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)
Algoritmo de tratamento
Colaboradores
Autores
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 revisores
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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