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13 Cards in this Set

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What is the etiologic agent of Tetanus? Morphology?
Clostridium tetani; obligate anaerobic, gram pos spore-forming rods
What are the characteristics of the tetanus and botulism exotoxins?
potent; toxin activity is specific for target and Rc sites in CNS; toxins are polypeptides; toxins may be denatured by heating; toxins can be altered to toxoids for vaccine use
How is infection with C tetani acquired?
local wound infection
What is the name of the neurotoxin released by C tetani? How does it work?
*Tetanospasmin: cleaves *vesicle-associated membrane protein (VAMP/synaptobrevin) in the synaptic vesicles of neurons --> this blocks the release of inhibitory NTs glycine and GABA (inhibits the inhibitor)
What are the two forms of tetanus (named by their progression in the body)?
ascending (reaches the CNS via *retrograde axonal transport- limb stiffness followed by CNS infection) and descending (enters bloodstream resulting in cranial nerves affected first followed by body and limbs) tetanus
In what spp is tetanus most commonly seen?
horses > ruminants > swine (cats and dogs relatively resistant
What are the clinical signs of tetanus?
stiffness, sawhorse stance, risus sardonicus, lock jaw, erect ears, prolapse of third eyelid; spasms may be precipitated by external stimuli such as sudden movement or noise
How is tetanus diagnosed?
*clinical signs and history (incubation period is 1-2wks); serum (test for toxin by mouse inoculation); wound (C tetani in necrotic tissue)
What is the characteristic appearance of C tetani rods?
"tennis racket" or "drumstick"-shaped endospores
What is the treatment for tetanus?
tetanus antitoxin (to neutralize unbound toxin); wound cleansing and debridement; penicillin; tetanus toxoid (can be given with antitoxin); provide dark, quiet environment; sedation as needed; good supportive care
How is tetanus prevented?
1. good hygeine in tetanus-associated procedures: castration, tail-dockings, dehornings, etc; 2. tetanus toxoid (routinely given in horses); 3. antitoxin: given to unvaccinated animals with tetanus-prone wounds - give toxoid at same time but at diff injection site
What dz has been associated with tetanus antitoxin in horses?
hepatic dz (serum hepatitis/Theiler's dz)
Is tetanus zoonotic?
no; humans are very susceptible to tetanus but they do not obtain dz from animals