口腔顎顔面外傷 : 日本口腔顎顔面外傷学会誌
Online ISSN : 2434-3366
Print ISSN : 1347-9903
臨床症例
開口障害を主訴に受診した破傷風の1例
中原 和美奥村 俊哉小野 重弘武知 正晃
著者情報
キーワード: 破傷風, 開口障害, 顎関節症
ジャーナル フリー

2022 年 21 巻 1 号 p. 14-18

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We report herein a case of tetanus. The patient was a 75-year-old man who was referred to our hospital because of difficulty in mouth opening. Physical examination revealed severe trismus. However, there was no sign of inflammation in the maxillofacial region. The clinical diagnosis was temporomandibular disorder. The next day, he visited the emergency department because of dysphagia. The patient was given a diagnosis of tetanus on the basis of the clinical course and symptoms such as rapidly progressive trismus and dysphagia. The patient was admitted to our hospital and given tetanus antitoxin, antitetanic human immunoglobulin and antibiotics. He was discharged on the 13th hospital day. Although tetanus has become rare in recent years in Japan, it is a fatal disease if early treatment is not appropriately performed. When examining patients with trismus, we should consider the possibility of tetanus and observe them carefully.
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© 2022 日本口腔顎顔面外傷学会
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