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22. Microbial Diseases of the Nervous System. 1924 funeral of Oregon family wiped out by botulism. Figure 22.7. Botulism. Clostridium botulinum Gram-positive, endospore-forming, obligate anaerobe Intoxication comes from ingesting botulinal toxin .
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22 Microbial Diseases of the Nervous System
1924 funeral of Oregon family wiped out by botulism Figure 22.7
Botulism • Clostridium botulinum • Gram-positive, endospore-forming, obligate anaerobe • Intoxication comes from ingesting botulinal toxin. • Botulinal toxin blocks release of neurotransmitter causing flaccid paralysis. • Prevention • Proper canning • Nitrites prevent endospore germination in sausages.
Botulism • Treatment: Supportive care and antitoxin. • Infant botulism results from C. botulinum growing in intestines. • Wound botulism results from growth of C. botulinumin wounds.
Diagnosis Figure 22.8
Leprosy • Mycobacterium leprae • Acid-fast rod that grows best at 30°C. • Grows in peripheral nerves and skin cells. • Tuberculoid (neural) form: Loss of sensation in skin areas • Lepromatous (progressive) form: Disfiguring nodules over body
Leprosy Figure 22.9
Poliomyelitis • Poliovirus • Transmitted by ingestion. • Initial symptoms: Sore throat and nausea • If persistent, virus can enter the CNS • destruction of motor cells and paralysis occurs in <1% of cases. • Prevention is by vaccination
Poliomyelitis Figure 22.11
Rabies Virus (Rhabdovirus) • Transmitted by animal bite. • Virus multiplies in skeletal muscles, then brain cells causing encephalitis. • Initial symptoms • muscle spasms of the mouth and pharynx • hydrophobia • Furious rabies: Animals are restless then highly excitable. • Paralytic rabies: Animals seem unaware of surroundings.
Rabies Virus (Rhabdovirus) Figure 22.12
Rabies Virus (Rhabdovirus) Figure 22.13
Arboviral Encephalitis • Arboviruses are arthropod-borne viruses that belong to several families. • Prevention is by controlling mosquitoes. Figure 22.14
Naegleria fowleri • Protozoan infects nasal mucosa from swimming water. Figure 22.17
Transmissible Spongiform Encephalopathies • Caused by prions • Sheep scrapie • Creutzfeldt-Jakob disease • Kuru (New Guinea) • Bovine spongiform encephalopathy (Mad Cow) • Transmitted by ingestion or transplant or inherited. • Chronic and fatal
Transmissible Spongiform Encephalopathies Figure 22.18