'''Clostridium perfringens''' (formerly known as ''Clostridium welchii'') is a
Gram-positive, rod-shaped,
anaerobic,
spore-forming bacterium of the genus ''
Clostridium''.
[ Sherris Medical Microbiology, Ryan KJ; Ray CG (editors), , , McGraw Hill, 2004, ISBN 0-8385-8529-9 ] ''C. perfringens'' is ubiquitous in nature and can be found as a normal component of decaying vegetation, marine sediment, the intestinal tract of
humans and other
vertebrates,
insects, and
soil. Virtually every soil sample ever examined, with the exception of the sands of the
Sahara, has contained ''C. perfringens''.
Infection characteristics
''C. perfringens'' is commonly encountered in infections as a benign component of the normal
flora.
[ Clostridia: Sporeforming Anaerobic Bacilli. ''In:'' Barron's Medical Microbiology ''(Barron S ''et al'', eds.), Wells CL, Wilkins TD, , , Univ of Texas Medical Branch, 1996, (via NCBI Bookshelf) ISBN 0-9631172-1-1 ] In this case, its role in disease is minor. Infections due to ''C. perfringens'' show evidence of tissue
necrosis,
bacteremia,
emphysematous
cholecystitis, and
gas gangrene, which is also known as clostridial
myonecrosis. The toxin involved in gas gangrene is known as
α-toxin, which inserts into the plasma membrane of cells, producing gaps in the membrane which disrupt normal cellular function.
[ Oxford Textbook of Medicine, Warrell et al., , , Oxford University Press, 2003, ISBN 0-19-262922-0 ]
The action of ''C. perfringens'' on dead bodies is known to
mortuary workers as
tissue gas and can only be halted by
embalming.
Food poisoning
Some strains of ''C. perfringens'' produce toxins which cause
food poisoning if ingested. In the United Kingdom and United States they are the third most common cause of food-borne illness, with poorly prepared meat and poultry the main culprits in harboring the bacterium.
[ Oxford Textbook of Medicine, Warrell et al., , , Oxford University Press, 2003, 0-19-262922-0 ] The clostridial
enterotoxin mediating the disease is often heat-resistant and can be detected in contaminated food and feces.
[ Current Medical Diagnosis & Treatment, Adelman et al., , , McGraw Hill, 2006, ISBN 0-07-147177-4 ]
Incubation time is between 8 and 16 hours after ingestion of contaminated food. Manifestions typically include abdominal cramping and diarrhea - vomiting and fever are unusual. The whole course usually resolves within 24 hours. Very rare, fatal cases of
clostridial necrotizing enteritis have been known to involve "Type C" strains of the organism, which produce a potently ulcerative β-toxin.
It is likely that many cases of ''C. perfringens'' food poisoning remain sub clinical, as
antibodies to the toxin are common amongst the population. This has led to the conclusion that most, if not all, of the population has experienced food poisoning due to ''C. perfringens''.
[ Oxford Textbook of Medicine, Warrell et al., , , Oxford University Press, 2003, 0-19-262922-0 ]
Colony characteristics

''C. perfringens'' colonies on an egg yolk
agar plate showing a white precipitate
On
blood agar plates, ''C. perfringens'' grown anaerobically produces
β-haemolytic, flat, spreading, rough, translucent colonies with irregular margins. A Nagler agar plate, containing 5-10% egg yolk, is used to presumptively identifiy strains which produce α-toxin, a diffusible
lecithinase which interacts with the lipids in egg yolk to produce a characteristic precipitate around the colonies. One half of the plate is inoculated with
antitoxin to act as a control in the identification.
References
External links
★
Pathema-''Clostridium'' Resource