Tetanus adisease caused by infection by an aerobic bacteria called closteridum tetanae its present mainly in the soil and growth in anaerobic field, in this literature A case of tetanus is described in a 43 years old Male in AL-kindy educated hospital, Baghdad, Iraq. The initial presentation was Trismus and dysphagia following a tongue laceration by grossly carious tooth, Subsequently he developed muscular spasm which led to the diagnosis of tetanus. This paper discusses the general management of tetanus