Less common having been controlled by vaccination. Disease found in spore formation in soil & plants where organic manure has been used.
$2
Look for:
$1
{history} of cut in garden or a prick with rose thorn
secondary infection of wound
increasing {muscle} spasms
abnormal grin ('risus sardonicus')
{respiratory} problems
$1
Seek competent medical advice urgently. {Vaccination} gives complete protection for up to 10yrs. Booster {tetanus} injections at 5-10yr intervals are recommended. If full disease develops, it may be necessary to use {muscle} {paralysing} drugs & provide {respiratory} support mechanically.