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Denotations & Old terminologies used in Homopathy - Similima

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o Back muscles, often caus<strong>in</strong>g arch<strong>in</strong>g (opisthotonos)<br />

Tetanic seizures (pa<strong>in</strong>ful, powerful bursts of muscle contraction)<br />

Irritability<br />

Fever<br />

Additional symptoms that may be associated with this disease:<br />

Excessive sweat<strong>in</strong>g<br />

Swallow<strong>in</strong>g difficulty<br />

Hand or foot spasms<br />

Drool<strong>in</strong>g<br />

Uncontrolled ur<strong>in</strong>ation and/or defecation<br />

Signs and tests<br />

Diagnosis of tetanus is based on the history and physical f<strong>in</strong>d<strong>in</strong>gs that are<br />

characteristic of the disease. Diagnostic studies generally are of little value, as<br />

cultures of the wound site are negative for C. Tetani two-thirds of the time.<br />

When the culture is positive, it confirms the diagnosis of tetanus<br />

Tests that may be performed <strong>in</strong>clude the follow<strong>in</strong>g:<br />

Culture of the wound site (may be negative even if tetanus is present)<br />

Tetanus antibody test<br />

Other tests may be <strong>used</strong> to rule out men<strong>in</strong>gitis, rabies, strychn<strong>in</strong>e poison<strong>in</strong>g, or<br />

other diseases with similar symptoms.<br />

Treatment<br />

Control and reverse the tetany with antitox<strong>in</strong> (tetanus immune<br />

globul<strong>in</strong>).<br />

Give penicill<strong>in</strong> to kill C. Tetani (other antibiotics such as cl<strong>in</strong>damyc<strong>in</strong>,<br />

erythromyc<strong>in</strong>, or metronidazole can be <strong>used</strong> <strong>in</strong> patients who are allergic<br />

to penicill<strong>in</strong>).<br />

Remove and destroy the source of the tox<strong>in</strong> through surgical<br />

exploration and clean<strong>in</strong>g of the wound (debridement).<br />

Treat symptoms. Muscle spasms can be treated with muscle relaxants<br />

such as diazepam.<br />

Bedrest with a nonstimulat<strong>in</strong>g environment (dim light, reduced noise,<br />

and stable temperature) may be recommended.<br />

Sedation may be necessary to keep the affected person calm.<br />

Respiratory support with oxygen, endotracheal tube, and mechanical ventilation<br />

may be necessary.<br />

Expectations (prognosis)<br />

The death rate is high <strong>in</strong> children and <strong>in</strong> the elderly. Wounds on the head or face<br />

seem to be more dangerous than those on the body. If the person survives the<br />

acute illness, recovery is generally complete. Uncorrected episodes of hypoxia<br />

(lack of oxygen) ca<strong>used</strong> by muscle spasms <strong>in</strong> the throat may lead to irreversible<br />

bra<strong>in</strong> damage.<br />

Complications<br />

Airway obstruction<br />

Respiratory arrest<br />

Heart failure<br />

Pneumonia<br />

Fractures<br />

Bra<strong>in</strong> damage due to lack of oxygen dur<strong>in</strong>g spasms<br />

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