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Punctured Wound Local Abscess

Clostridium tetani spore innoculation

Development of Spores into vegetative


organisms (localized)

Tetanospasmin released into the systemic


circulation (Toxemia)

Toxin enters the presynaptic terminal of


Peripheral Lower Motor Neurons & Spinal
cord & Brainstem

Toxin blocks release of inhibitory


neurotransmitters GABA & Glycine

Unrestrained Excitation of Motor Neurons

Spasmodic Contractions of Muscles of Jaw,


Upper & Lower Extremities, Abdomen,
Chest, Pharynx

Trismus, Dysphagia, Gait problems

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