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Case Stuh Three dospore stain from pus of the patient\'s wound A 62 year old bot

ID: 208297 • Letter: C

Question

Case Stuh Three dospore stain from pus of the patient's wound A 62 year old botanist and horticulturist was admiring her garden ofes when she spotted a weed in the midst of her flowers. She had left her gloves in the house. Unfortunately when she went to remove the offensive weed, the tiny thorny base gashed her hand. She immediately went into the house and washed the wound and added some topical antibiotc just in case. However, within a day she noticed a puffy red swelling around the gash. By the second day she became concemed when she awoke to find that when she tried to get up out of bed she found walking difficult. She immediately called her son who came to take her to the ER of the local hospital immediately. By the time she reached the hospital she began to experience difficulty with speech and musde spasms. The doctor inspected the wound site and noted the now severe swelling. He was more concemed by his patient's growing respiratory distress and acute muscle spasms. The physician contacted the woman's primary care giver. He found that she had not received a Tetaus booster in more than ten years. Troubled by this information, he immediately intubated his patient and admi nistered counter measures. Case Study Questions: What is the immunization the patient should have received? what is the recommended period for booster shots * The causative agent for this disease is What are the identifying characteristics of this organism? How did the organisms enter the hand of the gardener? what causes the paralysis What other organisms belong to this Genus that are medically significant? Name at least three and describe the conditions (diseases or Using your lab manual, textbook and the Internet, look up the following organisms.

Explanation / Answer

1. The patient should have received the tetanus boosters as the patient did not get this immunization in past 10 years. The recommended period for booster shots is 10 years.

2. The causative organism is Clostridium tetani.

3. The identifying characteristics of this organisms are: 1) it is Gram positive 2) it is obligate anaerobe 3) it is terminal sporulating bacillus.

4. The spores of the organism enters the blood stream after she gets cut in her h]hand by the thorn.

5. Tetanospasmin is responsible for causing the paralysis.