Tiny germs live in the dirt.
Tiny germs live in the dirt. 
A tiny germ lives in the soil. Its name is Clostridium tetani.
If a spore enters a deep wound, it can grow. The germ makes a strong poison called tetanospasmin. This poison travels through the blood. It reaches the nervous system. The poison blocks signals in the body. This causes muscles to spasm or tighten. These spasms can start in the face and move down. 
Doctors can use shots to keep people safe. These shots use a tetanus toxoid. A toxoid is a poison that has been made safe. The shot helps the body learn to fight the germ. This helps prevent the disease.
A tiny germ called Clostridium tetani lives in the soil all over the world.
Sometimes, these spores can enter a person through a deep wound. This might happen from a puncture or a dirty needle. Inside a deep wound, there is very little oxygen. This allows the spores to grow into active cells. As the cells grow, they release a very strong poison called tetanospasmin. This poison travels through the blood and the lymphatic system. It goes into the nervous system of the body. The poison blocks certain signals in the nerves. This blockade causes motor neurons to stay active. This leads to painful muscle spasms that can last for weeks. 
People have known about tetanus for a very long time. Descriptions of the disease appear in the writings of Hippocrates from the 4th century BCE. In 1884, Arthur Nicolaier showed that soil could cause the disease in animals. Kitasato Shibasaburō isolated the germ from a human in 1889. He also showed that specific antibodies could stop the toxin. Later, Edmond Nocard showed that antitoxin could help treat humans in 1897. During World War I, doctors used antiserum from horses to help wounded soldiers. This helped many people avoid the disease during the war.
Scientists have learned much about how this germ works. The gene for the poison is found on a small piece of DNA called a plasmid. Some strains of the germ do not have this plasmid. Without it, they cannot make the toxin. The genome of this germ has 2.80 million base pairs. It also contains 2,373 protein coding genes. Scientists can grow these germs in labs using special media like blood agar. They prefer environments that are neutral or alkaline. This helps researchers study the germ and find ways to fight it.
We can stay safe from this germ using vaccines. A vaccine uses something called a tetanus toxoid. This is made by taking the toxin and making it safe with formaldehyde.
Clostridium tetani is a common bacterium found in soil and animal intestines. It is the causative agent of tetanus, a severe disease that affects the nervous system. This Gram-positive bacterium is typically rod-shaped. It measures up to 2.5 micrometers in length and 0.5 micrometers in width.
To survive harsh environments, C. tetani can form a spore. When exposed to different conditions, the cell sheds its flagella and creates a single spore. This spore usually forms at one end of the cell. This process gives the bacterium a distinctive shape like a drumstick or a tennis racket.
Disease begins when these spores enter the body through a wound. Deep wounds, such as punctures or contaminated needle injections, are particularly dangerous. In these wounds, tissue death and limited air exposure create a low-oxygen environment. This allows the spores to germinate and grow into active vegetative cells. As the cells grow and lyse, or break open, they release toxins. One of these is tetanolysin, which may help the infection establish itself. The most dangerous substance released is tetanospasmin, also known as tetanus toxin.
Tetanospasmin is a potent toxin with a very low lethal dose. It is estimated to be less than 2.5 nanograms per kilogram of body weight. Once released, the toxin spreads through the lymphatic system and the bloodstream. It eventually enters the nervous system. In the nervous system, tetanospasmin blocks the release of inhibitory neurotransmitters called glycine and gamma-aminobutyric acid at motor nerve endings. This blockade causes motor neurons to stay active, leading to widespread muscle spasms. 
The ability to produce this toxin depends on a specific gene. This gene is located on a plasmid, which is a small piece of DNA carried by many strains. Strains of C. tetani that lack this plasmid cannot produce the toxin. Within the broader scientific classification, C. tetani belongs to the genus Clostridium. This genus includes over 150 species of Gram-positive bacteria. C. tetani is part of a cluster of nearly 100 closely related species. This group includes other pathogens like C. botulinum and C. perfringens. Its closest relative is C. cochlearium.
History shows that humans have known about tetanus for centuries. Clinical descriptions of the disease appear in the writings of Hippocrates in the 4th century BCE. In 1884, Arthur Nicolaier proved the connection to soil by injecting soil into animals. In 1889, Kitasato Shibasaburō isolated the bacterium from a human victim. He also discovered that specific antibodies could neutralize the toxin. Later, in 1897, Edmond Nocard showed that antitoxin could provide passive immunity for treatment. During World War I, doctors used horse-derived antiserum to protect wounded soldiers. This led to a dramatic decrease in tetanus cases during the war.
Modern prevention relies on the tetanus toxoid vaccine. This vaccine uses tetanospasmin that has been inactivated by formaldehyde. To make it, scientists grow large quantities of C. tetani in fermenters. They then purify the toxin and treat it with 40% formaldehyde for 4 to 6 weeks. This toxoid is often given as part of the DPT or DTaP vaccine. These vaccines include protection against diphtheria and pertussis. They are given in several doses over months or years to build an immune response. This protects the body from the effects of the toxin if an infection occurs.
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