Morris W E, Fernández-Miyakawa M E
Instituto de Patobiología, Centro Nacional de Investigaciones Agropecuarias, Los Reseros y Las Cabañas, Buenos Aires, Argentina.
Rev Argent Microbiol. 2009 Oct-Dec;41(4):251-60.
Clostridium perfringens is an anaerobic gram-positive spore-forming bacillus. It is one of the pathogens with larger distribution in the environment; it can be isolated from soil and water samples, which also belongs to the intestinal flora of animals and humans. However, on some occasions it can act as an opportunistic pathogen, causing diseases such as gas gangrene, enterotoxemia in sheep and goats and lamb dysentery, among others. In human beings, it is associated to diseases such as food poisoning, necrotic enterocolitis of the infant and necrotic enteritis or pigbel in Papua-New Guinea tribes. The renewed interest existing nowadays in the study of C. perfringens as a veterinarian and human pathogen, together with the advance of molecular biology, had enabled science to have deeper knowledge of the biology and pathology of these bacteria. In this review, we discuss and update the principal aspects of C. perfringens intestinal pathology, in terms of the toxins with major medical relevance at present.
产气荚膜梭菌是一种厌氧的革兰氏阳性产芽孢杆菌。它是环境中分布较广的病原体之一;可从土壤和水样中分离出来,它也属于动物和人类的肠道菌群。然而,在某些情况下,它可作为机会致病菌,引起诸如气性坏疽、绵羊和山羊的肠毒血症以及羔羊痢疾等疾病。在人类中,它与食物中毒、婴儿坏死性小肠结肠炎以及巴布亚新几内亚部落的坏死性肠炎或猪霍乱等疾病有关。如今,人们对产气荚膜梭菌作为兽医和人类病原体的研究重新产生了兴趣,再加上分子生物学的进展,使科学界能够更深入地了解这些细菌的生物学和病理学。在这篇综述中,我们根据目前具有主要医学相关性的毒素,讨论并更新产气荚膜梭菌肠道病理学的主要方面。