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Upon admission to the hospital, a physician diagnosed William with tetanus caused by the bacterium Clostridium tetani, and was prescribed an antibacterial and a muscle-relaxant to suppress the muscle spasms. C. tetani produces toxins within the body that invade the central nervous system resulting in the motor neurons continually firing, and therefore, the muscle remains contracted. The muscles that are commonly affected are within the head, neck, back, and upper extremity.
In addition to sustained muscle contraction, the toxin can also directly destroy muscle fibers. When muscle fibers degenerate, myoglobin is released into the bloodstream which can significantly affect the function of the kidneys. To ensure the functionality of the kidneys, William's physician runs a blood test to determine if myoglobin is present. Blood tests result confirm the presence of myoglobin.
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