Trismus in cephalic tetanus from a foot injury

Tetanus: A Case Report following an Upper Extremity Injury

“…An initial dose of 5,000 units of TIG was ordered, however with uncertain evidence supporting this dosing regimen, the dose was reduced to 500 units and administered. Dosing regimens documented in published case studies range from 500 to 10,000 units [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]. Based on the symptomatic resolution observed in this patient with low-dose therapy and the evidence presented herein, it seems likely that the lowest recommended dose may be sufficient to provide optimal patient outcomes.…”

Cephalic Tetanus Presenting With Trismus in an Intravenous Drug Abuser

“…Delay in diagnosis and management worsens the prognosis; that way, invasive procedures such as tracheostomy might be indicated, imposing consequent complications on the patient (6). Among the reported symptoms are trismus (7-10), dysphagia (7,8,11), cranial nerve palsy (11), signs such as blepharospasm (7,12), facial paresis (8), ptosis (8), and vertigo (10).…”

“…History of a recent penetrating trauma is a key factor in diagnosis; but, the intravenous drug abuse, as in this case, places the patient at a higher risk as well. The location of injury and its distance from the head used to be considered as important factors in the development of cephalic tetanus, but injuries far from the head can also cause it (7).…”