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23 year old male brought to the hospital demonstrating severe face and arm…
23 year old male brought to the hospital demonstrating severe face and arm spasms. The patient has many tattoos including a fresh one that his brother said he received the day prior from a "sketchy" tattoo parlor. Blood tests confirm that he has been infected with Clostridium tetani most likely contracted through the use of a dirty needle. The patient has never been vaccinated against the bacteria.
Backgound Information
Anatomy
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Muscular System
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Skeletal, smooth and cardiac tissue
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Physiology
Nervous System
Neuron
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Interneuron
Conduct impules within the CNS and integrate incoming sensory imput to predict the proper motor output
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Nerves
provides a structured pathway that supports the electrochemical nerve impulses transmitted along each of the axons.
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Muscular System
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Tissue
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Skeletal
Motion, posture, heat production
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Neuromuscular Junction
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Cross-bridge cycle
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Cross-bridge detachment: after ATP attaches to myosin, the link between the two weakens and the myosin head detaches.
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Clostridium tetani
an obligate anaerobic bacteria whose spores produce two distinct toxins—tetanolysin, which causes local tissue destruction, and tetanospasmin, which causes clinical tetanus.
Downstream Causes
Muscular system
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Stiffness usually starts with the chewing muscles, giving it the name, lockjaw.
Muscle spasms then spread to the neck and throat, causing difficulties with swallowing.
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In severe cases, the spine will arch backward as the back muscles become affected
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Nervous System
The bacteria Clostridium tetani releases the toxins tetanolysin and tetanospasmin inhibiting the release of inhibitory neurotransmitters
Neurons at the neuromuscular juntion fire continuously causing severe and painful muscle spasms and stiffness in your jaw, referred to as "lockjaw".
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Upstream Causes
Direct Causes
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Puncture wounds — including from splinters, body piercings, tattoos and injection drugs
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