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CLOSTRIDIUM TETANI

CHARACTERISTIC
- C. tetani is a large (0.5 to 2 × 2 to 18 μm), gram +, motile, spore-
forming rod.
- The organism produces round, terminal spores that give it the
appearance of a drumstick.
- Vegetative cells of C. tetani die rapidly due to its extreme
sensitive to oxygen toxicity
- Spore of C.tetani allows the organism to survive in the most
adverse condition.
- The bacteria are proteolytic but unable to ferment carbohydrates
- Tetanus has an incubation period varying from 4 days to
several weeks. A shorter period is usually associated with more
severe disease and wounds closer to the brain
- The infection remains strictly localized in the area of devitalized
tissue into which the spores have been introduced
HABITAT
C. tetani spores are common in barnyard, garden, and other soils. The most typical
focus of infection in tetanus is a puncture wound caused, for example, by a splinter.
TOXIN ?
C. tetani produces two toxins, an oxygen-labile hemolysin (tetanolysin)
and a plasmid-encoded, heat-labile neurotoxin (tetanospasmin)
• Tetanolysin clinical significance of tetanolysin is unknown because
it is inhibited by oxygen and serum cholesterol.
• Tetanospasmin is produced during the Tetanospasmin is produced
during the stationary phase of growth, released when the cell is
lysed, and responsible for the clinical manifestations of tetanus
TETANOSPASMIN
Tetanospasmin is cleaved by a bacterial
protease into two peptides (50 and 100 kDa)
and its linked by a disulfide bond.
The larger peptide initially binds to receptors on
the presynaptic membranes of motor neurons. It
then migrates by the retrograde axonal transport
system to the cell bodies of these neurons to the
spinal cord and brainstem. The toxin diffuses to
terminals of inhibitory cells, including both
glycinergic interneurons and γ-aminobutyric acid
(GABA)– secreting neurons from the brainstem.
The smaller peptide degrades synaptobrevin
(also called VAMP2), a protein required for
docking of neurotransmitter vesicles on the
presynaptic membrane.
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