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Neuromuscular Junction (background (Which systems are involved in this…
Neuromuscular Junction
Downstream
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If the toxin remains in the patient’s bloodstream, what other effects might the toxin have?
Studies have linked neonatal tetanus to neurological disabilities ranging from cerebral palsy and severe psychomotor retardation to subtle intellectual and behavioral abnormalities (in case of vertical transmission)
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Upstream
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Why is the patient experiencing spasms instead of flaccid paralysis, tetany, or some other muscle symptom?
Clostridium tetani produces a toxin that affects neurons and their ability to release neurotransmitters
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A 23 year old male patient demonstrating severe face and arm muscle spasms was brought to the
emergency department by his brother
background
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The difference between a twitch, summation, and tetany
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Clostridium tetani
C. tetani is a spore-forming organism that cannot be eliminated from the environment and can withstand extreme temperature conditions in both indoor and outdoor environments
The toxin causes inhibition of the release of GABA and glycine inside inhibitory nerve terminals that control the activity of the lower motor neurons.
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