How does generalised tetanus present and what are the clinical features? Rigidity Trismus (lockjaw)Neck stiffnessDysphagiaAbdominal rigidity (can contribute to respiratory failure) Muscle Spasms Episodic muscular spasms separated by periods of relaxation:Opisthotonus...
Generalized Tetanus Local Tetanus Cephalic Tetanus Neonatal Tetanus Most common type (about 80%) of reported tetanusAffects muscles throughout the bodyUsually presents with the classic triad of:RigidityMuscle spasmsAutonomic instability Uncommon form seen with lower...
Key PrinciplesSupportive care with intubation & ventilation and control of autonomic instabilityHuman tetanus immunoglobulin to remove systemic toxinWound debridement and antibiotics to reduce bacterial load Initial Resuscitation & Supportive Care ABCDE...
To Determine Diagnosis The diagnosis is entirely clinical and does not depend upon bacteriologic confirmationLaboratory tests may help support diagnosis:Wound / tissue / pus culture for c. tetaniWound / tissue / pus culture for c. tetaniSerum tetanus toxin levelSerum...