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Case Report; Tetanus, Differential Diagnosis with Trismus

개구장애 환자에서의 감별진단, 파상풍 환자의 증례보고

  • Lim, Hyun-Dae (Department of Oral medicine, School of Dentistry, Wonkwang University & Wonkwang Dental research institue) ;
  • Lee, You-Mee (Department of Oral medicine, School of Dentistry, Wonkwang University & Wonkwang Dental research institue)
  • 임현대 (원광대학교 치과대학 구강내과학 교실 및 원광치의학 연구소) ;
  • 이유미 (원광대학교 치과대학 구강내과학 교실 및 원광치의학 연구소)
  • Received : 2011.03.11
  • Accepted : 2011.05.26
  • Published : 2011.06.30

Abstract

Tetanus is fatal neurological disease caused by Clostridium tetani on contaminated wound that is characterised by muscle spasm, muscle pain, and autonomic dysfuction. C. tetani exist on contaminated wound frequently that developed clinical tetanus under low oxygen condition. Tetanus have four symptomatic form: generalized, localized, cephalic, and neonatal. The incubation period is about 7 days and mortality is high. The commonest presenting symptom is trismus and other is stiffness of neck and back(opisthotonos), muscle spasm, dysphagia, facial pain, risus sardonicus. Trismus is primary presenting symptom in 50~75% of the cases and this have high possibility of initial visit to dental office. This case report of a patient who visit in our department with trismus as chief complaint.

Keywords

tetanus;mouth opening limitation;dysphagia;trismus

Acknowledgement

Supported by : 원광대학교

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