日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
外傷歴のない破傷風の1例
岩井 俊憲青木 伸二郎岡本 喜之廣田 誠川辺 良一藤田 浄秀
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キーワード: 破傷風, 外傷, 開口障害
ジャーナル フリー

2005 年 51 巻 3 号 p. 128-131

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We report a case of tetanus.
A 78-year-old woman was referred to our hospital because of trismus. Physical examination showed severe trismus and stiffness of the masseter and temporal muscles. The patient had no noticeable history of trauma. On the next day, the symptoms intensified. Tetanus was diagnosed on the basis of clinical course and symptoms such as trismus, facial grimacing, and stiffness of the masseter and neck muscles. The patient was immediately admitted to the intensive care unit. She was given antitetanic human immunoglobulin, tetanus antitoxin, antibiotics, dantrolen, and midazolam. Opisthotonus, airway obstruction, and circulatory disturbance did not occur. The patient recovered without tracheotomy or tracheal intubation.
Tetanus is a fatal infectious disease, if early treatment is not appropriately performed. We should consider the possibility of tetanus when examining patients with trismus and observe them carefully.

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