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Best Tetanus Doctor In Mumbai Tetanus is a nervous system disorder characterized by muscle spasms that is caused by the toxin – producing bacteria Clostridium tetani, which is found in the soil. The disease remains a threat to all inadequately vaccinated people, particularly in resource – limited countries. Tetanus occurs when spores of above mentioned bacteria normally present in the gut of mammals and widely found in soil, gain access to damaged human tissue. Tetanus should be suspected when there is a history of an antecedent tetanus – prone injury and a history of inadequate immunization for tetanus. An identifiable antecedent cause for tetanus is obvious in most patients presenting with tetanus, but no cause can be identified in up to a quarter of patients with classic signs and symptoms. The incubation period of tetanus is approximately 8 days but ranges from 3 to 21 days. The most common and severe clinical form of tetanus is generalized tetanus. The presenting symptom in more than 80 percent of such patients is lockjaw. The patient may have sweating, high pulse rate, fluctuating blood pressure and fever. Patients characteristically have tonic contractions of their skeletal muscles and intermittent intense muscular spasms. Neonatal tetanus occurs as a result of the failure to use aseptic techniques in managing the umbilical stump in offspring of mothers who are poorly immunized. The usual duration of clinical tetanus is four to six weeks. All patients with tetanus should undergo removal of damaged tissues or foreign body along with the antimicrobial therapy under the guidance of a specialist doctor. The tetanus immune globulin should be given along with all patients should receive active immunization with a full series. Tetanus prophylaxis following a puncture wound is essential along with immunization of women who are pregnant or of childbearing age.