A 30 year old male comes to see you with a puncture wound on the plantar surface

Question

A 30 year old male comes to see you with a puncture wound on the plantar surface of his foot. Two days ago, he was building a deck in his backyard and stepped on a nail that went right up through his rubber soles and into his foot. The wound is clean, dry, swollen, and suppurative (has pus)
A. You are concerned that he might have contacted
1. clostridium difficile
2. clostridium perfringes
3. clostridium trachomatis
4. clostridium botulinum
5. clostridium tetani
B. You ask him when he last had a booster shot. He doesn't remember. For which should he have been vaccinated against
1. C. difficile
2. C. botulinum
3. C. tetani
4. C. perfringes
5. C. diphtheriae
C. Since he doesn't remember his last booster shot, the course of action you should take is to
1. administer the vaccine now
2. administer the toxoid now
3. administer the immune globulin now
4. one & two
5 two & three
D. if you were to contact the illness, the first sign that you wouldn't likely see is
1. locking of the knee joint
2. locking of the mandible
3. locking of the shoulder joint
4. locking of the elbow joint
5. failure of the diaphragm to function

this is microbiology!

Explanation / Answer

A. 5.Clostridium tetani. - it's the bacteria responsible for causing tetanus, a serious disease that causes muscle spasm. The spores of it reaches bloodstream through cut, deep wounds.

B. 3.Clostridium tetani - because this organism causes tetanus that spreads through deep wounds and is fatal if it turns positive.

C. 1.administer the vaccine now. Tetanus vaccine is also called toroidal which provides 10 years protection.

D. 5.failure of the diaphragm to function. Diaphragm is affected least in tetanus but if it's involved then it's fatal. Usually affects muscles of jaw, neck followed by trunk muscles and intercostal muscles.

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