Bacterial Group | Toxin | Treatment |
---|---|---|
Staphylococci | ||
G + cocci in clusters S aureus S epidermidis | Exotoxins proteolytic haemolytic pyogenic enterotoxin | Flucloxacillin (Vancomycin) |
Streptococci | ||
G + cocci in chains Beta-haemolytic Group A S pyogenes Group B S agalactinae Group G S faecalis Enterococcus Non beta-haemolytic S pneumoniae S viridans | Exotoxins haemolysins hyaluronidase streptokinase | Penicillin |
G – Enteric Bacteria | ||
G – bacilli | ||
Heterogenous group E coli Klebsiella Proteus Enterobacter Serratia Shigella Vibrio cholera | Endotoxin fever hypotension inflammation Exotoxin diarrhoea | Various sensitivities Gentamicin covers most (3rd generation cephalosporin) |
Pseudomonas | Ceftazidime Ticarcillin Ciprofloxacin | |
Haemophilus | ||
G – bacillus H influenzae | Augmentin (Cefotaxime) | |
Neisseria | ||
G – diplococcus N meningitidis N gonorrhoea | Penicillin (Tetracycline) | |
Necrotising Fasciitis | ||
Group A strep (S pyogenes) Other aerobes/ anaerobes common | Debride Empiric triple AB | |
Gas Gangrene | ||
G + bacillus Clostridium perfringens (welchii) (proteolytic or saprophytic) | Exotoxin | Debride Penicillin (Metronidazole) |
Tetanus | ||
G + bacillus Prevent by TT/ TIG Clostridium tetani (tetanospasmin, tetanolysin) | Exotoxin | Debride Penicillin |
Tuberculosis | ||
AFB Mycobacterium tuberculosis | Isoniazid +Rifampicin | |
Leprosy | ||
AFB Mycobacterium leprae | Sulphones + Rifampicin Prednisone for acute neuro loss Treatment Charcot joints | |
Syphilis | ||
Spirochaete Treponema pallidum | Penicillin |