Tetanus A35.x

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 31.08.2022

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Synonym(s)

Tetanus

Definition
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Crampy muscle rigidity caused by the toxin of Clostridium tetani.

Occurrence/Epidemiology
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Worldwide distribution; 300,000-500,000 diseases/year.

Etiopathogenesis
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Inoculation of the spores through an open wound. Transformation into the vegetative pathogen form under anaerobic conditions with toxin formation. Spread of the toxin centripedally along the nerves.

Clinical features
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Incubation period usually 2 to 15 days. Uncharacteristic prodromal stage. Hard tension of the masseter muscles (trismus), laterally distorted corners of the mouth (risus sardonicus), stiff neck, opisthotonus, abdominal wall tension.

Therapy
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Wound excision. Hyperimmune globulin (Tetagam®) initially 10,000 IU i.m., then 3,000-6,000 IU/day. Seizure prophylaxis and docking, intensive medical care.

Progression/forecast
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50% lethality.

Prophylaxis
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Lay artis performed wound care. Active and passive tetanus vaccination: tetagam 250 IU i.m. and tetanol 0.5 ml i.m. simultaneously on contralateral parts of the body.

Remember!

Maintain vaccination protection for life.

Literature
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  1. Babu TA et al (2015) Gianotti-Crosti Syndrome following immunization in an 18 months old child. Indian Dermatol Online J 6:413-415
  2. Thwaites CL et al (2015) Eradication of tetanus. Br Med Bull 116:69-77

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 31.08.2022