A Case of Tetanus with Trismus

Autor: Hiroyuki Mineta, Chisako Izumi, Masataka Takeyama
Rok vydání: 2009
Předmět:
Zdroj: Practica Oto-Rhino-Laryngologica. 102:31-34
ISSN: 1884-4545
0032-6313
DOI: 10.5631/jibirin.102.31
Popis: We report a patient with a sore throat and trismus associated with tetanus. The 71-year-old man had a sore throat and so consulted the hospital. However, no abnormal physical or fiberscopic findings were noted except for a high CPK level (438 U/l) in the serum. CT and MRI did not demonstrate abnormal findings. He showed trismus and convulsion after 6 days, and was then diagnosed with tetanus. Respiratory care involving intubation and the administration of Penicillin G (24 million units/day for 11 days) and human anti-tetanus immunoglobulin were performed, resulting in cure without any sequelae. We should consider tetanus in patients with a sore throat and trismus because one quarter of tetanus patients show no injury history.
Databáze: OpenAIRE