A Case of Tetanus with Trismus
Autor: | Hiroyuki Mineta, Chisako Izumi, Masataka Takeyama |
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Rok vydání: | 2009 |
Předmět: |
medicine.medical_specialty
business.industry Tetanus medicine.medical_treatment medicine.disease Trismus complex mixtures Surgery Penicillin stomatognathic diseases Otorhinolaryngology Anesthesia Convulsion otorhinolaryngologic diseases Sore throat Medicine Intubation In patient medicine.symptom Million Units business medicine.drug |
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 |
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