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Infection Muscle Spasms: TETANUS (Ragonton & Orcajada) Tetanus, Also Known As Lockjaw, Is An

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TETANUS (Ragonton & Orcajada)

Tetanus, also known as lockjaw, is an infection characterized by muscle spasms. In


the most common type, the spasms begin in the jaw and then progress to the rest
of the body. These spasms usually last a few minutes each time and occur
frequently for three to four weeks.

Tetanus is caused by an infection with the bacterium Clostridium tetani, which is


commonly found in soil, dust and manure.The bacteria generally enter through a
break in the skin such as a cut or puncture wound by a contaminated object. They
produce toxins that interfere with muscle contractions, resulting in the typical
symptoms. Diagnosis is based on the presenting signs and symptoms. The disease
does not spread between people.

Signs and symptoms of tetanus appear anytime from a few days to several weeks
after tetanus bacteria enter your body through a wound. The average incubation
period is seven to 10 days.

Common signs and symptoms of tetanus include:

Spasms and stiffness in your jaw muscles (trismus)

Stiffness of your neck muscles

Difficulty swallowing

Stiffness of your abdominal muscles

Painful body spasms lasting for several minutes, typically triggered by minor
occurrences, such as a draft, loud noise, physical touch or light

Possible other signs and symptoms include:

Fever

Sweating

Elevated blood pressure

Rapid heart rate

Infection can be prevented by proper immunization with the tetanus vaccine. In those
who have a significant wound and less than three doses of the vaccine both
immunization and tetanus immune globulin are recommended. In those who are infected
tetanus immune globulin or, if it is not available, intravenous immunoglobulin (IVIG) is
used.

Treatment:

Wound Cleansing

TIG (Tetanus Immune Globulin)

Muscles relaxants, pain relief

Mechanical ventilation

Often long term care (6-7 weeks)

MANAGEMENT:

Maintenance of airway

Prevention of the complications of respiratory

dysfunction, such as atelectasis

Treatment of autonomic nervous system

Maintenance of of skin integrity

Compliance with prescribed immunization schedule.

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