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Commission Implementing Decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council (notified under document C(2012) 5538) (Text with EEA relevance) (2012/506/EU)
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2.43.TETANUS (Clostridium tetani)
Clinical Criteria
Any person with at least two of the following three:
Painful muscular contractions primarily of the masseter and neck muscles leading to facial spasms known as trismus and ‘risus sardonicus’
Painful muscular contractions of trunk muscles
Generalised spasms, frequently position of opisthotonus
Laboratory Criteria
At least one of the following two:
Isolation of Clostridium tetani from an infection site
Detection of tetanus toxin in a serum sample
Epidemiological Criteria NA
Case Classification
A. Possible case NA
B. Probable case
Any person meeting the clinical criteria
C. Confirmed case
Any person meeting the clinical and the laboratory criteria
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