Welborn Pet Hospital
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Case of the "Sardonic-Smile"
Canine Tetanus

The dog presented in these pictures had suffered a puncture wound in its foot. The wound became infected by a bacteria called Clostridium tetani. As this bacteria grows, it produces a toxin which interferes with nerve impulses that control muscle contraction. Sardonic Smile

Straddle-stance, face, neck and back contractions

Tension in contracted muscles and a straddle-like stance is apparent from the top view.

At first glance, one might think this dog couldn't stop smiling. In fact, the dog's facial muscles were contracted, thus pulling the lips back into what looks like a "sardonic grin." Excess salivation was caused by the dog's difficulty in swallowing. Note that the dog's ears are pulled back; this too is due to a spasm-like contraction of voluntary muscles. The muscle contraction is apparent along the dog's neck and back, and also in the straddle-like stance of its front and back legs, which it develops to keep from toppling over. The dog's eyes are somewhat sunken, with a result that the third eye-lid has begun to prolapse, or extend visibly over the eye.


Ears and facial muscles are drawn back.
Facial muscles, ears, neck and back muscles are in a constant state of contraction. Tetanus is sometimes referred to as "lockjaw".

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