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Generalized Tetanus Initially Presenting with Dysmasesis

A 58-year-old male farmer, with no significant history of any chronic morbidity, was admitted via the Emergency Department of SMHS Hospital, Srinagar, with a history of an injury to the hand 20 days earlier followed by a three-day history of dysmasesis (difficulty chewing), progressing to trismus an...

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Autores principales: Zunga, Parvaiz M, Tarfarosh, Shah Faisal Ahmad, Farooq, Omar, Dar, Ishrat H, Rashid, Samia, Yaseen, Ummer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4946959/
https://www.ncbi.nlm.nih.gov/pubmed/27433422
http://dx.doi.org/10.7759/cureus.644
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author Zunga, Parvaiz M
Tarfarosh, Shah Faisal Ahmad
Farooq, Omar
Dar, Ishrat H
Rashid, Samia
Yaseen, Ummer
author_facet Zunga, Parvaiz M
Tarfarosh, Shah Faisal Ahmad
Farooq, Omar
Dar, Ishrat H
Rashid, Samia
Yaseen, Ummer
author_sort Zunga, Parvaiz M
collection PubMed
description A 58-year-old male farmer, with no significant history of any chronic morbidity, was admitted via the Emergency Department of SMHS Hospital, Srinagar, with a history of an injury to the hand 20 days earlier followed by a three-day history of dysmasesis (difficulty chewing), progressing to trismus and generalized stiffness interfering with his daily activities. The patient was clinically managed as tetanus on grounds of high clinical suspicion. The patient was treated for a week and discharged without any sequelae to follow-up in the Neurology Outpatient Department of the SMHS Hospital and is currently doing well. After a week of successful management, we received the blood and wound culture reports of the patient that had been sent at the time of his admission to the hospital, which overwhelmingly tested positive for Clostridium tetani. Tetanus is a disease to be suspected post-trauma in patients, especially in developing countries like India. Despite active and passive immunization, it continues to be a significant public health problem in developing countries and should be readily suspected and treated. Although prevention is important for tetanus, the outcomes can be improved by early clinical diagnosis and treatment.
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spelling pubmed-49469592016-07-18 Generalized Tetanus Initially Presenting with Dysmasesis Zunga, Parvaiz M Tarfarosh, Shah Faisal Ahmad Farooq, Omar Dar, Ishrat H Rashid, Samia Yaseen, Ummer Cureus Neurology A 58-year-old male farmer, with no significant history of any chronic morbidity, was admitted via the Emergency Department of SMHS Hospital, Srinagar, with a history of an injury to the hand 20 days earlier followed by a three-day history of dysmasesis (difficulty chewing), progressing to trismus and generalized stiffness interfering with his daily activities. The patient was clinically managed as tetanus on grounds of high clinical suspicion. The patient was treated for a week and discharged without any sequelae to follow-up in the Neurology Outpatient Department of the SMHS Hospital and is currently doing well. After a week of successful management, we received the blood and wound culture reports of the patient that had been sent at the time of his admission to the hospital, which overwhelmingly tested positive for Clostridium tetani. Tetanus is a disease to be suspected post-trauma in patients, especially in developing countries like India. Despite active and passive immunization, it continues to be a significant public health problem in developing countries and should be readily suspected and treated. Although prevention is important for tetanus, the outcomes can be improved by early clinical diagnosis and treatment. Cureus 2016-06-17 /pmc/articles/PMC4946959/ /pubmed/27433422 http://dx.doi.org/10.7759/cureus.644 Text en Copyright © 2016, Zunga et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Zunga, Parvaiz M
Tarfarosh, Shah Faisal Ahmad
Farooq, Omar
Dar, Ishrat H
Rashid, Samia
Yaseen, Ummer
Generalized Tetanus Initially Presenting with Dysmasesis
title Generalized Tetanus Initially Presenting with Dysmasesis
title_full Generalized Tetanus Initially Presenting with Dysmasesis
title_fullStr Generalized Tetanus Initially Presenting with Dysmasesis
title_full_unstemmed Generalized Tetanus Initially Presenting with Dysmasesis
title_short Generalized Tetanus Initially Presenting with Dysmasesis
title_sort generalized tetanus initially presenting with dysmasesis
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4946959/
https://www.ncbi.nlm.nih.gov/pubmed/27433422
http://dx.doi.org/10.7759/cureus.644
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