In some cases h sensorial irritability and alterations. The tetnico does not present alteration of the state of the conscience, attending its total discerning illness. Sensitivity is also not modified by the tetnica toxin. The breath becomes superficial with the torcica expansibilidade limited by the contraturas and hipertonia; perspiration is abundant, taking the great hidroeletrolticas losses. Muscular pain is a constant; it has espasmos of sphincters with urinria retention and intestinal constipation. During the espasmos and/or constratura the hipertonia if accents, being folloied of taquicardia and hipertenso. The contraturas are unchained by diverse stimulatons, as light, noises, manuscript, retention of piss, disria, muscular pain, constipation (fecalomas), aspirations and injections intramusculares. Fever can occur of until 40C, which had to muscular hipercatabolismo in function of contraturas.' ' (TONELLI, FREIRE, 2000.) The ttano symptoms can be divided, for the chronological order of appearance, in: Local Ttano; Premonitory symptoms; Permanent Contratura; Espasmos paroxsticos (convulsions); Likeable Hiperatividade.

(FOCACCIA, 2005). The distinguishing diagntico in the ttano does not offer great difficulties. It has history of wound contaminated, treated to inadequate way, eo story it vaccine not-use. The histriado beginning of the illness is of great value, therefore it helps to move away oputras diseases. After the installation of the picture, the diagntico is not difficult. The sorolgicos tests are delayed, and its vlor, practical.

The results of cultures dematerial of the wound almost always are negative. (TONELLI, FREIRE, 2000.) The main patologias that can be confudidascom the ttano are: Poisoning; Procesos inflammatory in the mandibular region that makes it difficult the opening of the mouth; Meningites and encefalites; Intra-intracraniana hemorrhage; Anger; Metabolic riots. (TONELLI, FREIRE, 2000.) The diagntico of the ttano is essenciamente physician, eo laboratory helps little. The coloration for the Gram and the culture of the material harvested in the wound is positive in about only 30% of the cases, due to absence of the bacillus in the focus.