Última revisão: 24 Out 2020
Última atualização: 24 Julho 2018

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • lesão prévia propensa a tétano
  • estado da imunização antitetânica
  • trismo (mandíbula travada)
  • dorsalgia
  • rigidez/aumento do tônus muscular
  • disfagia
  • espasmos

Outros fatores de diagnóstico

  • uso de drogas injetáveis
  • dificuldade respiratória
  • pressão arterial, frequência de pulso e temperatura instáveis
  • sudorese

Fatores de risco

  • imunização antitetânica incompleta
  • lesão
  • práticas obstétricas assépticas
  • uso de drogas injetáveis
  • injeção intramuscular sem assepsia
  • cirurgia abdominal
  • acupuntura, piercing de orelha, pedicuro, palitos de dente
  • tumores necróticos
  • infecção da orelha média

Exames diagnósticos

Exames a serem considerados

  • características clínicas diagnósticas de tétano
  • toxina sérica
  • detecção do Clostridium tetani a partir do tecido da ferida ou swab
  • anticorpos séricos antitoxina
  • esporos em amostras de drogas ou objetos relacionados a esta prática
  • punção lombar
  • eletroencefalograma (EEG)
  • eletromiografia (EMG)
Mais exames a serem considerados

Algoritmo de tratamento

Colaboradores

Consultant in Infectious Diseases

Leeds Teaching Hospitals NHS Trust

Leeds

UK

Divulgações

LEC declares that she has no competing interests.

Senior Lecturer (Honorary Consultant)

Liverpool School of Tropical Medicine and Royal Liverpool University Hospital

Liverpool

UK

Divulgações

NJB is an author of several references cited in this monograph. NJB is partially supported by the National Institute of Health Research Health Protection Unit in Emerging and Zoonotic Infections at the University of Liverpool and Public Health England. He is affiliated with the Liverpool School of Tropical Medicine. Views expressed in this monograph are those of the contributor and do not necessarily represent the official position of the National Health Service, the National Institute for Health Research, the Department of Health, or Public Health England.

Professor in Paediatric Infection (Honorary Consultant)

University of Liverpool and Alder Hey Children’s NHS Foundation Trust

Liverpool

UK

Divulgações

EDC declares that she has no competing interests.

Consultant in Medical Microbiology

Alder Hey Children’s NHS Foundation Trust

Honorary Senior Lecturer, University of Liverpool

Honorary Clinical Research Fellow, Liverpool School of Tropical Medicine

Liverpool

UK

Visiting Professor

School of Tropical Medicine and Global Health

Nagasaki University

Japan

Divulgações

CMP is an author of a number of references cited in this monograph.

Colegas revisoresMOSTRAR TODOS

Senior Clinical Research Fellow

Oxford University Clinical Research Unit

Hospital for Tropical Diseases

Ho Chi Minh City

Vietnam

Centre for Tropical Medicine and Global Health

Oxford University

Oxford

UK

Divulgações

LT is an author of a number of references cited in this monograph.

Commander

U.S. Public Health Service

Medical Epidemiologist

HIV Vaccine Team

Epidemiology Branch

Division of HIV/AIDS Prevention

National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention

Centers for Disease Control and Prevention

Atlanta

GA

Divulgações

KK declares that she has no competing interests.

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