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Schenectady County Community College

Clostridium difficile


Gram stain:  positive
Cell shape:  bacillus
Arrangement:  single or chains
Oxygen requirements:  anaerobe
Other:  endospore former

Habitat:  marine sediment; sand; hospital environment; camel, horse and donkey dung; feces of dogs, cats and birds; human genital tract; intestinal tract of humans; human feces.

Pathogenicity:  This microbe is responsible for nearly all gastrointestinal infections, ranging from mild diarrhea to severe or even fatal colitis, that follow antibiotic therapy. Pseudomembranous colitis is caused by overgrowth of organism in the colon after normal flora is disturbed by antimicrobial therapy. The organism produces toxins that are lethal to the intestinal epithelium that cause small patches (pseudomembranes) of cell debris, inflammatory cells and clotted serum to form on the colon's lining.

Transmission:  fecal-oral route

Treatment:  strains are susceptible to penicillin, ampicillin, vancomycin, metronidazole. Strains are resistant to aminoglycosides (70s ribosomes). Lactobacillus may also be prescribed to restore normal intestinal flora.

The name "difficile" came from the fact that this organism is difficult to isolate and study.


LINKS

Clostridium difficile diarrhoea
Clostridium difficile Infection in Obstetric and Gynecologic Patients
Clostridium difficile and Older Adults
Gastroenterology - Pseudomembranous Enterocolitis
Pseudomembranous colitis - overview
Pseudomembranous colitis - image