It is caused by the bacterium Clostridium tetani which produces toxins that attack the nervous system.
The disease is characterised by painful muscular contractions at the jaws and the neck; sometimes the trunk is also affected and generalised spasms of muscles may occur. In severe cases, infected persons may not be able to swallow or open his/her mouth. When tetanus affects muscles that help to breathe, the patient may die very quickly.
Mode of transmission
The bacteria are found in soil and animal faeces. They get into the body through a break in the skin (such as a cut, puncture or tiny wound). Infection can also occur after burn or animal bite. Tetanus does not spread from one person to another.
The incubation period is 3 to 21 days, with most cases developing symptoms within 14 days of infection.
Affected persons should be hospitalised for treatment including tetanus immunoglobulin, antibiotics and thorough wound treatment. In severe cases, muscle relaxants, tracheostomy and mechanical ventilation to assist breathing may be required. Active immunisation should be started concurrently with therapy if there is incomplete, uncertain or no history of immunisation.
Proper wound management