Cephalic Tetanus in a Nontraumatized Patient with Left Facial Palsy

Yanagi, Fumiharu; Sawada, Noriko; Nishi, Masaaki; Nakayama, Ryosuke; Imamura, Shigehiro; Higashi, Kiichiro

doi:10.1213/00000539-199608000-00038

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…It is becoming unrecognized, especially in localized forms (in particular cephalic) [6,7]. The gateway is a facial sore (even a puncture), chronic otitis media, or a dental or oral lesion [8]. In our case, it was an erosive cheilitis.…”

Section: Discussionmentioning

confidence: 66%

Cephalic Tetanus Presenting as Peripheral Facial Palsy: A Case Report

Hamdi¹,

Afellah²,

Ridal³

et al. 2023

Cureus

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Tetanus is a serious disease that has become rare in countries that adopt an effective and sustainable vaccination strategy; however, tetanus remains a fairly common problem in developing countries. The diagnosis of tetanus is fairly easy. However, its cephalic form is a rare but potentially life-threatening neurological condition caused by the bacteria Clostridium tetani, which can result in symptoms such as spasms, rigidity, and paralysis of various muscles and nerves in the head and neck region.This article is about a 43-year-old man who had presumed an idiopathic facial palsy at the beginning and who turned out after the evolution of the clinical picture that it is cephalic tetanus. In this article, we will see the subtleties and clinical elements that have allowed us to rectify the diagnosis. Peripheral facial palsy can be a presenting symptom of cephalic tetanus and should be considered in patients with a history of tetanus infection or exposure. Early recognition and prompt treatment of cephalic tetanus are crucial in preventing complications and improving outcomes. Treatment typically involves the administration of tetanus immunoglobulin and antibiotics, as well as supportive care for any associated symptoms or complications.

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Section: Discussionmentioning

confidence: 66%

Cephalic Tetanus Presenting as Peripheral Facial Palsy: A Case Report

Hamdi¹,

Afellah²,

Ridal³

et al. 2023

Cureus

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“…Dapat pula berhubungan dengan karies gigi, tindakan ekstraksi gigi, abses periodontal, serta laserasi lidah. Penyakit tetanus jenis ini biasanya memiliki masa inkubasi yang lebih pendek (1-2 hari) dan angka mortalitas tinggi (Yanagi et al, 1996).…”

Section: Pendahuluanunclassified

“…Pada 7-17 % kasus, sumber infeksi yang dicurigai sebagai port de entry kadang kala tidak dijumpai. Sebagian besar kasus, inokulasi bakterinya adalah luka atau trauma di regio wajah (contohnya jerawat), dapat pula adanya caries gigi, setelah tindakan ekstraksi gigi, pembersihan kanal gigi, abses periodontal, laserasi lidah serta infeksi telinga (Yanagi et al, 1996).…”

Section: Pembahasanunclassified

Cephalic Tetanus a Rare Local Tetanus

Mahmuda¹,

Priambodo²

2015

Biomedika

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Woman, 68 years old came to hospital with chief complain trismus and dysphagia. She was in a good condition with physical examination and standard laboratory test reveal normal value. The neurologist found multiple parese of cranial nerve (V, VII, IX, X, XI). After further examination include electromedic test and head ct scan with contrast the neurologist did not find any abnormality that may explain her symptoms. The patient then consulted to the internist with suspect of local tetanus infection because of focal infection in her dental caries. The patient is then treated with antibiotics, convultion inhibitor agent, also given tetanus immunoglobulin. During the treatment, her symptoms improved. There were no other severe complication. Patient was returning home on the ninth day of hospitalisation and ready for her dentist appointment.Keywords : Trismus, dysphagia, parese, tetanus, tetanus imunoglobulin

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