contact (rarely)
• Age : children (1-5 years)
7) Prophylaxis
DPT VACCINE :
Active immunization
Donot effect
On cutaneous diptheria
Elimination of carrier state
• Type of vaccine
• Single vaccine : diptheria toxoid (alam or formal
precipitad vaccine)
• Combined vaccine : DPT (PERTUSSIS act as adjuvant)
• Type of DPT vaccine
• Plain formal toxoid : formalin
• Absorbed: alum (aluminium hydroxide) act as adjuvant
• Administration :
• Schedule: 5 doses (6 , 10 ,14 and 2 booster doses at 16-24 months)
• Site :intramuscular
• Dose :0.5 ml
• Td : contain TT and adult dose of diphtheria Recommended after 7 years
• Tdap: adult tetanus- diphtheria - acellular pertussis safely use for
adult.devoid neurological complication
• Adverse reactions: fever , local reactions
Killed pertussis is encephalitogenic (dont for after 6 years)
Contraindications
Hypersensitivity to previous dose
Neurological dissorde
Corynebacterium diptheriae
Corynebacterium diptheriae

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Corynebacterium diptheriae

  • 1. Corynebacterium • General properties: a) Gram positive bacilli b) Non capsulated c) Non sporing d) Non motile e) Club shaped f) Diphtheria g) C.ultricans and pseudotuberculosis Dr Amit kumar amitkumarshahi90@gmail.com
  • 2. Corynebacterium diptheriae • A) club shaped • B) gpb C) Chinese letter or culiform • D) Metachromatic granules • a/c polar bodies or babes ernst bodies
  • 3. • Polymetaphosphate • Loeffler’s methylene blue stain : bluish purple • Granules :
  • 5. Virulence factor • Diptheria toxin B A INHIBIT PROTEIN SYNTHESIS BY ADP EF2 INHIBIT TRANSLATION HELIP ENTERY: A BIND RECEPTOR ENTER INTO ENDOSOME (ENDOCYTOSIS) TRYPSIN ENZYME A B
  • 6.
  • 7. FACTORS REGULATION TOXIN PRODUCTION • 1) PHASE CODE: beta corynephage (tox gene) • 2) iron concentration : high iron (inhibit toxin) • 3) DT repressor gene : uptake of iron
  • 8. Pathogenesis and clinical manifestation • Pathogenesis exotoxin • Toxemia never bacteraemia • Toxin : respiratory and systemic manifestation (except cutaneous : bacilli) • Types of diptheria: respiratory , cutaneous , systemic •
  • 9.
  • 10. • Respiratory diphtheria : • Tonsil and larynx (faucial) (inflammatory) necrosis of epithelial cells mucosal ulcer (pseudomembrane ) air obstruction: asphyxia (tracheostomy) bulk neck 3-4 days Extension : pseudomembrane Severe case: tonsillar swelling neck edema
  • 11.
  • 12. Cutaneous diptheria • m/c sites : extremeties • Ulcerative with necrosis (rarely pseudomembrane) • Organism itself not by toxin • Nontoxin starins : responsible • Vaccination : not protected
  • 13. Systemic diptheria • Polynephritis and myocarditis • Others: pneumonia , renal failure , encephalitis , cerebral infraction and pulmonary embolism • Neurological manifestation : toxin mediated noninflammatory demyelination • Cranial nerve involvement • Peripheral neuropathy • Ciliary paralysis • Myocarditis: arrhythamias and dialated cardiomyopathy
  • 15. • 1) Specimen: throat swab , portion of pseudomembrane , skin • 2) direct microscopy : • A) gram stain: • b) Albert stain : A B
  • 16. 3) CULTURE • BLOOD AGAR : SMALL CIRCULAR , WHITE , HEMOLYTIC • Loeffler’s serum slope: small , circular , glistering and white with yellow tinge
  • 17. • hoyle;’s potassium tellurite agar : Black colour colony
  • 18. 4) Biochemical identification • 1) Hiss’s serum sugar media: • glucose and maltose : all biotype • starch: gravis • Acid but no gas • 2) pyrazinamidase test : • Ngative : C.diptheriae , c.ultricans and c.pseudotuberculosis • 3) urease test • Negative : C.diptheriae • Positive :c.ultricans and c.pseudotuberculosis
  • 19. 5) Toxin demonstration In vivo: animal inoculation Invitro :Elek’s gel precipttation
  • 20. 6) Epidemiology • Source of infection : • carrier (95%) than case(5%) • Transmission : aerosol or contact (rarely) • Age : children (1-5 years)
  • 21. 7) Prophylaxis DPT VACCINE : Active immunization Donot effect On cutaneous diptheria Elimination of carrier state
  • 22. • Type of vaccine • Single vaccine : diptheria toxoid (alam or formal precipitad vaccine) • Combined vaccine : DPT (PERTUSSIS act as adjuvant) • Type of DPT vaccine • Plain formal toxoid : formalin • Absorbed: alum (aluminium hydroxide) act as adjuvant
  • 23. • Administration : • Schedule: 5 doses (6 , 10 ,14 and 2 booster doses at 16-24 months) • Site :intramuscular • Dose :0.5 ml
  • 24. • Td : contain TT and adult dose of diphtheria Recommended after 7 years • Tdap: adult tetanus- diphtheria - acellular pertussis safely use for adult.devoid neurological complication • Adverse reactions: fever , local reactions Killed pertussis is encephalitogenic (dont for after 6 years) Contraindications Hypersensitivity to previous dose Neurological dissorde