Clostridium perfringens
Cause of
food poisoning, and also of gas gangrene (myocrenosis). In some animals it is
also the cause of ‘overeating disease’ or ‘pulpy kidney disease’
(enterotoxemia).
Vergiftung: Common form: intense abdominal cramps and
diarrhea beginning 8 - 22 hours after consumption of foods containing large
numbers of those C. perfringens bacteria capable of producing the food
poisoning toxin. Ends usually within 24 hours but less severe symptoms may
persist in some individuals for 1 or 2 weeks;
[Louis
Klein]
A case of a
six year-old girl who had severe Epidermolysis bullosa.
Epidermolysis bullosa (Weber-Cockayne
syndrome) is a group of inherited disorders in which massive blistering of the
skin develops in response to minor trauma. The mother was very protective of
the child and of her 3 year old sister. Both had suffered from this inherited
disorder. Both children would get large blisters on their feet, after walking a
short distance, and also on their hands and waist from slight friction. The
mother would curtail their activities and could be seen in my local community
pushing them around in a carriage or cart.
My patient, the six year-old, also
presented in a peculiar way. She entered wearing a hooded jacket and kept it on
for the whole duration of the interview, even though the temperature outside
was mild and the room warm. She did not make any eye contact with me and for
the most part played quietly by herself facing the wall, away from me. When she
did turn to talk with the mother, I could see that she was very pale and had a
rather strained and morbid expression on her face.
Prior to seeing me for this first
consultation, she had had her case taken by a good homeopath who was a student
of mine. I had consulted on her case at that time and suggested Mancinella, as
the sap from this tree can cause severe blistering on the skin. The Mancinella
helped significantly but only for a period of about six months and on
repetition failed further positive response.
She had suffered from diarrhea from a very
young age. The mother said “when she was a baby she would always have her knees
up and diarrhea shooting out onto her legs”. She was also getting continuous
stomachaches and had been treated for “parasites” by a naturopath. As a baby
she had an abdominal hernia surgically repaired.
The mother also said that she was very
attached to her as well as to her sister. When I asked the child about this,
she said, “I know why but I’m not going to tell you.”
She was home-schooled. She was a very
intense, moody child, “not very cheery” but could focus on one project for long
periods. She could slip into states of helplessness where she then became whiny
or argumentative (her sister).
The mother said that the child “has a connection
with people who are dying”. She insisted on frequently visiting her dying
grandmother at the hospital and was there when she died. The mother
thought she
supported her well during this and that the girl was OK afterwards.
Grandmother’s cancer was diagnosed during the pregnancy of this child. The
mother had been in a state of “horror”
when told
that news.
From my experience the child was not going
to fit not wellknown homeopathic remedies or even into many of the groups of
unusual remedies with which I was familiar. Homeopathy had only an
imperfect
response to this disease and so I set out to understand some of the roots of
this crippling hereditary condition. I studied/contemplated the whole child, as
well as the nature of the disease.
During this
time I would see the mother either carrying the child or wheeling her round. I
had difficulty choosing a remedy for the child. I decided to give this even
deeper contemplation and also to try
and think
in a more creative way. I wanted to find something in nature that could cause
the problem and which would also encapsulate something of the child’s general
state. When I focus more on what underlies the case, I always keep in my mind’s
eye a picture of how the patient presented in the interview, thereby
maintaining in a visceral way a real sense of the patient.Since I had some
response from a first remedy made from a plant, I was now also looking for an
underlying causative or miasmatic agent and for a reflection of this chronic
disease in an acute state. After considering them, I ruled out modern
underlying causative agents such as radiations, toxic metals and other
chemicals and looked in the direction of a nosode.
I wanted to find something that would
cause, in an acute disease, a great blister-like swelling as well as diarrhea.
I looked, searching through various options. What finally came to me was
gangrene – an anaerobic bacterium that, in gas gangrene, creates a huge blister
and which can also cause a food-borne illness with severe diarrhea. I felt that
if we could see how this same type of acute pathology was translated into a
chronic condition then we would see its similarity to diseases where there is
chronic blistering.
Not only that, when I thought of the child
covering herself, and her rather dark personality, these seemed to match what I
would conceive of as the general mental and emotional state of a homeopathic
remedy made from an anaerobe like Clostridium perfringens (which was prepared
but not proven). Lastly, Clostridium perfringens is a food poisoning agent and
therefore covered the ‘chronic diarrhea’ aspect.
I am pleased to say that the child
responded beautifully to just 2 doses of Clostridium perfringens C 30. She has
been virtually blister-free, and hood free, for over 5 years. Her personality
is now
cheery and
wellbalanced. There is a similarity between this remedy and known homeopathic
remedies which have blistering as a key aspect - particularly remedies like Manc. and Canth.
Clostridium
perfringens follows these two remedies.
What
dispositional symptoms do these better-known remedies share?
The main
symptom is “Mind, delusions possessed” or “Mind, possessed of the devil”.
In the Clostridium
perfringens patient there is a feeling as if they are possessed by something
dark - they appear “gothic” and horrorfilled, similar to the chronic Canth.
who, I have found, likes to wear black clothing and is rather dark in their
demeanor. In distinction,
Manc. still
retains a degree of innocence to their being but they also have this same
tendency to be attracted to black magic and dark forces.
As I wrote
in the first Focus Guide, my experience of Mancinella and of other Euphorbiaceae is that the mind is elastic and
easily “blistered,” thus reflecting what can happen on the physical level.
I have also
found that the patient who needs Clostridium perfringens likes to wear a hat, a
hood, or something else that covers the head. They can also Clostridium
Perfringens Nosode wear dark clothing. They are reluctant to reveal anything of
themselves and would rather remain enigmatic. It is a state where we see a
“gothic” type of personality, where the person is attracted to horror and also
to death,
in a way
that is similar to many of the homeopathic remedies made from fungi. In fact,
all the Clostridiales are good miasmatic remedies related to, or following on
from, homeopathic remedies prepared from fungi.
Clostridium perfingens has a dispositional
state that we witness in a patient who follows an ascetic and penitential
religious practice. In this, we see the underlying theme of “mortification”
which is present in all the nosodes made from potentially gangrenous bacteria.
As described in the introduction to the Clostridiales order, mortification has
a number of primary meanings.
One of the meanings of “mortification” that
applies to the religious state just discussed, is “the practice of asceticism
by penitential discipline to overcome desire for sin and to strengthen the
will”. The patient can suffer from deep shame and sees the religious and
penitential lifestyle or vocation as a way out of this shame.
We can also
see the black religious garb itself as part of the ‘look’ of this miasm.
This
penitential aspect of the theme can manifest in differing degrees and
situations. I had a male patient in his sixties who had done well on Cadm-s.
for many years. In the initial visit, his chief
complaints
were allergies and depression. After a number of years of doing well, at a
follow-up appointment, he suddenly showed up wearing a black cap (toque) pulled
tightly over his head and other dark-coloured warm clothing. He kept the
clothing and cap on throughout the interview, even though the room was quite
warm. At this appointment he was again moderately depressed but
not as bad
as the first appointment. He described how he and his wife lived a frugal,
vegan lifestyle – even though he craved meat and luxury to a certain extent. He
and his wife were very critical
of any
divergence on such matters. In this case, the ‘mortification’ (you could say)
has to do with a lifestyle choice.
On top of
this, his current depressive state had been trigged by being falsely accused of
abusive behavior by a previous student. The alleged event had taken place over
20 years ago.
Currently,
he was having gruesome dreams of people being held hostage and being sliced up
by the person holding them hostage. I asked him if he had had any episodes of
food poisoning and he
replied
affirmatively- when he was younger, and he described the episode as being very
serious. With the characteristic
dark
clothing and cap, ‘mortification’, false accusation, dreams and a history of
food poisoning, I prescribed Clostridium perfringens nosode. Inthe follow-up,
his clothing had changed and was
cap-free.
He
presented Clostridiales with a dramatically sunnier and consistently happier
mood which has continued in subsequent follow ups.
The meaning
of the word mortification also extends to pathology and we see this in
gangrenous states: “the death of one part of the body while the rest is alive;
gangrene; necrosis.”
This may be
an important remedy for the treatment of gangrenous states, although I have had
no experience yet with this pathology using this particular nosode.
In addition to the case mentioned, I have
had other successes treating individuals with Epidermolysis bullosa using
homeopathically-prepared Clostridium perfringens. However, I don’t have enough
patient experience with this disease to say whether other types of
Clostridiales nosode made into homeopathic remedies might achieve a similar
result or, whether other nosodes may be indicated. The challenge for homeopathy
is also that many such patients will need a range of different first
prescriptions before the Clostridium perfringens can work in such a wonderfully
deep way.
Cause: Food service germ.’ ‘Cafeteria cramps.’
Conditions are favourable for C. perfringens in food that has been prepared
hours before it is to be served and then kept warm or at room temperature.
Tissue gas:
the name given by mortuary workers to the action of C. perfringens on dead
bodies.
Is widely distributed in the environment
and frequently occurs in the intestines of humans and many domestic and feral
animals. Spores persist in soil, sediments, and areas subject to human or
animal fecal pollution.
Perfringens food poisoning is the term used
to describe the common foodborne illness caused by C. perfringens. A more
serious but rare illness is also caused by ingesting food contaminated
with Type C
strains. The latter illness is known as enteritis necroticans or pig-bel
disease.
The common form of perfringens poisoning is
characterized by intense abdominal cramps and diarrhea which begin 8 – 22 hours
after consumption of foods containing large numbers of
those C.
perfringens bacteria capable of producing the food-poisoning toxin. The illness
is usually over within 24 hours but less severe symptoms may persist in some
individuals for 1 - 2 weeks.
A few
deaths have been reported as a result of dehydration and other complications.
In most instances, the actual cause of
poisoning by C. perfringens is temperature abuse of prepared foods. Small numbers
of the organisms are often present after cooking and multiply to food poisoning
levels during cool down and storage of prepared foods. Meats, meat products,
and gravy are the foods most frequently implicated.
Institutional feeding (such as school
cafeterias, hospitals, nursing homes, prisons, etc.) where large quantities of
food are prepared several hours before serving is the most common
circumstance
in which perfringens poisoning occurs. The young and elderly are the most
frequent victims of perfringens poisoning.
The bacterium can also cause tissue
necrosis, bacteremia, emphysematous cholecystitis and clostridial myonecrosis
(gas gangrene). The last named is a deadly form of gangrene;
it
progresses rapidly, expanding within internal tissues, leading to toxemia and
shock.
Appearance of Patient: Gothic, dark quality
(not always)/wearing a head-covering.
Vergleich: Siehe: Nosoden
Vorwort/Suchen Zeichen/Abkürzungen Impressum