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Tetanus

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Tetanus
Bio 210 Vanlinluck | Tetanus | “LOCKJAW” | | Cong Le | 12/3/2012 |

Abstract: Tetanus is a severe infection causes by Clostridium tetani, a spore-forming anaerobic bacterium. This disease affects many people in the developing-countries where the immunization is not really available. On the other hand, tetanus is very rare condition in developed countries like America. Clostridium tetani has all the characteristics of the Clostridium genus. After entering the human wounds, this organism secreted two kinds of potent biological exotoxin: tetanolysin and tetanospasmin. However, only tetanospasmin is the infectious agent which causes the tetanus. Because of the two specific chains, tetanospasmin is very dangerous when this toxin is introduced into blood and traveled around the nervous system. When tetanospasmins bind to the neurons, it is very hard for treatments and may damage the affected neurons. Symptoms related to this disease are very distinct. The first signs of tetanus are usually facial muscle spasms, difficulty swallowing, and trimus or “lockjaw”. Based on the affected muscle groups, the tetanus is divided into four different types: generalized, neonatal, local, and cephalic tetanus. Treatments for tetanus may include medicine, surgical removal, and sportive treatment. Tetanus may cause compliments such disability or death. In USA, two kinds of immunization are available nationwide are DTaP vaccine and Td vaccine. |

INTRODUCTION

Tetanus is a bacterial disease caused by Clostridium tetani. Usually known as lockjaw, tetanus affects the nervous system, leading to painful muscle contractions, especially of your neck and jaw muscles. Tetanus is come from tetanos, which means to sketch in Greek. Tetanus was successfully discovered in 1884 by Carle and Rattone. In 1889, Kitasato isolated the organism and showed that it produced disease when injected into animals. With the help of immunization, the incidence of tetanus in



References: (1) Wilkins CA, Richter MB, Hobbs WB, Whitcomb M, Bergh N, Carstens J. Occurrence of Clostridium tetani in soil and horses. S Afr Med J 1988; 73: 718–20. (2) T. M. Cook, R. T. Protheroe and J. M. Handel. 2001. Tetanus: a review of the literature.Br J Anaesth. 87: 477–87. (3) Penner R, Neher E, Dreyer F. Intracellularly injected tetanus toxin inhibits exocytosis in bovine adrenal chromaffin cells. Nature 1986; 324: 76–8. (4) Bleck TP. Tetanus: dealing with the continuing clinical challenge. J Crit Ill 1987; 2: 41–52. (5) Attygalle D, Rodrigo N. Magnesium as first line therapy in the management of tetanus: a prospective study of 40 patients. Anaesthesia 2002; 57:811-17. (6) Ahmadsyah I, Salim A. Treatment of tetanus: an open study to compare the efficacy of procaine penicillin and metronidazole. Br Med J (Clin Res Ed) 1985; 291: 648–50. (7) Udwadia FE, Lall A, Udwadia ZF, Sekhar M, Vora A. Tetanus and its complications: Iintensive care and management experience in 150 Indian patients. Epidemiol Infect. 3:675-84.

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