1. why is tetanus so many in developing countries? why can cause death with high mortality? 3. Tetanus patients who have experienced seizures, can it recover? 4. why do you find oplthotonus in tetanus? why not experience a decrease in consciousness? please explain doctor🙏🏻
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Tetanus is a deadly disease characterized by muscle stiffness due to poisons attacking the nerves of sufferers. The poison is produced by the bacterium Clostridium tetani. These bacteria are present in the form of spores in dust, soil, animal feces and human feces. Spores can enter the human body through puncture wounds, such as nail puncture wounds. Spores become active when there isn't too much oxygen.
This disease can be prevented through vaccination. In Indonesia, tetanus vaccine is included in mandatory infant immunization, namely DPT (diphtheria pertussis tetanus) immunization. Often, people living in developing countries have a low level of awareness to actively carry themselves and their babies through immunization. In addition, the majority of people in developing countries have a low level of awareness as well to seek medical treatment when suffering from a stab wound. Many people underestimate these conditions due to lack of knowledge. There are even some deliveries performed by traditional birth attendants not using sterile equipment. This makes high rates of tetanus sufferers in developing countries.
Someone who is infected with tetanus, 4-21 days afterwards will experience symptoms of tetanus. This symptom is caused by toxins from bacteria attacking the nervous system of the muscles, resulting in stiffness and spasms. If you attack the respiratory muscles and heart muscle, plus delayed handling, will cause death. Such is the high mortality rate from this disease.
There is no drug that can neutralize the poison Clostridium tetani. Anti-tetanus can only prevent damage to healthy nerves, whereas nerves that have been damaged by toxins cannot be overcome. Help is only done to relieve symptoms, support life and clean wounds. However, fast and appropriate treatment can save sufferers, even if it takes a long time, which is up to 4 months.
Opistotonus is an abnormal posture that is characterized by the body becoming stiff and curving back with the head thrown back and elbows folded. This position occurs due to bodily imbalance where the muscles contract simultaneously in opposite directions. In patients with tetanus, this is due to toxins from the bacterium Clostridium tetani attacking nerve muscles. Tetanus sufferers have good awareness despite being having a seizure, this is because the poison only attacks the nerve muscles and does not attack the nerves of the brain which is the center of consciousness. So that patients can feel pain when muscle contractions occur.
Thus hopefully useful.