Going barefoot to work, the 56 -year -old man, from Hanoi, stepped on the nail, bleeded, then took antibiotics himself.Three weeks later, he was hard, hard to open his mouth, swallowed, had difficulty breathing, spastic limbs, increasing his body.He went to the hospital to be diagnosed with total tetanus.
As soon as the hospital was admitted, the patient was injected with tetanus and anti -serum, cutting wounds with hydrogen peroxide, removing foreign objects.After 3 days of active treatment, the patient shows signs of more positive changes.
Another case, a 49 -year -old man, in Bac Ninh, was cut through the number 1 wooden finger, not to the hospital for tetanus vaccination and handling wounds and leaves at home.A few days later, he was hard, hard to open his mouth, difficulty breathing, and difficulty walking, so he was taken to the hospital.
When admitted to the hospital, the wound on the finger was dark necrotic, suspected of containing foreign objects.The patient is treated for cutting, washing wounds.However, after 2 weeks of treatment, the disease progresses worse and must treat positive resuscitation by mechanical ventilation methods, dialysis, high -dose antibiotics against bacterial infections, vasoconstriction, micronutrients, nutrition transmission.After many multi -specialized consultations, the patient is still in critical condition, bacterial shock, respiratory failure, acute liver failure, acute muscle pepper, anuria, high risk of death.
According to Assoc.Prof.Dr. Do Duy Cuong - Director of Tropical Diseases Center, Bach Mai Hospital, patients all subjective self -cure and first aid at home, did not know they were infected with tetanus bacteria.Only when Toan Phat has been in the period of severe, difficult prognosis, and life -threatening disease.
Tetanologic is a dangerous acute bacterial infection caused by Clostridium Tetani bacteria living in dirty soil environment that enters the body, in anaerobic conditions (the mouth of the wound is sealed) the bacteria will produce foreign toxins.This toxin is very strong into the blood and goes to nerve-nerve cylinders, which increases the level of stimulation of conductivity causing muscle spasms and convulsions.
Clinical symptoms are that after the wound about 1-2 weeks, the patient will have early manifestations of jaw, difficulty chewing, difficulty swallowing, then will harden muscle, increase the body tone of the body, the severity will be availableManifestations of convulsions, bent body, accompanied by shortness of breath, respiratory failure, plant neurological disorders.If not managed promptly by positive resuscitation measures, it will quickly lead to death or many complications on the cardiovascular, respiratory, urinary, digestive, osteoarthritis systems.
To prevent tetanus disease, first of all vaccinated, especially with a group of high -risk people.Children to prevent tetanus from 2 months old with a vaccine 6 of 1 (need to follow the specific instructions of the health agency).Pregnant women need to vaccinate tetanus at the right time of pregnancy.