破傷風と考えられた重度開口障害の一例

概要

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Tetanus is a fatal disease if early treatment is not appropriately performed. Numerous patients complaining of trismus consult dentists or oral surgeons. Trismus frequently occurs as an initial sign of tetanus. Tetanus should therefore always be taken into consideration when examining patients with trismus.<BR>A 62-year-old female was referred to our clinic by a physician because of trismus and shoulder stiffness. However, trismus and spasms of the jaw, neck and shoulder musclature were rapidly aggravated. Although Clostridium tetani was not detected, clinical symptoms such as severe trismus and facial grimacing were strongly suggestive of tetanus.<BR>The patient was treated by a prophylactic tracheotomy, tetanus antitoxin and high dose antibiotics therapy. The clinical course of the patient improved without convulsions.
社団法人日本口腔外科学会の論文